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A Match Made in Rural: Interpreting Match Rates and Exploring Best Practices.

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Rural residency programs are improving in filling positions but may struggle with recruitment. Match rates do not reflect program quality and should not be used as a proxy for it.

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Area of Science:

  • Medical Education
  • Rural Health Workforce

Background:

  • Rural family medicine residency programs effectively place graduates but face recruitment challenges.
  • Residency match rates are often used by students as an indicator of program quality.

Purpose of the Study:

  • To analyze trends in residency match rates for rural programs.
  • To explore the relationship between match rates and program characteristics, quality, and recruitment strategies.

Main Methods:

  • Analysis of 25 years of National Resident Matching Program data and 11 years of American Osteopathic Association data.
  • Comparison of rural versus urban program match rates.
  • Examination of match rate associations with program characteristics and graduate outcomes.
  • Interviews with residency coordinators regarding recruitment strategies.

Main Results:

  • Rural program fill rates have improved relative to urban programs over 25 years.
  • Smaller rural programs showed lower match rates; no other characteristics predicted match rates.
  • Match rates did not correlate with program quality measures or specific recruitment strategies.

Conclusions:

  • Match rates reflect general rural workforce recruitment difficulties, not program quality.
  • Understanding rural residency inputs and outcomes is crucial for addressing workforce shortages.