2021 Georgia Medical School Graduate Survey Report Georgia Board of Health Care Workforce State of Georgia Published Summer 2021 1 Executive Summary ................................................................................................................................................................................... 4 Table 1: Number of Responses by Medical School ....................................................................................................................................................................... 4 Methodology .............................................................................................................................................................................................. 5 Key Findings from the 2021 Survey ........................................................................................................................................................... 5 Demographics ............................................................................................................................................................................................................................. 5 Intended Practice Location After Residency................................................................................................................................................................................. 6 Specialty ..................................................................................................................................................................................................................................... 6 Choice of and Match to Georgia Residency Programs.................................................................................................................................................................. 6 Table 2: Gender Distribution by Medical School .......................................................................................................................................................................... 7 Table 3: Average Age by Medical School...................................................................................................................................................................................... 8 Figure 1: Aggregated Age Distribution ......................................................................................................................................................................................... 9 Table 4: Citizenship Status......................................................................................................................................................................................................... 10 Table 5: Race/Ethnicity by Medical School................................................................................................................................................................................. 11 Table 6: Hispanic Ethnicity by Medical School............................................................................................................................................................................ 12 Table 7: Specialty Matched to in Post Graduate Year 1 .............................................................................................................................................................. 13 Table 8: Intended Career Specialty ............................................................................................................................................................................................ 13 Figure 2: Year Specialty Decision Made ..................................................................................................................................................................................... 14 Table 9: Factors Important in Determining Specialty ................................................................................................................................................................. 15 Figure 3: Strength of Factors' Influence Upon Choice of Specialty.............................................................................................................................................. 16 Other Factors Important in Determining Specialty..................................................................................................................................................................... 17 Table 10: Successfully Matched to GME Program ...................................................................................................................................................................... 18 Table 11: In-State (Georgia) or Out-of-State Match ................................................................................................................................................................... 19 Figure 4: Percentage of Total In-State Matches by Medical School ............................................................................................................................................ 