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Using Propensity-Score Matched Cohorts to Evaluate Career Outcomes for Medical Students Completing the Underserved
Genya Shimkin1, Kimberly Kardonsky2, Alisse Cassell1
1Department of Family Medicine, Medical Student Education Section, University of Washington School of Medicine, Seattle, WA.
Medical students in the Underserved Pathway (UP) were more likely to practice rural family medicine and rural primary care. This pathway may help address physician shortages in rural areas.
Area of Science:
- Medical Education
- Rural Health Workforce
- Physician Career Outcomes
Background:
- The Underserved Pathway (UP) program at the University of Washington School of Medicine (UWSOM) aims to train physicians for rural practice.
- Understanding the long-term career outcomes of UP graduates is crucial for evaluating its effectiveness.
Purpose of the Study:
- To compare the career outcomes of UWSOM medical students who completed the UP versus those who did not.
- To determine if UP graduates are more likely to practice in rural areas and/or primary care specialties.
Main Methods:
- Propensity-score matching was used to create a comparable cohort of non-UP graduates from a list of 243 UP students (2004-2012).
- Multiple regression analysis was employed to compare career outcomes between UP and non-UP graduates.
Main Results:
- The study included 384 UWSOM graduates (191 UP, 193 non-UP).
- UP graduates demonstrated significantly higher odds (3x) of practicing family medicine in rural communities.
- UP graduates showed even greater odds (3.5x) of practicing rural primary care compared to non-UP peers.
Conclusions:
- Cocurricular programs like the UP can positively influence physician distribution towards underserved rural areas.
- These programs show potential for addressing critical physician workforce shortages in rural communities.
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