Do Rural Longitudinal Integrated Clerkships Impact Choice of Residency Type and/or Permanent Community Practice in Surgery?

Bennett J. Maki

University of Minnesota Medical School

Karen C. Riley

University of Minnesota Medical School

Raymond Christensen

Medical School Duluth Campus, University of Minnesota

Kirby Clark

Department of Family Medicine and Community Health, University of Minnesota

Paula M. Termuhlen

Medical School Duluth Campus, University of Minnesota

DOI: https://doi.org/10.24926/jrmc.v4i3.3621

Keywords: Rural Surgery, General Surgery, Residency Program, Medical Student, Longitudinal Integrated Clerkship


Abstract

Purpose: Rural general surgery experiences during medical school appear to have influenced the decision of prospective general surgery applicants to pursue residency programs that provide rural surgery opportunities. This is an analysis of a single cohort, rural-focused, longitudinal integrated clerkship to determine if there is an association between type of residency program and completion of a rural-focused longitudinal integrated clerkship.

Methods: An institutional database of de-identified, self-reported data was reviewed to identify rural-focused longitudinal integrated clerkship alumni who matched into a surgical residency program.

 Findings: Of the seventy-five alumni who chose a surgical residency program, 40 (53.3%) matched into a university-affiliated residency program, and 32 (42.6%) matched into an independent-academic program. There was no association between type of residency program and completion of a rural-focused longitudinal integrated clerkship.

Conclusions: A rural-focused longitudinal integrated clerkship can help increase the rural physician workforce within both the state and region of the sponsoring institution. To facilitate heightened interest in rural general surgery, these types of programs should continue to be promoted.

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