20 Figure 5: Matched to GME Program & Match to First-Choice Program ...................................................................................................................................... 21 Table 12: Any Georgia GME Programs in Top Three Choices ...................................................................................................................................................... 22 Table 13: Number of Georgia GME Programs in Top Three Choices by Medical School .............................................................................................................. 23 2 Table 14: Georgia GME Programs in Top Three Choices............................................................................................................................................................. 25 Figure 7: Primary Reason for Leaving Georgia............................................................................................................................................................................ 26 Other Factors Important to Leaving Georgia for Residency ........................................................................................................................................................ 27 Table 15: Overall Perception of Georgia's Residency Training Programs in Respondent's Specialty............................................................................................ 28 Figure 8: Overall Perception of Georgia's Residency Training Programs in Respondent's Specialty ............................................................................................ 29 Table 16: Perception of Quality of Georgia's Residency Training Programs in Respondent's Specialty........................................................................................ 30 Figure 9: Perception of Quality of Georgia's Residency Training Programs in Respondent's Specialty ........................................................................................ 31 Table 17: Factors Important in Choosing Residency Program..................................................................................................................................................... 32 Figure 10: Strength of Factors' Influence Upon Choice of Residency Program............................................................................................................................ 33 Table 18: Other Factors Cited as Important in Choosing a Georgia Residency Program .............................................................................................................. 34 Figure 11: Plan to Practice in Underserved Area & Type of Underserved Area ........................................................................................................................... 35 Table 19: Intent to Practice in an Underserved Area and Type of Underserved Area by Medical School..................................................................................... 36 Map: Other States Where Georgia Medical School Graduates Plan to Practice Following Residency.......................................................................................... 37 Acknowledgements.................................................................................................................................................................................. 38 3 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Executive Summary The Georgia Board of Health Care Workforce (GBHCW) has conducted an annual survey of graduating medical 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 are aggregated from responses collected from each of Georgia's five medical schools. The medical schools that contributed to this year's report are as follows Table 1: Number of Responses by Medical School Medical School Total Survey Completion Graduates Completions Rate Emory University School of Medicine 128 113 88.3% Medical College of Georgia at Augusta University 232 168 72.4% Mercer University School of Medicine 130 94 72.3% Morehouse School of Medicine 80 67 83.8% Philadelphia College of Osteopathic Medicine-Georgia 129 61 47.3% Total 699 503 72.0% This year's MSG survey had slightly more responses than in 2020. In 2020, the MSG survey had 488 completions, or 69.4% of medical school graduates. 