Department of Otolaryngology-Head and Neck Surgery, University of California Los Angeles, Los Angeles.
Department of Otolaryngology-Head and Neck Surgery, University of Colorado, Aurora, Colorado, U.S.A.
Laryngoscope. 2020 May;130(5):1116-1121. doi: 10.1002/lary.28157. Epub 2019 Jun 27.
The objective of this study is to analyze the current rhinology workforce in the United States in terms of demographics, fellowship training, and regional distribution.
The American Rhinologic Society (ARS) member database was queried for workplace zip code, age, gender, and fellowship training of practicing U.S. rhinologists through 2017. The San Francisco Match data were examined for rhinology fellowships from 2006 through 2017. Each rhinologist was assigned to a specific hospital referral region (HRR) determined by the Dartmouth Healthcare Atlas to assess geographic distribution and market density.
There were 296 ARS members self-identifying as rhinologists. Of those, 69.2% were fellowship-trained (FTR). The median age of FTRs and non-FTRs were 41 and 54 years, respectively (P < 0.001). Eighty percent of FTRs were male compared to 85.7% non-FTRs. Given the recent growth of rhinology fellowships, the number of FTRs is currently expanding at approximately 16% per year. HRRs with the most rhinologists were Los Angeles, Boston, and Manhattan, all with 14. Approximately 100 million people live in HRRs without a practicing rhinologist. A wide variation in rhinologist density was observed, ranging from 133,047 to 3,636,809 people per rhinologist, with a median of 747,864.
There may be a need for rhinologists in select parts of the country. Whereas the ARS database is likely an underestimation of the growing workforce, under current training rates we could pass the ideal number of U.S. rhinologists within 5 years.
NA Laryngoscope, 130:1116-1121, 2020.
本研究旨在从人口统计学、专科培训和区域分布等方面分析美国当前的鼻科学劳动力情况。
通过 2017 年美国鼻科学会（ARS）成员数据库查询在职美国鼻科医生的工作地点邮编、年龄、性别和专科培训情况。分析 2006 年至 2017 年期间旧金山医师匹配计划（San Francisco Match）的鼻科学专科培训情况。根据达特茅斯医疗保健地图（Dartmouth Healthcare Atlas）将每位鼻科医生分配到特定的医院转诊区域（HRR），以评估地理分布和市场密度。
共有 296 名 ARS 成员自称为鼻科医生。其中，69.2%接受过专科培训（FTR）。FTR 和非 FTR 的中位年龄分别为 41 岁和 54 岁（P < 0.001）。FTR 中 80%为男性，而非 FTR 中为 85.7%。鉴于鼻科学专科培训的最近增长，FTR 的数量目前以每年约 16%的速度扩张。拥有最多鼻科医生的 HRR 是洛杉矶、波士顿和曼哈顿，均有 14 名。大约有 1 亿人生活在没有执业鼻科医生的 HRR 中。鼻科医生的密度差异很大，从每 133047 人到每 3636809 人不等，中位数为 747864 人。
在一些特定地区可能需要更多的鼻科医生。虽然 ARS 数据库可能低估了不断增长的劳动力，但按照当前的培训率，我们可以在 5 年内超过理想的美国鼻科医生数量。
无。《喉镜》，130：1116-1121，2020 年。
