Evidence map›Paper›PMID 28930761›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2018

Factors Associated With Medical School Graduates' Intention to Work With Underserved Populations: Policy Implications for Advancing Workforce Diversity.

Andrea N Garcia, Tony Kuo, Lisa Arangua, Eliseo J Pérez-Stable

Open access · bronzeAbstract read
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
10.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
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  3. Trial
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  5. Observational
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  11. Keeping Race and Diversity Relevant in Medical Education.Annals of the American Thoracic Society · 2024
    Article
  12. Article
  13. Observational
  14. Article
  15. The Experience of Medical Scribing: No Disparities Identified.Advances in medical education and practice · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Andrea N GarciaA.N. Garcia is a fellow with the National Clinician Scholars Program at the University of California, Los Angeles. At the time of submission, the author was a general and preventive medicine resident, California Department of Public Health, Sacramento, California, assigned to the Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, California. The project was conceived while the author was a medical student at the University of California, San Francisco, San Francisco, California; ORCID: http://orcid.org/0000-0001-9284-3790. T. Kuo is adjunct associate professor of epidemiology, UCLA Fielding School of Public Health, and health sciences associate professor of family medicine, David Geffen School of Medicine at UCLA, Los Angeles, California. The author also directs the Division of Chronic Disease and Injury Prevention and the Office of Senior Health, Los Angeles County Department of Public Health, Los Angeles, California; ORCID: http://orcid.org/0000-0002-4120-8559. L. Arangua is a policy analyst, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, California; ORCID: http://orcid.org/0000-0001-9105-3885. E.J. Pérez-Stable is director, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland. This project was conceived while the author was professor of medicine and chief, Division of General Internal Medicine, Department of Medicine, and director, Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco, San Francisco, California.
Tony Kuo
Lisa Arangua
Eliseo J Pérez-Stable
University of California, Los Angeles · USLos Angeles County Department of Public Health · USUniversity of California, San Francisco · US

Funding

RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEAH S KARLINER · 1997 to 2026
$19.5M
NIA NIH HHS P30 AG015272
6 · The paper itself

Abstract

purposeGiven projected U.S. physician shortages across all specialties that will likely impact underserved areas disproportionately, the authors sought to explore factors most correlated with medical school graduates' intention to work with underserved populations (IWUP).

methodData from the 2010-2012 Association of American Medical Colleges Medical School Graduation Questionnaire (n = 40,846) were analyzed. Variables (demographics, career preference, debt burden, intention to enter loan forgiveness programs) were examined using chi-square tests and logistic regression models.

resultsRespondents included 49.5% (20,228/40,846) women, 16.6% (6,771/40,837) underrepresented minorities (URMs), and 32.4% (13,034/37,342) with primary care intent. The median educational debt was $160,000. Respondents who were women (adjusted odds ratio [aOR] 1.59, 95% confidence interval [CI] 1.49, 1.70), URMs (aOR 2.50, 95% CI 2.30, 2.72), intended to enter loan forgiveness programs (aOR 2.44, 95% CI 2.26, 2.63), intended to practice primary care (aOR 1.65, 95% CI 1.54, 1.76), and intended to emphasize nonclinical careers (aOR 1.23, 95% CI 1.11, 1.37) had greater odds of reporting IWUP. Among those who chose specialties and careers with a nonclinical emphasis, and among those with greater burdens of educational and consumer debt, URMs were nearly twice as likely as other minorities and whites to report IWUP.

conclusionsFindings suggest physician characteristics that may be associated with filling workforce gaps in underserved areas. Restructuring financial incentive programs to support physician leaders and specialists with characteristics associated with IWUP may complement similar policies in primary care and could have key impacts on health equity in underserved areas.

Indexed as

Career ChoiceCultural DiversityIntentionMedically Underserved AreaAdultFemaleHealth WorkforceHumansMaleSocial Control PoliciesStudents, MedicalUnited States

Identifiers

PMID28930761
PMCPMC5743635
OpenAlexW2755938580

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.