“…In those studies that used objective measures such as exam scores, USMLE scores, or performance on clinical skills testing, students with rural experiences generally did equally as well or better than their counterparts. Bianchi and colleagues 14 found that students with rural experiences had higher clinical exam scores, whereas Power and colleagues 15 Impact of Rural Care Education found that rural students did equally well on OSCE stations using primary care problems but slightly worse on stations assessing specific content taught in traditional clerkship curricula. Although a 1983 study 33 showed slightly lower grades and NBME scores for rural program students, more recent studies showed either no difference on test scores 8,17 or found lower USMLE Step 1 scores for rural students but higher USMLE Step 2 scores.…”