92 research outputs found
Diversity of Dermatology Trainees, 2014-2018
Background: Although the U.S. population is becoming increasingly diverse, gender and racial diversity in medicine is lacking. Improving the diversity of the physician workforce can have an important impact on improving health care access and outcomes for underserved patients.
Objective: The objective of this study is to examine trends in sex, racial, and ethnic diversity of trainees in the field of dermatology.
Methods: Graduate medical education supplements published annually in the Journal of the American Medical Association were used to obtain demographic data of dermatology trainees from 2014-2018.
Research: Over the past five years, women have made up the majority of trainees in dermatology. The representation of female residents has remained relatively stable from 2014-2018, with most current data indicating women comprise 60.78% of dermatology residents. When examining resident physicians in all specialty programs, women comprise 45.56% of trainees. Although women have consistently made up the majority of dermatology trainees from 2014-2018, they remain relatively underrepresented in dermatopathology, micrographic surgery, and dermatologic oncology. Over the past 5 years, women have made up 52.80% of trainees in dermatopathology fellowships. Similarly, women have comprised 47.78% of trainees in micrographic surgery and dermatologic oncology.
Conclusions: Dermatology is one of few medical specialties in which women comprise the majority of trainees and a significant portion of the active workforce. Further efforts and initiatives to improve diversity in dermatology residency and fellowship programs may be necessary, especially at the medical student level.https://jdc.jefferson.edu/sexandgenderhealth/1018/thumbnail.jp
Endoscopic approach to the resection of adenoid cystic carcinoma of paranasal sinuses and nasal cavity: case report and own experience
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Surgical Anatomy in Revision Sinus Surgery
⢠Revision sinus surgery depends on knowing constant bony anatomical landmarks that are unaltered by prior surgery or advanced pathology.
⢠A wide maxillary antrostomy exposes the posterior lamellae and the medial orbital floor (MOF).
⢠The superior margin of the maxillary sinusotomy (junction of the inferior aspect of the lamina papyracea and MOF) forms a âbony ridge,â which delineates the anterior ethmoid cells (medially) from the orbital floor (laterally).
⢠The posterior margin of the maxillary sinusotomy (posterior fontanelle remnant), delineates the middle turbinate/sphenopalatine foramen (medially) from the posterior wall of the maxillary sinus (laterally).
⢠The relationship between the MOF and adjacent structures can help guide the surgeon.
⢠The posterior ethmoid cells lie superior to the posterior orbital floor adjacent and medial to the ridge of the antrostomy.
⢠The sphenoid sinus lies inferior to the MOF, adjacent to the nasal septum, approximately 7 cm from the columella.
⢠The nasolacrimal duct runs anterior, but parallel to the direction of the frontal recess and infundibulum
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Traumatic CSF Leaks
The majority of cerebrospinal fluid (CSF) leaks result from some form of skull base trauma. Injuries to the base of skull can be the result of accidental injury or intraoperative (iatrogenic) injury. The type of injury can have an important impact on CSF leak management. This chapter reviews the types of traumatic CSF leak and the subsequent treatment options that can be considered
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Analysis of the Cost-Effectiveness of Dural Sealants in the Endoscopic Repair of CSF Leaks
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Womenâs representation at an academic dermatology conference: trending upwards, but not equal yet
Although women make up a significant portion of the workforce in dermatology, they remain underrepresented in academia. This study investigates the number of male and female symposium speakers at the American Academy of Dermatology annual meetings over a three-year period and compares research productivity and academic rank between the men and women invited to speak. The results demonstrate a steady increase in the representation of female symposium speakers at the conference from 2016 to 2018, although a higher proportion of invited male speakers hold professorships and leadership positions. This upward trend in women's representation may translate to more opportunities for female engagement in academic dermatology. Although women make up over 60% of residents in dermatology, they are not proportionally represented in this conference sample. This imbalance in representation demonstrates that further interventions to increase the representation of female professors and chairs may be necessary
AAO-HNSF CORE Grant Acquisition Is Associated with Greater Scholarly Impact
Objective To determine whether receiving funding from the American Academy of OtolaryngologyHead and Neck Surgery Foundation (AAO-HNSF) Centralized Otolaryngology Research Efforts (CORE) grant program is associated with career choice (in terms of practice setting) and scholarly impact. Study Design and Setting Examination of bibliometrics among academic otolaryngologists, including CORE grants funding history. Methods An Internet search was conducted to determine the current practice setting and, for academic otolaryngologists, academic rank of individuals receiving CORE grants since 1985. The Scopus database was used to determine scholarly impact, as measured by the h-index, and publication experience (in years) of these practitioners along with a control cohort of nonfunded academic otolaryngologists. Results Of 432 unique individuals receiving CORE grant funding since 1985, 44.4% are currently academicians. This cohort had a higher h-index (mean, 11.9; median, 10; interquartile range [IQR], 6-18) than their non-CORE grant-funded academic peers (mean, 9.2; median, 7; IQR, 3-13; P = .002) and colleagues who are not currently in academic practice (mean, 4.4; median, 3; IQR, 0-6; P \u3c .001). CORE grant-funded academic otolaryngologists had a statistically higher scholarly impact on controlling for academic rank and among practitioners with greater than 10 years of publication experience. No statistical differences in academic promotion patterns were noted between those with and those without a CORE grant funding history. Conclusions Procurement of an AAO-HNSF CORE grant is associated with greater scholarly impact, as measured by the h-index. This relationship persists among practitioners with more than 10 years of publication experience, as well as upon comparison of CORE grant-funded and non-CORE grant-funded otolaryngologists at all academic ranks. Practitioners awarded these grants may be more likely to go into and remain in academic practice
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