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Where Are Future Doctors Who Southern Rural African Americans Will Trust? A Look Back into Rural Medical Scholars

John R Wheat1, Antonio J Gardner2, Cynthia E Moore1

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Few African American students progress to become rural physicians despite program enthusiasm. More support beyond recruitment is needed to increase culturally concordant healthcare providers in underserved rural areas.

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Area of Science:

  • Medical Education
  • Rural Health Disparities
  • Health Equity

Background:

  • African Americans face healthcare access barriers in rural Southern US communities due to distrust and physician scarcity.
  • Culturally concordant care is essential for building trust and improving healthcare resource utilization.
  • The Rural Health Leaders Pipeline aimed to increase African American student participation in rural medicine.

Purpose of the Study:

  • To review the experiences of African American students in the professional track of the Rural Medical Scholars Program.
  • To identify factors influencing the progression of African American students towards becoming rural physicians.
  • To inform future strategies for recruiting and supporting African American students in rural medical programs.

Main Methods:

  • Retrospective tracking of African Americans in the Rural Medical Scholars Program (1996-2017).
  • Analysis of recruitment mechanisms, master's degree completion, medical school matriculation, and progression.
  • Data collection included racial identity and program participation details.

Main Results:

  • Out of 1045 pipeline participants, 380 were African American; 16 were in the professional track.
  • African American scholars in the professional track showed high master's program completion (100%) and medical school entry (75%).
  • The program produced one rural African American physician every two years, with numbers too small for statistical analysis.

Conclusions:

  • While African American students show enthusiasm and academic success in preprofessional and master's programs, few advance to medical school and practice in rural areas.
  • The low number of rural African American physicians mirrors national trends, indicating a need for enhanced support beyond initial recruitment.
  • Interventions must focus on facilitating medical education access and successful progression to produce trusted, culturally concordant physicians for rural communities.