Graduate medical education and physician practice location : implications for physician workforce policy.
- To determine the relationship between graduate medical education and physician practice location.
- Cross-sectional analysis of physicians in active practice in 1993, classified by state of graduate medical education and stratified by specialty and professional activity.
Logistic regression analysis was used to examine predictors of physicians remaining to practice in the same state in which they trained.
- There were 82871 allopathic physicians (national random sample) and 15076 osteopathic physicians (universe) who completed graduate medical education between 1980 and 1992.
Main Outcome Measure
- Practice location in the same state as graduate medical education.
- Overall, 51% of physicians are practicing in the state in which they obtained their graduate medical education (range among states, 6% to 71%). Generalist physicians are more likely than specialists to remain in their state of graduate medical education (odds ratio [OR], 1.36 ; 95% confidence interval [CI], 1.33 to 1.40).
New York and Massachusetts, the states with the highest numbers of residents per capita, retained 51% and 49%. Conclusions. - Most physician training and practice locations function as a national market, with physicians dispersing relatively widely after completing graduate medical education.
States that produce high numbers of physicians per capita do not appear to play a unique role in training physicians to serve a national market.
Mots-clés Pascal : Démographie, Médecin, Etats Unis, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Demography, Physician, United States, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0529252
Code Inist : 002B30A05. Création : 01/03/1996.