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Which Training Programs Produce Rural Physicians? A National Health Workforce Study

Funder: Office of Rural Health Policy (ORHP)
Research center: WWAMI Rural Health Research Center
Phone: 206.685.0402
Lead researcher: Frederick Chen, MD, MPH , 206.685.0402, fchen@u.washington.edu
Project funded: September 2004
Project completed:November 2007
Topics: Physicians
Workforce

This national study is using comprehensive, longitudinal data on medical school specialty and practice location choice to determine the extent to which the nation's medical schools and residency programs vary in their production of rural physicians. This information will be used to identify the medical school and residency training characteristics that result in the highest yield of rural physicians. This project updates and builds on previous WWAMI RHRC studies by including elements not previously available: the type and location of residency training, a more sophisticated method for defining rurality, and a new approach to determining physician supply at the level of the Primary Care Service Area.

The project will show variation by medical schools in the number and proportion of their graduates who practice in rural areas, identify how this production varies by residency type, compare the production of rural physicians between osteopathic and allopathic schools, examine the comparative production of male and female physicians within and across medical schools, and compare these findings with those from our 1992 project. The Final Report for this project is under review, and will soon be available on the WWAMI RHRC website.

Publications

  • U.S. Rural Physician Workforce: Analysis of Medical School Graduates from 1988-1997 (Final Report)
    Author(s): Frederick M. Chen, Meredith A. Fordyce, Steve Andes, L. Gary Hart
    Report Number: 113
    Date: 10 / 2008
    Despite continued federal and state efforts to increase the number of physicians in rural areas, disparities between the supply of rural and urban physicians persist. This paper describes the training of the rural physician workforce in the United States and examines the variations in medical school and residency production of rural physicians.
  • U.S. Rural Physician Workforce: Analysis of Medical School Graduates from 1988-1997 (Policy Brief)
    Date: 10 / 2008
    Despite continued federal and state efforts to increase the number of physicians in rural areas, disparities between the supply of rural and urban physicians persist. This paper describes the training of the rural physician workforce in the United States and examines the variations in medical school and residency production of rural physicians.