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Participation in the Rural Physician Associate Program (RPAP) significantly increases the likelihood of graduates practicing in Minnesota, choosing primary care or family medicine specialties, and working in rural areas. This program effectively addresses critical rural healthcare workforce needs.

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Area of Science:

  • Medical Education
  • Rural Health Workforce
  • Primary Care

Background:

  • The Rural Physician Associate Program (RPAP) at the University of Minnesota Medical School (UMMS) is a 9-month longitudinal integrated clerkship focused on family medicine.
  • This program aims to prepare medical students for practice in rural settings.

Purpose of the Study:

  • To investigate the association between participation in the RPAP and key medical workforce outcomes.
  • Specifically, to examine if RPAP involvement correlates with practicing in Minnesota, choosing primary care or family medicine, and engaging in rural practice.

Main Methods:

  • Workforce outcomes of University of Minnesota Medical School (UMMS) graduates from 1975-2017 were analyzed.
  • A comparison was made between RPAP participants (n=1,217) and non-participants (n=7,928).
  • Data sources included UMMS databases, American Medical Association (AMA) Physician Masterfile, and National Provider Identifier (NPI) registry.

Main Results:

  • RPAP graduates showed significantly higher rates of practicing in Minnesota (65.7% vs 54.4%), primary care (69.0% vs 33.4%), family medicine (61.1% vs 17.3%), and rural areas (41.2% vs 13.9%) compared to non-participants.
  • All observed differences were statistically significant (P<.01).

Conclusions:

  • Participation in the RPAP is strongly associated with graduates pursuing careers in family medicine, primary care, and rural practice.
  • These outcomes align with the urgent need to bolster the rural healthcare workforce.