Area Health Education Center, Rural Track Pipeline Program, Department of Rural Health Programs, University of Missouri, School of Medicine, Columbia, Missouri 65212, USA.
Acad Med. 2011 Nov;86(11):1397-406. doi: 10.1097/ACM.0b013e318230653f.
The University of Missouri School of Medicine developed the Rural Track Pipeline Program (MU-RTPP) to increase the supply and retention of rural physicians statewide. The MU-RTPP features a preadmissions program for rural students (Rural Scholars), a Summer Community Program for rising second-year students, a six-month Rural Track Clerkship (RTC) Program for third-year students, and a Rural Track Elective Program for fourth-year students. The purpose of this study is to report the specialty choices and first practice locations of Rural Scholars, RTC-only participants, and Rural Track Clerkship Plus (RTC+) participants (students who participated in the RTC Program plus an additional MU-RTPP component).
The authors compared the residency specialty choices of 48 Rural Scholars (tracked since 2002) with those of 506 nonparticipants and the residency specialty choices of 83 RTC participants and 75 RTC+ participants (tracked since 1997) with those of 840 nonparticipants. The authors calculated the relative risk (RR) for the likelihood of participants matching into primary care compared with nonparticipants and analyzed first practice location.
Rural Scholars were more than twice as likely to match into family medicine (RR=2.6; 95% confidence interval 1.5-4.4). RTC and RTC+ participants entered primary care, especially family medicine, at rates significantly higher than nonparticipants. Over 57% of students who participated in the RTC program (and potentially other MU-RTPP offerings) chose a rural location for their first practice.
The longitudinal MU-RTPP successfully recruits students for rural and primary care practice to address the health care needs of Missouri.
密苏里大学医学院开发了农村轨道管道计划（MU-RTPP），以增加全州农村医生的供应和保留率。MU-RTPP 为农村学生（农村学者）提供预录取计划、为即将升入二年级的学生提供暑期社区计划、为三年级学生提供为期六个月的农村轨道实习计划（RTC）以及为四年级学生提供农村轨道选修计划。本研究的目的是报告农村学者、仅参加 RTC 计划的参与者和农村轨道实习计划加（RTC +）参与者（参加 RTC 计划加 MU-RTPP 计划的其他部分的学生）的专业选择和第一实践地点。
作者比较了 48 名农村学者（自 2002 年以来一直跟踪）的居住专业选择与 506 名非参与者的居住专业选择，以及 83 名 RTC 参与者和 75 名 RTC +参与者（自 1997 年以来一直跟踪）与 840 名非参与者的居住专业选择。作者计算了参与者与非参与者相比匹配到初级保健的可能性的相对风险（RR），并分析了第一实践地点。
农村学者进入家庭医学的可能性是两倍多（RR=2.6；95%置信区间 1.5-4.4）。RTC 和 RTC + 参与者进入初级保健，尤其是家庭医学的比例明显高于非参与者。超过 57%参加 RTC 计划（和其他潜在的 MU-RTPP 课程）的学生选择农村作为他们的第一实践地点。
纵向 MU-RTPP 成功招募了农村和初级保健实践的学生，以满足密苏里州的医疗保健需求。
