ArticleJournal of graduate medical education2022
Family Medicine Residencies: How Rural Training Exposure in GME Is Associated With Subsequent Rural Practice.
Article in Journal of graduate medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed.
- What factors influence health professions trainees' preferences for employment in rural Appalachia? a qualitative study to inform the design of a discrete choice experiment.Medical education online · 2026Article
- Strengthening the Physician Workforce: An Expert Panel Discussion.The Permanente journal · 2026Article
- Importance of Global Health Opportunities in Residency Selection Among Otolaryngology Applicants.World journal of otorhinolaryngology - head and neck surgery · 2026Article
- Rural Background, Training Exposure, and Rural Practice Location Among US Physicians.JAMA network open · 2026Article
- Developing GME in Rural and Underserved Areas: Stories From Each US Census Region.Journal of graduate medical education · 2026Article
- Community-Based Training and Impact on Care of Socially Disadvantaged Populations.Journal of graduate medical education · 2026Article
- Association between community medicine rotation duration and general medicine in-training examination scores among second-year resident physicians in Japan: a nationwide cross-sectional study.BMC medical education · 2026Article
- Health Resources and Services Administration and Veterans Affairs Funding Intersections Expand Graduate Medical Education Training Opportunities in Rural and Underserved Areas.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Training Needs for Rural Primary Care Practice: A Scoping Review of Resident Physician Preparation.Family medicine · 2026Article
- Trends in Residency Program Development Outcomes in Rural and Health Professional Shortage Areas.Journal of general internal medicine · 2025Article
- Core competencies of rural practice for medical students of government-sponsored medical education programs in Taiwan: The students' perspective.Journal of general and family medicine · 2025Article
- The Geographic Distribution of Family Physicians Providing Maternity Care and Opportunities for Expanding Access to Care in Rural Areas.Annals of family medicine · 2025Article
- The Wrong Fix: Why America Doesn't Need More Medical Schools to Solve the Physician Shortage.Cureus · 2025Article
- Exploring Community-Based Residency Programs in High-Need Black Counties.Family medicine · 2025Article
- Increasing and Diversifying the Primary Care Physician Workforce.Family practice · 2025Article
- Evaluating the importance of rural internships to subsequent medical workforce distribution outcomes: an Australian cohort study.BMJ open · 2024Article
- Article
- Rural and Underserved Graduate Medical Education: A Strategy for Aligning Psychiatry Training with Population Needs.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024Article
- Adopting academic rank in a rural community practice affiliated with an academic medical center.BMC medical education · 2024Article
- Kaua'i Rural and Public Health Selective: A Family Medicine Residency First.Hawai'i journal of health & social welfare · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Rural US populations face a chronic shortage of physicians and an increasing gap in life expectancy compared to urban US populations, creating a need to understand how to increase residency graduates' desire to practice in such areas. Objective: This study quantifies associations between the amount of rural training during family medicine (FM) residencies and subsequent rural work. Methods: American Medical Association (AMA) Masterfile, AMA graduate medical education (GME) supplement, American Board of Family Medicine certification, Accreditation Council for Graduate Medical Education (ACGME), and Centers for Medicare and Medicaid Services hospital costs data were merged and analyzed. Multiple logistic regression measured associations between rural training and rural or urban practice in 2018 by all 12 162 clinically active physicians who completed a US FM residency accredited by the ACGME between 2008 and 2012. Analyses adjusted for key potential confounders (age, sex, program size, region, and medical school location and type) and clustering by resident program. Results: Most (91%, 11 011 of 12 162) residents had no rural training. A minority (14%, 1721 of 12 162) practiced in a rural location in 2018. Residents with no rural training comprised 80% (1373 of 1721) of those in rural practice in 2018. Spending more than half of residency training months in rural areas was associated with substantially increased odds of rural practice (OR 5.3-6.3). Only 4% (424 of 12 162) of residents spent more than half their training in rural locations, and only 5% (26 of 436) of FM training programs had residents training mostly in rural settings or community-based clinics. Conclusions: There is a linear gradient between increasing levels of rural exposure in FM GME and subsequent rural work.
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Registered trials
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