Fiorillo CE, et al. – This study was designed to identify factors associated with no–show rates in an academic otolaryngology practice in order to improve clinical efficiency and patient access to care. Investigations revealed that increased clinic no–show rates were associated with satellite clinics, new patient visits, younger age, and insurance type. No–show rates varied among subspecialties. However, more likewise studies were required to analyze barriers to appointment compliance and to develop interventions to improve access to care.