"The authors conducted a study in which they explored the geographical distributions of primary care dentists, physicians and pharmacists to determine if a spatial pattern existed between provider types across cities in Iowa."
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Geographic Distribution Research
The Journal of the American Dental Association
May 1, 2012
Academic Medicine
April 2012
"Data for 1,600 graduates over 30 years show that rural program graduates are ten times likelier to practice rural medicine than IMGs, making such programs optimal solutions to rural physician shortages."
Tags: Rural
Academic Medicine
April 2012
"Physicians practicing in Appalachia as of June 2009 were largely graduates of MD- or DO-granting medical schools in or near the region."
Tags: Rural
Agency for Health Care Research and Quality
January 2012
"This fact sheet shows that primary care physicians, nurse practitioners, and physician assistants are more likely to practice in rural areas than are non-primary care specialists, but are still more concentrated in urban areas."
Tags: Rural, Workforce Shortage
Increasing the supply of women physicians in rural areas: outcomes of a medical school rural program
Journal of the American Board of Family Medicine
November 2011
"Women physicians are less likely then men to practice in rural areas. With women representing an increasing proportion of physicians, there is concern that this could exacerbate the rural physician shortage. The Physician Shortage Area Program (PSAP) of Jefferson Medical College (JMC) is one of a small number of medical school rural programs shown to be successful in addressing the rural physician shortage; however, little is known about their specific impact on women."
Tags: Rural
Academic Medicine
November 2011
"The University of Missouri School of Medicine developed the Rural Track Pipeline Program (MU-RTPP) to increase the supply and retention of rural physicians statewide. The MU-RTPP features a preadmissions program for rural students (Rural Scholars), a Summer Community Program for rising second-year students, a six-month Rural Track Clerkship (RTC) Program for third-year students, and a Rural Track Elective Program for fourth-year students. The purpose of this study is to report the specialty choices and first practice locations of Rural Scholars, RTC-only participants, and Rural Track Clerkship Plus (RTC+) participants (students who participated in the RTC Program plus an additional MU-RTPP component)."
Tags: Pipeline
American College of Surgeons Health Policy Research Institute
November 2011
"This atlas, through the use of maps and charts, will provide a picture of the supply and geographic distribution of institutions and individuals providing surgical services in an effort to help practitioners, policy makers and patients anticipate the current and future distribution and identify places with limited access to surgical services."
Rural and Remote Health
July 25, 2011
"The purpose of this study was to develop an evaluation instrument (Community Apgar Questioinnaire) useful to rural Idaho communities’ in their assessment of the assets and capabilities related to physician recruitment and retention."
Tags: Rural
Virtual Mentor
May 2011
"Recruitment and retention of rural health care professionals continues to be a national challenge. A recent study from the Association of American Medical Colleges’ Center for Workforce Studies predicts that in the next decade there will be 45,000 too few primary care physicians—as well as a shortage of 46,000 surgeons and medical specialists. Similar primary care findings have been reported for other clinicians, such as physician assistants and nurse practitioners.
Archives of Surgery
May 2011
"Medicare beneficiaries living in rural areaswere more likely to undergo a broad array of surgical procedurescompared with those living in urban areas. While allaying someconcern about rural access to surgical procedures, the uniformityof these results raises concern that people living in ruralareas may have an overall poorer quality of health."
Virtual Mentor
May 2011
"At the turn of this century, the University of Wisconsin School of Medicine and Public Health (SMPH) participated in statewide focus groups, public surveys, and other assessments that indicated a need for strategies to address health disparities in rural Wisconsin. In 2005, approximately 30 percent of the population in Wisconsin, but just 11 percent of its physician workforce, resided in rural areas. The number of graduating SMPH medical students expressing an interest in practice in rural, medically underserved areas was a low 3 -5 percent."
Family Medicine
November/December 2010
"The Scholars in Rural Health program is designed to attract and retain young rural Kansans with a high probability of successful careers in rural communities. This program shapes the students’ experiences toward rural health in preparation for entry into medical school. Scholars accepted into and satisfactorily completing this program are admitted automatically to the School of Medicine."
Family Medicine
November/December 2010
"Twenty percent of the US population lives in rural communities, but only about 9% of the nation’s physicians practice in those communities. There is little doubt that the more highly specialized physicians are, the less likely they are to practice or settle in rural areas. There is clearly a population threshold below which it is not feasible for specialist (in contrast to generalist) physicians to pursue the specialty in which they have trained. Much of rural America falls below that threshold. This leaves large geographic areas of America to the primary care physician. The proportional supply of family physicians to specialists increases as urbanization decreases."
Family Medicine
November/December 2010
"Demonstrating the equivalency between the traditional metro-based clerkships within close proximity to the academic health center and the nontraditional rural preceptorships is important. The University of Minnesota has had a 9-month longitudinal rural elective for third-year medical students for 40 years, the Rural Physician Associate Program (RPAP). In the metro area, traditional students rotate through clerkships of 4 to 8 weeks in length. Both cohorts of students are evaluated in similar ways."
Family Medicine
November/December 2010
"Engaging communities in authentic partnerships is increasingly accepted as best practice in both medicine and public health, despite the many barriers to doing so. New medical schools have an opportunity to incorporate community engagement into their very foundation. In rural northeast Pennsylvania, a new medical school used a regional health assessment to engage community partners across the 16 counties it serves."
Family Medicine
November/December 2010
"The University of Louisville School of Medicine Trover Campus (ULTC) was established in rural west Kentucky in 1998 with the purpose of increasing the number of rural physicians. Utilizing the affinity model, a primary goal of the ULTC is to encourage rural students to pursue a medical education and return to rural Kentucky for practice. One aspect of this geographically separate clinical campus includes a Rural Medicine Elective (RME) offered during the basic science years. We report here the effect of the RME on student opinions and knowledge concerning rural practice, as well as initial effects on specialty and rural practice choice."
WWAMI Rural Health Research Center
September 2010
"This study examines the degree to which persistence of primary care HPSA designation in rural counties is associated with lower population socioeconomic status and deficiencies in access to health care services."
The Journal of the American Medical Association
July 2010
"Despite recent promise of health care reform, many academic medical centers continue to struggle to balance what at times may be competing missions and obligations. Our results suggest the breadth of views that are present regarding these challenges and may be of interest to a variety of stakeholders involved in the relationship between academic centers and their surrounding, often underserved, communities."
Family Medicine
March 2010
"Most medical schools are now increasing class size and/or start¬ing regional campuses to address the anticipated physician shortage. Maldistribution is also an issue, with only 9% of physicians prac¬ticing in rural areas where 20 % of Americans live. Previous studies have shown that rural upbringing and small-town medical training are associated with rural practice."
Health Affairs
February 2010
"Federally qualified health centers play a major role in providing health care to the underserved, and will remain an important part of the health care safety net even under reforms that will increase the number of Americans with health insurance. We show that the investments made in federally qualified health centers during 1996–2006 clearly translated into an increase in services available to patients, including mental health and substance abuse treatment and counseling and staffing."
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