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The Global Otolaryngology–Head and Neck Surgery Workforce

2023 , Beatriz Petrucci , Samuel Okerosi , Rolvix H. Patterson , Sara B. Hobday , Valerie Salano , Christopher J. Waterworth , Robert M. Brody , Holly Sprow , Blake C. Alkire , Johannes J. Fagan , Sharon Ovnat Tamir , DER MUSSA, CAROLINA FATHME , Mahmood F. Bhutta , Ivy W. Maina , Jonathan C. Pang , Davina Daudu , Allan G. Mukuzi , Tarika Srinivasan , Carolina A. Pietrobon , Sheng-Po Hao , Doreen Nakku , Amina Seguya , Taseer F. Din , Olga Djoutsop Mbougo , Lilian W. Mokoh , Farizeh Jashek-Ahmed , Tyler J. Law , Elizabeth A. Holt , Ali Haider Bangesh , Yilkal Zemene , Titus S. Ibekwe , Oumar Raphiou Diallo , Jaqueline Alvarado , Wakisa K. Mulwafu , John E. Fenton , Adrian M. Agius , Pavel Doležal , Édouard Amani Mudekereza , Karen M. Mojica , Ricardo Silva Rueda , Mary Jue Xu

ImportanceA core component of delivering care of head and neck diseases is an adequate workforce. The World Health Organization report, Multi-Country Assessment of National Capacity to Provide Hearing Care, captured primary workforce estimates from 68 member states in 2012, noting that response rates were a limitation and that updated more comprehensive data are needed.ObjectiveTo establish comprehensive workforce metrics for global otolaryngology–head and neck surgery (OHNS) with updated data from more countries/territories.Design, Setting, and ParticipantsA cross-sectional electronic survey characterizing the OHNS workforce was disseminated from February 10 to June 22, 2022, to professional society leaders, medical licensing boards, public health officials, and practicing OHNS clinicians.Main OutcomeThe OHNS workforce per capita, stratified by income and region.ResultsResponses were collected from 121 of 195 countries/territories (62%). Survey responses specifically reported on OHNS workforce from 114 countries/territories representing 84% of the world’s population. The global OHNS clinician density was 2.19 (range, 0-61.7) OHNS clinicians per 100 000 population. The OHNS clinician density varied by World Bank income group with higher-income countries associated with a higher density of clinicians. Regionally, Europe had the highest clinician density (5.70 clinicians per 100 000 population) whereas Africa (0.18 clinicians per 100 000 population) and Southeast Asia (1.12 clinicians per 100 000 population) had the lowest. The OHNS clinicians deliver most of the surgical management of ear diseases and hearing care, rhinologic and sinus diseases, laryngeal disorders, and upper aerodigestive mucosal cancer globally.Conclusion and RelevanceThis cross-sectional survey study provides a comprehensive assessment of the global OHNS workforce. These results can guide focused investment in training and policy development to address disparities in the availability of OHNS clinicians.

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Research Equity in Otolaryngology–Head and Neck Surgery

2021 , Rolvix Harlan Patterson , Mary Jue Xu , Samuel Okerosi , Mahmood F. Bhutta , DER MUSSA, CAROLINA FATHME , Blake Alkire , Rose Njogu , Varun Vendra , Sharon Ovnat Tamir , Johannes J. Fagan

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Letter to the Editor Response Regarding “Research Equity in Otolaryngology–Head and Neck Surgery”

2021 , Rolvix Harlan Patterson , Mary Jue Xu , Samuel Okerosi , Mahmood F. Bhutta , DER MUSSA, CAROLINA FATHME , Blake Alkire , Rose Njogu , Varun Vendra , Sharon Ovnat Tamir , Johannes J. Fagan