Family Medicine Residencies: How Rural Training Exposure in GME Is Associated With Subsequent Rural Practice

• DOI: 10.4300/jgme-d-21-01143.1
• Publication Date: 2022-08-11T21:18:07Z
• Authors: Deborah J. Russell; Elizabeth Wilkinson; Stephen Petterson; Candice Chen; Andrew Bazemore
• Keywords: Graduate medical education; Odds

Rural US populations face a chronic shortage of physicians and an increasing gap in life expectancy compared to urban populations, creating need understand how increase residency graduates' desire practice such areas.This study quantifies associations between the amount rural training during family medicine (FM) residencies subsequent work.American Medical Association (AMA) Masterfile, AMA graduate medical education (GME) supplement, American Board Family Medicine certification, Accreditation Council for Graduate Education (ACGME), Centers Medicare Medicaid Services hospital costs data were merged analyzed. Multiple logistic regression measured or 2018 by all 12 162 clinically active who completed FM accredited ACGME 2008 2012. Analyses adjusted key potential confounders (age, sex, program size, region, school location type) clustering resident program.Most (91%, 11 011 162) residents had no training. A minority (14%, 1721 practiced 2018. Residents with comprised 80% (1373 1721) those Spending more than half months areas was associated substantially increased odds (OR 5.3-6.3). Only 4% (424 spent their locations, only 5% (26 436) programs mostly settings community-based clinics.There is linear gradient levels exposure GME work.