Changing Faces: Factors Associated with the Intention to Pursue Plastic Surgery and Practice in Underserved Areas
Background:. Improving the number of plastic and reconstructive surgeons who provide care to patients in underserved communities is critical to achieving health equity. We aimed to identify factors associated with graduating medical students’ intentions to pursue plastic surgery and practice in unde...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-08-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005177 |
| _version_ | 1797732713230237696 |
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| author | Mytien Nguyen, MS Annette Kaminaka, BA Nicholas N. Brutus, BA Luis A. Gonzalez, PhD Amit Ratanpal, BS Michael Alperovich, MD, MSc Donna B. Jeffe, PhD Ashar Ata, MD Hyacinth R. C. Mason, PhD Paris D. Butler, MD, MPH |
| author_facet | Mytien Nguyen, MS Annette Kaminaka, BA Nicholas N. Brutus, BA Luis A. Gonzalez, PhD Amit Ratanpal, BS Michael Alperovich, MD, MSc Donna B. Jeffe, PhD Ashar Ata, MD Hyacinth R. C. Mason, PhD Paris D. Butler, MD, MPH |
| author_sort | Mytien Nguyen, MS |
| collection | DOAJ |
| description | Background:. Improving the number of plastic and reconstructive surgeons who provide care to patients in underserved communities is critical to achieving health equity. We aimed to identify factors associated with graduating medical students’ intentions to pursue plastic surgery and practice in underserved areas.
Methods:. De-identified data for US medical school graduates were obtained from the Association of American Medical Colleges for students who matriculated in academic years 2007–2008 and 2011–2012. Data collected included self-reported demographic and future practice intentions. Multivariate analysis was conducted to determine indicators of students’ interest in plastic surgery, and their intention to practice in underserved areas.
Results:. Of the 57,307 graduating US medical students in our cohort who completed the Graduation Questionnaire, 532 (0.9%) reported an intention to pursue plastic surgery. Hispanic [adjusted odds ratio (aOR): 1.45; 95% confidence interval (95% CI), 1.07–1.98] and multiracial (aOR: 1.59; 95% CI, 1.03–2.45) students were more likely to pursue plastic surgery compared with other surgical specialties. Among students interested in plastic surgery, compared with non-Hispanic White students, Black (aOR: 6.15; 95% CI, 1.96–19.26) students were more likely to report intention to practice in underserved areas. Students with community-engagement experiences were more likely to report intention to practice in underserved areas.
Conclusions:. Diversity among medical trainees pursuing plastic and reconstructive surgery is critical for maintaining and expanding plastic surgery services rendered in underserved areas. These findings suggest that student demographics and experiences with community-engagement experiences are positive indicators of practicing in underserved communities. |
| first_indexed | 2024-03-12T12:18:31Z |
| format | Article |
| id | doaj.art-3a75ed7f17b34bf1a7020cc18ddef44a |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-12T12:18:31Z |
| publishDate | 2023-08-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-3a75ed7f17b34bf1a7020cc18ddef44a2023-08-30T06:13:50ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-08-01118e517710.1097/GOX.0000000000005177202308000-00025Changing Faces: Factors Associated with the Intention to Pursue Plastic Surgery and Practice in Underserved AreasMytien Nguyen, MS0Annette Kaminaka, BA1Nicholas N. Brutus, BA2Luis A. Gonzalez, PhD3Amit Ratanpal, BS4Michael Alperovich, MD, MSc5Donna B. Jeffe, PhD6Ashar Ata, MD7Hyacinth R. C. Mason, PhD8Paris D. Butler, MD, MPH9From the * School of Medicine, Yale University, New Haven, Conn.† Albany Medical College, Albany, N.Y.† Albany Medical College, Albany, N.Y.From the * School of Medicine, Yale University, New Haven, Conn.† Albany Medical College, Albany, N.Y.‡ Division of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, Conn.§ Department of Medicine, Washington University School of Medicine, St. Louis, Mo.† Albany Medical College, Albany, N.Y.¶ Tufts University School of Medicine, Boston, Mass.‡ Division of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, Conn.Background:. Improving the number of plastic and reconstructive surgeons who provide care to patients in underserved communities is critical to achieving health equity. We aimed to identify factors associated with graduating medical students’ intentions to pursue plastic surgery and practice in underserved areas. Methods:. De-identified data for US medical school graduates were obtained from the Association of American Medical Colleges for students who matriculated in academic years 2007–2008 and 2011–2012. Data collected included self-reported demographic and future practice intentions. Multivariate analysis was conducted to determine indicators of students’ interest in plastic surgery, and their intention to practice in underserved areas. Results:. Of the 57,307 graduating US medical students in our cohort who completed the Graduation Questionnaire, 532 (0.9%) reported an intention to pursue plastic surgery. Hispanic [adjusted odds ratio (aOR): 1.45; 95% confidence interval (95% CI), 1.07–1.98] and multiracial (aOR: 1.59; 95% CI, 1.03–2.45) students were more likely to pursue plastic surgery compared with other surgical specialties. Among students interested in plastic surgery, compared with non-Hispanic White students, Black (aOR: 6.15; 95% CI, 1.96–19.26) students were more likely to report intention to practice in underserved areas. Students with community-engagement experiences were more likely to report intention to practice in underserved areas. Conclusions:. Diversity among medical trainees pursuing plastic and reconstructive surgery is critical for maintaining and expanding plastic surgery services rendered in underserved areas. These findings suggest that student demographics and experiences with community-engagement experiences are positive indicators of practicing in underserved communities.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005177 |
| spellingShingle | Mytien Nguyen, MS Annette Kaminaka, BA Nicholas N. Brutus, BA Luis A. Gonzalez, PhD Amit Ratanpal, BS Michael Alperovich, MD, MSc Donna B. Jeffe, PhD Ashar Ata, MD Hyacinth R. C. Mason, PhD Paris D. Butler, MD, MPH Changing Faces: Factors Associated with the Intention to Pursue Plastic Surgery and Practice in Underserved Areas Plastic and Reconstructive Surgery, Global Open |
| title | Changing Faces: Factors Associated with the Intention to Pursue Plastic Surgery and Practice in Underserved Areas |
| title_full | Changing Faces: Factors Associated with the Intention to Pursue Plastic Surgery and Practice in Underserved Areas |
| title_fullStr | Changing Faces: Factors Associated with the Intention to Pursue Plastic Surgery and Practice in Underserved Areas |
| title_full_unstemmed | Changing Faces: Factors Associated with the Intention to Pursue Plastic Surgery and Practice in Underserved Areas |
| title_short | Changing Faces: Factors Associated with the Intention to Pursue Plastic Surgery and Practice in Underserved Areas |
| title_sort | changing faces factors associated with the intention to pursue plastic surgery and practice in underserved areas |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005177 |
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