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Setting the Target: Comparing Family Medicine Among US Allopathic Target Schools.

Emmeline Ha1, Madeline Taskier1,2,3, Andrea Anderson1

  • 1Department of Emergency Medicine, Division of Family Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.

Family Medicine
|March 20, 2024
PubMed
Summary
This summary is machine-generated.

Medical schools without a family medicine department, termed "target" schools, show varied opportunities for student engagement. Increasing family medicine presence in these schools can improve the primary care physician workforce.

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Area of Science:

  • Medical Education
  • Health Workforce Studies
  • Primary Care Research

Background:

  • Persistent primary care physician shortages exist despite medical school expansion.
  • Some allopathic medical schools lack a dedicated family medicine department, identified as "target" schools.
  • Structured exposure to family medicine in medical school is linked to increased career selection in this specialty.

Purpose of the Study:

  • To define and characterize the current landscape of US allopathic target schools.
  • To identify the extent of family medicine representation and opportunities within these schools.

Main Methods:

  • Identified target schools by reviewing Liaison Committee of Medical Education (LCME) accredited institutions for the absence of a family medicine department.
  • Collected descriptive data from public websites, family medicine match results, and primary care rankings.
  • Analyzed data to compare family medicine representation and outcomes at target schools.

Main Results:

  • Twelve target schools (8.7% of US allopathic medical schools) were identified.
  • Significant heterogeneity was observed in family medicine engagement, leadership, and training opportunities.
  • Greater family medicine representation correlated with improved outcomes in the family medicine workforce and primary care opportunities.

Conclusions:

  • Target schools have a crucial role in enhancing family medicine presence to address primary care workforce gaps.
  • Recommendations are provided for institutional, specialty, and national levels to boost family medicine representation.
  • The ultimate goal is for all medical schools to establish a department of family medicine.