The humble origin medical students (lower income, rural born, instate born) are the least likely to be admitted and are the most likely to choose family medicine, primary care, and rural and underserved locations. Birth Origins Articles
In studies of admission and distribution, the probability of admission is inseparable from the probability of distribution as a physician. The same geographic, socioeconomic, and cultural differences and distances are involved in the shaping of who becomes a physician and the shaping of physician workforce distribution. Family medicine is in the midst of both as those least likely to gain admission are the most likely to choose family medicine and are those most likely to distribute to rural or to underserved areas. Logistic Regression Central
Health policy is the key factor impacting overall choice of primary care and family medicine. Five Periods of Health Policy and Physician Career Choice demonstrate the changes in family medicine and primary care career choice with health policy. Within health policy impacts, the distribution of physicians to needed careers and specialties is influenced by the student characteristics regarding income and education levels. Retention of Family Physicians Once practitioners are involved in primary care, they must be retained. Again family medicine has an advantage. Primary Care Retention
Research By the Ages Admissions efforts to attempt to graduate more researchers are a failure in most medical schools. The top 21 research schools admit and graduate half of physician researchers. Other schools are facing a depleted pool and graduate 1- 2 researchers a year, not worth distorting all of admissions for the sake of slightly higher MCAT and no increased probability of research choice.
Ethnicity Gender and Rural Practice Choice - family physicians by origins where they serve the nation in poverty, CHC, military, and in relationship to residency
MCAT Correlations The MCAT is a key measure of socioeconomic influence (urban, parent education, parent income, subspecialty choice) and use of the MCAT is likely a negative influence on physician distribution.
Admissions Ratios and US Medical Students
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