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Osteopathic Medical Doctors into Plastic Surgery: Pathways and Demographics

Journal: Journal of Osteopathic Medicine Date: 2024/12, 124(12):Pages: A94. doi: Subito , type of study: retrospective study

Full text    (https://www.degruyter.com/document/doi/10.1515/jom-2024-2000/html)

Keywords:

career choice [55]
plastic surgery [4]
retrospective study [318]
USA [1656]

Abstract:

Context: Current and prospective medical students and residents may seek to understand the prevalence and pathways into plastic surgery for osteopathic medicine. This study addresses the lack of comprehensive data on the educational and professional trajectories of osteopathic doctors (DOs) in the field of plastic surgery. Objective: To examine and analyze publicly available data on current practicing plastic surgeons, including plastic surgical residents who hold an osteopathic medical degree (DO). Methods: A retrospective data analysis was employed, using publicly accessible databases from the American Society of Plastic Surgeons (ASPS), the American College of Osteopathic Surgeons (ACOS), and Doximity, searched from May 2024 to June 2024. Plastic surgeons and residents with a DO degree were identified, focusing on their education and training backgrounds. Secondary searches were conducted using Google, LinkedIn, US News & World Report, private practice websites, plastic surgery residency programs, Sharecare.com, and Facebook pages to complete missing information. Data collected included osteopathic medical schools, surgical training paths, fellowships (if applicable), and current geographical regions of practice. Additional analyses included the prevalence of intern years, the independent pathway versus integrated pathway into plastic surgery, and gender distribution. Statistical analysis included descriptive statistics and correlation analysis where applicable. Results: A total of 295 names were retrieved from the ASPS, ACOS, and Doximity databases. Thirty-seven were identified as cosmetic surgeons, 5 had missing residency data, and 27 lacked independent plastic surgery fellowships, 1 had a suspended license, 3 were deceased, excluding them from the final dataset. This left 220 plastic surgeons and 12 plastic surgery residents for analysis. Thirty-four percent (80) initiated their medical education in the Middle Atlantic region, followed by 18.5% (43) in West North Central, 16% (37) in South Atlantic, 12% (28) in East North Central, 6.9% (16) in West South Central, 5.2% (12) in Pacific, 3% (7) in Mountain, 2.2% (5) in East South Central, and 1.7% (1) in New England. Geographically, 31% practice in the Middle Atlantic (72), followed by 20% in East North Central (46), 17% in South Atlantic (40), 10% in Pacific (23), 7.7% in West South Central (18), 6.9% in Mountain (16), 4.3% in West North Central (10), 1.7% in East South Central (4), and 1.3% in New England (3). Medical school region and current practice location have a correlation value of 0.371. Conclusion: The majority of DO plastic surgeons are trained in the Middle Atlantic region, with a significant proportion continuing to practice there. Most follow the independent pathway via general surgery, though some use the integrated pathway, and a smaller subset pursue additional fellowship training within plastic surgery. These data highlight that DOs constitute a small but significant higher number of plastic surgeons in the United States.


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