Table 3. Patterns of Early-Career Family Physicians’ Current Practice by Procedure, Illustrated Using Adjusted Relative Risks, NGS 2016-2018.
|
n |
Rural Residency Program [REF: Urban] |
95% CI |
Perceived Residency Preparedness |
95% CI |
Rural Practice Location [REF: Urban] |
95% CI |
|
|
Care of Children |
|||||||
|
Pediatric outpatient care |
6,062 |
0.96 |
(0.87-1.03) |
1.13 |
(1.10-1.16) |
1.12 |
(1.09-1.15) |
|
Newborn hospital care |
6,062 |
0.79 |
(0.59-1.04) |
1.88 |
(1.61-2.16) |
1.63 |
(1.47-1.80) |
|
Pediatric hospital care |
6,062 |
0.95 |
(0.71-1.26) |
2.42 |
(2.12-2.71) |
2.44 |
(2.22-2.66) |
|
Neonatal circumcision |
6,062 |
0.74 |
(0.52-1.03) |
4.28 |
(3.74-4.71) |
1.80 |
(1.59-2.03) |
|
Hospital-Based Carea |
|||||||
|
Intensive care |
6,062 |
1.40 |
(1.14-1.70) |
2.25 |
(2.05-2.44) |
1.44 |
(1.29-1.61) |
|
Lumbar puncture |
2,408 |
0.71 |
(0.50-0.98) |
2.41 |
(2.26-2.54) |
1.63 |
(1.45-1.81) |
|
Intubation |
2,408 |
0.85 |
(0.63-1.12) |
2.07 |
(1.93-2.20) |
2.11 |
(1.96-2.24) |
|
Ventilator management |
2,408 |
0.99 |
(0.71-1.31) |
2.31 |
(2.15-2.45) |
1.85 |
(1.65-2.04) |
|
Central line placement |
2,408 |
0.75 |
(0.52-1.05) |
2.51 |
(2.32-2.70) |
1.91 |
(1.68-2.13) |
|
Thoracentesis |
2,408 |
0.66 |
(0.43-0.99) |
3.28 |
(3.01-3.52) |
1.97 |
(1.69-2.28) |
|
Women’s Health |
|||||||
|
Maternity care |
6,062 |
0.76 |
(0.57-0.99) |
2.30 |
(2.00-2.58) |
1.45 |
(1.30-1.59) |
|
Endometrial biopsy |
6,062 |
1.10 |
(0.83-1.42) |
3.30 |
(3.16-3.41) |
1.28 |
(1.12-1.44) |
|
IUD insertion and removal |
6,062 |
0.78 |
(0.61-0.95) |
2.06 |
(1.99-2.12) |
1.15 |
(1.05-1.25) |
|
Implantable LARC |
6,062 |
0.78 |
(0.61-0.96) |
2.17 |
(2.11-2.22) |
1.16 |
(1.06-1.27) |
|
Colposcopy |
6,062 |
1.31 |
(0.93-1.81) |
4.01 |
(3.58-4.43) |
1.43 |
(1.21-1.67) |
|
Uterine aspiration/D&C |
6,016 |
0.69 |
(0.34-1.37) |
11.00 |
(9.38-12.62) |
2.55 |
(1.92-3.35) |
|
Pregnancy termination |
6,014 |
1.50 |
(0.66-3.28) |
13.20 |
(10.42-16.19) |
0.69 |
(0.42-1.11) |
|
Basic OB ultrasound |
6,062 |
0.96 |
(0.67-1.34) |
2.96 |
(2.63-3.30) |
1.66 |
(1.43-1.90) |
|
Musculoskeletal Services |
|||||||
|
Casting |
6,062 |
0.83 |
(0.66-1.03) |
2.22 |
(2.12-2.32) |
1.69 |
(1.56-1.82) |
|
Joint aspiration and injection |
6,062 |
0.89 |
(0.79-0.98) |
1.28 |
(1.27-1.29) |
1.15 |
(1.12-1.18) |
|
Musculoskeletal ultrasound |
6,062 |
0.61 |
(0.37-1.00) |
5.21 |
(4.7-5.71) |
1.13 |
(0.91-1.40) |
|
Miscellaneous Services / Procedures |
|||||||
|
Vasectomy |
6,062 |
0.60 |
(0.26-1.40) |
12.57 |
(10.59-14.44) |
1.18 |
(0.86-1.62) |
|
Cardiac stress test |
6,062 |
0.94 |
(0.65-1.33) |
4.87 |
(4.45-5.28) |
1.44 |
(1.19-1.72) |
|
Osteopathic manipulative treatment |
6,062 |
1.09 |
(0.66-1.73) |
5.30 |
(4.79-5.79) |
1.16 |
(0.90-1.49) |
|
Buprenorphine treatment |
6,062 |
1.16 |
(0.76-1.73) |
4.86 |
(4.35-5.39) |
0.85 |
(0.68-1.08) |
|
HIV/AIDS management |
6,062 |
1.09 |
(0.79-1.45) |
3.63 |
(3.46-3.78) |
0.83 |
(0.70-0.98) |
|
Hepatitis C management |
6,062 |
1.23 |
(0.94-1.56) |
3.45 |
(3.32-3.56) |
1.07 |
(0.93-1.23) |
|
End of life care |
6,062 |
1.14 |
(1.03-1.24) |
1.34 |
(1.31-1.38) |
1.31 |
(1.26-1.35) |
|
Behavioral health care |
6,062 |
0.99 |
(0.93-1.03) |
1.09 |
(1.09-1.10) |
1.05 |
(1.03-1.07) |
|
Integrative health care/CAM |
6,062 |
1.05 |
(0.76-1.40) |
3.72 |
(3.56-3.87) |
0.97 |
(0.82-1.14) |
Models adjusted for: age, gender, medical degree type, international medical graduate, residency program census region, and practice of inpatient and continuity care. aThese questions are only asked of physicians providing inpatient care, except for intensive care. Abbreviations: NGS: American Board of Family Medicine National Graduate Survey; IUD: intrauterine device; LARC: long-acting reversible contraception; D&C: dilation and curettage; OB: obstetric; CAM: complementary and alternative medicine. Bold values are significant at P =.05.