Influencing Residency Choice and Practice Location Through a Longitudinal Rural Pipeline Program
| Autor: | Jana Porter, Michael C. Hosokawa, Kevin Y Kane, Kathleen Quinn, James J. Stevermer, Weldon Webb, Harold A. Williamson |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Program evaluation MEDLINE Track (rail transport) Education Young Adult Nursing Humans Medicine Longitudinal Studies Program Development Health Services Needs and Demand Missouri Career Choice business.industry Professional Practice Location Internship and Residency General Medicine Pipeline (software) Physician Incentive Plans Education Medical Graduate Female Program development Rural Health Services Family Practice business Career choice Education Medical Undergraduate Program Evaluation |
| Zdroj: | Academic Medicine. 86:1397-1406 |
| ISSN: | 1040-2446 |
| DOI: | 10.1097/acm.0b013e318230653f |
| Popis: | The University of Missouri School of Medicine developed the Rural Track Pipeline Program (MU-RTPP) to increase the supply and retention of rural physicians statewide. The MU-RTPP features a preadmissions program for rural students (Rural Scholars), a Summer Community Program for rising second-year students, a six-month Rural Track Clerkship (RTC) Program for third-year students, and a Rural Track Elective Program for fourth-year students. The purpose of this study is to report the specialty choices and first practice locations of Rural Scholars, RTC-only participants, and Rural Track Clerkship Plus (RTC+) participants (students who participated in the RTC Program plus an additional MU-RTPP component).The authors compared the residency specialty choices of 48 Rural Scholars (tracked since 2002) with those of 506 nonparticipants and the residency specialty choices of 83 RTC participants and 75 RTC+ participants (tracked since 1997) with those of 840 nonparticipants. The authors calculated the relative risk (RR) for the likelihood of participants matching into primary care compared with nonparticipants and analyzed first practice location.Rural Scholars were more than twice as likely to match into family medicine (RR=2.6; 95% confidence interval 1.5-4.4). RTC and RTC+ participants entered primary care, especially family medicine, at rates significantly higher than nonparticipants. Over 57% of students who participated in the RTC program (and potentially other MU-RTPP offerings) chose a rural location for their first practice.The longitudinal MU-RTPP successfully recruits students for rural and primary care practice to address the health care needs of Missouri. |
| Databáze: | OpenAIRE |
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