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Record W4388744801 · doi:10.1213/ane.0000000000006774

Supply Demand Ratio: The Canadian Anesthesia Workforce

2023· article· en· W4388744801 on OpenAlexaboutno aff
Naveen Nathan

Bibliographic record

VenueAnesthesia & Analgesia · 2023
Typearticle
Languageen
FieldHealth Professions
TopicGlobal Health Workforce Issues
Canadian institutionsnot available
Fundersnot available
KeywordsWorkforceMedicineWorkforce planningAttritionDemographicsHealth careNursingFamily medicineDemographyEconomic growth

Abstract

fetched live from OpenAlex

Worldwide the need for anesthesia services has grown over time. The value for anesthesia services has also been acutely recognized in the wake of a viral pandemic. It is instructive to observe trends in the changing demographics of the anesthesia care workforce and investigate whether its magnitude meets the clinical demand for patients. Simkin et al used health administrative data from the Canadian Institute of Health Information to answer these questions. They reviewed available data from 1996 to 2018. Across this time frame, the anesthesia workforce grew 1.8-fold to 3681 physicians. The average age of the workforce increased by 2.3 years and the annual retirement rate was 3%. The workforce has become more gender balanced but remains predominantly male. Interestingly, family practice physicians who acquired additional training to provide anesthesia services accounted for the majority of care in rural areas of Canada. Their attrition rate was notably high. Although the anesthesia workforce in Canada grew substantially over 22 years, it continues to rely heavily on international medical graduates and family practice physicians. Workforce planning is needed to support the alignment of clinical services with community needs. The reader is strongly encouraged to review the cited article for an in-depth understanding of the concepts summarized in this infographic.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.013
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Incentives · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.997
Threshold uncertainty score0.470

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.013
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0060.013
Science and technology studies0.0030.001
Scholarly communication0.0040.002
Open science0.0020.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0180.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.043
GPT teacher head0.369
Teacher spread0.327 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

Study designObservational
DomainIncentives
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2023
Admission routes1
Has abstractyes

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