Rural Mission January 2004

 

The World of Rural Medical Education web site has several pages involved in this area. However the data is nearing 20 years old. It has been awhile since "organized" medicine paid this much attention.

For Data on Medical schools with a rural mission or a dedicated rural person, this link:

http://www.unmc.edu/Community/ruralmeded/model/medsch/rural_ranking_1981.htm

 

For regression studies regarding the importance of rural mission or person, rurality of state, and other variables important in the graduation of rural physicians, see

http://www.unmc.edu/Community/ruralmeded/facil/research/medical_schools_and_rural_gradua.htm

 

The model was indeed highly significant, but nothing surprising.

Most of the variables that contributed to the model, such as the rurality of the state, tend to be resistant to intervention. The variable that could be changed rural mission/rural person variable. Of course having either or both without significant effort or readiness to change is not likely to change the rural graduation rate. The following includes only allopathic medical schools. I am working on workforce studies of osteopathic and allopathic grads to rural areas, at least the family practice ones. If osteopathic missions were examined, I suspect that a good portion would appear.

In general these were all recently established public schools with nearly all students from inside the state and a high retention rate of graduates choosing fp residencies in the state. Sadly most of these graduate smaller numbers of total medical students each year, with fewer fp and rural docs as a result of this. Increasing numbers of osteopathic schools and improvements in some international schools may be of some help in both rural and fp categories.

 

U of North Dakota

U of South Dakota

Loma Linda

U of Washington

U of New Mexico

UC Davis

Michigan State COM

U of South AL

East Carolina

Southern Illinois

Missouri KC

Texas Tech

Texas A & M

Mercer

Wright State

NEOUCOM

Eastern VA

Marshall

U C del Caribe

Ponce

Morehouse

East Tennessee State U

If the number seems low, remember, JAMA surveys of medical schools by Barbara Barzansky revealed only 47 with a mission for primary care in the late 1980's. Other schools may have a rural mission but either did not respond or the rural mission was missing or far down the list. Nebraska's rural mission is mentioned, but about 5 down. The source of this was Rosenblatt's study on Med School Graduation Rates dating from some 20 years ago.

In the regression studies I used STFM Group on Rural Health surveys to create the variable "rural mission or rural person", where the person was a rural faculty person. In this variable the school had either one or both.

Other schools reporting Rural Missions:

Here's the FSU COM's mission which contains a rural medicine focus:

"The Florida State University College of Medicine will educate and

develop exemplary physicians who practice patient-centered health care,

discover and advance knowledge and are responsive to community needs,

especially through service to elder, rural, minority, and underserved

populations."

Additional information about the College can be found on the web site:

www.med.fsu.edu

CS

Curtis C. Stine, M.D.

Professor, Department of Family Medicine and Rural Health

The Florida State University

Office Phone: (850) 644-0523

Office Fax: (850) 644 0158

 

The University of Saskatchawan in Saskatoon, Sas. Canada has recently reevaluated its mission and is now entirely dedicated to the basic principles: Care of rural peoples, Primary care, and Care of indigenous citizens. I recently heard their Dean speak and he sounds like they really mean it. I was darned impressed.

George Henning

Penn State College of Medicine

Hershey, Pa

I don't know of a list, but we certainly have that focus here at Oregon Health and Sciences.... not totally of course, but all students do a rural clerkship, and there are many opportunities to have rural experiences. Our resident has major rural components.....

STEVE

Stephen Kliewer. D.Min.

Assistant Professor

Rural Health Institute and Department of Family Medicine

Oregon Health and Science University

Phone: 541-426-4524

FAX 541-426-3035

 

Mission

The primary mission of the Quillen College of Medicine is to educate

future physicians, especially those with an interest in primary care, to

practice in underserved rural communities. In addition, the College is

committed to excellence in biomedical research and is dedicated to the

improvement of health care in Northeast Tennessee

and the surrounding Appalachian Region.

Jim Wilson