Robert C. Bowman, M.D.
Distribution: Index Concentrations of Physician Distribution - compare and contrast the various types that distribute to rural underserved and urban underserved locations. How do international medical graduate internal medicine physicians compare to family physicians? What does birth origin have to do with practice location?
Physicians in Poverty Discussion: Major Medical Center Locations
Areas Without a Community Health Center or a Family Medicine Residency Program - 80% of Physicians
| Location | All Other | FP | IM | Ob-Gyn | Peds | FP / PC | Total |
| Urban Served | 47% | 22% | 16% | 11% | 9% | 41% | 43512 |
| Urban Underserved | 46% | 20% | 18% | 12% | 10% | 37% | 8810 |
| Rural Served | 41% | 32% | 14% | 14% | 6% | 54% | 16308 |
| Rural Underserved | 39% | 30% | 18% | 13% | 7% | 49% | 7905 |
| Urban MMC | 62% | 8% | 17% | 9% | 7% | 21% | 133445 |
| Rural MMC | 59% | 13% | 13% | 10% | 7% | 33% | 4934 |
| This subtotal | 56% | 14% | 16% | 10% | 8% | 32% | 214914 |
| All 1987 - 1999 grads | 56% | 14% | 16% | 9% | 7% | 32% | 267430 |
Urban major medical centers concentrate those outside of primary care. Family physicians avoid urban major medical centers and lead in all other categories. Internal medicine remains about 15% regardless of location or medical school origin. Ob-Gyn trends slightly away from major medical centers. Pediatrics is popular in urban areas with some concentration in underserved locations. With increasing distance from major medical centers, family medicine provides an increasing share of primary care physicians and total physicians.
Areas With a CHC or FP Residency - 20% of Physicians
| fppluschc | Location | All Other | FP | IM | Ob-Gyn | Peds | FP / PC | Total |
| CHC Zip | Urban Underserved | 41% | 25% | 18% | 15% | 9% | 42% | 1360 |
| CHC Zip | Rural Underserved | 36% | 38% | 15% | 12% | 7% | 59% | 941 |
| CHC Zip | Urban MMC | 63% | 10% | 16% | 7% | 6% | 26% | 5404 |
| CHC Zip | Rural MMC | 57% | 14% | 17% | 8% | 7% | 33% | 550 |
| FP Res Zip | Urban Served | 59% | 21% | 8% | 9% | 7% | 51% | 576 |
| FP Res Zip | Urban Underserved | 58% | 17% | 12% | 9% | 6% | 41% | 179 |
| FP Res Zip | Rural Underserved | 43% | 16% | 28% | 17% | 5% | 28% | 150 |
| FP Res Zip | Urban MMC | 61% | 13% | 15% | 8% | 6% | 32% | 17579 |
| FP Res Zip | Rural MMC | 51% | 25% | 13% | 10% | 5% | 51% | 719 |
| Both CHC + FP Res | Urban Served | 64% | 18% | 6% | 11% | 6% | 48% | 159 |
| Both CHC + FP Res | Urban Underserved | 54% | 26% | 7% | 4% | 9% | 57% | 211 |
| Both CHC + FP Res | Rural Served | 29% | 55% | 6% | 0% | 6% | 77% | 31 |
| Both CHC + FP Res | Rural Underserved | 48% | 32% | 9% | 7% | 7% | 61% | 85 |
| Both CHC + FP Res | Urban MMC | 61% | 13% | 13% | 8% | 6% | 35% | 23930 |
| Both CHC + FP Res | Rural MMC | 59% | 24% | 8% | 10% | 3% | 59% | 642 |
| This subtotal | 60% | 14% | 14% | 8% | 6% | 35% | 52516 | |
| All 1987-1999 Grads | 56% | 14% | 16% | 9% | 7% | 32% | 267430 |
CHC zip code areas have greater concentrations of family physicians, considerably with rural underserved areas. The highest levels of Ob-Gyn physicians are in CHC zip codes in rural and urban underserved areas and in FP Residency zip code areas of rural underserved areas. Pediatrics continues to show an urban underserved trend. FP percentages of total primary care are higher in all but major medical center locations.
Poverty Locations and Physicians