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Which medical schools produce rural physicians?

Article Abstract:

Medical students who graduate from medical schools in rural areas that emphasize family medicine are more likely to practice in a rural area than those who graduate from other schools. There is a shortage of physicians who choose to practice medicine in a rural setting in the US. A study of physicians who graduated from medical school between 1976 and 1985 found that 15,375 (12.6%) choose to practice medicine in a rural setting. Among the graduates who practiced medicine in a rural setting, 52% practiced some form of primary care medicine. More men chose to practice medicine in a rural setting, compared with women. Twelve medical schools produced more than 25% of the graduates who chose to practice rural medicine. These schools were more likely to be located in a rural state, to be owned by the public and to emphasize family medicine. They also received less funding by the National Institutes of Health (NIH).

Practice, Curricula, Medical colleges, Medical schools, Medicine, Rural, Rural medicine

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The generalist role of specialty physicians: is there a hidden system of primary care?

Article Abstract:

Many medical specialists may be providing primary care services to their elderly patients. An analysis of part B Medicare claims in Washington State in 1994-95 found that about 15% of the patients saw only a medical specialist for all of their care. About 21% of the visits to medical specialists were made by patients who received most of their care from the specialist. About 48% percent of patients who saw only a medical specialist had been vaccinated against influenza. Many specialists believe that they can provide many primary care services to their patients, eliminating the need for more generalists.

Care and treatment, Medicine, Medical care, Aged patients, Elderly patients, Medical specialties

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Hospital Peer Review and the National Practitioner Data Bank: Clinical Privileges Action Reports

Article Abstract:

Many hospitals may not be reporting actions taken against a doctor to the National Practitioner Data Bank (NPDB). The NPDB is a central database of information about any actions taken against doctors, such as malpractice suits, restrictions on practice, or suspension of hospital privileges. These actions are reported by the hospital where the doctor works. A survey of 4,743 US hospitals found that there was a wide variation in the number of actions reported to the NPDB. Hospitals must search the NPDB whenever they hire a new doctor, but the information may not be complete.

Statistical Data Included, Discipline, Hospitals, Physicians, Medical professions, Information services, Centralized databases

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