Restoring Rural Background to Admissions

Robert C. Bowman, M.D.

 

Calculations of restoration of rural background students to those admitted. Students from various types of communities vary in their interest in rural practice. Those from the largest cities are the least likely to choose rural practice at only .0069. Some 15% of students from the smallest rural towns are interested in practice in towns of less than 10,000. Increases of students from current levels of rural background students to 20% or 25% by increasing class size only for such students, would increase the graduation of rural family physicians by 100 or 180. They would be joined by an additional 300 400 students who go to rural practice but do not note interest in rural practice as seniors. In some states only a few rural doctors a year going to the smallest towns makes a significant difference in workforce, rural economics, and other factors.

 

Origin

Proportion

2003 Est

RurDr

20% RB    RurDr

25% RB     RurDr

Large Urban

0.0069

3200

22.1

3200

22.14

3000

20.75794

Sub large

0.0102

4270

43.4

4200

42.67

4000

40.63429

Moderate

0.0134

2850

38.1

2800

37.47

2800

37.46835

Sub moder

0.0224

1580

35.4

1600

35.8

1600

35.8042

Small City

0.0172

2150

36.9

2200

37.77

2200

37.76824

Town

0.0375

1400

52.5

2000

75.02

2420

90.77026

Small town

0.0833

550

45.8

1000

83.33

1400

116.6667

Rural

0.1478

220

32.5

500

73.9

720

106.4151

Total Matric

 

16220

306.8

17500

408.1

18140

486.285

RurBackTot

 

2170

 

3500

 

4540

 

RurBack %

 

13.4%

 

20.0%

 

25.0%

 

 

Such a task might be accomplished in a way that passes Supreme Court rulings by choosing based on current methods plus income (see University of Iowa studies). Further work with rural background and income may assist in predictions.

 

MCAT Correlations includes alternatives proposed by Jordan Cohen at AAMC

 

Urban-Rural Location, Per Capita Income, and Choice of Family Medicine

 

Admissions Summary

 

www.ruralmedicaleducation.org

 

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