2017 Georgia medical school graduate survey report.

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey
Two Peachtree Street, N. W., 36th Floor Atlanta, GA 30303
https://gbpw.georgia.gov Twitter: @GaPhysicianWork

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey
Table of Contents
Executive Summary and Key Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Table 1: Number of Responses from each Medical School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Table 2: What is your gender? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Table 3: What is your age? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Table 4: What is your citizenship status? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Table 5: By which race do you identify? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Table 6: Specialty matched to in PGY1 year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Table 7: Specialty distribution declared by graduates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Table 8: When did you make the decision about what specialty to pursue? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Table 9: How important were these factors in determining choice of specialty? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Table 10: Which Georgia graduate medical education programs were among your top three choices? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Table 11: Did you match to a program in-state or out-of-state? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Table 12: Did you match to your first-choice program? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Table 13: How many Georgia programs did you list in your top three? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Table 14: What is your primary reason for leaving Georgia? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Table 15: What is your perception of Georgia GME programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Table 16: What is your perception of the quality of Georgia GME programs in your specialty? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Table 17: What factors influenced your choice of residency program? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Chart 1: Do you plan to practice in an underserved area? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Chart 2: In what type of underserved area do you plan to practice? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Map 1: States where Georgia medical school graduates plan to practice following residency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . .17
1

Georgia Board for Physician Workforce
2017 Georgia Medical School Graduate Survey
Executive Summary and Key Findings
The Georgia Board for Physician Workforce (GBPW) has conducted an annual survey of graduating medical school students from each of Georgia's medical schools since 2008. The purpose of this survey is to inform policy makers, medical school administrators, graduate medical education administrators, and other government and non-government agencies about the medical school pipeline. Also, it serves to give insight on why medical students chose a specialty and residency site and how many intend to ultimately practice in Georgia, when their training is complete. The data in this report is an aggregate of survey responses collected from each of Georgia's five medical schools. The medical schools that contributed to this report are as follows:
Emory University School of Medicine Medical College of Georgia at Augusta University Mercer University School of Medicine Morehouse School of Medicine Philadelphia College of Osteopathic Medicine (PCOM)-Georgia Campus

Table 1: Number of responses from each medical school

Medical School Emory University School of Medicine Medical College of Georgia @Augusta University

Number of Medical School Graduates
131 211

Mercer University School of Medicine

108

Morehouse School of Medicine

57

Philadelphia College of Osteopathic Medicine (GA Campus)

114

TOTAL

621

Number of Graduates that Completed the Survey
111 199 95 56 95 556

Percentage of Graduates in Survey
84.7% 94.3% 88.0% 98.2% 83.3% 89.5%

2

Georgia Board for Physician Workforce
2017 Georgia Medical School Graduate Survey
Key Findings from the 2017 Survey:
Demographic: 51.5% of respondents are female and 48.5% are male. 81.2% of respondents are between the ages of 25-29 and 12.2% are ages 30-33. 95.8% of respondents are U.S. citizens and 0.4% are not. 58.8% of respondents are white, 21.0% are Asian, 13.0% are black and 3.8% are other.
Geography: 79.0% intend to practice in Georgia. 11.1% intend to practice in states contiguous to Georgia (AL, FL, NC, SC, and TN). 35.0% intend to practice in a rural community. 65.0% intend to practice in the inner city.
Specialty: The greatest declared PGY-1 specialty was internal medicine with 15.5%. 60.5% declared a primary care/core specialty (family medicine, internal medicine, pediatrics, and OB/GYN). 74.4 % matched to a primary care/core specialty in their PGY-1 year. `Lifestyle', `Mentor/Role Model influence', `Options for Fellowship Training', and `Future Earnings' continue to have the greatest influence when respondents choose their specialty.8% Mercer (21.2%) and Emory (17.8%).
Practice Plans: MCG had the highest percent of respondents say they intend to practice in Georgia after they complete residency training (31.6%). PCOM had the lowest, with (14.5%). MCG had the highest percent of respondents say they intend to practice in Georgia and in an inner city (26.6%). PCOM had the lowest at (5.8%). MCG had the highest percent of respondents say they intend to practice in a rural community (36.0%). Emory had the lowest at (2.0%).
Georgia Residency Programs 44.4% of respondents ranked a Georgia GME program among their top three choices before the Match. Top 3 choices for Georgia GME programs o Emory at 36.1% o MCG at 17.0% o WellStar at 9.0% 25.5% of respondents indicated they matched to a Georgia graduate medical education (GME) program.
25.6% preferred a highly reputable program out- of state
3

