Mary L. Budzak, MD Amanda L. Bell, MD Wright State University

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Presentation transcript:

Mary L. Budzak, MD Amanda L. Bell, MD Wright State University Clerkship Sites, Senior Electives and Family Practice Residency Site Choice: Two Decades of Trends Mary L. Budzak, MD Amanda L. Bell, MD Wright State University

Objectives Discuss relationship between Predoctoral and Residency Program Directors Review factors known to influence residency choice Interpret data collected from two medical schools between 1982-1994 and 2002-2006 Analyze success of residency site as a recruiting tool

Rationale Predoctoral directors are routinely approached by local residency directors to help fill their programs

Predoctoral Director Role Enlighten student to specialty of Family Medicine Guide student development of individual criteria for residency choice

Residency Director Role Desire students to serve clerkship, junior internship, and fourth year electives in their programs Believe student exposure integral to recruitment strategy

Residency Choice 1. Location, location, location 3. Faculty 4. Residents 6. Curriculum 12. Significant Other 18. Salary Mayeaux, EJ, Arnold, J. Why First-year Family Practice Residents Choose Their Resdiency Programs. Fam Med 1993; 25:253-6

Does clerkship or junior internship at a residency program influence recruitment to that program?

Project design Retrospective review Clerkship and Junior Internship sites WSU Classes of 2002-2006 Midwest Medical School Classes of 1982-1994

WSU Clerkship Class of 2002 Yellow Springs Family Health Center-9 3 Miami Valley 1 Dayton Community 1 Cleveland 2 Columbus 2 Out of State Indian Ripple FHC-1 1 Out of State Good Samaritan Hospital-1 Private offices-3 East Dayton Family Health Center-2 1 Cincinnati Miami Valley Hospital-2 1 Miami Valley 1 Columbus

WSU Clerkship Class of 2003 Yellow Springs Family Health Center-3 1 Columbus 1 Youngstown 1 Out of State Indian Ripple FHC-1 Good Samaritan Hospital-2 Private offices-4 1 Cincinnati 3 Out of State East Dayton FHC-1 Miami Valley Hospital-4 1 Miami Valley 1 Wilmington, OH

WSU Clerkship Class of 2004 Yellow Springs Family Health Center-3 1 Miami Valley 1 Wilmington, OH 1 Out of State Indian Ripple FHC-2 2 Dayton Community Good Samaritan Hospital-0 Private offices-3 1 Dayton Community 2 Miami Valley East Dayton FHC-1 Miami Valley Hospital-2 2 Out of State

WSU Clerkship Class of 2005 Yellow Springs Family Health Center-5 1 Toledo 4 Out of State Indian Ripple FHC-2 1 Dayton Community 1 Cleveland Good Samaritan Hospital-2 1 Miami Valley Private offices-3 1 Columbus 1 Cincinnati 1 Out of State East Dayton FHC-1 Miami Valley Hospital-3 2 Columbus

WSU Clerkship Class of 2006 Yellow Springs Family Health Center-5 2 Miami Valley 1 Columbus 1 Dayton Community 1 Out of State Indian Ripple FHC-3 2 Dayton Community Good Samaritan Hospital-1 Private offices-2 2 Out of State East Dayton FHC-1 Mt. Carmel-1 1 Mt. Carmel Miami Valley Hospital-1 1 Miami Valley

Midwest Class 1982-1991 A 5 1 B 6 3 C 2 D U 41 4 Total Precepted-55 Choose Family Med-10 Went to that FP Residency-1 A 5 1 B 6 3 C 2 D U 41 4

Midwest Class of 1992 A B 3 C 6 1 D U 4 Total Precepted-13 Choose Family Med-2 Went to that FP Residency-1 A B 3 C 6 1 D U 4

Midwest Class of 1993 A B 6 1 C 1+1 Partial D 0+1 Partial U Total Precepted-8+2 Partial Choose Family Med-2 Went to that FP Residency-1 A B 6 1 C 1+1 Partial D 0+1 Partial U

Midwest Class of 1994 A 2 1 B 8 4 C 3+1 Partial D U Total Precepted-13+1 Partial Choose Family Med-6 Went to that FP Residency-4 A 2 1 B 8 4 C 3+1 Partial D U

WSU Junior Internships Class of 2002 Miami Valley Hospital 10 of 16 matched Family Medicine 3 Miami Valley 1 Dayton Community 2 Columbus 2 Cleveland 2 Out of State Dayton Community 5 of 13 matched Family Medicine 2 Dayton Community 1 Columbus

WSU Junior Internships Class of 2003 Miami Valley Hospital 7 of 12 matched Family Medicine 1 Miami Valley 1 Youngstown 2 Columbus 1 Wilmington, OH 2 Out of State Dayton Community 4 of 11 matched Family Med 1 Columbus 1 Cincinnati Mt. Carmel 0 of 2 matched Family Med

WSU Junior Internships Class of 2004 Miami Valley Hospital 7 of 14 matched Family Med 3 Miami Valley 3 Dayton Community 1 Wilmington, OH Dayton Community 1 of 10 matched Family Med 1 Out of State Mt. Carmel 1 of 1 matched Family Med

WSU Junior Internships Class of 2005 Miami Valley Hospital 6 of 12 matched Family Med 1 Dayton Community 2 Columbus 3 Out of State Dayton Community 5 of 14 matched Family Med 2 Dayton Community 1 Miami Valley 1 Cincinnati 1 Out of State Mt. Carmel 0 of 1 matched Family Med

WSU Junior Internships Class of 2006 Miami Valley Hospital 4 of 11 matched Family Med 2 Miami Valley 1 NEOUCOM 1 Out of State Dayton Community 6 of 10 matched Family Med 3 Dayton Community 3 Out of State Mt. Carmel 0 of 1 matched Family Med

Results WSU Clerkship Residency Faculty Private 2002 22% 62% 16% 2003 46% 27% 2004 36% 28% 2005 44% 38% 18% 2006 43% 14%

Results Midwest Clerkship Residency Private 1992 11% 89% 1993 14% 86% 1994 35% 65%

Results WSU Clerkship Miami Valley Dayton Community Mt. Carmel 2002 50% 2003 25% 2004 100% 2005 2006

Results Midwest Clerkship A B C D U 1982-1991 33% 1992 100% 1993 1994 50%

Results Junior Internship Miami Valley Dayton Community Mt. Carmel 2002 30% 40% 2003 14% 2004 43% 2005 17% 2006 50%

Discussion WSU data supports full-time faculty and residency exposure positive influence for Family Medicine interest Community preceptor influence is less Midwest data from decade earlier shows stronger community preceptor influence

Conclusions WSU clerkship data shows fluctuation for selection of that residency WSU junior internship data shows a less than or equal to 50% selection of that residency Midwest data shows negative correlation to selection of that residency