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Old 01-06-2015, 08:45 AM
 
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A group put out a survey of the 50 healthiest metros in the US, and DFW, Houston, and San Antonio ranked pretty much at the bottom. That's neither here nor there, and we can debate if that's a fair ranking or not, but the question I had was concerning one of the criteria, "physicians and surgeons per 100,000 residents".

Results table at the following link:
Healthiest Places in America - Health

I would say the average was mid-300s, Dallas was near the bottom at 241 per 100,000 residents. Boston had over 500, but several areas passed 400.

What's the deal? Dallas-area salaries low, hospital building lagging residental growth, the low insured rate not able to support an average number of doctors? Is the stat wrong? Anyone have a clue?
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Old 01-06-2015, 08:52 AM
 
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With our level of uninsured, I can believe this. What I'm unsure of is if the study counts resident level physicians in its calculation. With UTSW & Parkland as primary physician training grounds, I'm curious if they count.
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Old 01-06-2015, 08:57 AM
 
Location: Prosper
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Interesting. At least for DFW, I imagine the sheer size of the metroplex counts against it, as physicians will be concentrated in population centers, and there's a lot of land that is less populated, but still with large numbers of people that have to travel 20+ miles to see their primary physician.

I know in the suburbs, McKinney especially, there's a DR's office practically on every corner.
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Old 01-06-2015, 08:57 AM
 
Location: Dallas, TX
543 posts, read 1,202,631 times
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Quote:
Originally Posted by TheOverdog View Post
A group put out a survey of the 50 healthiest metros in the US, and DFW, Houston, and San Antonio ranked pretty much at the bottom. That's neither here nor there, and we can debate if that's a fair ranking or not, but the question I had was concerning one of the criteria, "physicians and surgeons per 100,000 residents".

Results table at the following link:
Healthiest Places in America - Health

I would say the average was mid-300s, Dallas was near the bottom at 241 per 100,000 residents. Boston had over 500, but several areas passed 400.

What's the deal? Dallas-area salaries low, hospital building lagging residental growth, the low insured rate not able to support an average number of doctors? Is the stat wrong? Anyone have a clue?
I'm sure a lot of it has to do with how many residencies/fellowships there are in the area. Physicians tend to settle where they do their residency/fellowships. Dallas has a couple of places with larger residency programs in UTSW/Children's and Baylor (though I don't know that Baylor is all that large in the grand scheme of things). If you compare that to Boston with MGH, Longwood, Tufts, BU, and others that I'm probably missing you'll see that they have less residency/fellowship spots per capita so less practicing physicians per capita as well.

Other large cities have more training sites as well... Chicago has UofC, Loyola, Rush, UIC; LA has UCLA, USC, UCI, etc.

The one city that's interesting to me on that list that is a high population city with relatively high physicians per capita but not that many training positions (that I'm aware of) is Seattle. I can only think of UW/Seattle Children's. That one is interesting.
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Old 01-06-2015, 09:22 AM
 
Location: NYC area
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It also seems to list "Dallas-Fort Worth-Arlington" specifically, which makes me wonder if they included all the other suburbs like Coppell, Southlake, Grapevine, Flower Mound, Plano, Frisco, etc. I am sure there are plenty of Dallas doctors with kids who live in those suburbs but work in Dallas hospitals.
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Old 01-06-2015, 09:38 AM
 
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Quote:
makes me wonder if they included all the other suburbs like Coppell, Southlake, Grapevine, Flower Mound, Plano, Frisco
I would assume so. I believe the MSA (metropolitian statistical area) is called Dallas/Ft Worth/Arlington so that's probably what they are using to determine the cities included. I'm not sure the exact list of cities, but the major ones like Frisco, Southlake, McKinney etc would also be included as the DFW MSA has around 6.7 million people.
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Old 01-06-2015, 10:25 AM
 
Location: North Texas
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There are two DFWs: the one that most of us see due to our relative affluence (more affluent than average, anyway) with plenty of quality doctors a short drive from home, and the other DFW that most of us don't see and that some of us even pretend doesn't exist, where high rates of crime, poverty, and unemployment mean very few doctors and little access to quality, affordable medical care.
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Old 01-06-2015, 10:52 AM
 
Location: plano
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The two key factors in this are: DFW has no mecca or super high end research/world renown hospitals where patients travel to get treatment from other metros. Houston has MD Anderson etc. These drive the DR's per resident up since they are treating a lot of non residents.

The other factor is Dallas is not a place one might live if you could make a living elsewhere as a DR can. Fewer Doctors say, gosh Im moving or staying in Dallas if they can mnake a living elsewhere.

An example of this last effect is: in 1966 Taos NM had a small hopsital made up of mostly older DR.s In 1980, it had become a place the best young Doctors in NM wanted to live and the health care available soared as Dr's moved there to ski between when not working.
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Old 01-06-2015, 10:53 AM
 
Location: NYC area
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Here's what's odd about their math...on the website it says they got their info from the U.S. Census Bureau American Community Survey, but when I look up the survey, it says Dallas County alone had 279.4 physicians or surgeons per 100,000 residents (in 2010, which is the last year I can find this report). American FactFinder - Results

Someone should double check my math, though. I'm a librarian (and not great at math). ;-)

2,373,000 residents in Dallas County and 6,630 physicians or surgeons in Dallas County in 2010. Isn't that 279.4/100,000?
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Old 01-06-2015, 12:40 PM
 
7,843 posts, read 8,661,028 times
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Quote:
Originally Posted by Johnhw2 View Post
The two key factors in this are: DFW has no mecca or super high end research/world renown hospitals where patients travel to get treatment from other metros. Houston has MD Anderson etc. These drive the DR's per resident up since they are treating a lot of non residents.

The other factor is Dallas is not a place one might live if you could make a living elsewhere as a DR can. Fewer Doctors say, gosh Im moving or staying in Dallas if they can mnake a living elsewhere.

An example of this last effect is: in 1966 Taos NM had a small hopsital made up of mostly older DR.s In 1980, it had become a place the best young Doctors in NM wanted to live and the health care available soared as Dr's moved there to ski between when not working.
Johnw2,
That's not really accurate. A very well respected ranking from a Chinese University that rates medical schools mainly by research volume and quality ranks UTSW #6 in the world behind Harvard, UCSF, University of Washington, Johns Hopkins and Columbia. MD Anderson is #17. That puts UTSW ahead of Stanford, Mayo, Michigan, UNC, UCLA, Oxford, Yale, Duke, Penn and many others.

UTSW has 5 Nobel Prize Winners on staff. Last time I looked there were 0 at MD Anderson. Harvard has 0 as well. UTSW has more National Academy of Science Members on staff than all other Texas school combined - the school has 21 NAS members if memory serves and a number of Howard Hughes Medical Investigators. IIRC there is 1 NAS member at MD Anderson.

UTSW has 14 residency programs ranked in the top 25 in the country including plastic surgery at #1.

The new UTSW/Clement's Hospital is amazing.

William P. Clements Jr. University Hospital - UT Southwestern, Dallas, Texas

UTSW Earns Place Among the World

UT Southwestern residency programs ranked among best in nation: September 2014 News Releases - UT Southwestern, Dallas, Texas


Sorry that came off as terse I didn't intend for that.

Last edited by EDS_; 01-06-2015 at 01:12 PM..
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