Zohray Talib1, Mariellen Malloy Jewers, Julia H Strasser, David K Popiel, Debora Goetz Goldberg, Candice Chen, Hayden Kepley, Fitzhugh Mullan, Marsha Regenstein. 1. Z. Talib is associate professor of medicine and of health policy and management, George Washington University School of Medicine & Health Sciences, Washington, DC. M.M. Jewers is a doctoral candidate and research scientist, Department of Health Policy & Management, George Washington University Milken Institute School of Public Health, Washington, DC. J.H. Strasser is a doctoral candidate and senior research associate, Department of Health Policy & Management, George Washington University Milken Institute School of Public Health, Washington, DC. D.K. Popiel is assistant professor of medicine, George Washington University School of Medicine & Health Sciences, Washington, DC. D.G. Goldberg is associate professor, Department of Health Administration and Policy, George Mason University, Fairfax, Virginia. C. Chen is director, Division of Medicine and Dentistry, Health Resources and Services Administration, Rockville, Maryland. H. Kepley is special assistant to the director, National Center for Health Workforce Analysis, Health Resources and Services Administration, Rockville, Maryland. F. Mullan is a professor of health policy and management, Department of Health Policy & Management, George Washington University Milken Institute School of Public Health, a professor of pediatrics, George Washington University School of Medicine & Health Sciences, and codirector, George Washington University Health Workforce Institute, Washington, DC. M. Regenstein is professor, Department of Health Policy & Management, George Washington University Milken Institute School of Public Health, Washington, DC.
Abstract
PURPOSE: To describe the residents who chose to train in teaching health centers (THCs), which are community-based ambulatory patient care sites that sponsor primary care residencies, and their intentions to practice in underserved settings. METHOD: The authors surveyed all THC residents training in academic years 2013-2014, 2014-2015, and 2015-2016, comparing their demographic characteristics with data for residents nationally, and examined THC residents' intentions to practice in underserved settings using logistic regression analysis. RESULTS: The overall survey response rate was 89% (1,031/1,153). THC resident respondents were similar to residents nationally in family medicine, geriatrics, internal medicine, obstetrics-gynecology, pediatrics, and psychiatry in terms of gender, age, race, and ethnicity. Twenty-nine percent (283) of respondents came from a rural background, and 46% (454) had an educationally and/or economically disadvantaged background. More than half (524; 55%) intended to practice in an underserved setting on completion of their training. Respondents were more likely to intend to practice in an underserved area if they came from a rural background (odds ratio 1.58; 95% confidence interval 1.08, 2.32) or disadvantaged background (odds ratio 2.81; 95% confidence interval 1.91, 4.13). CONCLUSIONS: THCs attract residents from rural and/or disadvantaged backgrounds who seem to be more inclined to practice in underserved areas than those from urban and economically advantaged roots. THC residents' intentions to practice in underserved areas indicate that primary care training programs sponsored by community-based ambulatory patient care sites represent a promising strategy to improve the U.S. health care workforce distribution.
PURPOSE: To describe the residents who chose to train in teaching health centers (THCs), which are community-based ambulatory patient care sites that sponsor primary care residencies, and their intentions to practice in underserved settings. METHOD: The authors surveyed all THC residents training in academic years 2013-2014, 2014-2015, and 2015-2016, comparing their demographic characteristics with data for residents nationally, and examined THC residents' intentions to practice in underserved settings using logistic regression analysis. RESULTS: The overall survey response rate was 89% (1,031/1,153). THC resident respondents were similar to residents nationally in family medicine, geriatrics, internal medicine, obstetrics-gynecology, pediatrics, and psychiatry in terms of gender, age, race, and ethnicity. Twenty-nine percent (283) of respondents came from a rural background, and 46% (454) had an educationally and/or economically disadvantaged background. More than half (524; 55%) intended to practice in an underserved setting on completion of their training. Respondents were more likely to intend to practice in an underserved area if they came from a rural background (odds ratio 1.58; 95% confidence interval 1.08, 2.32) or disadvantaged background (odds ratio 2.81; 95% confidence interval 1.91, 4.13). CONCLUSIONS: THCs attract residents from rural and/or disadvantaged backgrounds who seem to be more inclined to practice in underserved areas than those from urban and economically advantaged roots. THC residents' intentions to practice in underserved areas indicate that primary care training programs sponsored by community-based ambulatory patient care sites represent a promising strategy to improve the U.S. health care workforce distribution.
Authors: Peter Meyers; Elizabeth Wilkinson; Stephen Petterson; Davis G Patterson; Randall Longenecker; David Schmitz; Andrew Bazemore Journal: J Grad Med Educ Date: 2020-12-04
Authors: Robin A Streeter; John E Snyder; Hayden Kepley; Anne L Stahl; Tiandong Li; Michelle M Washko Journal: PLoS One Date: 2020-04-24 Impact factor: 3.240