4 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Methodology Each year in April, the Georgia Board of Health Care Workforce (GBHCW) data team creates a Survey Monkey form of the Medical School Graduate survey and sends the link to four of the five medical schools' program directors via email. Medical College of Georgia at Augusta University collects and compiles their responses in their own manner. The GBHCW data team then sends periodic reminders and status update emails to each school until the completion deadline of May 31st. At this point, Medical College of Georgia at Augusta University sends their compiled dataset to GBHCW and the data team downloads the complete Survey Monkey responses online. Analyses presented here were conducted using Microsoft Excel. Key Findings from the 2021 Survey Demographics This year, more people identifying as female than male completed the MSG survey; 53.0% of survey completers are female. The medical school with the highest percentage of female respondents is Morehouse (69.8%), while the school with the lowest percentage of female respondents is PCOM-Georgia (44.3%). The average age of all respondents is 27.4 years old. The youngest respondent is 24 years old, while the oldest respondent is 43. PCOM-Georgia has the oldest average age of respondents at 28.5 years old, compared to MCG whose average age of respondents is 26.4 years old. A comparable percentage of respondents this year identified as native born or naturalized U.S. citizens (98.2% of respondents last year versus 98.2% this year). Five respondents identified as permanent residents and four have an "other" citizenship status. In 2021, 57.4% of respondents identify as white. This is slightly higher than that percentage last year (57.2% year). Overall, 42.6% of respondents identified as a non-white race/ethnicity (14.7% Black/African American; 20.7% Asian/Pacific Islander; 4.4% multi-race; and 2.89% "other"). Morehouse School of Medicine has the highest percentage of respondents identifying as non-white (88.1%) while the school with the lowest percentage of non-white respondents is Mercer University (26.9%). Overall, 7.4% of respondents identify as Hispanic. Morehouse has the highest percentage of respondents (9.0%) who identify as Hispanic, while Mercer has the lowest percentage of respondents (5.4%) who identify as Hispanic. 5 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Intended Practice Location After Residency 60.0% of respondents (277) intend to locate their practice in an underserved area. The school with the highest rate of respondents planning to locate in an underserved area is Morehouse (83.6%); the school with the lowest percentage is MCG (51.2%) Of those who plan to locate their practice in an underserved area, 61.0% (169) plan to practice in an inner-city community. The remaining 39.0% of respondents (108) plan to locate in a rural community. 44.2% of respondents (222) answered that Georgia is the likely state for their practice after residency. Of those, 46.8% (104) listed Atlanta as the likely city. Specialty 57.2% of respondents (265) will enter a primary care/core specialty. Mercer University's respondents were most likely to say they would enter a primary care/core specialty for their PGY-1 year (86.7%), while Medical College of Georgia respondents were least likely (62.8%). Of the 473 respondents who answered questions on both PGY-1 specialty choice and ultimate practice specialty, 72.5% plan to ultimately practice in a primary care/core specialty. More than half of respondents (55.0%) made the decision about what specialty to pursue during their third year of medical school. Choice of and Match to Georgia Residency Programs 51.8% of respondents listed a Georgia residency program among their top three choices during the Match. This is a slightly lower percentage than last year (54.3%). Respondents from Morehouse School of Medicine are those most likely to have a Georgia GME program among their top three choices during the Match (61.9%). Respondents from MCG are the least likely to have a Georgia GME program in their top three choices (49.1%). 25.2% of respondents who responded that they had a Georgia GME program among their top three choices in the Match listed two or three Georgia GME programs. This is slightly higher than that figure last year, when 22.2% of respondents ranked more than one Georgia GME program in their top three choices. The top four Georgia GME programs ranked by survey respondents are Emory (115 respondents); Medical College of Georgia (47); WellStar Kennestone (34); and Memorial Health University Medical Center (25). 6 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 2: Gender Distribution by Medical School Medical School Emory University School of Medicine Female Male Total Number Percent Number Percent Number Percent 62 54.9% 51 45.1% 113 100.0% Medical College of Georgia at Augusta University 81 48.2% 87 51.8% 168 100.0% Mercer University School of Medicine 56 60.2% 37 39.8% 93 100.0% Morehouse School of Medicine 40 59.7% 27 40.3% 67 100.0% Philadelphia College of Osteopathic Medicine-Georgia 27 44.3% 34 55.7% 61 100.0% Total 266 53.0% 236 47.0% 502 100.0% 7 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 3: Average Age by Medical School Medical School 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-Georgia Total Respondents Total (Percentage) Age Grouping 24-29 97 155 79 53 38 422 85.4% 30-34 16 8 9 13 22 68 13.8% 35-39 0 1 1 0 1 3 0.6% 40 0 0 1 0 0 1 0.2% Average Age 27.5 26.4 27.6 28.0 28.5 27.4 100.0% Note: 9 respondents did not answer the age question. Averages and total percentages are calculated from the total valid responses (494). 