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Employment and Migration Patterns of Recent Micrographic Surgery and Dermatologic Oncology Fellowship Graduates
Vijay Kodumudi1,2,3,4, Hannah A Hales1,2,3,4, Jeffrey M Cohen1,2,3,4
1*University of Connecticut School of Medicine, Farmington, Connecticut (Kodumudi).
Background:
There is currently an uneven distribution of the Mohs surgery workforce, with a dearth in nonurban areas. The relationship between training and employment locations of Mohs surgeons has not been studied.
Objective:
To analyze the employment location of recent micrographic surgery and dermatologic oncology (MSDO) graduates in reference to residency and fellowship locations.
Materials And Methods:
Data collection of training and practice locations of 421 MSDO fellowship graduates from 2012 to 2017.
Results:
Thirty-two percent (n = 136) and 53% (n = 225) of MSDO fellowship graduates' first employment locations were located within 10 and 100 miles of either their residency or fellowship locations. Ninety-six percent of graduates were employed in a metropolitan location. Female graduates worked closer to training sites than male graduates, with 62% (n = 124) versus 46% (n = 102) working within 100 miles of either training site. Analysis by fellowship census region showed that graduates clustered around training sites in all regions, with 45% to 60% of graduates working within 100 miles of either training site.
Conclusion:
The majority of graduates chose to work in a metropolitan area. Training location strongly predicts employment location. More than 45% of graduates in any region worked within 100 miles of their residency or fellowship site, and a sizeable portion worked within 10 miles.
