دورية أكاديمية

Effect of Student-Run Free Clinics on Family Medicine Match Rates: A Multisite, Regression Discontinuity Study.

التفاصيل البيبلوغرافية
العنوان: Effect of Student-Run Free Clinics on Family Medicine Match Rates: A Multisite, Regression Discontinuity Study.
المؤلفون: Dunleavy S; Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA., Paladine HL; Center for Family and Community Medicine, Columbia University Irving Medical Center, New York, NY.
المصدر: Family medicine [Fam Med] 2024 Jul; Vol. 56 (7), pp. 422-427. Date of Electronic Publication: 2024 May 20.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Society of Teachers of Family Medicine Country of Publication: United States NLM ID: 8306464 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-3800 (Electronic) Linking ISSN: 07423225 NLM ISO Abbreviation: Fam Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Shawnee Mission, KS : Society of Teachers of Family Medicine
Original Publication: Kansas City, Mo. : Society of Teachers of Family Medicine.
مواضيع طبية MeSH: Family Practice*/education , Career Choice* , Students, Medical*/statistics & numerical data , Student Run Clinic*/statistics & numerical data , Internship and Residency*, Humans ; United States ; Primary Health Care ; Schools, Medical ; Education, Medical, Undergraduate
مستخلص: Background and Objectives: Student-run free clinics (SRFCs) have been proposed as one educational strategy to increase medical students' interest in primary care careers. We sought to overcome gaps in the literature by investigating the effect of opening an SRFC at different institutions on institution-level match rates into family medicine, the largest source of primary care physicians in the United States.
Methods: We connected a list of SRFCs from primary care clerkship directors and the Society of Student-Run Free Clinics with a database of institution-level match rates into family medicine from 2000 to 2018. Using regression discontinuity analysis, we assessed whether opening an SRFC would increase family medicine match rates.
Results: Across a sample of 58 medical schools in the United States, we found that SRFCs did not significantly change the number (P=.44) or percentage of medical graduates (P=.42) entering family medicine residency. We also found no significant effects of SRFCs on the number of students entering family medicine in different contexts, including public/private institutions (P=.47), geographic areas (P=.26), departmental administrative structures (P=.69), and institutions with higher historical rates of producing graduates entering family medicine (P=.22).
Conclusions: Though SRFCs may potentially support other aspects of undergraduate medical training, they should not be used as a singular strategy for addressing shortages in the primary care workforce in the United States. Further educational research should examine multipronged strategies to increase the supply of early-career primary care physicians in the United States.
تواريخ الأحداث: Date Created: 20240528 Date Completed: 20240712 Latest Revision: 20240712
رمز التحديث: 20240713
DOI: 10.22454/FamMed.2024.329555
PMID: 38805628
قاعدة البيانات: MEDLINE
الوصف
تدمد:1938-3800
DOI:10.22454/FamMed.2024.329555