PMID- 37286995
OWN - NLM
STAT- MEDLINE
DCOM- 20230609
LR  - 20230610
IS  - 1472-6920 (Electronic)
IS  - 1472-6920 (Linking)
VI  - 23
IP  - 1
DP  - 2023 Jun 8
TI  - Medical student intentions to practice internal medicine in underserved areas 
      associated with debt, identity and extracurricular participation.
PG  - 420
LID - 10.1186/s12909-023-04392-0 [doi]
LID - 420
AB  - BACKGROUND: Currently, Internal Medicine (IM) physicians do not reflect the 
      ethno-racial diversity of the US population. Moreover, there is a shortage of IM 
      physicians in Medically Underserved Areas (MUAs) in the US. The purpose of this 
      study was to determine factors that influence medical students' intent to 
      practice IM in MUAs. We hypothesized students with intentions to pursue a career 
      in IM and work in MUAs were more likely than their peers to identify as 
      underrepresented in medicine (URiM), report greater student debt loads, and 
      report medical school experiences in cultural competencies. METHODS: We analyzed 
      de-identified data of 67,050 graduating allopathic medical students who completed 
      the Association of American Medical Colleges' (AAMC) Medical School annual 
      Graduation Questionnaire (GQ) between 2012-2017 by multivariate logistic 
      regression models, examining intent to practice IM in MUAs based on respondent 
      characteristics. RESULTS: Of 8,363 students indicating an intent to pursue IM, 
      1,969 (23.54%) students also expressed an intent to practice in MUAs. Students 
      awarded scholarships, (aOR: 1.23, [1.03-1.46]), with debt greater than $300,000 
      (aOR: 1.54, [1.21-1.95], and self-identified non-Hispanic Black/African American 
      (aOR: 3.79 [2.95-4.87]) or Hispanic (aOR: 2.53, [2.05-3.11]) students were more 
      likely than non-Hispanic White students to indicate intent to practice in MUAs. 
      This pattern also existed for students who participated in a community-based 
      research project (aOR: 1.55, [1.19-2.01]), had experiences related to health 
      disparities (aOR: 2.13, [1.44-3.15]), or had experiences related to global health 
      (aOR: 1.75, [1.34-2.28]). CONCLUSIONS: We identified experiences and 
      characteristics that associate with intention to practice IM in MUAs, which can 
      aid future curricular redesign by medical schools to expand and deepen 
      comprehension of health disparities, access to community-based research, and 
      global health experiences. Loan forgiveness programs and other initiatives to 
      increase recruitment and retention of future physicians should also be developed.
CI  - (c) 2023. The Author(s).
FAU - Lapidus, Aaron
AU  - Lapidus A
AD  - Department of Medical Education and Community Outreach, Albany Medical College, 
      Albany, NY, USA.
FAU - Shah, Sapan
AU  - Shah S
AD  - Department of Medical Education and Community Outreach, Albany Medical College, 
      Albany, NY, USA.
FAU - Mekonnen, Meheret
AU  - Mekonnen M
AD  - Department of Medical Education and Community Outreach, Albany Medical College, 
      Albany, NY, USA.
FAU - Araj, Joseph
AU  - Araj J
AD  - Department of Medical Education and Community Outreach, Albany Medical College, 
      Albany, NY, USA.
FAU - Nguyen, Mytien
AU  - Nguyen M
AD  - MD-PhD Program, Yale School of Medicine, New Haven, CT, USA.
FAU - Mason, Hyacinth
AU  - Mason H
AD  - Tufts University School of Medicine, Boston, MA, USA.
FAU - Eggan, Branden
AU  - Eggan B
AD  - Department of Nursing, Siena College, Loudonville, NY, USA.
FAU - Genao, Inginia
AU  - Genao I
AUID- ORCID: 0000-0002-4245-7717
AD  - Office of Diversity, Equity and Belonging, Penn State College of Medicine, 700 
      HMC Crescent Road, Hershey, PA, 17033, USA. igenao@pennstatehealth.psu.edu.
LA  - eng
GR  - T32GM136651/Association of American Medical Colleges Northeast Group on 
      Educational Affairs/
GR  - F30AI157227/National Institutes of Health-National Institute of General Medical 
      Sciences/
PT  - Journal Article
DEP - 20230608
PL  - England
TA  - BMC Med Educ
JT  - BMC medical education
JID - 101088679
SB  - IM
MH  - Humans
MH  - *Intention
MH  - *Students, Medical
MH  - Medically Underserved Area
MH  - Career Choice
MH  - Ethnicity
MH  - Surveys and Questionnaires
PMC - PMC10249229
OTO - NOTNLM
OT  - Career
OT  - Debt
OT  - Extracurriculars
OT  - Identity
OT  - Underserved
COIS- The authors declare that they have no competing interests.
EDAT- 2023/06/08 01:08
MHDA- 2023/06/09 06:42
PMCR- 2023/06/08
CRDT- 2023/06/07 23:41
PHST- 2022/09/25 00:00 [received]
PHST- 2023/05/23 00:00 [accepted]
PHST- 2023/06/09 06:42 [medline]
PHST- 2023/06/08 01:08 [pubmed]
PHST- 2023/06/07 23:41 [entrez]
PHST- 2023/06/08 00:00 [pmc-release]
AID - 10.1186/s12909-023-04392-0 [pii]
AID - 4392 [pii]
AID - 10.1186/s12909-023-04392-0 [doi]
PST - epublish
SO  - BMC Med Educ. 2023 Jun 8;23(1):420. doi: 10.1186/s12909-023-04392-0.