2021
DOI: 10.7759/cureus.17464
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Efforts to Recruit Medical Students From Rural Counties: A Model to Evaluate Recruitment Efforts

Abstract: BackgroundOver the past 40 years, the physician supply of North Carolina (NC) grew faster than the total population. However, the distribution of physicians between urban and rural areas increased, with many more physicians in urban areas. In rural counties, access to care and health disparities remain concerning. As a result, the medical school implemented pipeline programs to recruit more rural students. This study investigates the results of these recruitment efforts. MethodologyDescriptive analyses were co… Show more

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Cited by 2 publications
(3 citation statements)
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“…Over a 10-year period, the program recruited and trained a total of 25 family physicians at two sites: Prospect Hill CHC (RUCA 2.0, RUCC 8) and Siler City CHC (RUCA 7.0, RUCC 2). Among graduates, 76% (19) were female, 20% (5) Black/African American, 16% (4) Asian/Pacific Islander, and 12% (3) Hispanic; 72% (18) reported a rural background, and 84% (21) reported Spanish proficiency prior to residency. Eighty-four percent (21) attended a public medical school, and 64% ( 16) attended medical schools in the Southeast United States (Table 1 , Figure 1).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Over a 10-year period, the program recruited and trained a total of 25 family physicians at two sites: Prospect Hill CHC (RUCA 2.0, RUCC 8) and Siler City CHC (RUCA 7.0, RUCC 2). Among graduates, 76% (19) were female, 20% (5) Black/African American, 16% (4) Asian/Pacific Islander, and 12% (3) Hispanic; 72% (18) reported a rural background, and 84% (21) reported Spanish proficiency prior to residency. Eighty-four percent (21) attended a public medical school, and 64% ( 16) attended medical schools in the Southeast United States (Table 1 , Figure 1).…”
Section: Resultsmentioning
confidence: 99%
“…North Carolina has the second largest rural population in the nation and the highest proportion of persons living in rural areas (33%); 92 of its 100 counties encompass Health Professional Shortage Areas (HPSAs), and 38 fall short of the minimum 1:1500 primary care provider per capita target. [18][19][20][21][22] Given the effectiveness of rural residencies in physician placement, the University of North Carolina (UNC) Department of Family Medicine endeavored to expand its existing residency program through the addition of a rural pathway, aiming to increase postgraduation rural placement above a historical maximum rate of 25%. Expansion was limited by Medicare funding caps and ineligibility for THCGME funding as an academic institution.…”
Section: Rural Training Pathwaymentioning
confidence: 99%
“…With nearly 65% of rural counties nationally having a designation as health professional shortage areas, place matters in the context of health outcomes [10]. In North Carolina, provider supply outpaced the total population in the past 40 years, but rural communities experienced maldistribution in the physician workforce during this same time period [11]. How we live, work, play, and age is predetermined by geographic locale (Figures 2-3) [12].…”
Section: The Health Impact Of Geographic Inequitiesmentioning
confidence: 99%