The Current State of the Otolaryngology Workforce

Cass, Lauren M.; Smith, Jane Kapler

doi:10.1016/j.otc.2020.05.016

Cited by 20 publications

(30 citation statements)

References 42 publications

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“…We assessed 265 fellowship‐trained rhinologists, graduating from 24 fellowship programs between the years 1991 and 2020. Eighty percent of rhinologists in our study group were male, reflecting the overall gender distribution across otolaryngology (82.9% male) 2 . As expected, academic rhinologists had significantly higher research productivity, as measured by current h‐index, total number of publications, total number of primary authorships, and maximum citations, relative to nonacademic fellowship‐trained colleagues.…”

Section: Discussionsupporting

confidence: 55%

“…1 Across otolaryngic subspecialties, this proliferation has been greatest in the field of rhinology, with fellowship positions increasing from 3 in 1996 to 41 in 2020. 2 Newer programs have included a mixture of academic and private practice community programs. Due to distinct differences in the case mix between programs, the American Rhinology Society (ARS) created the Rhinology Training Council (RTC) in 2016 in an effort to standardize programs that offer training in advanced rhinologic and "neurorhinologic" surgeries.…”

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confidence: 99%

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Predictors of academic career placement and scholarly impact in fellowship‐trained rhinologists

Vohra

Watley

Yan

et al. 2021

Int Forum Allergy Rhinol

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Background As rhinology fellowship positions outpace the availability of academic rhinology jobs, it is increasingly important to identify characteristics that are associated with academic placement after fellowship completion. In this study, we evaluated the association of academic characteristics during training with current job placement and posttraining scholarly impact. Methods Previous rhinology fellows were identified using publicly available data. Bibliometric indices, training institutions, graduate degrees, and job placement data were used in bivariate and multivariable regression analyses to assess for association with predictors and academic trajectory. Results Data from 265 rhinologists, all graduating between 1991 and 2020, were included. Most surgeons (n = 185, 70%) held an academic position and 80 (30%) surgeons worked in a nonacademic setting; 93.2% had a Doctor of Medicine (MD) degree and 80.3% were male. Multivariable logistic regression indicated that a designation of MD, compared with Doctor of Osteopathic Medicine (DO; odds ratio [OR], 5.93; 95% confidence interval [CI], 1.97‐21.9), number of publications during fellowship (OR, 1.19; 95% CI, 1.02‐1.41), and h‐index during training (OR, 1.25; 95% CI, 1.07‐1.49]) were independently predictive of academic job placement. Meanwhile, number of primary authorships during fellowship (β = 1.47; 95% CI, 1.07‐1.88]), h‐index during training (β = 0.48; 95% CI, 0.25‐0.71), and PhD (β = 4.16; 95% CI, 1.57‐6.76) were associated with posttraining h‐index. Medical school ranking; graduate degrees, including Master of Science (MS), Master of Business Administration (MBA), and Master of Public Health (MPH); and research metrics before residency were not associated with either academic placement or posttraining h‐index. Conclusion The predictors of academic job placement in rhinology are unclear, but h‐index during training, and research productivity during fellowship may serve as indicators of an academic career.

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Section: Discussionsupporting

confidence: 55%

mentioning

confidence: 99%

Predictors of academic career placement and scholarly impact in fellowship‐trained rhinologists

Vohra

Watley

Yan

et al. 2021

Int Forum Allergy Rhinol

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“…4 A number of fellowship workforce analysis articles have been published in otolaryngology. [4][5][6][7][8][9][10] In a 2016 study, Hughes et al concluded that the number of available trained otolaryngologists required to serve the otolaryngologic health care needs of the United States was insufficient and understaffed. 11 A Canadian workforce study showed that a majority of otolaryngologists practiced in urban centers, with rural otolaryngology coverage decreasing annually and with a particular need for specialized otolaryngology care (otology and rhinology) in rural areas.…”

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confidence: 99%

Assessing Trends in Fellowship Training Among Otolaryngology Residents: A National Survey Study

Miller

McCrary

Gurgel

2021

Otolaryngol.--head neck surg.

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Objective To summarize trends in otolaryngology fellowship applications, fellowships selected, and reasons for pursuing a fellowship. Study Design One-page anonymous questionnaire. Setting A survey was completed by examinees at the conclusion of their American Board of Otolaryngology–Head and Neck Surgery oral examination from 2011 to 2019. Methods Data included age, gender, fellowship type, reasons for doing a fellowship, and type of practice that examinees will enter. Spearman correlation and Pearson chi-square tests were completed. Results Over the 8-year study, 58% of the 2243 responding examinees did fellowships. The most frequently chosen fellowship was facial plastic surgery (25%), followed by pediatric otolaryngology (21%), head and neck surgery (19%), rhinology (13%), laryngology (9%), and neurotology (8%). The 2 most common reasons for doing a fellowship were desire for additional expertise beyond residency training (35%) and intellectual appeal (30%). Over the study period, the number of residents choosing to do a fellowship increased from 45.6% in 2011 to 61.5% in 2019, with a positive correlation between year and number of residents ( r = 0.73, P = .036). When the data were stratified by gender, there were statistically significant differences in fellowship selection ( P < .001), notably with women selecting pediatric otolaryngology at a higher frequency than men (30.9% vs 15.8%). Conclusion There is a statistically significant increasing trend of otolaryngology residents who choose to undergo further training in fellowship. These data from a large, long-term study will be valuable in planning for training and workforce needs in the future.

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“…We always have done this in the past, and our specialty has long had a trajectory of growth both in the number of physicians and in the breadth and complexity of medical care we provide. 9,10 This is continuing. Therefore, despite our current challenges, I remain strongly optimistic about the future of our specialty.…”

mentioning

confidence: 89%

“…I am proud to see how otolaryngologists are creating ways to adapt, improve, and thrive. We always have done this in the past, and our specialty has long had a trajectory of growth both in the number of physicians and in the breadth and complexity of medical care we provide 9,10 . This is continuing.…”

mentioning

confidence: 99%

Editorial Comment on How COVID‐19 is Affecting Otolaryngology–Head and Neck Surgery

Oghalai

2020

The Laryngoscope

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The Current State of the Otolaryngology Workforce

Cited by 20 publications

References 42 publications

Predictors of academic career placement and scholarly impact in fellowship‐trained rhinologists

Predictors of academic career placement and scholarly impact in fellowship‐trained rhinologists

Assessing Trends in Fellowship Training Among Otolaryngology Residents: A National Survey Study

Editorial Comment on How COVID‐19 is Affecting Otolaryngology–Head and Neck Surgery

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