Journal article
Determinants of the 5-Year Retention and Rural Location of Family Physicians: Results from the Iowa Family Medicine Training Network
Family medicine, Vol.49(6), pp.473-476
06/01/2017
PMID: 28633176
Abstract
BACKGROUND AND OBJECTIVES: States are seeking ways to retain primary care physicians trained within their borders. We analyzed the 5-year retention and rural Iowa location decisions for 1,645 graduates of the Iowa Family Medicine Training Network (IFMTN)-eight residency programs (in seven different cities) that are affiliated with the Carver College of Medicine (University of Iowa).
METHODS: Data from 1977-2014 includes 98.5% of active graduates. Location in Iowa 5 years after graduation was the dependent variable in a binary logistic regression. A second model used rural location in Iowa as the dependent variable. Independent variables included graduation year cohort, IMG status, sex, undergraduate medical training in Iowa, medical degree, and residency location.
RESULTS: Undergraduate medical training in Iowa was strongly related to retention. Compared to graduates of the AMC residency, graduates of six of the seven community-based programs were significantly more likely to be practicing in Iowa. While the overall proportion of graduates practicing in rural Iowa was high (47.3%), women and IMGs were significantly less likely to practice in rural areas. Graduates of the Mason City program were significantly more likely to practice in a rural area after graduation.
CONCLUSIONS: The experience of the IFMTN suggests that educating family physicians in community-based programs contributes significantly to in-state retention even 5 years after graduation. While all programs contribute to the rural FM workforce in Iowa, the residency program located in a rural community (Mason City) has a disproportionately positive impact.
Details
- Title: Subtitle
- Determinants of the 5-Year Retention and Rural Location of Family Physicians: Results from the Iowa Family Medicine Training Network
- Creators
- Gregory C. Nelson - University of IowaThomas S. Gruca - Univ Iowa, Tippie Coll Business, S356 Pappajohn Business Bldg, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Family medicine, Vol.49(6), pp.473-476
- PMID
- 28633176
- NLM abbreviation
- Fam Med
- ISSN
- 0742-3225
- eISSN
- 1938-3800
- Publisher
- Society of Teachers of Family Medicine
- Number of pages
- 4
- Language
- English
- Date published
- 06/01/2017
- Academic Unit
- Marketing; Statewide Residency Train Prog
- Record Identifier
- 9984380451702771
Metrics
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