8 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 1: Aggregated Age Distribution Aggregated Age Distribution 140 120 100 80 60 40 20 0 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 Age of Respondents 9 Frequency Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 4: Citizenship Status Citizenship Status Citizen (Naturalized or Native-Born) Permanent Resident Other Total Number 493 5 4 502 Percent 98.2% 0.1% 0.8% 100.0% Note: 1 respondent did not answer this question. Percentages are calculated from the total valid responses (502). 10 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 5: Race/Ethnicity by Medical School Medical School White Asian Black Multi-Race Other Total Number Percent Number Percent Number Percent Number Percent Number Percent Number Percent Emory University School of Medicine Medical College of Georgia at Augusta University Mercer University School of Medicine 80 70.8% 20 17.7% 7 6.2% 5 4.4% 1 0.9% 113 100.0% 103 61.3% 36 21.4% 16 9.5% 7 4.2% 6 3.6% 168 100.0% 68 73.1% 13 14.0% 6 6.5% 4 4.3% 2 2.2% 93 100.0% Morehouse School of Medicine 8 11.9% 16 23.9% 40 59.7% 0 0.0% 3 4.5% 67 100.0% Philadelphia College of Osteopathic Medicine-Georgia 29 47.5% 19 31.2% 5 8.2% 6 9.8% 2 3.3% 61 100.0% Total 288 57.4% 104 20.7% 74 14.7% 22 4.4% 14 2.8% 502 100.0% Note: 1 respondent did not answer this question. Percentages are calculated from the total valid responses (502). 11 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 6: Hispanic Ethnicity by Medical School Medical School Emory University School of Medicine Yes No Total Number Percent Number Percent Number Percent 7 6.3% 105 93.8% 112 100.0% Medical College of Georgia at Augusta University 14 8.4% 153 91.6% 167 100.0% Mercer University School of Medicine 5 5.4% 88 94.6% 93 100.0% Morehouse School of Medicine 6 9.0% 61 91.0% 67 100.0% Philadelphia College of Osteopathic Medicine-Georgia 5 8.2% 56 91.8% 61 100.0% Total 37 7.4% 463 92.6% 500 100.0% Note: 3 respondents did not answer this question. Percentages are calculated from the total valid responses (500). 12 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 7: Specialty Matched to in Post Graduate Year 1 Table 8: Intended Career Specialty PGY-1 Specialty Frequency % of Total Respondents Internal Medicine 108 Family Medicine 46 Pediatrics 44 Emergency Medicine 39 General Surgery 39 OB/GYN 39 Psychiatry 28 Primary Care/Core Total 343 Transitional Year 27 Anesthesiology 17 Orthopaedic Surgery 15 Internal Medicine Preliminary 8 Internal Medicine/Pediatrics 7 Urology 7 Neurosurgery 6 Other Specialties 43 22.8% 9.7% 9.3% 8.2% 8.2% 8.2% 5.9% 72.5% 5.7% 3.6% 3.2% 1.7% 1.5% 1.5% 1.3% 9.1% Non-Primary Care/Core Total 130 27.5% Note: 30 respondents did not answer this question. Percentages are calculated from the total valid responses (473). Practice Specialty Frequency Internal Medicine 60 Family Medicine 44 Emergency Medicine 38 OB/GYN 38 Pediatrics 33 Psychiatry 27 General Surgery 25 Primary Care/Core Total 265 Anesthesiology 21 Ophthalmology 13 Orthopaedic Surgery 13 Cardiology 10 Neurology 10 Radiology 10 Other Specialties 112 Unsure or non-medicine field 9 Non-Primary Care/Core Total 198 % of Total Respondents 13.0% 9.5% 8.2% 8.2% 7.1% 5.8% 5.4% 57.2% 4.5% 2.8% 2.8% 2.2% 2.2% 2.2% 24.2% 1.9% 42.8% Note: 40 respondents did not answer this question. Percentages are calculated from the total valid responses (463). 13 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 2: Year Specialty Decision Made When Did You Make the Decision About What Specialty to Pursue? 60.0% 55.0% 50.0% 40.0% 30.0% 20.0% 10.0% 5.5% 10.2% 6.2% 4.7% 15.1% 0.0% Prior to entering college During/after college 1st year of medical 2nd year of medical 3rd year of medical 4th year of medical school school school school 3.2% Not certain Note: 34 respondents did not answer this question. Percentages are calculated from the total valid responses (469). 14 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 9: Factors Important in Determining Specialty Factor Lifestyle Competitiveness of Specialty Mentor/Role Model Influence Options for Fellowship Training Future Earning Potential Length of Residency Training Family Expectations Medical Education Debt No Influence Number Percent Strength of Factor's Influence Minor Moderate Number Percent Number Percent Strong Number Percent Total Responses 29 6.2% 78 16.7% 183 39.3% 176 37.8% 466 142 30.5% 164 35.3% 127 27.3% 32 6.9% 465 58 12.4% 89 19.1% 152 32.6% 167 35.8% 465 70 15.1% 108 23.2% 161 34.6% 126 27.1% 465 80 17.2% 158 34.0% 172 37.0% 55 11.8% 465 81 17.4% 153 32.9% 184 39.6% 47 10.1% 465 226 48.6% 126 27.1% 71 15.3% 42 9.0% 465 209 44.9% 140 30.1% 79 17.0% 37 8.0% 465 Note: Percentages are calculated from the total valid responses (Total Responses column) for each factor. 