scholarly journals The association of medical student debt on choice of primary care specialty and rural practice location.

2015 ◽  
Author(s):  
Craig Ziegler
Keyword(s):  
Primary Care ◽  
Medical Student ◽  
Rural Practice ◽  
Student Debt ◽  
Practice Location ◽  
Primary Care Specialty

scholarly journals Factors Associated with Physician Assistant Practice in Rural and Primary Care in Utah

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Jennifer M. Coombs ◽  
Perri Morgan ◽  
Donald M. Pedersen ◽  
Sri Koduri ◽  
Stephen C. Alder
Keyword(s):  
Primary Care ◽  
Rural Communities ◽  
Physician Assistants ◽  
The United States ◽  
Rural Practice ◽  
Professional School ◽  
Care Practice ◽  
Cross Sectional Survey ◽  
Lower Odds ◽  
Practice Location

Physician Assistants (PAs) have become an integral part of the United States (U.S.) health care system since the profession began in the late 1960s. PAs have been suggested as solutions to predicted physician shortages especially in primary care. This study examined the predictors of primary care and rural practice patterns of PAs in Utah. A cross sectional survey design was utilized. The outcome variables were practice specialty and practice location. The predictor variables were age, gender, number of years in practice, location of upbringing, and professional school of graduation. There was a response rate of 67.7%. The Utah Division of Occupational and Professional Licensing (DOPL) provided the list of licensed PAs in the state. Physician assistants who reported being raised in rural communities were 2.29 times more likely to be practicing in rural communities (95% CI 0.89–5.85). Female PAs had lower odds of practicing in a rural area (OR: 0.26; 95% CI: 0.10–0.66). Female PAs had lower odds of practicing in primary care versus their male counterparts (OR: 0.56; 95% CI: 0.33–0.96). Graduation from the Utah PA Program was more likely to result in primary care practice (OR: 2.16; 95% CI: 1.34–3.49).

scholarly journals Impact of the Rural Physician Associate Program on Workforce Outcomes

2021 ◽  
Vol 53 (10) ◽  
pp. 864-870
Author(s):  
Logan Butler ◽  
Mark E. Rosenberg ◽  
Yeng M. Miller-Chang ◽  
Jacqueline L. Gauer ◽  
Emily Melcher ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Rural Practice ◽  
Data Sets ◽  
University Of Minnesota ◽  
Rural Workforce ◽  
Primary Care Specialty ◽  
Longitudinal Integrated Clerkship ◽  
Practice Methods ◽  
Rural Physician

Background and Objectives: The Rural Physician Associate Program (RPAP) at the University of Minnesota Medical School (UMMS) is a 9-month rural longitudinal integrated clerkship (LIC) for third-year medical students built on a foundation of family medicine. The purpose of this study was to examine the relationships between participation in the RPAP program and the desired workforce outcomes of practice in Minnesota, primary care specialty (particularly family medicine), and rural practice. Methods: We analyzed workforce outcomes for UMMS graduates who completed postgraduate training between 1975 and 2017, comparing RPAP participants (n=1,217) to noparticipants (n=7,928). We identified graduates through internal UMMS databases linked to the American Medical Association (AMA) Physician Masterfile and the National Provider Identifier (NPI) registry. We identified workforce outcomes of rural practice, practice in Minnesota, primary care specialty, and family medicine specialty based on practice specialty and practice location data available through the AMA and NPI data sets. Results: Proportionally, more RPAP graduates practice in state (65.7% vs 54.4%, P<.01), in primary care (69.0% vs 33.4%, P<.01), in family medicine (61.1% vs 17.3%, P<.01), and rurally (41.2% vs 13.9%, P<.01) than non-RPAP graduates. Conclusions: We demonstrate a significant association between participation in RPAP and a career in family medicine, rural practice, and primary care, all outcomes that promote meeting urgent rural workforce needs.

scholarly journals Influence of student debt on health career location and specialty

2018 ◽  
Vol 10 (1) ◽  
pp. 54 ◽  
Author(s):  
Steven Ling ◽  
Robert Jacobs ◽  
Rhys Ponton ◽  
Julia Slark ◽  
Antonia Verstappen ◽  
...  
Keyword(s):  
Primary Care ◽  
New Zealand ◽  
Medical Students ◽  
Rural Areas ◽  
Student Loan ◽  
Rural Practice ◽  
Pharmacy Students ◽  
Student Debt ◽  
Optometry Students ◽  
Debt Levels

ABSTRACT INTRODUCTION In New Zealand (NZ), there are shortages of health professionals in rural areas and in primary care. AIM This study aims to examine the association of student debt levels of medical, nursing, pharmacy and optometry students with: (1) preferred geographical location of practice, specifically preference to work in urban vs. rural areas; and (2) preferred career specialties, specifically interest in primary health care. METHODS Medical, nursing, pharmacy and optometry students completed a questionnaire at graduation that included questions about levels of New Zealand Government Student Loan debt and preferences regarding location of practice and career specialty. In an additional survey, medical students were asked to self-rate the effect of financial factors on their career choices. RESULTS Debt patterns varied across programmes. Medical and pharmacy students with high debt were significantly more likely than students with low debt to prefer rural over urban practice (P = 0.003). There was no difference in level of interest in a primary care specialty by debt level for any programme. Medical students reported little influence of debt on career choice, although students with high debt levels were less concerned over career financial prospects than students with lower levels of debt. DISCUSSION Current levels of student debt do not deter students from planning a career in rural or primary care settings. Somewhat surprisingly, higher levels of debt are associated with greater rural practice intentions for medical and pharmacy students, although the underlying reasons are uncertain.

scholarly journals Assessing factors for choosing a primary care specialty in medical students; A longitudinal study

2021 ◽  
Vol 26 (1) ◽  
pp. 1890901
Author(s):  
Corry McDonald ◽  
Austin Henderson ◽  
Patrick Barlow ◽  
Jerrod Keith
Keyword(s):  
Primary Care ◽  
Longitudinal Study ◽  
Medical Students ◽  
Primary Care Specialty

WHERE HAVE ALL THE PRIMARY CARE APPLICANTS GONE?

