Journal of the American Academy of Dermatology
Volume 59, Issue 5 , Pages 741-745 , November 2008

The US dermatology workforce: A specialty remains in shortage

  • Alexa Boer Kimball, MD, MPH

      Affiliations

    • Department of Dermatology, Harvard University School of Medicine, Boston, Massachusetts
    • ,
  • Jack S. Resneck Jr., MD

      Affiliations

    • Department of Dermatology and Institute for Health Policy Studies, University of California–San Francisco School of Medicine, San Francisco, California

,Accepted 24 June 2008.

References 

  1. Suneja T, Smith ED, Chen J, Zipperstein KJ, Fleishcer AB, Feldman SR. Waiting times to see a dermatologist are perceived as too long by dermatologists. Arch Dermatol. 2001;137:1303–1307
  2. Resneck J. Too few or too many dermatologists?. Arch Dermatol. 2001;137:1295–1301
  3. Resneck JS, Kimball AB. The dermatology workforce shortage. J Am Acad Dermatol. 2004;50:50–54
  4. Resneck J. The influence of controllable lifestyle on medical student specialty choice: a dermatologist's perspective. Virtual Mentor. AMA J Ethics. 2006;8:529–532
  5. Lambert EM, Holmboe ES. The relationship between specialty choice and gender of US medical students, 1990-2003. Acad Med. 2005;80:797–802
  6. Wu JJ, Tyring SK. The academic strength of current dermatology residency applicants. Dermatol Online J 2003. Available from: URL: http://dermatology.cdlib.org/93/editorial/residency/wu2.htmlAccessed July 5, 2006
  7. Smart DR. Physician characteristics and distribution in the US. Chicago: AMA Press; 2007;
  8. Kimball AB. Dermatology: a unique case of specialty workforce economics. J Am Acad Dermatol. 2003;48:265–270
  9. Dorsey ER, Jarjoura D, Rutecki GW. Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA. 2003;290:1173–1178
  10. Jacobson CC, Nguyen Josephine C, Kimball AB. Gender and parenting significantly affect work hours of recent dermatology program graduates. Arch Dermatol. 2004;140:191–196
  11. Kosmadaki MG, Gilchrest BA. The demographics of aging in the United States: implications for dermatology. Arch Dermatol. 2002;138:1427–1428
  12. Thestrup-Pedersen K. Atopic eczema: what has caused the epidemic in industrialized countries and can early intervention modify the natural history of atopic eczema?. J Cosmet Dermatol. 2003;2:202–210
  13. Jemal A, Devesa SS, Hartge P, Tucker MA. Recent trends in cutaneous melanoma incidence among whites in the United States. J Natl Cancer Inst. 2001;93:678–683
  14. Miller DL, Weinstock MA. Nonmelanoma skin cancer in the United States: incidence. J Am Acad Dermatol. 1994;30:774–778
  15. Ferris TG, Chang Y, Blumenthal D, Pearson SD. Leaving gatekeeping behind–effects of opening access to specialists for adults in a health maintenance organization. N Engl J Med. 2001;345:1312–1317
  16. Tsang MW, Resneck JS. Even patients with changing moles face long dermatology appointment wait-times: a study of simulated patient calls to dermatologists. J Am Acad Dermatol. 2006;55:54–58
  17. Resneck JS, Kimball AB. Who else is providing care in dermatology practices? Trends in the use of nonphysician clinicians. J Am Acad Dermatol. 2008;58:211–216
  18. Singer N. More doctors turning to the business of beauty. New York Times. November 30, 2006;A1
  19. Bohmer R. The rise of in-store clinics–threat or opportunity?. N Engl J Med. 2007;356:765–768
  20. IMS Health. NDTI Diagnosis Reference File, 4Q 2000, -01, -02, -03, -04, -05. Plymouth Meeting, PA.
  21. Accreditation Council for Graduate Medical Education, Accredited program list. Available from: URL:http://www.acgme.org/adspublic/reports/accredited_programs.asp?accredited=1. Accessed August 23, 2007.
  22. Kletke PR, Marder WD, Silberger AB. The growing proportion of female physicians: implications for US physician supply. Am J Public Health. 1990;80:300–304
  23. Boulis AK, Jacobs JA. An analysis of the impact of gender on physician practice patterns. J Health Soc Policy. 2003;18:57–87
  24. Cronan JJ. The new radiology workforce: changing expectations. J Am Coll Radiol. 2004;1:313–316
  25. Silberger AB, Marder WD, Willke RJ. Practice characteristics of male and female physicians. Health Aff (Millwood). 1987;6:104–109
  26. Practice Profile Surveys [database provided to authors]. Schaumburg, IL: American Academy of Dermatology; 1996 and 2002.
  27. Nguyen JC, Jacobson CC, Rehmus W, Kimball AB. Workforce characteristics of Mohs surgery fellows. Dermatol Surg. 2004;30:136–138
  28. Association of American Medical Colleges. Women in US academic medicine statistics and medical school benchmarking 2006-2007. Available from: http://www.aamc.org/members/wim/statistics/stats07/start.htm. Accessed March 1, 2008.
  29. Resneck J, Pletcher MJ, Lozano N. Medicare, Medicaid, and access to dermatologists: the effect of patient insurance on appointment access and wait times. J Am Acad Dermatol. 2004;50:85–92
  30. Stitzenberg KB, Thomas NE, Dalton K, Brier SE, Ollila DW, Berwick M, et al. Distance to diagnosing provider as a measure of access for patients with melanoma. Arch Dermatol. 2007;143:991–998

 The American Academy of Dermatology Association funded the administration of the practice profile survey, but our analyses for this manuscript were independently performed.

 There are no commercial products discussed in this manuscript. Dr Resneck chairs the Workforce Task Force and the Council on Government Affairs, Health Policy, and Practice of the American Academy of Dermatology, and sits on the Council on Legislation of the American Medical Association. Dr Kimball has no conflicts of interest to disclose.

 Limited preliminary results were presented in abstract form as a poster at the 2007 summer meeting of the American Academy of Dermatology, New York, New York, August 2, 2007.

 Reprint requests: Dermatology, Massachusetts General Hospital, 50 Staniford St, #246, Boston, MA 02114. E-mail: harvardskinstudies@partners.org.

PII: S0190-9622(08)00803-7

doi: 10.1016/j.jaad.2008.06.037

Journal of the American Academy of Dermatology
Volume 59, Issue 5 , Pages 741-745 , November 2008

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