15 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 3: Strength of Factors' Influence Upon Choice of Specialty Percent of Respondents 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Strength of Factors' Influence Upon Choice of Specialty 32 55 47 42 37 126 176 127 167 71 79 Strong Influence 172 184 Moderate Influence 161 164 152 126 140 Minor Influence No Influence 183 158 153 108 89 78 29 Lifestyle 142 58 70 80 Competitiveness Mentor/Role of Specialty Model Influence Options for Fellowship Training Future Earning Potential Factors 81 Length of Residency Training 226 209 Family Medical Expectations Education Debt 16 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Other Factors Important in Determining Specialty Sixty-six respondents answered the open-ended question citing other factors for choosing their specialty. Four factors emerged as important considerations when choosing their specialties and are described below. Personal enjoyment and interest (29): This is by far the most common theme. Respondents mentioned "love," "enjoyment," "a spiritual calling," "passion," fit with their own personality and experiences, and "sense of purpose." Specialty attributes (16): Respondents mentioned attributes of the specialty such as diverse practice options, the culture of the specialty, ability to have diverse training experiences, commitment to science and innovation, and values of the specialty. Other (12): These comments include other topics that influenced their specialty decision, such as work-life balance, stress, scheduling, family, and mentorship. Patients (9): Respondents mentioned the ability to impact patients, enjoying working with the patient population, patient interaction, and diverse patient cases. 17 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 10: Successfully Matched to GME Program Medical School Yes No Total Number Percent Number Percent Number Percent Emory University School of Medicine 109 96.5% 4 3.5% 113 100.0% Medical College of Georgia at Augusta University 164 97.6% 4 2.4% 168 100.0% Mercer University School of Medicine 90 96.8% 3 3.2% 93 100.0% Morehouse School of Medicine 67 100.0% 0 0.0% 67 100.0% Philadelphia College of Osteopathic Medicine-Georgia 59 96.7% 2 3.3% 61 100.0% Total 489 97.4% 13 2.6% 502 100.0% Note: 1 respondent did not answer this question. Percentages are calculated from the total valid responses for each school. 18 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 11: In-State (Georgia) or Out-of-State Match Medical School Emory University School of Medicine Location of Matched Program Georgia Out-of-State Number Percent Number Percent 30 27.5% 79 72.5% Medical College of Georgia at Augusta University 46 28.0% 118 72.0% Mercer University School of Medicine 31 37.3% 52 62.7% Morehouse School of Medicine 20 31.7% 43 68.3% Philadelphia College of Osteopathic Medicine-Georgia 12 23.1% 40 76.9% Total Number 109 164 83 63 52 Percent 100.0% 100.0% 100.0% 100.0% 100.0% Total 139 29.5% 332 70.5% 471 100.0% Note: 32 respondents did not answer this question. Percentages are calculated from the total valid responses for each school. 19 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 4: Percentage of Total In-State Matches by Medical School Location of GME Match & Breakdown of In-State Matched Students by Medical School Out of State 70.5% In State 29.5% Mercer University School of Medicine 6.6% Medical College of Georgia at Augusta University 9.8% Morehouse School of Medicine 4.2% Emory University School of Medicine 6.4% Philadelphia College of Osteopathic Medicine- Georgia 2.5% 20 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 5: Matched to GME Program & Match to First-Choice Program Match to GME Program & Match to First Choice Program Matched to a GME Program Matched to First-Choice Program No 2.6% Yes, 97.4% Missing Data 3.4% No 50.6% Yes 43.4% 21 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 12: Any Georgia GME Programs in Top Three Choices Medical School 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-Georgia Total No Number Percent 58 51.3% Yes Number Percent 55 48.7% Total Number Percent 113 100.0% 85 50.9% 82 49.1% 167 100.0% 39 45.9% 46 54.1% 85 100.0% 24 38.1% 39 61.9% 63 100.0% 27 49.1% 28 50.9% 55 100.0% 233 48.2% 250 51.8% 483 100.0% Note: 20 respondents did not answer this question. Percentages are calculated from the total valid responses (483). 22 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 13: Number of Georgia GME Programs in Top Three Choices by Medical School Medical School Emory University School of Medicine Number of Georgia GME Programs in Top Three Choices One Two Three Total Number Percent Number Percent Number Percent Number Percent 46 86.8% 6 11.3% 1 1.9% 53 100.0% Medical College of Georgia at Augusta University 20 21.1% 67 70.5% 8 8.4% 95 100.0% Mercer University School of Medicine 32 72.7% 4 9.1% 8 18.2% 44 100.0% Morehouse School of Medicine 17 48.6% 12 34.3% 6 17.1% 35 100.0% Philadelphia College of Osteopathic Medicine-Georgia 16 59.3% 6 22.2% 5 18.5% 27 100.0% Total 131 51.6% 95 37.4% 28 11.0 254 100.0% 23 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 6: Georgia GME Programs in Respondents' Top Three Choices in Match Distribution of Georgia GME Programs in Respondents' Top Three Choices in Match Had a Georgia GME Program in Top Three Choices Number of Georgia GME Programs in Top Three Choices No Yes 233 250 1 26.9% 2 19.5% 3 5.7% Note: 4 respondents who answered they did have a Georgia GME program in their top three choices did not specify the number of programs. 