Robert C. Bowman, M.D.
Newer file at Ethnicity Gender and Rural Practice Choice
| Underserved excluding MMC | Underserved All | Poverty Level Zip at 20% | CHC Zip | Rural Practice Zip | Poverty Level Zip at 18% | Military Zip | Core Metro Born | Lesser Metro Born | NonMetro Born | Residency to practice Less than 60 miles | Residency to Practice over 500 miles | |
| White Female | 12.9% | 21.7% | 23.7% | 17.1% | 23.7% | 27.7% | 4.0% | 43.3% | 35.3% | 21.4% | 54.9% | 26.5% |
| White Male | 14.5% | 21.6% | 20.9% | 13.7% | 28.3% | 24.7% | 8.4% | 33.8% | 38.6% | 27.6% | 47.7% | 29.6% |
| Black Female | 24.8% | 41.1% | 30.3% | 14.0% | 10.0% | 36.0% | 2.8% | 61.1% | 29.6% | 9.3% | 60.7% | 26.1% |
| Black Male | 25.1% | 40.1% | 32.5% | 16.9% | 11.7% | 38.6% | 7.1% | 57.8% | 32.8% | 9.4% | 57.5% | 28.2% |
| Mexican Am Female | 25.4% | 41.0% | 46.4% | 31.8% | 9.3% | 49.6% | 2.5% | 64.9% | 28.9% | 6.2% | 65.5% | 23.3% |
| Mexican Am Male | 29.7% | 41.3% | 37.3% | 27.6% | 14.6% | 40.8% | 3.7% | 59.2% | 28.2% | 12.6% | 59.3% | 21.6% |
| Asian Female | 13.6% | 24.5% | 27.7% | 20.0% | 7.7% | 31.4% | 2.6% | 69.8% | 22.9% | 7.3% | 58.5% | 29.9% |
| Asian Male | 13.4% | 25.0% | 25.4% | 17.9% | 7.6% | 28.8% | 6.8% | 70.6% | 21.8% | 7.5% | 54.4% | 31.6% |
| PR Female | 11.5% | 13.1% | 43.4% | 7.1% | 8.2% | 48.0% | 6.8% | 62.5% | 25.0% | 12.5% | 67.4% | 26.1% |
| PR Male | 15.1% | 15.1% | 51.0% | 5.9% | 9.4% | 53.1% | 5.7% | 28.6% | 52.4% | 19.0% | 60.0% | 31.4% |
| Other Hisp Female | 17.1% | 34.2% | 29.3% | 21.1% | 13.2% | 30.1% | 0.0% | 64.9% | 23.0% | 12.2% | 57.4% | 23.5% |
| Other Hisp Male | 22.7% | 34.5% | 33.0% | 18.4% | 9.2% | 34.0% | 2.8% | 59.4% | 29.2% | 11.5% | 47.2% | 37.1% |
| Native Female | 40.0% | 53.3% | 44.8% | 18.5% | 46.7% | 48.3% | 0.0% | 33.3% | 25.9% | 40.7% | 42.9% | 17.9% |
| Native Male | 29.5% | 40.9% | 47.6% | 30.2% | 36.4% | 50.0% | 4.5% | 31.4% | 37.1% | 31.4% | 45.7% | 28.6% |
| Other Female | 16.6% | 29.1% | 30.5% | 19.9% | 17.6% | 34.6% | 3.6% | 51.7% | 32.0% | 16.3% | 58.4% | 25.7% |
| Other Male | 18.4% | 28.5% | 28.8% | 18.2% | 25.3% | 32.6% | 6.5% | 35.4% | 38.6% | 26.0% | 51.6% | 28.2% |
| Total | 15.5% | 24.8% | 24.9% | 16.4% | 22.4% | 28.8% | 5.9% | 43.9% | 34.8% | 21.3% | 52.9% | 28.0% |
When reviewing the following it is important to remember that urban origins are far more common in non-white as compared to white. Also there is great variation in socioeconomic status that seems to have more to do with FP choice Medicine, Education, and Social Status, although rural locations are a concern as well.
|
FP Grads 2000 - 2003 |
Rural |
Urban |
Number |
% of All FP |
|
White |
19.9% |
80.1% |
5289 |
73.9% |
|
Asian |
3.9% |
96.1% |
671 |
9.4% |
|
Black |
9.9% |
90.1% |
516 |
7.2% |
|
Mexican American |
43.5% |
56.5% |
69 |
1.0% |
|
Native |
35.5% |
64.5% |
31 |
0.4% |
|
Other Hispanic |
12.0% |
88.0% |
75 |
1.0% |
|
Other |
3.8% |
96.3% |
80 |
1.1% |
|
Puerto Rico |
15.6% |
84.4% |
45 |
0.6% |
|
Unknown |
11.6% |
88.4% |
379 |
5.3% |
|
All totaled |
17.2% |
82.8% |
7155 |
100.0% |
Includes only those with birth city and ethnicity in AMA Masterfile, basically US citizens graduating from US and International Medical Schools and choosing FP
Bolded items note the tendency for those born in certain types of communities to return to similar communities. This is a confirmation of Wigton's work involving surveys of medical students and primary care residents.
Non-white FP graduates had more urban birth origins and distributed to rural areas at half the rate. Other studies note the contributions of non-white graduates to inner city and underserved populations. More rural born minority graduates would be a great boost to areas in most need of health access.
Rural location rates for FP graduates were beginning to decrease in the 2002 and 2003 graduates, the post managed care era group.
|
NonWhite FP Grad |
Who were |
Born urban |
Born Large Rural |
Born Medium Rural |
Born Isolated Rural |
|
|
|
|
|
|
|
|
Chose These Locations |
n = |
1550 |
65 |
50 |
22 |
|
Urban |
1480 |
89.4% |
75.4% |
68.0% |
54.5% |
|
Large Rural |
94 |
5.2% |
10.8% |
10.0% |
4.5% |
|
Medium Rural |
74 |
3.6% |
10.8% |
12.0% |
22.7% |
|
Isolated Rural |
39 |
1.8% |
3.1% |
10.0% |
18.2% |
|
Rural Totals |
207 |
10.6% |
24.6% |
32.0% |
45.5% |
|
|
|
|
|
|
|
|
White FP Grad |
Who were |
Born urban |
Born Large Rural |
Born Medium Rural |
Born Isolated Rural |
|
|
|
|
|
|
|
|
Chose These Locations |
n = |
4237 |
552 |
342 |
157 |
|
Urban |
3858 |
77.4% |
60.1% |
49.1% |
51.0% |
|
Large Rural |
545 |
8.6% |
19.6% |
14.0% |
15.9% |
|
Medium Rural |
594 |
9.2% |
13.9% |
28.1% |
19.7% |
|
Isolated Rural |
|