Table 1. Characteristics of Early-Career Physicians Responding to the ABFM National Graduate Survey, 2016-2018.
|
Rural Residency Graduates , N=272 (4.2%) |
Urban Residency Graduates , N=6,211 (95.8%) |
All Graduates , N=6,483 |
P Value |
|
|
Age, Years, n (%) |
NS |
|||
|
Mean (SD) [Range] |
36.1 (4.6) |
35.9 (4.5) |
35.9 (4.5) [28 – 65] |
|
|
28 – 34 |
131 (48.2) |
3,032 (48.8) |
3,163 (48.8) |
|
|
35 – 39 |
97 (35.7) |
2,287 (36.8) |
2,384 (36.8) |
|
|
40+ |
44 (16.2) |
892 (14.4) |
936 (14.4) |
|
|
Gender, n (%) |
.035 |
|||
|
Female |
137 (50.4) |
3,530 (56.8) |
3,667 (56.6) |
|
|
Male |
135 (49.6) |
2,681 (43.2) |
2,816 (43.4) |
|
|
Degree Type, n (%) |
NS |
|||
|
Allopathic (MD) |
232 (85.3) |
5,169 (83.2) |
5,401 (83.3) |
|
|
Osteopathic (DO) |
40 (14.7) |
1,042 (16.8) |
1,082 (16.7) |
|
|
Medical School Location, n (%) |
.001 |
|||
|
International (IMG) |
119 (43.8) |
2,095 (33.7) |
2,214 (34.2) |
|
|
United States/Canada |
153 (56.3) |
4,116 (66.3) |
4,269 (65.9) |
|
|
NGS Survey Year , n (%) |
NS |
|||
|
2016 |
88 (32.4) |
1,981 (31.9) |
2,069 (31.9) |
|
|
2017 |
91 (33.5) |
2,068 (33.3) |
2,159 (33.3) |
|
|
2018 |
93 (34.2) |
2,162 (34.8) |
2,255 (34.8) |
|
|
Rural Practice Location (RUCA > 4), n (%) |
<.001 |
|||
|
Yes |
130 (51.0) |
966 (16.6) |
1,096 (18.0) |
|
|
Large rural |
74 (29.0) |
477 (8.2) |
551 (9.0) |
|
|
Small rural |
39 (15.3) |
359 (6.2) |
398 (6.5) |
|
|
Isolated small rural |
17 (6.7) |
130 (2.2) |
147 (2.4) |
|
|
No (urban) |
125 (49.0) |
4,872 (83.5) |
4,997 (82.0) |
|
|
Practices Inpatient Medicine, n (%) |
<.001 |
|||
|
Yes |
136 (51.3) |
2,396 (39.5) |
2,532 (40.0) |
|
|
No |
129 (48.7) |
3,674 (60.5) |
3,803 (60.0) |
|
|
Practices Outpatient Continuity Care, n (%) |
.013 |
|||
|
Yes |
200 (74.9) |
4,962 (81.0) |
5,162 (80.8) |
|
|
No |
67 (25.1) |
1,161 (19.0) |
1,228 (19.2) |
|
|
Principal Practice Site (of Those Practicing Continuity Care), n (%) |
<.001 |
|||
|
Hospital-owned practice |
105 (51.0) |
1,939 (37.9) |
2,044 (38.4) |
|
|
Independently owned practice |
27 (13.1) |
773 (15.1) |
800 (15.0) |
|
|
Managed care/HMO practice |
9 (4.4) |
380 (7.4) |
389 (7.3) |
|
|
Safety-net practice |
45 (21.8) |
817 (16.0) |
862 (16.2) |
|
|
Academic health center |
10 (4.9) |
578 (11.3) |
588 (11.0) |
|
|
Other* |
10 (4.9) |
636 (12.4) |
646 (12.1) |
|
|
Practices Both Inpatient Medicine and Continuity Care, n (%) |
.048 |
|||
|
Yes |
176 (66.4) |
4,371 (72.0) |
4,547 (71.8) |
|
|
No |
89 (33.6) |
1,699 (28.0) |
1,788 (28.2) |
|
|
Residency Program Census Region, n (%) |
<.001 |
|||
|
Northeast |
38 (14.0) |
1,069 (17.3) |
1,107 (17.2) |
|
|
Midwest |
76 (27.9) |
1,704 (27.6) |
1,780 (27.6) |
|
|
South |
123 (45.2) |
1,991 (32.3) |
2,114 (32.8) |
|
|
West |
35 (12.9) |
1,403 (22.8) |
1,438 (22.3) |
|
Abbreviations: ABFM: American Board of Family Medicine; IMG: international medical graduate; HMO: health maintenance organization. Bold values indicate significance at P=.05. NS: not significant at P=.05. Missing cases: Inpatient medicine, 148; continuity care, 93; principal practice site, 1,154. Census region, 44. Safety net practice: federal qualified health care [FQHC] or rural health clinic [RHC]; *”Other” includes: Indian Health Service, government clinic nonfederal, federal, work site clinic, and other-unspecified.