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Practice Patterns of Graduates of a Rural Emergency Medicine Training Program.

Dylan S Kellogg1,2, Miriam S Teixeira3, Michael Witt1

  • 1Arnot Ogden Medical Center, Department of Emergency Medicine & Emergency Medicine Residency, Elmira, New York.

The Western Journal of Emergency Medicine
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Summary
This summary is machine-generated.

A community-based emergency medicine (EM) residency program effectively trains physicians for rural practice. Graduates feel prepared and are more likely to work in rural areas, addressing physician shortages.

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Area of Science:

  • Emergency Medicine
  • Rural Health
  • Physician Workforce Development

Background:

  • Rural communities face a persistent shortage of emergency physicians.
  • Rural emergency physicians are often older, male, White, and less likely to be residency-trained or board-certified.
  • Higher rates of rural physicians leave clinical practice compared to urban counterparts.

Purpose of the Study:

  • To identify the work environments of graduates from a rural emergency medicine residency program.
  • To assess the strengths and weaknesses of community-based rural EM training programs.
  • To evaluate the effectiveness of such programs in retaining physicians in rural practice.

Main Methods:

  • A cross-sectional survey was administered to 29 graduates of a community-based emergency medicine residency program.
  • The survey assessed graduate preparedness, further training needs, and practice location.
  • Descriptive statistics were used to analyze the survey results.

Main Results:

  • Twenty respondents (69% completion rate) participated, with most identifying as male (60%), White (70%), and non-Hispanic/Latino (80%).
  • A significant majority (75%) practice in counties with <1,000,000 inhabitants, and 70% work in hospitals/EDs serving <100,000 patients annually.
  • Four respondents (20%) work in critical access hospitals, and overall, graduates reported confidence in their training.

Conclusions:

  • Community-based emergency medicine residency programs appear effective in training physicians for rural and smaller community settings.
  • This model may be a viable strategy to mitigate rural emergency physician shortages.
  • Further research into program-specific strengths and weaknesses is warranted.