Madison, Don

Service Orientation - major review of importance of admissions of service oriented

Madison DL, Combs CD (1981) Location Patterns of Recent Physician Settlers in Rural America" Journal of Community Health 6:4 267-274 Summer 1981  

951 docs who stayed at least a year in mid 70s in counties of less than 50000 in towns of less than 10000

Nebraska number 1 in location in small counties when adjusted for size of class, number 2 overall

madison NC admissions , service documentation and primary care choice

Madison, D.L. (1973). Recruiting physicians for rural practice, Health Services Reports, 88(8)758-762.

Admissions Package

Authors and Their Works

Heroes in Medicine

Research in Rural Medical Education

Facilitating More and Better Rural Docs



Building a community-responsive rural practice is endless work, a job that inevitably becomes as frustrating as it is rewarding. It requires a large tolerance for uncertainty and willingness to risk. One must deal effectively and tactfully with a variety of constituencies, any one of which can enhance or threaten the success of the venture. These include community people - supporters and opponents - local physicians, government officials, a hospital, one or more funding sources, a new staff and, of course, patients and their families. Not everyone is enthusiastic for the new practice or empathetic with its leaders- who are at all times expected to maintain their own idealism, energy, and optimism. New rural health centers are fragile entities, both economically and politically. When they finally succeed in becoming established it is usually because their people-leaders, staff, board members-were as stubbornly determined as they were resourceful. Donald L. Madison, 1980

many others