Original Contribution  |   September 2017
Pennsylvania Otolaryngologists as a Model for the Implications of Practice Location of Osteopathic vs Allopathic Surgical Subspecialists
Author Notes
  • From the Department of Otolaryngology at the University of Pittsburgh Medical Center Hamot Hospital in Erie (Drs Griffith and Strand) and the Tripler Army Medical Center in Honolulu, Hawaii (Dr Power). 
  • Financial Disclosures: None reported. 
  • Support: This article was supported by a grant from the Lake Erie College of Osteopathic Medicine, which was used to purchase the AMA Physician Masterfile. 
  • Disclaimer: The views expressed herein are those of the authors and do not necessarily reflect the official policy or position of the Department of the Army, the Department of Defense, or the US Government. 
  •  *Address correspondence to Anton Power, DO, Tripler Army Medical Center, 1 Jarrett White Rd, Honolulu, HI 96859-5000. E-mail: apower@une.edu
     
Article Information
Ophthalmology and Otolaryngology
Original Contribution   |   September 2017
Pennsylvania Otolaryngologists as a Model for the Implications of Practice Location of Osteopathic vs Allopathic Surgical Subspecialists
The Journal of the American Osteopathic Association, September 2017, Vol. 117, 553-557. doi:10.7556/jaoa.2017.109
The Journal of the American Osteopathic Association, September 2017, Vol. 117, 553-557. doi:10.7556/jaoa.2017.109
Abstract

Background: Evidenced-based models should be used to predict future implications of the single accreditation system for graduate medical education. Compared with other states, Pennsylvania has a relatively high number of osteopathic physicians (ie, DOs) and may be used as a model for a health care system with an increased DO presence.

Objective: To compare the geographic distribution of otolaryngologist DOs with otolaryngologist allopathic physicians (ie, MDs) in Pennsylvania and identify differences in community size (urban, urbanized, and rural) in which these physicians practice.

Methods: A list of otolaryngologist practice locations in Pennsylvania was developed using Centers for Medicare and Medicaid Services data, the American Osteopathic Colleges of Ophthalmology and Otolaryngology–Head and Neck Surgery Masterfile, and the American Medical Association Physician Masterfile. The United States Census data were used to document the general population of those locations. The samples of individual otolaryngologist DOs and MDs were then analyzed by determining where each otolaryngologist practiced, identifying the type of community in which they practiced, and then comparing the percentage of otolaryngologist DOs and MDs who practiced in each community type (urbanized area, urban cluster, and rural). A χ2 analysis was used to determine whether a difference existed in practice location between otolaryngologist DOs and MDs.

Results: Of the 47 otolaryngologist DOs, 32 (70%) practiced in cities with a population of 49,999 or less. More than half (120 of 238) of the otolaryngologist MDs practiced in cities larger than 50,000, and 96 of 238 (40%) practiced in cities with a population of at least 200,000. χ2 analysis showed a significant difference in the geographic distribution of otolaryngologist DOs and MDs (P=.012).

Conclusion: A correlation exists between the practice location of otolaryngologists in Pennsylvania and the medical degree they hold.

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