24 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 14: Georgia GME Programs in Top Three Choices Georgia GME Program Emory University School of Medicine (Atlanta) Medical College of Georgia (Augusta) WellStar Kennestone Regional Medical Center (Marietta) Memorial Health University Medical Center (Savannah) Morehouse School of Medicine (Atlanta) Navicent Health-Central GA (Macon) Gateway Behavioral Health (Savannah) Northeast Georgia Medical Center (Gainesville) Northside Gwinnett Medical Center (Lawrenceville) Coliseum Medical Center (Macon) WellStar Atlanta Medical Center (Atlanta) AU/UGA Medical Partnership-St. Mary's Healthcare (Athens) Floyd Medical Center (Rome) Piedmont Athens Regional Medical Center (Athens) Redmond Regional Medical Center (Rome) Piedmont Columbus Regional Midtown (Columbus) Number of Respondents 115 47 34 25 23 21 10 9 9 8 7 5 3 3 2 1 Percentage of Total Survey Respondents (503) Having this Program in their Top Three Choices 22.9% 9.3% 6.8% 5.0% 4.6% 4.2% 2.0% 1.8% 1.8% 1.6% 1.4% 1.0% 0.6% 0.6% 0.4% 0.2% 25 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 7: Primary Reason for Leaving Georgia Reasons for Leaving Georgia for Residency Specialty not offered in Georgia 2.8% Military obligation Quality of Georgia 4.2% Lack of osteopathic residencies 0.5% residency programs 4.7% Other 11.2% Family reasons 15.4% Preferred a highly reputable program out of state in specialty area 41.6% Did not match to a Georgia program 19.6% 26 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Other Factors Important to Leaving Georgia for Residency Forty-five respondents gave an open-ended answer on other factors that influenced their choice to leave Georgia for residency. Note: many responses to this question included indicators of multiple categories. Location (17): These comments indicate location-based reasons for wanting to leave Georgia or wanting to go elsewhere for residency. Examples include wanting a change of scenery, cheaper cost of living, or wanting to be near geographical features like mountains or beaches. Program Factors (10): The second-most prevalent theme among comments reveals program-related factors that influenced respondents' decisions to leave Georgia. These included favoring programs in other states because of better fellowship and training opportunities; wanting to pursue a program that is not available in Georgia; wanting a residency that has affiliation with certain hospitals; or not favoring the program-related factors at their medical school institution. Match (7): These comments indicated a practical concern that prohibited respondents' ability to stay in Georgia for residency training. These include not being accepted into a Georgia program or being accepted elsewhere. Family (6): These responses mentioned the influence of significant others, couple's matching, and going to residency programs close to family. Returning after Residency (3): Three respondents said that they would be returning to Georgia after their residency training. 27 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 15: Overall Perception of Georgia's Residency Training Programs in Respondent's Specialty Response Very Negative 2 3 4 5 6 7 8 9 Very Positive Total Number 5 2 11 22 58 49 114 97 42 64 464 Percent 1.1% 0.4% 2.4% 4.7% 12.5% 10.6% 24.6% 20.9% 9.1% 13.8% 100.0% Note: 39 respondents did not answer this question. Percentages are calculated from the total valid responses (464). 28 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 8: Overall Perception of Georgia's Residency Training Programs in Respondent's Specialty Overall Perception of Georgia's Residency Programs in Respondent's Specialty 30.0% 25.0% 20.0% 24.6% 20.9% 15.0% 10.0% 12.5% 10.6% 13.8% 9.1% 5.0% 4.7% 2.4% 1.1% 0.0% 0.4% Very 2 3 4 5 6 7 8 9 Very Negative Positive 29 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 16: Perception of Quality of Georgia's Residency Training Programs in Respondent's Specialty Responses Low Quality 2 3 4 5 6 7 8 9 High Quality Total Number 4 3 11 16 54 50 104 100 59 65 466 Percent 0.9% 0.6% 2.4% 3.4% 11.6% 10.7% 22.3% 21.5% 12.7% 13.9% 100.0% Note: 37 respondents did not answer this question. Percentages are calculated from the total valid responses (466). 