0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Addressing Physician Specialty Maldistribution

Howard K. Rabinowitz, MD
JAMA. 2009;302(12):1270. doi:10.1001/jama.2009.1351.
Text Size: A A A
Published online

Extract

To the Editor: In her Editorial on commitment to community, Dr DeAngelis1 discussed many of the reasons for the longstanding physician maldistribution by specialty (primarily primary care) and geography. She also included a number of potential solutions, many of which have been implemented in the past with limited success.

However, the Editorial did not mention comprehensive medical school programs that focus admissions on medical school applicants who intend to practice in rural areas, have a longitudinal rural clinical curriculum, or both. This approach has been in existence for decades and has been shown to successfully address both the primary care and rural physician shortage.2,3 A systematic review found that among more than 1600 graduates from 6 such medical school programs in different areas of the country, more than 50% practiced in rural areas.3 The majority of these graduates were practicing family medicine. Outcomes from the Jefferson Medical College rural program have also shown a long-term (11- to 16-year) rural family medicine retention rate of 79%,4 higher than that of the National Health Service Corps. Medical school programs focusing on the urban underserved have also been shown to be successful.5

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

September 23, 2009
Catherine D. DeAngelis, MD, MPH
JAMA. 2009;302(12):1270. doi:10.1001/jama.2009.1352.
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();