NIH Dollars and FP Doctors and Rural Doctors
Robert C. Bowman, M.D.

 

NIH Funding may have some impact, but it is possible to have good research funding and graduate rural and family physicians. Other studies note that some departments of family medicine found it difficult to balance research with recruitment of residents. This may also be a function of inadequate funding for the multiple areas involved. Regression studies by Rosenblatt showed a weak negative correlation between research and rural graduation rates. Repeat studies by Bowman on demonstrated effects that were less than significant. Rural interested students do not tend to choose research. Characteristics of Rural Interested Students  Recent concerns were raised regarding changes in curricula at Stanford. However over 80% of the students at this school are involved in research. This decision appears to be an attempt to compete well for the most likely researchers. Smaller class size schools such as Duke and Stanford have overall little impact on workforce. The problem may come when other schools, with less emphasis on research and less resources, attempt to emulate the Stanford model.

 

The following table notes averages for all US schools with a mean of 0.44% choosing research careers as listed in the AMA masterfile for graduates from 1965 - 2000. The rank of the school by school with highest % of researchers is given. The column at the right is FP match data from AAFP for 2003. The real primary care graduations are just as low in high research schools. The table after this one lists NIH dollars and total FP docs graduated 1997 to 2003 and % choosing rural practice.

 

Averages % research Rank FP2003
National 0.442 71.5 11.32
Allo private 0.772 52.4 7.11
Allo public 0.338 72.3 12.68
Osteopathic 0.081 117.0 15.75
Research NIH Top25 1.071 26.1 6.70
Top 40 PC over 40 0.170 98.6 17.48
By state Grads % Researchers Rank  
Alabama 0.234 83 8.10
South Alabama 0.000 118 10.30
Arizona 0.422 52 11.60
AZ Osteo 0.096 111 18.70
Arkansas  0.108 105 20.30
UCSF 0.958 16 4.30
USC  0.253 80 6.90
Stanford  1.772 6 4.80
Loma Linda 0.166 94 22.80
UCLA 1.254 11 10.40
UC Irvine 0.409 54 10.90
UCSD 0.793 22 10.70
UC Davis 0.266 75 16.70
Western Osteo 0.000 133 30.40
U of CO 0.387 59 16.10
Yale 1.626 8 2.40
U Conn 0.756 26 5.10
George Washington 0.653 28 5.20
Georgetown 0.374 60 5.40
Howard 0.000 131 9.50
U of Miami 0.503 43 7.50
U of FL 0.545 37 13.60
U South FL 0.134 100 7.60
Nova SE Osteo 0.116 108 9.60
Med Col GA 0.071 117 9.60
Emory 0.339 64 6.20
Morehouse 0.000 130 21.20
Mercer 0.000 121 11.10
Hawaii 0.228 84 13.00
Rush 0.000 122 8.90
Chi Pritzker 1.484 10 3.60
Northwest 0.430 49 3.30
U Illinois  0.458 47 12.90
Chi Finch 0.076 116 7.80
Loyola Stritch 0.196 88 12.10
Sou Illinois 0.182 92 16.80
Midwest Osteo 0.000 134 26.50
Indiana 0.343 62 13.40
Iowa 0.513 40 18.50
Des Moines Osteo 0.000 137 24.70
Kansas 0.217 85 19.20
U Louisville 0.101 110 10.40
U Kentucky 0.564 36 7.90
Tulane 0.342 63 7.60
LSU New Orl 0.294 70 7.40
LSU Shreve 0.264 76 14.00
U New E Osteo 0.334 65 19.50
U of MD 0.415 53 9.80
Johns Hopkins 2.352 3 0.30
Uniform Serv 0.156 96 16.00
Harvard 2.534 2 2.60
Boston U 0.402 56 6.90
Tufts 0.805 21 5.70
U Mass 0.623 30 10.60
U Michigan 0.871 19 7.90
Wayne State 0.148 98 9.50
Mich St allo 0.000 129 14.80
Mich St Osteo 0.000 141 10.50
U MN Minn 0.180 93 21.30
U MN Duluth 0.505 42 45.00
Mayo 1.493 9 5.70
U Mississippi 0.000 119 17.60
Washington 1.967 4 3.20
U MO Columbia 0.121 107 15.80
St. Louis 0.261 78 10.90
U Missouri KC 0.278 72 11.80
UHS Osteo MO 0.095 112 20.10
Kirksville Osteo 0.197 86 16.30
U NE Med Ctr 0.103 109 17.50
Creighton 0.323 68 12.40
U Nevada 0.262 77 10.10
Dartmouth 0.326 67 6.80
New Jersey 0.517 39 6.10
UMDNJ RWJ 0.424 50 8.20
UMDNJ Osteo 0.000 135 1.40
U of NM 0.000 127 17.90
Columbia 1.129 12 1.30
Albany 0.287 71 13.00
SUNY Buffalo 0.424 51 6.40
SUNY Brooklyn 0.469 45 1.90
New York Med 0.251 81 13.20
SUNY Syracuse 0.165 95 6.20
New York U 1.077 13 1.30
Cornell 2.719 1 1.70
U of Rochester 0.623 31 3.60
Albert Einstein 0.778 24 2.40
Mt. Sinai 0.651 29 1.80
SUNY Stony Brook 0.568 35 3.10
NY Osteo 0.081 115 7.50
U North Carolina 0.778 25 11.10
Bowman Wake 0.362 61 11.10
Duke 1.893 5 2.30
Brody E Carolina 0.718 27 20.20
U N Dakota 0.000 120 16.60
Case Western 1.037 14 7.10
Ohio State 0.295 69 11.10
U Cincin 0.577 33 10.20
Med Coll Ohio 0.095 113 12.40
NEOUCOM 0.250 82 10.40
Wright State 0.000 125 20.20
Ohio U Osteo 0.142 99 5.50
U of OK 0.274 74 14.10
Ok St U Osteo 0.186 91 3.70
Oregon 0.406 55 16.10
U of PA 1.731 7 2.10
Jefferson 0.573 34 10.00
U Pittsburg 0.188 90 9.00
Temple 0.435 48 10.00
Penn State 0.909 17 13.80
MCP Hahn 0.388 58 9.50
Philadel Osteo 0.122 106 14.20
Lake Erie Osteo 0.000 142 15.70
U Puerto Rico 0.818 20 5.70
Ponce 0.000 140 3.80
Central del Caribe 0.000 139 8.30
Brown 0.511 41 11.60
Med U SC 0.277 73 10.50
U S Carolina 0.398 57 15.30
U S Dakota 0.000 123 23.00
Vanderbilt 1.003 15 1.30
U of TN 0.083 114 7.50
Meharry 0.000 132 11.30
East TN St 0.000 126 22.80
UTMB Galv 0.196 87 13.60
Baylor 0.898 18 7.80
UT Southwest 0.498 44 8.70
UT San Antonio 0.189 89 13.70
UT Houston 0.331 66 10.50
Texas Tech 0.129 103 12.40
Texas A & M 0.000 124 8.10
U N Tx Osteo 0.000 136 17.90
U Utah 0.126 104 14.20
U Vermont 0.133 102 9.00
U Virginia  0.545 38 10.90
VCU MCVA 0.153 97 10.30
Eastern VA 0.133 101 11.20
U Wash 0.600 32 17.10
West Virg U 0.466 46 15.60
Marshall 0.000 128 22.70
WV Osteo 0.000 138 25.60
U Wisc 0.786 23 14.70
Med Col WI 0.259 79 15.60