PEDIATRICS ◽  
1994 ◽  
Vol 93 (3) ◽  
pp. A56-A56
Author(s):  
Jack M. Colwill
Keyword(s):  
Primary Care ◽  
Medical School ◽  
Primary Care Specialty

TABLE 1. U.S. Medical School Graduates Matched with Positions by the National Residency Matching Program in 1986 and 1991, According to Primary Care Specialty. See table in the PDF file

Predictive Validity of Medical Student Choices of Practice Location

1995 ◽  
Vol 88 (2) ◽  
pp. 190-194 ◽  
Author(s):  
DAVID W. COOMBS ◽  
HOWARD L. MILLER ◽  
JAMES LEEPER
Keyword(s):  
Medical Student ◽  
Predictive Validity ◽  
Practice Location

ANEW Project to Develop and Support Rural Primary Practice

2021 ◽  
Vol 21 (1) ◽  
pp. 85-99
Author(s):  
Nicole Ann Gibson ◽  
Brandi Pravecek ◽  
Linda Burdette ◽  
LeAnn Lamb
Keyword(s):  
Primary Care ◽  
South Dakota ◽  
Nurse Practitioner ◽  
Care Provider ◽  
Primary Care Provider ◽  
Rural Practice ◽  
Job Placement ◽  
Academic Practice ◽  
Family Nurse Practitioner ◽  
Practitioner Education

South Dakota is one of the nation’s most rural and frontier states and has the highest proportion of rural dwellers in the Midwest.  Many of the state’s counties suffer from provider shortages, with nurse practitioners increasingly being called upon to fill the role of the primary care provider in clinics and critical access hospitals. However, family nurse practitioner (FNP) education programs are not required to provide the training and skills necessary to meet the unique challenges of rural practice. An Upper Midwest land grant university prepares both masters and doctoral FNP students to fill primary care provider needs in South Dakota and the surrounding region. The purpose and scope of this two-year Advanced Nursing Education Workforce (ANEW) project was to enhance an existing academic/practice partnership to prepare primary care advanced practice registered nursing (APRN) students for practice in rural and/or underserved settings in the state and region. The ANEW project provided FNP students with a longitudinal primary care clinical traineeship experience in rural clinical settings. Trainees benefited from traineeship funds, learning advanced procedures and skill concepts through attendance at a series of educational workshops, and job placement efforts postgraduation. The ANEW project also provided for a comprehensive preceptor development collaborative designed to enhance competence and confidence for independent rural practice and facilitate job placement in rural communities after graduation. This project strengthened the quality of FNP education through an academic/practice partnership which resulted in a symbiotic, synergistic relationship to address rural work force supply and the identification of the knowledge and skills needed for current and future rural healthcare providers. Keywords: family nurse practitioner, education, preceptor, academic, practice partnership, rural primary healthcare, healthcare provider shortage DOI:  https://doi.org/10.14574/ojrnhc.v21i1.649 

scholarly journals Barriers and facilitators to implementing changes in opioid prescribing in rural primary care clinics

2020 ◽  
Vol 4 (5) ◽  
pp. 425-430
Author(s):  
Michael L. Parchman ◽  
Brooke Ike ◽  
Katherine P Osterhage ◽  
Laura-Mae Baldwin ◽  
Kari A Stephens ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Rural Areas ◽  
Building Blocks ◽  
Rural Practice ◽  
Barriers And Facilitators ◽  
External Support ◽  
Rural Setting ◽  
Opioid Prescribing ◽  
Patient Resources

AbstractBackground:Opioids are more commonly prescribed for chronic pain in rural settings in the USA, yet little is known about how the rural context influences efforts to improve opioid medication management.Methods:The Six Building Blocks is an evidence-based program that guides primary care practices in making system-based improvements in managing patients using long-term opioid therapy. It was implemented at 6 rural and rural-serving organizations with 20 clinic locations over a 15-month period. To gain further insight about their experience with implementing the program, interviews and focus groups were conducted with staff and clinicians at the six organizations at the end of the 15 months and transcribed. Team members used a template analysis approach, a form of qualitative thematic analysis, to code these data for barriers, facilitators, and corresponding subcodes.Results:Facilitators to making systems-based changes in opioid management within a rural practice context included a desire to help patients and their community, external pressures to make changes in opioid management, a desire to reduce workplace stress, external support for the clinic, supportive clinic leadership, and receptivity of patients. Barriers to making changes included competing demands on clinicians and staff, a culture of clinician autonomy, inadequate data systems, and a lack of patient resources in rural areas.Discussion:The barriers and facilitators identified here point to potentially unique determinants of practice that should be considered when addressing opioid prescribing for chronic pain in the rural setting.

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