TY - JOUR
T1 - Characteristics of medical students interested in emergency medicine with intention to practice in underserved areas
AU - Abreu, Carina
AU - Jawiche, John
AU - Nguyen, Mytien
AU - Chang, Andrew K.
AU - Ata, Ashar
AU - Reid, Symone
AU - Mason, Hyacinth R.C.
AU - Rebagliati, Daniel
AU - Myers, Joy M.
AU - Pinto, Dorcas
AU - B Jeffe, Donna
AU - Boatright, Dowin
N1 - Publisher Copyright:
© 2021 by the Society for Academic Emergency Medicine
PY - 2021/9
Y1 - 2021/9
N2 - Objectives: Emergency departments serve a wide variety of racial, ethnic, socioeconomic, and gender backgrounds. It is currently unknown what characteristics of students who express interest in emergency medicine (EM) are associated with a simultaneous desire to work in medically underserved areas. We hypothesize that those who are underrepresented in medicine, are female, learn another language, and have more student debt will be more likely to practice in a medically underserved area. Methods: Data from the National Board of Medical Examiners, Association of American Medical Colleges (AAMC) Student Record System, and the AAMC Graduation Questionnaire were collected on a national cohort of 92,013 U.S. medical students who matriculated from 2007 through 2012. Extracted variables included planned practice area, intention to practice in underserved areas, race/ethnicity, sex, medical school experiences, age at matriculation, debt at graduation, and first-attempt USMLE Step 1 score. Results: EM-intending students who identified as female, non-Hispanic Black/African American, or Latinx/Hispanic; had a larger debt at graduation; had experiences with health education in the community; had global health experience; and had learned more than one language were more likely to report an intention to practice in underserved areas. Conclusion: With the increasing importance of physician diversity to match those of the community being served, this study identifies factors associated with a desire of EM students to work in underserved areas. Medical schools and EM residencies may wish to consider these factors in their admissions process.
AB - Objectives: Emergency departments serve a wide variety of racial, ethnic, socioeconomic, and gender backgrounds. It is currently unknown what characteristics of students who express interest in emergency medicine (EM) are associated with a simultaneous desire to work in medically underserved areas. We hypothesize that those who are underrepresented in medicine, are female, learn another language, and have more student debt will be more likely to practice in a medically underserved area. Methods: Data from the National Board of Medical Examiners, Association of American Medical Colleges (AAMC) Student Record System, and the AAMC Graduation Questionnaire were collected on a national cohort of 92,013 U.S. medical students who matriculated from 2007 through 2012. Extracted variables included planned practice area, intention to practice in underserved areas, race/ethnicity, sex, medical school experiences, age at matriculation, debt at graduation, and first-attempt USMLE Step 1 score. Results: EM-intending students who identified as female, non-Hispanic Black/African American, or Latinx/Hispanic; had a larger debt at graduation; had experiences with health education in the community; had global health experience; and had learned more than one language were more likely to report an intention to practice in underserved areas. Conclusion: With the increasing importance of physician diversity to match those of the community being served, this study identifies factors associated with a desire of EM students to work in underserved areas. Medical schools and EM residencies may wish to consider these factors in their admissions process.
KW - EM
KW - intent to practice in underserved areas
KW - medical students
UR - http://www.scopus.com/inward/record.url?scp=85116040808&partnerID=8YFLogxK
U2 - 10.1002/aet2.10672
DO - 10.1002/aet2.10672
M3 - Article
C2 - 34616975
AN - SCOPUS:85116040808
SN - 2472-5390
VL - 5
SP - S65-S72
JO - AEM Education and Training
JF - AEM Education and Training
IS - S1
ER -