Novel Master File of Rural Family Medicine Residency Training: Program Models and Graduate Outcomes

Research center:
Lead researcher:
Project funded:
September 2012
Project completed:
March 2016

Problem statement: Little is known about how well various types of rural-focused family medicine residency training programs, particularly osteopathic residencies, produce physicians for rural practice.

Project goals: Aim 1 is to create a master file of rural family medicine training programs organized by the key characteristics of their rural focus. This residency program-level file will be used to develop a comprehensive typology of program models based on duration of rural training, program mission, and breadth of training in rural-relevant skills. The master file will also include an individual-level database of information on program graduates. Aim 2 is to identify the graduates' early practice locations and characteristics for comparisons of the effectiveness of distinct program models in producing physicians who practice in rural areas, including shortage areas and safety net facilities.

Methods: To construct the program-level database, we will use in-house residency program databases created for related projects, FREIDA OnlineĀ®, the American Osteopathic Association "Opportunities" database, Web searches, and new data collected directly from programs. For the individual graduate database, we will match graduates identified by programs with outcome data in the AMA Masterfile and other secondary data sources. Statistical tests (e.g., one-way analysis of variance (ANOVA)) will be conducted to compare the outcomes of distinct program models.