anesthesiologists and 53.7% of obstetricians, are located in a state capital. However, only 24% of the population lives in a state capital, resulting in a maldistribution of the surgical workforce. The average age of the surgical workforce in the state capitals is 46.85 years and 47.86 years in the interior (p < 0.0001). Additionally, the north and central-west of the country are large donor regions for the surgical workforce. 492 SAO (18.5% of the total SAO born in the north) migrating out of the north region and 2,642 SAO (49.74%) migrating out of the central-west. Interpretation: Although Brazil has a large surgical workforce, inequalities in its distribution are concerning. Government policies and leadership from surgical organizations are required to ensure that the surgical workforce will be more evenly distributed in the future. This will both improve work conditions as well as ensure access to surgical care throughout the country.
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