Elam C L, Rosenbaum M E, Johnson M M
Department of Behavioral Science, University of Kentucky, College of Medicine, USA.
J Ky Med Assoc. 1996 Oct;94(10):446-50.
This study examined which medical students from the University of Kentucky College of Medicine are most likely to return to their geographic origins to practice medicine and the frequency with which this occurs. This study is based on statistical analysis of longitudinal data (1974-1985). The database includes 1243 matriculants for whom residency data were available. Follow-up data were available for 1093 physicians-in-practice. Results indicate that a significant percentage of matriculants return to their in-state district of origin to practice. Significant predictors of practice location included gender, undergraduate institution, and residence at admission. However, these factors explained only 8% of the variance in physician practice location. Expanding the model to include location of residency program and specialty choice contributed an additional 14% of the variance. Admissions officers seeking to improve the ratio of graduates practicing in rural areas should devise new measures to assess applicant's attraction to positive aspects of rural medical practice or small town life.
本研究调查了肯塔基大学医学院的哪些医学生最有可能回到其地理原籍地行医以及这种情况发生的频率。本研究基于对纵向数据（1974 - 1985年）的统计分析。数据库包含1243名有住院医师培训数据的入学学生。有1093名执业医师的随访数据。结果表明，相当比例的入学学生回到其本州原籍地区行医。执业地点的显著预测因素包括性别、本科院校和入学时的居住地。然而，这些因素仅解释了医师执业地点差异的8%。将模型扩展到包括住院医师培训项目地点和专业选择，又额外解释了14%的差异。寻求提高在农村地区执业毕业生比例的招生官员应制定新措施，以评估申请人对农村医疗实践或小镇生活积极方面的吸引力。
