与儿科和家庭医学住院医师计划相关的儿科皮肤科医生的地理分布不均。

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics Pub Date : 2025-04-15 DOI:10.1016/j.acap.2025.102835

Sarah Lee BA , Itohan Aigbekaen BS , Jennifer Huang MD

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引用次数: 0

摘要

目的：尽管皮肤病在儿科和家庭医学（FM）就诊中都很常见，但儿科皮肤科培训是初级保健住院医师计划中一个关键但未得到重视的组成部分。最近受过培训的医生一致认为皮肤科是最重要的教育需求。本研究旨在评估儿童皮肤科医生分布的地理差异是否会限制他们接受教育的机会，并导致培训的可变性。方法：对2024年美国各州、波多黎各和华盛顿特区的美国委员会认证的儿科皮肤科医生、FM和儿科住院医师项目进行了横断面分析。数据来源于美国皮肤病学会、儿童皮肤病学会、美国儿科委员会和美国家庭医生学会。计算儿科皮肤科医生和住院医师项目之间的距离。洛伦兹曲线和基尼系数评估了地理不均匀分布。结果：美国共有371名儿科皮肤科医生，776名FM， 219名儿科住院医师项目，其中8个州没有儿科皮肤科医生。36%的FM节目和15.1%的儿科节目在50英里范围内缺乏儿科皮肤科医生。FM项目到最近的儿科皮肤科医生的平均距离为22英里，儿科项目为2.9英里。Lorenz曲线分析显示，FM和儿科节目的基尼系数分别为0.557和0.528，表明中度至高度不平等，FM节目受影响更大。结论：这项研究强调了儿科皮肤科医生和初级保健住院医师计划之间的地理错位。需要可扩展的策略，包括虚拟学习模块和与附近专家的合作，以支持将儿童皮肤病学纳入培训课程，并帮助解决亚专科教育暴露的地理差距。

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Geographic Maldistribution of Pediatric Dermatologists in Relation to Pediatric and Family Medicine Residency Programs

Objective

Pediatric dermatology training is a critical yet underemphasized component of primary care residency programs, despite skin conditions being common in both pediatric and family medicine (FM) visits. Recently trained physicians consistently identify dermatology as a top educational need. This study aimed to evaluate whether geographic disparities in pediatric dermatologist distribution relative to primary care residency programs may limit opportunities for educational exposure and contribute to training variability.

Methods

A cross-sectional analysis was conducted of US board-certified pediatric dermatologists and FM and pediatric residency programs across US states, Puerto Rico, and Washington, DC in 2024. Data were sourced from American Academy of Dermatology, Society for Pediatric Dermatology, American Board of Pediatrics, and American Academy of Family Physicians. Distances between pediatric dermatologists and residency programs were calculated. Lorenz curves and Gini coefficients assessed geographic maldistribution.

Results

There were 371 pediatric dermatologists, 776 FM, and 219 pediatric residency programs in the United States, with 8 states having no pediatric dermatologists. Exactly 36% of FM programs and 15.1% of pediatric programs lacked a pediatric dermatologist within 50 miles. Median distance to the nearest pediatric dermatologist was 22 miles for FM programs and 2.9 miles for pediatric programs. Lorenz curve analyses revealed Gini coefficients of 0.557 and 0.528 for FM and pediatric programs, indicating moderate to high inequality, with FM programs more affected.

Conclusion

This study highlights a geographic misalignment between pediatric dermatologists and primary care residency programs. Scalable strategies, including virtual learning modules and collaboration with nearby specialists, are needed to support integration of pediatric dermatology into training curricula and to help address geographic gaps in subspecialty educational exposure.

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来源期刊

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.