Ruth E Pel-Littel, Bianca M Buurman, Mirella M Minkman, Wilma J M Scholte Op Reimer, Jos W R Twisk, Julia C M van Weert
The influence of health literacy, anxiety and education on shared decision making and decisional conflict in older adults, and the mediating role of patient participation: A video observational study
Patient education and counseling
studies suggest increasing trend plastic surgeons choosing private practice training 90 pursuing private practice without future fellowships1 previous data showed 667 graduates plastic surgery residency programs chose pursue private practice without future fellowship recent studies estimate statistic risen close 9012 literature yet characterize current plastic surgery workforce changes composition time study aims analyze characteristics training plastic surgeons california comparative study general surgeons surgeon demographics extracted centers medicare medicaid services open database urbanrural classification academic affiliation crosslinked inpatient prospective system database sole proprietorship status crosslinked npi registry summary statistics logistic regressions chisquared analysis analyzed using statamp17 analysis consisted 3871 plastic general surgeons california compared general surgeons plastic surgeons less likely females p 0000 likely sole proprietors p 0000 affiliated teaching hospital p 0005 statistically significant difference percentage ruralpracticing plastic general surgeons p 0590 recent plastic surgery graduates likely affiliated academic hospital p 00000 composition females significantly increased older graduated cohort recent one significant difference sole proprietorship rural practice status oldest youngest graduating cohorts although california plastic surgery workforce gaining female plastic surgeons shifting academic institutions significant progress serving rural communities yet made study suggests may shift trend plastic surgeons opting private practice possibly driven desire stable positions academia continued improvement diversity training future plastic surgeons needed alleviate rural care gap