 

 

 

Amount

FP97t03

PerRFP

Johns Hopkins

$334,145,551

24

20.8%

U of PA

$326,986,194

62

9.7%

UC San Fran

$320,794,924

122

15.6%

Washington

$289,518,114

53

17.0%

U of Wash

$234,509,358

307

21.0%

Yale

$227,067,945

18

22.2%

Baylor

$221,611,093

118

16.1%

U of Michigan

$213,018,237

141

16.3%

UCLA

$206,194,554

210

1.4%

Duke

$203,561,371

35

20.0%

Columbia

$197,175,531

33

15.2%

U of Pittsburg

$196,690,407

104

18.3%

Stanford

$192,654,400

54

5.6%

U North Carolina

$180,017,756

179

19.8%

Case Western

$173,951,459

141

11.6%

UCSD

$163,944,593

107

4.7%

U of AL

$160,705,239

146

24.7%

UTx Southwestern

$144,649,172

148

18.2%

U of CO

$139,358,104

184

25.7%

Harvard

$138,966,130

39

25.6%

Vanderbilt

$137,583,802

30

30.0%

U of Iowa

$132,646,616

336

24.7%

Emory

$122,143,179

51

10.0%

Mt. Sinai

$121,964,497

30

10.0%

Albert Einstein

$121,537,936

53

7.5%

U of MN

$115,725,523

314

23.6%

Pritzker School of Medicine

$113,472,402

34

8.8%

U of Rochester

$107,636,238

49

22.4%

Ok St U Osteo

$104,522,384

97

34.0%

U of Virginia

$103,697,502

141

20.0%

U of Wisconsin

$99,297,948

195

22.7%

New York U

$97,683,556

23

4.3%

USCal

$96,135,390

138

1.4%

U of MD

$93,353,340

137

17.5%

Cornell

$92,342,400

24

8.3%

Wake Forest

$90,303,296

105

19.6%

Boston U

$85,906,370

76

15.8%

Indiana

$83,086,606

405

29.0%

Northwestern

$82,860,078

99

17.3%

U Mass

$82,396,949

131

10.0%

U of Utah

$81,797,128

148

30.1%

U of Miami

$75,191,856

90

15.6%

 

Family Physicians Are Different

 

FP Graduates 1997 - 2003 Summary Tables

 

rbowman@unmc.edu

www.ruralmedicaleducation.org

 

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