{"title":"使用倾向分数匹配队列来评估完成服务不足途径的医学生的职业结果。","authors":"Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, Ayan Mohamed, Mansi Shah, Amanda Kost, Lynn Oliver, Sharon Dobie, Samira Farah","doi":"10.22454/FamMed.2025.305728","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objectives: </strong>The purpose of this study is to compare the career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine (UWSOM) to a matched cohort of their peers who did not complete the UP. Were participants more likely to practice in rural communities and/or primary care specialties than their peers who did not complete the UP?</p><p><strong>Methods: </strong>Starting with a list of 243 UP students enrolled between 2004 and 2012, we used propensity-score matching to build a matched cohort of non-UP graduates and then used multiple regression to compare the groups, with a focus on career outcomes.</p><p><strong>Results: </strong>A total of 384 UWSOM graduates were included in the analysis: 191 UP graduates and 193 non-UP graduates. Overall, UP graduates had three times the odds of practicing family medicine in a rural community than their non-UP peers and three and a half times the odds of practicing rural primary care.</p><p><strong>Conclusions: </strong>Longitudinal cocurricular programs that encourage students to explore and gain experience in underserved communities may help address physician workforce shortages in rural areas.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Using Propensity-Score Matched Cohorts to Evaluate Career Outcomes for Medical Students Completing the Underserved Pathway.\",\"authors\":\"Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, Ayan Mohamed, Mansi Shah, Amanda Kost, Lynn Oliver, Sharon Dobie, Samira Farah\",\"doi\":\"10.22454/FamMed.2025.305728\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objectives: </strong>The purpose of this study is to compare the career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine (UWSOM) to a matched cohort of their peers who did not complete the UP. Were participants more likely to practice in rural communities and/or primary care specialties than their peers who did not complete the UP?</p><p><strong>Methods: </strong>Starting with a list of 243 UP students enrolled between 2004 and 2012, we used propensity-score matching to build a matched cohort of non-UP graduates and then used multiple regression to compare the groups, with a focus on career outcomes.</p><p><strong>Results: </strong>A total of 384 UWSOM graduates were included in the analysis: 191 UP graduates and 193 non-UP graduates. Overall, UP graduates had three times the odds of practicing family medicine in a rural community than their non-UP peers and three and a half times the odds of practicing rural primary care.</p><p><strong>Conclusions: </strong>Longitudinal cocurricular programs that encourage students to explore and gain experience in underserved communities may help address physician workforce shortages in rural areas.</p>\",\"PeriodicalId\":50456,\"journal\":{\"name\":\"Family Medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-09-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Family Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.22454/FamMed.2025.305728\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Family Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.22454/FamMed.2025.305728","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Using Propensity-Score Matched Cohorts to Evaluate Career Outcomes for Medical Students Completing the Underserved Pathway.
Background and objectives: The purpose of this study is to compare the career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine (UWSOM) to a matched cohort of their peers who did not complete the UP. Were participants more likely to practice in rural communities and/or primary care specialties than their peers who did not complete the UP?
Methods: Starting with a list of 243 UP students enrolled between 2004 and 2012, we used propensity-score matching to build a matched cohort of non-UP graduates and then used multiple regression to compare the groups, with a focus on career outcomes.
Results: A total of 384 UWSOM graduates were included in the analysis: 191 UP graduates and 193 non-UP graduates. Overall, UP graduates had three times the odds of practicing family medicine in a rural community than their non-UP peers and three and a half times the odds of practicing rural primary care.
Conclusions: Longitudinal cocurricular programs that encourage students to explore and gain experience in underserved communities may help address physician workforce shortages in rural areas.
期刊介绍：
Family Medicine, the official journal of the Society of Teachers of Family Medicine, publishes original research, systematic reviews, narrative essays, and policy analyses relevant to the discipline of family medicine, particularly focusing on primary care medical education, health workforce policy, and health services research. Journal content is not limited to educational research from family medicine educators; and we welcome innovative, high-quality contributions from authors in a variety of specialties and academic fields.
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