Does an AHEC-Sponsored Clerkship Experience Strengthen Medical Students’ Intent to Provide Care for Medically Underserved Patients?

Jennifer Taylor, Richard Kiovsky, Ann Kayser, Andrea Kelley

Research output: Contribution to journalArticle

Abstract

The mission of Area Health Education Centers (AHECs) is to recruit and educate students to serve as practicing health care professionals in rural, primary care, and medically underserved communities. We sought to determine if participation in an AHEC-sponsored family medicine clerkship experiences during medical school are significantly associated with a self-reported intent to practice primary care in a medically underserved environment upon graduation. The study was a prospective cohort study comparing third-year family medicine students with the Indiana University School of Medicine who participated in either an AHEC-sponsored family medicine clerkship to those who completed their required family medicine clerkship outside of the AHEC setting. Following the 160-h clinical clerkship, all students completed a mandatory, electronic survey and were asked to self-report their intent to the following question: “Which of the following statements best describes the impact of the family medicine clerkship on your intention to provide care to underserved patients when you complete residency training?” The question was integrated into a mandatory post-clerkship evaluation form required by the Indiana University School of Medicine, Department of Family Medicine. A Chi square test of independence as well as a multivariate logistic regression analysis was used to determine the independent association of AHEC clerkship participation and reported intent. A total of 1138 students completed the survey. There were not significant differences in age, gender, race, and ethnicity between students that completed an AHEC clerkship and those that did not. After adjusting for gender, race, and ethnicity, AHEC participants were significantly more likely to report an intention to practice primary care in a medically underserved setting upon graduation. Female students were found to be 1.2–3.4 times as likely to report increased intent compared to male students (95 % CI 1.241–3.394). Participation in an AHEC-supported clerkship was associated with a significant increase in self-reported intent to practice primary care in a medically underserved setting. Additional research is required to determine if participation and/or reported intent are predictive of practice selection after graduation.

Original languageEnglish (US)
Pages (from-to)1173-1177
Number of pages5
JournalJournal of Community Health
Volume40
Issue number6
DOIs
StatePublished - May 31 2015

Fingerprint

Area Health Education Centers
education center
Vulnerable Populations
Medical Students
health promotion
medical student
Medicine
medicine
Students
Primary Health Care
experience
participation
student
ethnicity
Clinical Clerkship
school
gender
Chi-Square Distribution
Internship and Residency
female student

Keywords

  • Area Health Education Centers
  • Family medicine
  • Intent to serve
  • Medical students
  • Underserved

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Does an AHEC-Sponsored Clerkship Experience Strengthen Medical Students’ Intent to Provide Care for Medically Underserved Patients? / Taylor, Jennifer; Kiovsky, Richard; Kayser, Ann; Kelley, Andrea.

In: Journal of Community Health, Vol. 40, No. 6, 31.05.2015, p. 1173-1177.

Research output: Contribution to journalArticle

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