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Does community- or university-based residency sponsorship affect future practice profiles?
Peter J Carek1, Dana E King, Stoney Abercrombie
1Department of Family Medicine, Medical University of South Carolina, Charleston 29406, USA. carekpj@musc.edu
Family Medicine
|September 25, 2002
Summary
Residency program sponsorship influences practice location, with community-based graduates more likely to practice rurally. University-based graduates often pursue academic careers, but practice type and satisfaction showed few differences.
Area of Science:
- Medical Education Research
- Physician Practice Patterns
- Family Medicine Training
Background:
- Residency program sponsorship (community vs. university, opposed vs. unopposed) significantly impacts medical students' training choices.
- Understanding the long-term practice profiles of graduates based on sponsorship is crucial for medical education planning.
Purpose of the Study:
- To examine practice profiles of South Carolina family practice residency graduates.
- To determine if significant differences exist in practice location, procedures, and satisfaction based on residency program sponsorship.
Main Methods:
- A survey was distributed to 1,335 graduates of South Carolina Area Health Education Consortium (SC AHEC)-affiliated residency programs.
- Data analysis utilized the Epi-Info statistical program with significance set at P < .01.
- Response rate was 56.0% (720 surveys returned).
Main Results:
- Community-based program graduates were more likely to practice within South Carolina, in rural areas, and near their residency sites.
- University-based program graduates showed a higher propensity for academic practice settings (18.9% vs. 6.3%).
- Minor variations in performed procedures were observed between the groups; no significant differences in salaries or satisfaction were found.
Conclusions:
- Residency sponsorship influences the geographic location and setting of physician practice.
- Few significant differences were identified in the types of procedures performed, physician salaries, or overall satisfaction based on residency sponsorship.