Updated version and charts at
Evidence Based Admissions or try this powerpoint at
Rural Background Plus FP Interest at matriculation is well documented by Rabinowitz as 78% of decision for rural practice in Jefferson medical students in urban private med school in Philadelphia
Rabinowitz articles on PSAP at Rabinowitz, Howard
Basco, W.T., Jr., Gilbert, G.E., & Blue, A.V.(2002). Determining the Consequences for Rural Applicants When Additional Consideration is Discontinued in a Medical School Admission Process. Academic Medicine, 77, S20-S22. http://www.aamc.org/students/mcat/research/bibliography/basco002.htm RESULTS: There were 2,033 in-state applicants with complete data (not missing MCAT scores) in the four cohorts. Rural applicants comprised between 8.5% and 9.7% of applicants, depending on the year. MCAT science scores for rural applicants were significantly lower in three of the four, but Verbal Reasoning scores were not significantly different between rural and non-rural applicants. Mean GPAs were not significantly different either. In three of the four years, rural applicants were half as likely to have attended undergraduate schools in the more competitive Barron's categories, but these differences reached statistical significance in only one year-1998. Without the adjustment for rural applicant status, the median ranks of rural applicants were lower than those for non-rural applicants in all four years. Across all four years the adjustment for being a rural applicant had a marked positive effect for rural applicants while having minimal effects on non-rural applicants. The adjustment for rural status did not ensure an admission interview for every rural applicant, but it did mean that a large majority of the rural applicants received admission interviews in all four years. Without the adjustment, fewer than half of the rural applicants would have received admission interviews in two of the years evaluated-1997 and 1999.
See also Basco's work in South Carolina regarding rural docs, rural background at http://www.scmanet.org/New%20SCMA%20Journal/January%202003%20eJournal/Basco%20manuscript.pdf
Stearns Academic Medicine Screening Candidates http://www.academicmedicine.org/cgi/content/full/75/7/773
Australia efforts at http://www.health.nsw.gov.au/public-health/phb/june01html/rmededjune01.html
Also
General Practice Workforce Plan for Rural and Remote NSW 2002-2012 : by
Kirsty McEwin 12/9/03
This Plan projects the GP workforce requirements from 2002-2012 for RRAMA areas
3 to 7 in NSW.
Cohen Encourages Admissions to Look Beyond MCAT
Review of current research by Dr. Linda Levitt New South Wales Rural Doctor Network at http://www.nswrdn.com.au/RDN_Papers/Rural_Origin.pdf
Dr. Bowman:
I just read your e-mail to the SARH group. I can not attend the lecture on
Thursday because I have another meeting but I have asked a couple of my faculty
to go who teach the rural health issues course to the RHOP students in Chadron.
I thought your e-mail was excellent, expecially the part about serving the
underserved. I don't know if you have ever seen our data from allied health but
I looked at all the students in medical technology, physician assistant and
physical therapy, where they were raised and where they eventually practiced.
You are absolutely correct, that we can find ways to recruit the student who
will serve the underserved and/or rural areas.
In allied health, over a 9 year period from 1990 to 1999, the facts are as
follows:
If students are raised in an urban area, only 9% will choose to serve in a rural
area.
If students are raised in a rural area, only 39% will choose to serve in a rural
area.
If students are raised in a rural area and are part of our rural incentives
program (RHOP and other rural incentives), 82% will choose to serve in a rural
area.
Part of our medical technology program is offered via distance learning to rural
areas, we have had 97 graduates and 98% have taken their first position in a
rural area.
I think we would have the same type of results with minority students if we ever
recruit enough to compute statistics.
Mary Haven