Geographic practice preferences of graduating medical students pursuing careers in dermatology

Fulk, Travis; Wessman, Laurel L.; Gupta, Rachit; Farah, Ronda S.; Smith, Cindy Firkin; Gaddis, Kevin J.; Mansh, Matthew

doi:10.1016/j.jaad.2022.02.061

Cited by 4 publications

(3 citation statements)

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“…Such efforts may include increasing service-based learning opportunities in undergraduate and graduate medical education in dermatology 28,29 ; emphasizing the importance of a demonstrated commitment to underserved care, including through research, in dermatology residency recruitment policies and practices 30 ; formal residency training tracks focused on health equity and/or community-based care [31][32][33] ; and financial incentives that encourage careers in underserved care. 34,35 Finally, this study found that SM students pursuing dermatology had increased interest in careers focused on academic practice, leadership, and research. This is consistent with a prior study that found LGBT dermatologists are more likely to report practicing in academic settings.…”

Section: Discussionmentioning

confidence: 70%

“…Efforts are thus needed to increase engagement with underserved care among all trainees in the dermatology workforce pipeline. Such efforts may include increasing service-based learning opportunities in undergraduate and graduate medical education in dermatology; emphasizing the importance of a demonstrated commitment to underserved care, including through research, in dermatology residency recruitment policies and practices; formal residency training tracks focused on health equity and/or community-based care; and financial incentives that encourage careers in underserved care …”

Section: Discussionmentioning

confidence: 99%

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Diversity and Career Goals of Graduating Allopathic Medical Students Pursuing Careers in Dermatology

et al. 2023

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ImportanceDermatology is one of the least diverse specialties, while patients from minority racial and ethnic groups and other underserved populations continue to face numerous dermatology-specific health and health care access disparities in the US.ObjectivesTo examine the demographic characteristics and intended career goals of graduating US allopathic medical students pursuing careers in dermatology compared with those pursuing other specialties and whether these differ by sex, race and ethnicity, and/or sexual orientation.Design, Setting, and ParticipantsThis secondary analysis of a repeated cross-sectional study included 58 077 graduating allopathic medical students using data from the 2016 to 2019 Association of American Medical Colleges Graduation Questionnaires.Main Outcomes and MeasuresThe proportion of female students, students from racial and ethnic groups underrepresented in medicine (URM), and sexual minority (SM) students pursuing dermatology vs pursuing other specialties. The proportions and multivariable-adjusted odds of intended career goals between students pursuing dermatology and those pursuing other specialties and by sex, race and ethnicity, and sexual orientation among students pursuing dermatology.ResultsA total of 58 077 graduating students were included, with 28 489 (49.0%) female students, 8447 (14.5%) URM students, and 3641 (6.3%) SM students. Female students pursuing dermatology were less likely than female students pursuing other specialties to identify as URM (96 of 829 [11.6%] vs 4760 of 27 660 [17.2%]; P &lt; .001) or SM (16 [1.9%] vs 1564 [5.7%]; P &lt; .001). In multivariable-adjusted analyses, students pursuing dermatology compared with other specialties had decreased odds of intending to care for underserved populations (247 of 1350 [18.3%] vs 19 142 of 56 343 [34.0%]; adjusted odd ratio [aOR], 0.40; 95% CI, 0.35-0.47; P &lt; .001), practice in underserved areas (172 [12.7%] vs 14 570 [25.9%]; aOR, 0.40; 95% CI, 0.34-0.47; P &lt; .001), and practice public health (230 [17.0%] vs 17 028 [30.2%]; aOR, 0.44; 95% CI, 0.38-0.51; P &lt; .001) but increased odds of pursuing research (874 [64.7%] vs 29 121 [51.7%]; aOR, 1.76; 95% CI, 1.57-1.97; P &lt; .001) in their careers. Among students pursuing dermatology, female, URM, and SM identities were independently associated with increased odds of caring for underserved populations (eg, URM: aOR, 4.05; 95% CI, 2.83-5.80) and practicing public health (eg, SM: aOR, 2.55; 95% CI, 1.51-4.31). URM students compared with non-URM students pursuing dermatology had increased odds of intending to practice in underserved areas (aOR, 3.93; 95% CI, 2.66-5.80), and SM students compared with heterosexual students pursuing dermatology had increased odds of intending to become medical school faculty (aOR, 1.60; 95% CI, 1.01-2.57), to pursue administrative roles (aOR, 1.60; 95% CI, 1.01-2.59), and to conduct research (aOR, 1.73; 95% CI, 1.01-2.98).Conclusions and RelevanceThe findings of this cross-sectional study suggest that diversity gaps continue to exist in the dermatology workforce pipeline. Efforts are needed to increase racial and ethnic and sexual orientation diversity and interest in careers focused on underserved care and public health among students pursuing dermatology.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Diversity and Career Goals of Graduating Allopathic Medical Students Pursuing Careers in Dermatology

et al. 2023

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“…To the Editor: We commend Fulk et al 1 for their recent survey-based assessment describing the geographic practice preferences of graduating medical students pursuing dermatology residency. The authors identified that graduate medical students pursuing dermatology, less frequently intend to practice in rural areas as compared to those pursuing other medical specialties.…”

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Response to Fulk et al’s “Geographic practice preferences of graduating medical students pursuing careers in dermatology”

Gronbeck¹,

Kodumudi²,

Feng³

2022

Journal of the American Academy of Dermatology

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Response to “Response to Fulk et al’s ‘Geographic practice preferences of graduating medical students pursuing careers in dermatology’”

Rypka¹,

Fulk²,

Wessman³

et al. 2022

Journal of the American Academy of Dermatology

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Geographic practice preferences of graduating medical students pursuing careers in dermatology

Cited by 4 publications

References 5 publications

Diversity and Career Goals of Graduating Allopathic Medical Students Pursuing Careers in Dermatology

Diversity and Career Goals of Graduating Allopathic Medical Students Pursuing Careers in Dermatology

Response to Fulk et al’s “Geographic practice preferences of graduating medical students pursuing careers in dermatology”

Response to “Response to Fulk et al’s ‘Geographic practice preferences of graduating medical students pursuing careers in dermatology’”

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