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血管外科医生和学员在2023年按州的地理分布
Nolan Henning1, Wato Nsa2, Joseph Edmonds1
1University of Oklahoma School of Community Medicine, Tulsa, OK.
Annals of vascular surgery
|October 2, 2024
概括
美国面临着血管外科医生短缺,阿肯色州和怀俄明州等州的外科医生和培训计划密度较低. 扩大这些领域的培训对于解决分配不当至关重要.
科学领域:
- 血管外科 劳动力分析
- 医学教育 医学教育
- 公共卫生政策 公共卫生政策
背景情况:
- 美国面临着血管外科医生短缺的问题,估计每10万人中有1.4名外科医生.
- 现有的劳动力数据表明,这些专家在全国范围内存在严重的分布不当.
研究的目的:
- 为了对美国的血管外科工作人员进行最新的,州对州的分析.
- 为了比较实践血管外科医生的地理分布和可用的培训机会.
主要方法:
- 通过使用国家提供者标识符注册表 (2023) 识别了3399名经过董事会认证,积极获得许可的血管外科医生.
- 通过分析国家居民匹配计划的综合居住和奖学金职位来确定实习生人数.
- 使用2020年美国人口普查数据计算每10万人口的外科医生和学员密度.
- 使用简单的线性回归和地理映射检查相关性.
主要成果:
- 美国的平均密度为每10万人口1名血管外科医生,每10万人口0.06名实习生.
- 美国外科医生密度最低的州 (AR,ND,NV,OK,WY) 平均每10万人中有0.4名外科医生.
- 在2023年零培训计划的8个州排名在练习血管外科医生的最低四分之一.
- 血管外科医生和实习生的状态率之间存在显著的正相关性 (P < 0.001).
结论:
- 缺乏血管外科培训位的州人均实践外科医生人数最低.
- 建议在服务不足的州有针对性的扩大血管外科培训计划,以减轻短缺并改善分发.
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