30 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 9: Perception of Quality of Georgia's Residency Training Programs in Respondent's Specialty Perception of the Quality of Georgia's Residency Programs in Respondent's Specialty 25.0% 20.0% 22.3% 21.5% 15.0% 10.0% 11.6% 10.7% 13.9% 12.7% 5.0% 2.4% 3.4% 0.9% 0.0% 0.6% Low 2 3 4 5 6 7 8 9 High Quality Quality 31 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 17: Factors Important in Choosing Residency Program Factor Family No Influence Number Percent Strength of Factor's Influence Minor Moderate Number Percent Number Percent Strong Number Percent Total Responses 58 12.4% 77 16.5% 141 30.3% 190 40.8% 466 Location 27 5.8% 55 11.8% 145 31.2% 238 51.2% 465 Reputation of Residency Program 33 7.1% 73 15.7% 185 39.7% 175 37.6% 466 Fellowship Opportunities 44 9.5% 92 19.8% 155 33.3% 174 37.4% 465 Availability of Residency Positions in Desired Specialty 100 21.5% 85 18.2% 148 31.8% 133 28.5% 466 Resident Salary 182 39.3% 164 35.4% 98 21.2% 19 4.1 463 Note: Percentages are calculated from the total valid responses (Total Responses column) for each factor. 32 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 10: Strength of Factors' Influence Upon Choice of Residency Program Percent of Respondents Strength of Factors' Influence Upon Choice of Residency Program 100% 19 90% 133 80% 190 174 98 175 238 70% 60% 148 50% 40% 30% 85 20% 10% 100 0% Availability of Residency Positions in Desired Specialty 141 77 58 Family 155 145 92 44 Fellowship Opportunities 55 27 Location Factors 164 185 182 73 33 Reputation of Residency Program Resident salary Strong Influence Moderate Influence Minor Influence No Influence 33 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 18: Other Factors Cited as Important in Choosing a Georgia Residency Program Respondents entered open-answered text to further explain the factors that contributed to their choice of a Georgia residency program. The responses are broken down into those offer positive and negative feedback about programs. Positive Feedback Had a great elective experience High patient load and high patient diversity Ample fellowship opportunities Great program culture Opportunities for community work Desire to work at specific Georgia hospitals Attractive benefits and incentives such as childcare, high ratings as a place to work, resident wellness programs Great training in specialty Quality of life in the city of the residency program Autonomy in training Loved medical school/home institution Negative Feedback Program too strenuous, competitive, or intense No program commitment to equity and diversity Program is male-dominated Georgia programs do not favor their own students Bad experiences with interviewing, residents, and faculty Programs are weak in desired specialty Undesirable location Programs do not accept D.O.s Complicated patient cases must be sent to other hospitals Poor program leadership Program seemed unresponsive to resident feedback Unfavorable experiences with program directors 34 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Figure 11: Plan to Practice in Underserved Area & Type of Underserved Area Plan to Practice in an Underserved Area & Type of Underserved Area Plan to Practice in Underserved Area Type of Underserved Area 186 Inner-City 108 276 Other No 169 Rural 35 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Table 19: Intent to Practice in an Underserved Area and Type of Underserved Area by Medical School Medical School Intend to Practice in Underserved Area & Type of Underserved Area Yes No Inner City Percent Intending Rural Underserved Practice Total Responses Emory University School of Medicine 54 43 13 Medical College of Georgia at Augusta University 79 49 34 Mercer University School of Medicine 23 19 43 Morehouse School of Medicine 8 42 4 Philadelphia College of Osteopathic Medicine-Georgia 22 16 14 Total 186 169 108 Total (Percentage) 40.3% 36.6% 23.4% 51.4% 51.2% 72.9% 83.6% 58.8% 60.0% 109 162 85 55 51 462 100.0% 36 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Map: Other States Where Georgia Medical School Graduates Plan to Practice Following Residency 37 Georgia Board of Health Care Workforce 2021 Georgia Medical School Graduate Survey Acknowledgements This report was produced under the direction of LaSharn Hughes, MBA, Executive Director; Leanna Greenwood, MA, Senior Data Analyst; G.E. Alan Dever, MD PhD, Consultant; Jocelyn Hart, Data Analyst. This document is provided to the Georgia Board of Health Care Workforce members on behalf of Executive Director LaSharn Hughes. Board Members: Terri McFadden-Garden, M.D. Chair David B. Kay, M.D. Vice-Chair William R. "Will" Kemp - Secretary/Treasurer James Barber, M.D. W. Scott Bohlke, M.D. Jacinto del Mazo, M.D. John E. Delzell Jr., M.D. MSPH Steven Gautney, MSHA Michael J. Groover, D.M.D. Indran Indrakrishnan, M.D. George M. McCluskey, III, M.D. W. Doug Skelton, M.D. Amy Reeves, PA-C Antonio Rios, M.D. The Board would like to thank Georgia's medical schools for participating in the survey: Emory University School of Medicine Medical College of Georgia at Augusta University Mercer University School of Medicine Morehouse University School of Medicine Philadelphia College of Osteopathic Medicine-Georgia The 2021 Georgia Medical School Graduate Survey report can be viewed and downloaded on the internet at healthcareworkforce.georgia.gov. The Georgia Board of Health Care Workforce welcomes comments and suggestions for future editions of this report. Please send comments to leanna.greenwood@dch.ga.gov. 38