"I applied to the Scholars program with hopes of learning how to perform an entire research project by myself. I also applied because I wanted to be recognized for the research I was doing. This year I hope to have my research accepted into a conference so I can present it in a large setting and possibly be published in a Journal."
Disparity in Availability of Vascular Specialists in Florida and its Effect on Differential Rates of Major Lower Extremity Amputation.
Academic and Other Awards
- University Scholars Program Scholarship (2011-2012)
- Dean's List
- President's Honor Roll
- Intramural Sports
- Golden Key
Hobbies and Interests
- Spending time with friends and family, and Gator football.
Disparity in Availability of Vascular Specialists in Florida and its Effect on Differential Rates of Major Lower Extremity Amputation
We hypothesize (1) that there is a significant specialist physician maldistribution in Florida, (2) that patients from counties with fewer vascular specialists will present with a greater severity of atherosclerosis compared to those from counties with more vascular specialists, and (3) that these underserved patients will have a higher rate of amputation than those who have access to care in their home county. Using 2009 annual data from the Florida Agency for Healthcare Administration inpatient database, we identified patients with peripheral arterial disease (PAD) presenting with either ulceration or gangrene by ICD9 codes 440.23 and 440.24. We then identified those patients undergoing either lower extremity revascularization or amputation. Next, we examined whether or not these patients received care in their county of residence or had to travel out of their home county. These two groups were then analyzed using a chi square test comparing the proportions of patients in each group based on disease severity and treatment received. Finally, using physician specialty data from the Florida Department of Health and physician distribution data from American Medical Association Physician Related Resources database, we reconciled the above analysis based on availability of vascular providers in all patients’ home county. The majority of patients in Florida with PAD get care near home, however, nearly 14% had to travel to get care. In those who had to travel, there was a significantly higher proportion of gangrene at presentation and a significantly higher amputation rate. In addition, we identified 19 counties in which the number of vascular providers was not enough to adequately serve the patients with severe atherosclerosis. This data suggests the presence of significant maldistribution of vascular providers in Florida leading to worse outcomes.