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