Sultan Darren L, Clappier Mona, Perrotti John, Siddiqui Sabrina, Bradley James P, Levine Steven M, Matarasso Alan, Reece Edward M, Kasabian Armen K, Tanna Neil
Division of Plastic and Reconstructive Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, 600 Northern Boulevard, Suite 310, Great Neck, NY 11021, United States.
SUNY Downstate College of Medicine, Brooklyn, NY, United States.
Surg Pract Sci. 2022 Apr 17;10:100082. doi: 10.1016/j.sipas.2022.100082. eCollection 2022 Sep.
The geographic proclivities of plastic surgery trainees have important ramifications for the field of plastic surgery.
Names of American Society of Plastic Surgeons (ASPS) members who were board-certified in 2000, 2005, 2010, 2015, and 2019 were compiled for a cross-sectional analysis of geographic trends.
A total of 811 practitioners were reviewed, and 31 lacked sufficient data for further analysis. Plastic surgeons with large metropolitan-based practices were more likely to have trained in large urban areas for residency and fellowship (odds ratio of 4.06; 95% CI, 2.94 to 5.60, and odds ratio of 3.61; 95% CI, 1.90 to 6.85, respectively). 52% of subspecialty fellows and 46% of residents went on to establish practices over 500 miles apart from their respective training locations. Approximately 20% of residents and fellows established practices within 20 miles of their respective training institutions, and there was no significant difference for average distance between fellowship and practice location or between residency and practice location when differentiating based on education background ( = 0.16 and = 0.22, respectively). The year of ABPS certification and gender also had no significant effect on the average distance between training location and current practice ( > 0.05).
Data showed some persistent geographic tendencies that inform future practice location. A small minority of trainees chose to establish practices in the immediate vicinity of training locations, and geographic trends were largely independent of subspecialty fellowship type, gender, and career length.
整形外科住院医师的地域倾向对整形外科领域具有重要影响。
收集了2000年、2005年、2010年、2015年和2019年获得美国整形外科委员会认证的美国整形外科协会（ASPS）成员的姓名，以进行地域趋势的横断面分析。
共审查了811名从业者，其中31名缺乏足够数据进行进一步分析。在大城市执业的整形外科医生更有可能在大城市地区接受住院医师培训和专科培训（优势比分别为4.06；95%可信区间为2.94至5.60，以及优势比为3.61；95%可信区间为1.90至6.85）。52%的专科培训学员和46%的住院医师在距离各自培训地点500英里以上的地方开业。约20%的住院医师和专科培训学员在各自培训机构20英里范围内开业，根据教育背景区分时，专科培训地点与执业地点之间或住院医师培训地点与执业地点之间的平均距离没有显著差异（分别为P = 0.16和P = 0.22）。美国整形外科委员会认证年份和性别对培训地点与当前执业地点之间的平均距离也没有显著影响（P>0.05）。
数据显示了一些持续的地域倾向，可为未来的执业地点提供参考。少数住院医师选择在培训地点附近开业，地域趋势在很大程度上与专科培训类型、性别和职业生涯长度无关。
