Patient Interest in Dermatologists in the United States: A 20-Year Google Trends and Workforce Analysis

April 2026 | Volume 25 | Issue 4 | 357 | Copyright © April 2026


Published online March 30, 2026

Yagiz Matthew Akiska BSEa,b, Savanna I. Vidal BSa, Mana Nasseri BSa, Nikita Menta BAa, Cleo Whiting MDa, Sara Abdel Azim MDc, Adam Friedman MDa

aDepartment of Dermatology, George Washington University School of Medicine and Health Sciences, Washington, DC
bMilken Institute School of Public Health, George Washington University, Washington, DC
cSchool of Medicine, Georgetown University, Washington, DC

Abstract
Background: Dermatologists remain unevenly distributed throughout the United States (US), leading to disparities in access to dermatologic care.
Objective: To evaluate geographic variation in patient interest in dermatology services and compare it to dermatologist supply to identify areas of potential unmet need.
Methods: An ecological, cross-sectional study was conducted using Google Trends data from 2004 to 2023 to assess relative search volume (RSV) for "dermatologist" across US states. RSV was normalized and combined with dermatologist density data from the AAMC to generate a Relative Demand Index (RDI) for each state. Spearman's rank correlation assessed associations between RDI, dermatologist supply, urbanization, and population size.
Results: States with high RDI, such as Alabama and Mississippi, had high patient interest but low dermatologist density, suggesting workforce shortages. Conversely, states like Massachusetts and the District of Columbia had low RDI and high provider density. RDI showed a strong inverse correlation with dermatologist density (rs = -0.76, P<0.0001).
Limitations: This study relied on a keyword, Google-only search data, and assumed internet access. County-level nuances were not captured.
Conclusion: Significant geographic disparities in dermatologist availability and demand exist, highlighting the need for targeted workforce distribution strategies to ensure equitable access to dermatologic care.
 

INTRODUCTION

In recent years, there has been a notable increase in attention to and financial support for dermatology.1,2 Skin conditions now rank as the fourth leading contributor to nonfatal disease burden globally, as measured by disability-adjusted life years.3 Dermatologists play a key role in identifying skin conditions that serve as early indicators of serious health conditions, and are crucial in enhancing the quality of life for patients by addressing the multisystem impacts of various dermatological conditions.3,4

Among 84.5 million Americans, a quarter of whom were affected by skin disease, the burden of dermatological conditions on the United States (US) healthcare system incurred $75 billion in 2013, encompassing medical, preventative, prescription, and non-prescription costs.5 According to the Association of American Medical Colleges (AAMC), the number of US. dermatologists has shown a gradual increase over the past decade, reaching 12,516 in 2019, reflecting an average annual growth of 1.6% since 2010.2 Yet, the gap between urban and rural areas has widened, with an overall density slightly below the suggested 4.0 per 100,000 population to meet demand adequately.2,6,7 Despite these projections, dermatologists continue to be unevenly distributed across the US.6,7 Findings reported by the US Department of Health and Human Services in 2016 indicated that dermatology is anticipated to be among the medical specialties facing the most significant national deficits by 2025, underscoring the high demand for dermatological care.8

When exploring unmet patient needs, quantifying patient demand is essential for identifying actionable healthcare gaps. Google Trends is a platform that compiles and quantifies Google search data, providing population-level insight into search volumes by time and geography.9 Google Trends has been employed as a proxy to assess patient interest in healthcare services across several medical subspecialties, including orthopedic surgery, ophthalmology, and radiology.10–15 In the US, 58% of patients self-refer to physicians, often utilizing online resources to do so.13 Dermatology has been reported to be the most frequently searched medical specialty in the United States, and Google Trends is a powerful tool for estimating patient interest.13