加州大学医学预科后学士项目医学生校友的专业选择和执业地点。

Specialty choice and practice location of physician alumni of University of California premedical postbaccalaureate programs.

机构信息

Department of Medicine, Boston University School of Medicine, Massachusetts, USA.

出版信息

Acad Med. 2012 Jan;87(1):115-20. doi: 10.1097/ACM.0b013e31823a907f.

DOI:10.1097/ACM.0b013e31823a907f

PMID:22104050

Abstract

PURPOSE

To investigate the longer-term career outcomes, such as specialty choice and practice location, of underrepresented minority and disadvantaged students who finished a University of California postbaccalaureate (UCPB) premedical program.

METHOD

The authors compared 303 UCPB alumni from the 1986-1987 to 2001-2002 cohorts who matriculated into medical school and could be matched to the 2008 American Medical Association Physician Masterfile with 586 randomly selected control physicians who graduated from the same medical schools in the same years as the UCPB alumni. Outcome variables included specialty, practice in a Health Professional Shortage Area (HPSA) or Medically Underserved Area (MUA), and practice in a California community with high concentrations of African American, Latino, or low-income residents.

RESULTS

A greater percentage of UCPB alumni (161/303 [53.1%]) than control physicians (235/586 [40.1%]) were in primary care (P < .001). Although there were no differences between the two groups in the percentages of physicians working in HPSAs or MUAs, a greater percentage of UCPB alumni than control physicians working in California practiced in high-poverty communities (31/191 [16.2%] versus 22/252 [8.7%], P < .016), high-Latino communities (35/191 [18.3%] versus 22/252 [8.7%], P <. 01), and high-African American communities (57/191 [29.8%] versus 50/252 [19.8%], P <. 02).

CONCLUSIONS

UCPB programs have enhanced the number of physicians entering primary care and working in disadvantaged California communities. However, many UCPB alumni practice in disadvantaged communities in California that are not federally designated as HPSAs or MUAs.

摘要

目的

调查代表性不足的少数族裔和弱势群体学生完成加利福尼亚大学后本科（UCPB）医学预科项目后的长期职业成果，如专业选择和实践地点。

方法

作者比较了 1986-1987 年至 2001-2002 年期间的 303 名 UCPB 校友和 586 名随机选择的对照组医生，这些医生都从同一所医学院毕业，且可以与 2008 年美国医学协会医师主文件相匹配。结果变量包括专业、在卫生专业人员短缺地区（HPSA）或医疗服务不足地区（MUA）的执业情况，以及在加利福尼亚州有大量非裔美国人、拉丁裔或低收入居民的社区的执业情况。

结果

与对照组医生（235/586 [40.1%]）相比，UCPB 校友中有更大比例（161/303 [53.1%]）从事初级保健工作（P<.001）。尽管两组医生在 HPSA 或 MUA 工作的比例没有差异，但与对照组医生相比，UCPB 校友中有更大比例的医生在加利福尼亚州的贫困社区（31/191 [16.2%]）工作，而在贫困社区工作的医生比例较低（22/252 [8.7%]，P<.016），在高拉丁裔社区（35/191 [18.3%]）工作的医生比例较低（22/252 [8.7%]，P<.01），在高非裔美国人社区（57/191 [29.8%]）工作的医生比例较低（50/252 [19.8%]，P<.02）。