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey

All Specialties Table 2: What is your gender?
Medical School
Emory University School of Medicine Medical College of Georgia @Augusta University Mercer University School of Medicine Morehouse School of Medicine Philadelphia College of Osteopathic Medicine (GA Campus)

Female

Number Percent

68

61.8%

89

45.9%

39

42.9%

39

69.6%

46

48.4%

Male

Number Percent

42

38.2%

105

54.1%

52

57.1%

17

30.4%

49

51.6%

Totals

Number Percent

110

100.0%

194

100.0%

91

100.0%

56

100.0%

95

100.0%

Table 3: What is your age?

Age

Number

24 and Under

8

25 - 29

427

30 - 33

64

34 - 39

15

40 and Above

12

Total

526

Percent
1.5% 81.2% 12.2% 2.9% 2.3% 100.0%

4

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey

Table 4: What is your citizenship status?
Medical School
Emory University School of Medicine Medical College of Georgia @Augusta University Mercer University School of Medicine Morehouse School of Medicine Philadelphia College of Osteopathic Medicine (GA Campus)

U. S. Citizen Number Percent

107

96.4%

190

95.5%

88

92.6%

55

98.2%

93

97.9%

Other Number Percent

4

3.6%

9

4.5%

7

7.4%

1

1.8%

2

2.1%

Table 5: What is your race/ethnicity?

5

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey

Specialties

Primary Care/Core

Table 6: Specialty matched to in PGY 1 Year. Specialty
Family Medicine Internal Medicine OB/GYN Pediatrics Emergency Medicine General Surgery
Primary Care/Core
Anesthesiology ENT Gastroenterology Neurology Ophthalmology Orthopedic Otolaryngology Pathology

Number
58 150 34 60 44 47 393 13
1 1 19 3 18 8 5

Percent 11.0% 28.4% 6.4% 11.4% 8.3% 8.9% 74.4% 2.5% 0.2% 0.2% 3.6% 0.6% 3.4% 1.5% 0.9%

6

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey

Specialties

Table 6: Specialty matched to in PGY 1 Year, cont. Specialty
Physical Medicine and Rehabilitation Plastic Surgery Psychiatry Radiology Urology Transitional Year Preliminary Medicine
Specialties Total Total All

Number
3 3 21 3 4 27 6
135 528

Percent 0.6% 0.6% 4.0% 0.6% 0.8% 5.1% 1.1% 25.6%
100.0%

7

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey

Specialties

Primary Care / Core

Table 7: Specialty distribution declared by graduates.
Specialty
Family Medicine Internal Medicine OB/GYN Pediatrics Emergency Medicine General Surgery Primary Care/Core Total Anesthesiology Cardiology Critical Care Dermatology ENT Geriatrics Hematology Hospital Medicine Nephrology Neurology Oncology

Number
55 80 41 65 47 24 312 20 23 4 7 1 2 3 7 1 21 3

Percent

10.7%

15.5%

7.9%

12.6%

9.1%

4.7%

60.5%

3.9%

4.5%

0.8%

1.4%

0.2%

0.4%

0.6%

1.4%

0.2%

4.1%

0.6%

8

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey
Table 7: Specialty distribution declared by graduates, cont.
9

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey

Table 8: When did you make the decision about what specialty to pursue?

Time Frame

Number

1ST Year

44

2nd Year

22

3rd Year

306

4th Year

61

During/after college

49

Not certain

20

Prior to entering college

40

TOTAL

542

Percent
8.1% 4.1% 56.5% 11.3% 9.0% 3.7% 7.4% 100.0%

Most Medical School Graduates determined what specialty to
pursue in their 3rd year of Medical School.

Table 9: How important were these factors in determining choice of specialty?

