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Specialty Choice and Practice Location of Physician Alumni of University of California Premedical Postbaccalaureate Programs.
MedLine Citation:
PMID:  22104050     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: To investigate the longer-term career outcomes, such as specialty choice and practice location, of underrepresented minority and disadvantaged students who finished a University of California postbaccalaureate (UCPB) premedical program. METHOD: The authors compared 303 UCPB alumni from 1986 to 2002 who matriculated into medical school and could be matched to the 2008 American Medical Association Physician Masterfile with 586 randomly selected control physicians who graduated from the same medical schools in the same years as the UCPB alumni. Outcome variables included specialty, practice in a Health Professional Shortage Area (HPSA) or Medically Underserved Area (MUA), and practice in a California community with high concentrations of African American, Latino, or low-income residents. RESULTS: A greater percentage of UCPB alumni (161/303 [53.1%]) than control physicians (235/586 [40.1%]) were in primary care (P < .001). Although there were no differences between the two groups in the percentages of physicians working in HPSAs or MUAs, a greater percentage of UCPB alumni than control physicians working in California practiced in high-poverty communities (31/191 [16.2%] versus 22/252 [8.7%], P < .016), high-Latino communities (35/191 [18.3%] versus 22/252 [8.7%], P <. 01), and high-African American communities (57/191 [29.8%] versus 50/252 [19.8%], P <. 02). CONCLUSIONS: UCPB programs have enhanced the number of physicians entering primary care and working in disadvantaged California communities. However, many UCPB alumni practice in disadvantaged communities in California that are not federally designated as HPSAs or MUAs.
Authors:
Kate Lupton; Chris Vercammen-Grandjean; James Forkin; Elisabeth Wilson; Kevin Grumbach
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-18
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  -     ISSN:  1938-808X     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Dr. Lupton is assistant professor, Department of Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts. Mr. Vercammen-Grandjean is a fourth-year medical student, University of California, San Francisco, School of Medicine, San Francisco, California. Mr. Forkin is former director, University of California Postbaccalaureate Consortium, University of California, Davis, School of Medicine, Sacramento, California. Dr. Wilson is associate professor, Department of Family and Community Medicine, University of California, San Francisco, School of Medicine, San Francisco, California. Dr. Grumbach is professor and chair, Department of Family and Community Medicine, University of California, San Francisco, School of Medicine, San Francisco, California.
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