Physicians that stay in rural communities

 

Background - rural background see PSAP JeffNEWS Online... JAMA Study Shows Jefferson Medical College Program Brings Family Physicians to Small Town America

Latest article, Critical Factors http://jama.ama-assn.org/issues/v286n9/abs/joc11016.html

Service Orientation

Spouse and spouse needs - One of largest factors, those who met spouse prior to medical school are far more stable choices. Did spouse have any influence on career choice? 

Similar ethnic group, culture, race, denomination, religion - if no links to community, less likely to go and stay

Grew up in one town or several - ?

parent's occupations - kids of professionals less likely

public greater than private education

religious beliefs - Is rural practice a calling, a mission? 

major - ?

experiences prior to medical school

mentor, career class, career experience, special camp or training, other experience

Graduate classes or degrees

Work experience - service vs intellectual issues

Challenges growing up, in family, peers, neighborhood - deaths, traumatic experiences - those who have learned to make adjustments better off than those who have not faced much challenge.

Impact of peers

Impact of medical school

Impact of graduate training - prepared, competent feeling, procedures, emergent care

Key individuals in community at work, at the office, at the hospital, colleagues

AAMC Data on Rural-Interested Seniors from 1995 GQ Survey

Admissions in Kentucky