Challenges and Best Practices for Implementing Rurally Targeted Admissions in U.S. Medical Schools

Schmitz, David; Evans, David; Andrilla, C. Holly A.; Jopson, Andrew D.; Longenecker, Randall; Patterson, Davis G.

doi:10.1353/hpu.2020.0156

Cited by 2 publications

(3 citation statements)

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“…Unfortunately, the significant decline in medical school enrollment of rural students (Jaret, 2020; Shipman et al, 2019) indicates a critical need to build, strengthen, and support the rural pipeline. To address this, many medical schools in the United States have implemented targeted recruitment and mission-based admissions to attract students from rural backgrounds (Evans et al, 2020; Schmitz et al, 2020). Longenecker et al (2020) found that although fewer than 10% of medical schools explicitly commit to producing rural physicians, nearly 65% provide some rural clinical experiences.…”

Section: Conclusion and Discussionmentioning

confidence: 99%

What Moves Physicians to Work in Rural Areas? An In-Depth Examination of Physician Practice Location Decisions

Dill²,

Conrad³

2021

Economic Development Quarterly

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This study contributes to the current understanding of what drives physicians to practice in rural areas by analyzing new, comprehensive survey data of practicing physicians in the United States. This research confirmed that rural origin is a powerful and reliable predictor for rural practice and revealed that new and experienced physicians have different priorities regarding location choice. Physicians choosing rural practice locations are more likely to be motivated by compensation, the resemblance of the environment to the one they grew up in, patient needs, and prenegotiated service obligations or visa/immigration status. They are less likely to attribute their location choice to social network proximity. These findings have important implications for salary incentives and policy initiatives aimed at increasing the rural physician workforce. The results of this study will help decrypt the difficulties rural areas face in attracting and retaining medical and other professionals and inform policy development.

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Section: Conclusion and Discussionmentioning

confidence: 99%

What Moves Physicians to Work in Rural Areas? An In-Depth Examination of Physician Practice Location Decisions

Dill²,

Conrad³

2021

Economic Development Quarterly

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“…1,[12][13][14][15] Those findings are mirrored in the literature on rural physician location choices. 1,4,5,[16][17][18] A national study of PAs graduating between 2000 and 2012 showed that 12.1% were practicing rurally in 2012 and the production of rural PAs was substantially concentrated in a relatively small number of programs. 19 A related study showed that 57.1% of programs considered training PAs for rural careers to be a "very important" program goal and that targeted recruitment of rural students and primary care rural clinical training experiences were associated with success in producing graduates who practiced in rural areas.…”

Section: Introductionmentioning

confidence: 99%

“…1,12-15 Those findings are mirrored in the literature on rural physician location choices. 1,4,5,16-18…”

Section: Introductionmentioning

confidence: 99%

Routes to Rural Readiness: Enhancing Clinical Training Experiences for Physician Assistants

Larson

Oster

Jopson

et al. 2023

J Physician Assist Educ

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Purpose The purpose of this study was to describe practices and experiences of rurally oriented physician assistant (PA) training programs in providing rural clinical training to PA students. Methods A survey of PA program directors (PDs) included questions about program characteristics, student and clinical preceptor (CP) recruitment in rural areas, and barriers to, and facilitators of, rural clinical training. Programs that considered rural training “very important” to their goals were identified. We interviewed PDs from rurally oriented programs about their rural clinical training and rural CPs about their experiences training PA students for rural practice. We identified key themes through content analysis. Results Of 178 programs surveyed, 113 (63.5%) responded, 61 (54.0%) of which were rurally oriented and more likely than other programs to recruit rural students or those with rural practice interests and to address rural issues in didactic curriculum. The 13 PDs interviewed linked successful rural training to finding and supporting rural preceptors who enjoy teaching and helping students understand rural communities. The 13 rural CPs identified enthusiastic and rurally interested students as key elements to successful rural training. Interviewees identified systemic barriers to rural training, including student housing, decreased productivity, competition for training slots, and administrative burden. Conclusions Physician assistant students can be coached to capitalize on their rural clinical experiences. Knowing how to “jump in” to rotations and having genuine interest in the community are particularly important. Student housing, competition for training slots, and lack of financial incentives are major system-level challenges for sustaining and increasing the availability of PA rural clinical training.

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Challenges and Best Practices for Implementing Rurally Targeted Admissions in U.S. Medical Schools

Cited by 2 publications

References 0 publications

What Moves Physicians to Work in Rural Areas? An In-Depth Examination of Physician Practice Location Decisions

What Moves Physicians to Work in Rural Areas? An In-Depth Examination of Physician Practice Location Decisions

Routes to Rural Readiness: Enhancing Clinical Training Experiences for Physician Assistants

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