Who Fits the Pattern?

Medical school types by MCAT, Career types, and Locations

Those with most exclusive origins have advantages in admission, specialty career choice, practice income, and prestigious practice location. Those with more normal origins are most important in basic health access careers. A nation that is out of balance in the health care design needs to understand origins, training, career choice, and health policy influences.

The medical students in each medical school type were distributed according to birth county income levels in 1969, the approximate time of birth for these 1987 - 2000 medical school graduates. The graduates of the schools were compiled by various MCAT score rankings for schools, for career choices, and for practice locations. For example the physicians found in rural practice zip codes were tracked to birth city and birth county and coded according to the birth county income.

The DNA pattern or pattern of least to most follows the ROY G BIV coding of the visible spectrum  Those with a red shift have birth counties with lower income levels. Those with a violet and ultraviolet shift are high income intensified.

Match up the DNA pattern to see who fits where. The middle ground is seen in the All US Grads category.

The "All rural careers" category matches to a lower MCAT pattern. Indeed those most likely to be found in rural locations are more likely to have lower and middle income density origins, lower and middle population density origins, are older with a red shift, or are family physicians that also have a red shift. Rural, underserved, and family medicine careers are more likely to have more normal origins. The most urban, highest income, concentrations of physicians arise from physicians with the same most exclusive origins.


Recent US MD Grad physicians (n=203,627) were matched to medical schools and to birth county and to birth county income levels in 1969, the approximate time of birth. These 1969 per capita income levels were expressed in 1989 dollars. About $9000 or below is roughly a lower income quartile and $13000 and up is a top income quartile. Atypical outliers were excluded from consideration leaving 109 to compare. Those excluded were distributional types such as Duluth, Mercer, and West Coast schools. Other atypical schools included those without a broad representative national pattern including DC schools, historically black schools, schools in PR and HI, the military school, UMKC, and NEOUCOM (early admits)

Confirmation of the pattern of most exclusive with higher probabilty of admission and lower probability of most needed health access careers is found in multiple other studies at Theme Confirmation: Lower Probability of Admission Is Associated with Higher Probability of Most Needed Health Access 

IM specialists have a pattern with much more violet and ultraviolet and even general internists have patterns of concentration in practice in the highest income most urban locations.

Admission and Distribution 

Distributional Medical Schools: A Matter of Distributional Students and Careers

Distribution: The 70-30 Distributions That Complicate Physician Distribution

Distributional Medical Schools: The Lost Lesson of Specific Forms of Government Support

Facilitating Physician Distribution

Multiplier Impacts Involving Birth Origins, Age, Choice of Family Medicine

Family Medicine Physician Distribution by gender and ethnicity for 1997 - 2003 graduates nationwide








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