美国皮肤科病理医生资源调查

Section of Dermatology, Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota 55417, USA.

J Am Acad Dermatol. 2011 Dec;65(6):1180-5. doi: 10.1016/j.jaad.2010.09.733. Epub 2011 May 7.

BACKGROUND

Although several studies have documented an undersupply of dermatologic services in the United States, little is known about the dermatopathology workforce.

OBJECTIVE

Objectives included the following: (1) describe the dermatopathology workforce in the United States; (2) identify characteristics associated with academic dermatopathologists; and (3) explore issues surrounding dermatopathology training.

METHODS

We conducted a cross-sectional survey of all Fellows of the American Society of Dermatopathology (ASDP) practicing in the United States and its territories.

RESULTS

Of 913 ASDP Fellows, 437 (48%) returned a completed questionnaire. Most were male (72%), Caucasian (85%), and had graduated from US/Canadian medical schools (88%). Approximately half (49%) had completed a dermatology residency and a quarter (24%) were in academia. As compared with those in private practice, academic dermatopathologists were more likely to be female (P = .0028), have a medical degree only (P = .0197), and earn $300,000 or less annually (P < .0001). No associations were identified for practice type with either location of medical school (United States/Canada vs other) or year of fellowship graduation (≤1996 vs ≥1997). Although most respondents were satisfied overall with their training, the most common areas identified as inadequate included: coding/billing (47%), biostatistics (38%), pediatric clinical dermatology (27%), and electron microscopy (27%).

LIMITATIONS

Moderate response rate and potential recall bias are limitations.

CONCLUSIONS

This study of the US dermatopathology workforce provides benchmarks for future studies and strategies for workforce planning.

背景

尽管有几项研究记录了美国皮肤科服务的供应不足，但对于皮肤科病理学家的劳动力却知之甚少。

目的

目标包括以下几点：（1）描述美国的皮肤科病理学家劳动力；（2）确定与学术皮肤科病理学家相关的特征；（3）探讨皮肤科病理培训相关的问题。

方法

我们对所有在美国及其领土行医的美国皮肤病理学会（ASDP）研究员进行了横断面调查。

结果

在 913 名 ASDP 研究员中，有 437 名（48%）返回了完整的调查问卷。他们大多数是男性（72%），白种人（85%），毕业于美国/加拿大的医学院（88%）。大约一半（49%）完成了皮肤科住院医师培训，四分之一（24%）在学术界工作。与在私人诊所工作的人相比，学术皮肤科病理学家更有可能是女性（P=0.0028），只有医学学位（P=0.0197），年收入在 30 万美元或以下（P<0.0001）。实践类型与医学院的地理位置（美国/加拿大与其他）或研究员毕业年份（≤1996 年与≥1997 年）之间没有关联。尽管大多数受访者对他们的培训总体上感到满意，但认为不足的最常见领域包括：编码/计费（47%）、生物统计学（38%）、儿科临床皮肤科（27%）和电子显微镜（27%）。