Table 2. Percentage of Early-Career Physicians Reporting Perceived Preparedness and Current Practice by Residency Program Type, NGS 2016-2018.
|
% Reporting Perceived Preparedness |
% Currently Practicing |
|||
|
Residency Graduates |
Rural Graduates , N=272 (4.2%) |
Urban Graduates , N=6,211 (95.8%) |
Rural Graduates , N=272 (4.2%) |
Urban Graduates , N=6,211 (95.8%) |
|
Subject Area/Procedure |
||||
|
Care of Children |
||||
|
Pediatric outpatient care |
91.1 |
91.6 |
73.6 |
76.4 |
|
Newborn hospital care |
85.6 |
87.8 |
23.0 |
23.9 |
|
Pediatric hospital care |
82.2** |
75.1 |
26.8** |
19.1 |
|
Neonatal circumcision |
86.3* |
80.2 |
18.1 |
17.5 |
|
Hospital-Based Care a |
||||
|
Intensive care |
78.9*** |
65.2 |
38.5*** |
21.9 |
|
Lumbar puncture |
64.7* |
55.7 |
33.1 |
31.0 |
|
Intubation |
78.7*** |
58.3 |
50.0*** |
34.3 |
|
Ventilator management |
60.3* |
50.8 |
41.9** |
30.5 |
|
Central line placement |
61.8** |
49.9 |
32.4 |
26.7 |
|
Thoracentesis |
54.4*** |
37.7 |
24.3 |
20.9 |
|
Women’s Health |
||||
|
Maternity care |
88.2 |
90.2 |
23.0 |
25.8 |
|
Endometrial biopsy |
56.3* |
62.9 |
23.8 |
25.5 |
|
IUD insertion and removal |
74.4 |
78.3 |
32.1** |
41.2 |
|
Implantable LARC |
65.2 |
69.0 |
30.9** |
39.1 |
|
Colposcopy |
50.4* |
56.9 |
16.2 |
13.4 |
|
Uterine aspiration/D&C |
13.3 |
16.6 |
4.6 |
4.7 |
|
Pregnancy termination |
10.4 |
13.2 |
2.7 |
3.0 |
|
Basic OB ultrasound |
55.6 |
57.5 |
16.6 |
14.8 |
|
Musculoskeletal Services |
||||
|
Casting |
61.5*** |
45.3 |
35.9* |
29.1 |
|
Joint aspiration and injection |
90.4 |
88.4 |
72.5 |
74.6 |
|
Musculoskeletal ultrasound |
14.8 |
12.4 |
6.8 |
9.8 |
|
Miscellaneous Services/Procedures |
||||
|
Vasectomy |
16.3 |
18.2 |
2.6 |
4.7 |
|
Cardiac stress test |
35.6** |
28.0 |
14.0 |
11.2 |
|
Osteopathic manipulative treatment |
20.7* |
15.3 |
13.6 |
11.5 |
|
Buprenorphine treatment |
8.5 |
10.0 |
9.1 |
9.8 |
|
(Pharmacologic) HIV/AIDS management |
20.7** |
28.7 |
16.6 |
19.5 |
|
(Pharmacologic) hepatitis C management |
24.8 |
27.1 |
24.9 |
21.9 |
|
End-of-life care |
87.4* |
82.6 |
75.9*** |
61.8 |
|
Behavioral health care |
83.7 |
87.3 |
87.2 |
88.2 |
|
Integrative health care/CAM |
24.1 |
24.7 |
18.5 |
19.5 |
Abbreviations: NGS: American Board of Family Medicine National Graduate Survey; IUD: intrauterine device; LARC: long-acting reversible contraception; D&C: dilation and curettage; CAM: complementary and alternative medicine. Bold values are significant at P=.05; *Significant at P<.05; **Significant at P<.01; ***Significant at P<.001. aThese questions are only asked of physicians providing inpatient care. Missing cases, residency preparedness: pediatric outpatient care, 42; newborn hospital care, 43; pediatric hospital care, 44; neonatal circumcision, 53; intensive care, 43; maternity care, 44; endometrial biopsy, 48; IUD insertion and removal, 47; implantable LARC, 47; colposcopy, 48; uterine aspiration/D&C, 67; pregnancy termination, 79; basic OB ultrasound, 48; casting, 53; joint aspiration and injection, 53; musculoskeletal ultrasound, 53; vasectomy, 53; cardiac stress test, 55; osteopathic manipulative treatment, 55; buprenorphine treatment, 56; (pharmacologic) HIV/AIDS management, 56; (pharmacologic) hepatitis C management, 56; end-of-life care, 43; behavioral health care, 44; integrative health care/CAM, 44. Missing cases, current practice: pediatric outpatient care, 133; newborn hospital care, 134; pediatric hospital care, 135; neonatal circumcision, 145; intensive care, 135; maternity care, 135; endometrial biopsy, 140; IUD insertion and removal, 140; implantable LARC, 141; colposcopy, 141; uterine aspiration/D&C, 174; pregnancy termination, 164; basic OB ultrasound, 141; casting, 145; joint aspiration and injection, 145; musculoskeletal ultrasound, 145; vasectomy, 145; cardiac stress test, 148; osteopathic manipulative treatment, 148; buprenorphine treatment, 148; (pharmacologic) HIV/AIDS management, 148; (pharmacologic) hepatitis C management, 148; end-of-life care, 135; behavioral health care, 135; integrative health care/CAM, 135.