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The Effect of Rural Underserved Opportunities Program Participation on Medical Graduates' Decision to Work in Rural Areas.

Academic medicine : journal of the Association of American Medical Colleges·2023
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Positive yet problematic: Lived experiences of racial and ethnic minority medical students during rural and urban underserved clinical rotations.

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Early Immersion and Primary Care Careers: Evidence From a Preclerkship Rotation.

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Early exposure to primary care through the Rural Underserved Opportunities Program (RUOP) significantly increased medical students' likelihood of choosing a primary care or family medicine career, helping address workforce shortages.

Keywords:
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Area of Science:

  • Medical Education
  • Public Health
  • Healthcare Workforce Studies

Background:

  • The United States faces a critical primary care workforce shortage impacting population health.
  • The Rural Underserved Opportunities Program (RUOP) offers early, immersive primary care exposure.
  • Understanding factors influencing medical students' career choices is crucial for addressing physician shortages.

Purpose of the Study:

  • To determine if participation in the RUOP program is independently associated with choosing a career in primary care.
  • To assess the association between RUOP participation and choosing family medicine as a distinct specialty.

Main Methods:

  • A retrospective cohort study analyzed 2,234 University of Washington School of Medicine students (2003-2015).
  • Data sources included program records, matriculation surveys, and physician databases.
  • Multivariable logistic regression analyzed the association between RUOP participation and subsequent practice in primary care or family medicine.

Main Results:

  • 49.4% of graduates participated in RUOP.
  • RUOP participants were more likely to practice primary care (48.2%) compared to non-participants (29.3%).
  • RUOP participation was associated with significantly higher odds of practicing primary care (OR 1.39) and family medicine (OR 1.54).

Conclusions:

  • The RUOP program demonstrated a positive association with students pursuing primary care and family medicine careers.
  • Short, preclerkship primary care immersion experiences may effectively guide students toward primary care.
  • Medical schools should consider integrating similar immersive programs to bolster the primary care physician pipeline.