The influence of regional basic science campuses on medical students' choice of specialty and practice location: A historical cohort study

James J. Brokaw, Christina A. Mandzuk, Michael E. Wade, Dennis W. Deal, Mary T. Johnson, Gary White, Jeffrey S. Wilson, Terrell W. Zollinger

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background. Indiana University School of Medicine (IUSM) employs eight regional basic science campuses, where half of the students complete their first two years of medical school. The other half complete all four years at the main campus in Indianapolis. The authors tested the hypothesis that training at regional campuses influences IUSM students to pursue primary care careers near the regional campuses they attended. Methods. Medical school records for 2,487 graduates (classes of 1988-1997) were matched to the 2003 American Medical Association Physician Masterfile to identify the medical specialty and practice location of each graduate. Multivariate logistic regression was performed to assess the effect of regional campus attendance on students' choice of medical specialty and practice location, while simultaneously adjusting for several covariates thought to affect these career outcomes. Results. Compared to Indianapolis students, those who attended a regional campus were somewhat more likely to be white, have parents with middle class occupations, and score slightly lower on the Medical College Admission Test. Any such differences were adjusted for in the regression models, which predicted that four of the regional campuses were significantly more likely than Indianapolis to produce family practitioners, and that five of the regional campuses were significantly more likely than the others to have former students practicing in the region. When analyzed collectively, attendance at any regional campus was a significant predictor of a primary care practice located outside the Indianapolis metropolitan area. Conclusion. Attending a regional campus for preclinical training appears to increase the likelihood of practicing primary care medicine in local communities.

Original languageEnglish
Article number29
JournalBMC Medical Education
Volume9
Issue number1
DOIs
StatePublished - 2009

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Medical Students
medical student
Cohort Studies
Medicine
Students
science
Primary Health Care
medicine
Medical Schools
student
school
College Admission Test
graduate
career
regression
medical association
American Medical Association
Occupations
Medical Records
middle class

ASJC Scopus subject areas

  • Medicine(all)
  • Education

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The influence of regional basic science campuses on medical students' choice of specialty and practice location : A historical cohort study. / Brokaw, James J.; Mandzuk, Christina A.; Wade, Michael E.; Deal, Dennis W.; Johnson, Mary T.; White, Gary; Wilson, Jeffrey S.; Zollinger, Terrell W.

In: BMC Medical Education, Vol. 9, No. 1, 29, 2009.

Research output: Contribution to journalArticle

Brokaw, James J. ; Mandzuk, Christina A. ; Wade, Michael E. ; Deal, Dennis W. ; Johnson, Mary T. ; White, Gary ; Wilson, Jeffrey S. ; Zollinger, Terrell W. / The influence of regional basic science campuses on medical students' choice of specialty and practice location : A historical cohort study. In: BMC Medical Education. 2009 ; Vol. 9, No. 1.
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