The canary seems fine: The effects of the economy on job-seeking experiences of recent dermatology training program graduates

Cheng, Carol E.; Kimball, Alexa B.

doi:10.1016/j.jaad.2010.02.043

Cited by 6 publications

(6 citation statements)

References 18 publications

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“…22 A desirable location with lifestyle flexibility has consistently ranked as one of the highest priorities for recent graduates. 18,28,[34][35][36] In addition, dermatology graduates have a geographic preference to settle close to their hometown 37 or training site and are also less likely to move to rural areas after residency. 19,[38][39][40] Support from and proximity to family may be instrumental because female physicians bear more childrearing and household responsibilities and experience greater depressive symptoms from work-family conflict.…”

Section: Discussionmentioning

confidence: 99%

“…To develop strategies and effective policies to offset a shortage, we must better understand the characteristics and patterns observed in the dermatologist workforce. We hypothesize that despite an expanding dermatologist workforce, there is a widening gap between dermatologists in urban and rural settings given the greater professional opportunities in urban areas, desire for proximity to family and support, and insufficient financial incentives to practice in resource-poor areas . The goal of this study was to build on existing work by evaluating the up-to-date longitudinal trends and demographic and environmental factors associated with the geographic distribution of dermatologists, using a classification scheme that measures the degree of urbanization in each US county.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Dermatologist Density Between Urban and Rural Counties in the United States

et al. 2018

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A n adequate and appropriately trained physician workforce is necessary to meet the nation's current and future health care demands. As the US population continues to increase and age, there is an unmet need for dermatologic care. 1 The increasing incidence of skin cancer, high prevalence of complex inflammatory skin disorders, advanced therapeutics, and widening market for surgical and noninvasive procedures have also contributed to an increased demand for dermatologists that is expected to continue to increase. 1-7 The undersupply of dermatologists has been described during the past 2 decades, 5,8-10 and previous work has identified the maldistribution of physicians and dermatologists. 11-14 Rural areas face significant physician workforce shortages, with rural residents experiencing long wait times and traveling long distances to receive care. 5 This pattern is especially important given previous studies 15-17 that found that dermatologist density is associated with patient outcomes for diseases, such as melanoma and Merkel cell carcinoma. To develop strategies and effective policies to offset a shortage, we must better understand the characteristics and patterns observed in the dermatologist workforce. We hypothesize that despite an expanding dermatologist workforce, there is a widening gap between dermatologists in urban and rural settings given the greater professional opportunities in urban areas, desire for proximity to family and support, and insufficient financial incentives to practice in resource-poor areas. 13,18-22 The goal of this study was to build on existing work by evaluating the up-to-date longitudinal trends and demographic and environmental factors associated with the geographic distribution of dermatologists, using a classification scheme that measures the degree of urbanization in each US county. Methods Demographic and physician data from 1995 to 2013 were obtained from the Area Health Resources File (AHRF). 23 The New IMPORTANCE As the US population continues to increase and age, there is an unmet need for dermatologic care; therefore, it is important to identify and understand the characteristics and patterns of the dermatologist workforce. OBJECTIVE To analyze the longitudinal dermatologist density and urban-rural disparities using a standardized classification scheme. DESIGN, SETTING, AND PARTICIPANTS This study analyzed county-level data for 1995 to 2013 from the Area Health Resources File to evaluate the longitudinal trends and demographic and environmental factors associated with the geographic distribution of dermatologists. MAIN OUTCOMES AND MEASURES Active US dermatologist and physician density. RESULTS In this study of nationwide data on dermatologists, dermatologist density increased by 21% from 3.02 per 100 000 people to 3.65 per 100 000 people from 1995 to 2013; the gap between the density of dermatologists in urban and other areas increased from 2.63 to 3.06 in nonmetropolitan areas and from 3.41 to 4.03 in rural areas. The ratio of dermatologists older than 55 years to you...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Dermatologist Density Between Urban and Rural Counties in the United States

et al. 2018

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“…[6][7][8][9][10][11] Dermatologists emerging from training report that geographic location is the top factor in evaluating potential job opportunities and that they are usually able to find plentiful op-portunities in preferred locations. 12 If an underserved area also is seen as undesirable, it may struggle to attract dermatologists, even if it boasts strong patient demand and outstanding job opportunities with relatively high compensation.…”

Section: T He Dermatology Work-mentioning

confidence: 99%

An Analysis of Dermatologist Migration Patterns After Residency Training

Resneck¹

2011

Arch Dermatol

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To evaluate the migration patterns of dermatologists from residency training to eventual clinical practice to assess whether certain programs or regions were more likely to populate their own areas with graduates. Design: Analysis of existing data from the American Academy of Dermatology's membership database. Setting: The United States and Puerto Rico. Participants: Graduates of US dermatology residency programs completing training before 2005 and actively practicing in 2009. Data from 7067 practicing dermatologists were analyzed. Main Outcome Measures: Distance from training to practice site and state locations of training and practice sites. Results: Almost half (43%) of dermatologists practice within 100 miles of their residency training site, although substantial variation was observed in distance (mean, 538 miles; median, 189 miles). More than 70% of graduates from all but 1 New York City program remain within a 100-mile radius, and several California and Florida programs were most likely to retain trainees in state. The Midwest was a net exporter of residents to the West and South. Conclusions: The relationships between residency and eventual practice locations are complex, but certain regions and training programs have distinct graduate migration patterns. To the extent that further expansions in residency positions are undertaken with local supply and demand of dermatology services in mind, these patterns are among many factors that should be considered.

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“…6,7 With not enough trainees and a persistent shortage of dermatologists, those completing dermatology residency training have had little difficulty finding a job and generally have been able to choose their preferred geographic setting. 1,8 Most choose to stay in urban areas for a combination of personal and professional reasons. High school and medical school location are most strongly correlated with postresidency employment locations.…”

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confidence: 99%

“…Evidence supports the value of clinical images-based teaching, 7 and the importance of visual recognition is acknowledged by the American Board of Dermatology and appears in all components of the new "Exam of the Future" assessment. 8 This section also provides an opportunity for young colleagues to approach publication and mature as medical writers. For practicing physicians, we hope it will be an efficient way to share important points and diagnostic pearls while promoting lifelong learning.…”

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confidence: 99%