24
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Are Michigan State University medical school (MSU-CHM) alumni more likely to practice in the region of their graduate medical education primary care program compared to non-MSU-CHM alumni?

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Over the past 10 years, three new MD schools have been created in the state of Michigan, while the Michigan State University College of Human Medicine (MSU-CHM) has increased their class size to 850 students. The aim of this study was to determine if MSU-CHM alumni who graduate from an MSU-affiliated primary care residency from a single graduate medical education (GME) training program in Michigan are more likely to go on to practice in close proximity to the location of their training program immediately after graduation compared to non MSU-CHM alumni. Changes over time in the proportion of primary care graduates who received fellowship training immediately following residency were also compared between these groups.

          Methods

          A review of historical data was performed for all 2000–2016 primary care (Family Medicine, FM; Internal Medicine, IM; Internal Medicine-Pediatrics, IMP; Pediatrics, Peds) program graduates sponsored by Grand Rapids Medical Education Partners (GRMEP). Study variables included primary care program, gender, age at graduation, fellowship training, practice location immediately after graduation and undergraduate medical education location. Summary statistics were calculated for the data. Comparisons were made using the chi-square test or Fisher’s Exact test when appropriate. Significance was assessed at p < 0.05.

          Results

          There were 478 primary care program graduates who went into practice immediately following graduation, 102 of whom also graduated from MSU-CHM. Just over half of the graduates were female and the average age at graduation was 32 years. There were 152 FM, 150 IM, 50 IMP and 126 Peds graduates. Those that graduated from both MSU-CHM and GRMEP were more likely to practice in Michigan immediately after residency training (79.4% vs 52.0%; p < 0.001), as well as within 100 miles of GRMEP (71.6% vs 46.4%; p < 0.001). There were 8% of MSU-CHM primary care graduates who went on to fellowship training from 2000 to 2009, increasing to 34% from 2010 to 2016 ( p < 0.001).

          Conclusion

          Medical school graduates of MSU-CHM who receive GME training in primary care are more likely to practice medicine within close proximity to their training site than non MSU-CHM graduates. However, plans for fellowship after training may add one caveat to this finding.

          Related collections

          Most cited references12

          • Record: found
          • Abstract: found
          • Article: not found

          Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access.

          The US Graduate Medical Education (GME) system is failing to produce primary care physicians in sufficient quantity or in locations where they are most needed. Decentralization of GME training has been suggested by several federal advisory boards as a means of reversing primary care maldistribution, but supporting evidence is in need of updating. We assessed the geographic relationship between family medicine GME training sites and graduate practice location.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Graduate medical education and physician practice location. Implications for physician workforce policy.

            To determine the relationship between graduate medical education and physician practice location. Cross-sectional analysis of physicians in active practice in 1993, classified by state of graduate medical education and stratified by specialty and professional activity. Logistic regression analysis was used to examine predictors of physicians remaining to practice in the same state in which they trained. There were 82,871 allopathic physicians (national random sample) and 15,076 osteopathic physicians (universe) who completed graduate medical education between 1980 and 1992. Practice location in the same state as graduate medical education. Overall, 51% of physicians are practicing in the state in which they obtained their graduate medical education (range among states, 6% to 71%). Generalist physicians are more likely than specialists to remain in their state of graduate medical education (odds ratio [OR], 1.36; 95% confidence interval [CI], 1.33 to 1.40) There is a weak negative association between the number of physicians in training per capita in a state and the likelihood of a physician remaining in the state to practice (OR, 0.90; 95% CI, 0.90 to 0.91, for an increment in resident supply of 10 per 100,000 population). New York and Massachusetts, the states with the highest numbers of residents per capita, retained 51% and 49%, respectively, of their graduates, placing them near the median among states. Most physician training and practice locations function as a national market, with physicians dispersing relatively widely after completing graduate medical education. States that produce high numbers of physicians per capita do not appear to play a unique role in training physicians to serve a national market. These findings pose challenges for states attempting to modify their physician supply and specialty mix.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Physician Retention in the Same State as Residency Training: Data From 1 Michigan GME Institution.

              In a time of threats to the funding for graduate medical education (GME) and projected physician shortages, drawing attention to the value of physician training programs may be useful. One approach is to study the number and percentage of physicians who enter practice in the state in which they trained.
                Bookmark

                Author and article information

                Contributors
                richard.switzer@spectrumhealth.org
                lukevandezande13@gmail.com
                davisa@msu.edu
                tracy.koehler@spectrumhealth.org
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                24 May 2018
                24 May 2018
                2018
                : 18
                : 113
                Affiliations
                [1 ]ISNI 0000 0001 2150 1785, GRID grid.17088.36, Spectrum Health/Michigan State University Internal Medicine Pediatrics Residency Program, ; 945 Ottawa Ave. NW, Grand Rapids, MI 49503 USA
                [2 ]ISNI 0000 0004 0450 5903, GRID grid.430538.9, Spectrum Health OME Scholarly Activity Support, ; 945 Ottawa Ave. NW, Grand Rapids, MI 49503 USA
                [3 ]ISNI 0000 0001 2150 1785, GRID grid.17088.36, Michigan State University Department of Surgery, ; 1200 E. Michigan Ave., Suite 655, Lansing, MI 48912 USA
                Article
                1225
                10.1186/s12909-018-1225-z
                5968473
                29793474
                d2bf81f8-7ddb-4bfd-9b9d-c03b0f8f4726
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 18 July 2017
                : 15 May 2018
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2018

                Education
                primary care,medical practice location,fellowship,proximity to gme training
                Education
                primary care, medical practice location, fellowship, proximity to gme training

                Comments

                Comment on this article

                scite_
                0
                0
                0
                0
                Smart Citations
                0
                0
                0
                0
                Citing PublicationsSupportingMentioningContrasting
                View Citations

                See how this article has been cited at scite.ai

                scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.

                Similar content155

                Cited by3

                Most referenced authors105