10

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey

Table 10: Which Georgia GME programs were among your top three choices? GA GME Programs Emory University School of Medicine Medical College of Georgia at Augusta University Wellstar - Kennestone Regional Medical Center Memorial Health University Medical Center Wellstar - Atlanta Medical Center Morehouse School of Medicine Navicent Health (formerly Medical Center of Central Georgia) Gwinnett Medical Center AU/UGA Medical Partnership - St. Mary's HCS Floyd Medical Center Piedmont - Athens Regional Medical Center Coliseum Medical Center Midtown Medical Center, Columbus Regional Health Colquitt Regional Medical Center Phoebe Putney Memorial Hospital Redmond Regional Medical Center Totals
Note: *Represents multiple choices.

Number 121 57 30 20 19 18 18 16 12 5 4 4 4 3 2 2 335*

Percent 36.1% 17.0% 9.0% 6.0% 5.7% 5.4% 5.4% 4.8% 3.6% 1.5% 1.2% 1.2% 1.2% 0.9% 0.6% 0.6% 100.0%
11

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey
Table 11: Did you match to a program in-state or out-of-state?
Table 12: Did you match to your first choice program?
Table 13: How many Georgia programs did you list in your top three?
12

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey

Table 14: What is your primary reason for leaving Georgia?
Reason for Leaving Georgia
Preferred a highly reputable program out-of-state in specialty area Desire to stay in Georgia, but did not match to a Georgia program Family Reasons Military obligation Quality of Georgia residency programs Specialty not offered in Georgia Lack of osteopathic residencies Higher resident salary Best fit Just wanted something different Scramble Significant other Wanted a new experience Not Applicable Total

Number
131 58 52 43 25 20 18 3 1 1 1 1 1 157 512

Percent
25.6% 11.3% 10.2% 8.4% 4.9% 3.9% 3.5% 0.6% 0.2% 0.2% 0.2% 0.2% 0.2% 30.7% 100.0%

Table 15: What is your perception of Georgia GME programs in your specialty?

Perception of Georgia GME Programs in Specialty

Number

Percent

Very Positive

312

64.3%

Neutral

166

34.2%

Very Negative

7

1.4%

13

Total

485

100.0%

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey
Table 16: What is your perception of the quality of Georgia's GME programs in your specialty area?
Table 17: To what degree do the factors influenced choice of residency program?
Location of the residency program was the greatest influence, 88.5% indicated that location has a moderate to strong influence. Reputation of the residency program also had a great influence, 87.9% indicated that reputation has a moderate to strong influence. Resident Salary has the least influence in selection of a residency program, 69.3% said salary has little to no influence on their program selection.
14

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey

Do you plan to practice in an underserved area? Chart 1

In what type of underserved area do you plan to practice? Chart 2

15

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey
Map 1: States where Georgia Medical School Graduates plan to practice following residency*
*Does not include those with military obligations, those who are undecided, or those who indicated plans to practice outside the U.S. 16

Georgia Board for Physician Workforce 2017 Georgia Medical School Graduate Survey
Acknowledgements This report was produced under the direction of LaSharn Hughes, MBA, Executive Director; Andrea Pass, MBA, Data Analyst; G.E. Alan Dever, MD PhD, Consultant; Tommy Kelly, Systems Administrator; Jocelyn Hart, Administrative Assistant III; and Janice Campbell, Administrative Assistant. Thank you to the Georgia Board for Physician Workforce Board Members for their leadership and support. Board Members: Antonio Rios, M.D., - Chairperson Thomas L. Hatchett, Jr. M.D. Vice Chairperson William R. "Will" Kemp, - Secretary Treasurer W. Scott Bohlke, M.D. Jacinto Del Mazo, M.D. Steven Gautney Mark Hanly, M.D. Indran Indrakrishnan, M.D. David B. Kay, M.D. Phyllis Kozarky, M.D. George M. McCluskey, III, M.D. Terri McFadden-Garden, M.D.
The 2017 Georgia Medical School Graduate Survey report can be viewed and downloaded on the internet at gbpw.georgia.gov.
The Georgia Board for Physician Workforce welcomes comments and suggestions for future editions of this report. Please send comments to gbpw@dch.ga.gov.
17