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Geographic Distribution of Facial Plastic and Reconstructive Surgeons.

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Facial plastic and reconstructive surgeons (FPRS) are concentrated in urban areas, leaving 33% of U.S. residents without local access. Residents in these areas face average distances of 63 miles to the nearest FPRS.

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Area of Science:

  • Medical Specialties
  • Surgical Workforce Analysis
  • Geographic Distribution Studies

Background:

  • Previous studies have mapped the general otolaryngology workforce.
  • The geographic distribution of facial plastic and reconstructive surgeons (FPRS) remains undescribed.
  • Understanding FPRS distribution is crucial for assessing access to specialized care.

Purpose of the Study:

  • To delineate the geographic distribution of FPRS within the United States.
  • To quantify resident access to FPRS services across different U.S. regions.
  • To identify disparities in FPRS availability.

Main Methods:

  • Utilized the 2022 American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) registry to identify active members.
  • Geocoded FPRS practice locations and overlaid them with 2020 U.S. census data using ArcGIS.
  • Calculated average distances from county centroids to the nearest FPRS to model resident accessibility.

Main Results:

  • 1312 AAFPRS members were identified, practicing in 373 U.S. counties.
  • 33% of the U.S. population (115 million) resides in counties lacking an FPRS.
  • Significant geographic clustering observed, with 15.3% of FPRS in NYC/LA, areas comprising 8% of the population.

Conclusions:

  • FPRS exhibit higher concentrations in metropolitan areas compared to the national average.
  • Quantifiable distances highlight significant access challenges for residents in underserved regions.
  • The study provides a data-driven basis for addressing geographic disparities in facial plastic and reconstructive surgery.