2022 Georgia medical school graduate survey report.

2022 Georgia Medical School Graduate Survey Report
Georgia Board of Health Care Workforce Summer 2022 1

Table of Contents
Executive Summary ................................................................................................................................................................................. 4 Table 1: Number of Responses by Medical School .............................................................................................................................................................................. 4
Methodology............................................................................................................................................................................................. 5 Key Findings from the 2022 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 Figure 2: Race/Ethnicity by Medical School....................................................................................................................................................................................... 12 Table 6: Hispanic Ethnicity by Medical School................................................................................................................................................................................... 13 Table 7: Specialty Matched to in Post Graduate Year 1 .................................................................................................................................................................... 14 Table 8: Intended Career Specialty .................................................................................................................................................................................................... 14 Figure 3: Year Specialty Decision Made ............................................................................................................................................................................................. 15 Table 9: Factors Important in Determining Specialty ........................................................................................................................................................................ 16 Figure 4: Strength of Factors' Influence Upon Choice of Specialty ................................................................................................................................................... 17 Other Factors Important in Determining Specialty............................................................................................................................................................................ 18 Table 10: Successfully Matched to GME Program ............................................................................................................................................................................. 19 Table 11: In-State (Georgia) or Out-of-State Match .......................................................................................................................................................................... 20 Figure 5: Percentage of Total In-State Matches by Medical School .................................................................................................................................................. 21
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Figure 6: Matched to GME Program & Match to First-Choice Program ............................................................................................................................................ 22 Table 12: Any Georgia GME Programs in Top Three Choices ............................................................................................................................................................ 23 Table 13: Number of Georgia GME Programs in Top Three Choices by Medical School................................................................................................................... 24 Table 14: Georgia GME Programs in Top Three Choices ................................................................................................................................................................... 26 Figure 7: Primary Reason for Leaving Georgia................................................................................................................................................................................... 27 Other Factors Important to Leaving Georgia for Residency .............................................................................................................................................................. 28 Table 15: Overall Perception of Georgia's Residency Training Programs in Respondent's Specialty ............................................................................................... 29 Figure 8: Overall Perception of Georgia's Residency Training Programs in Respondent's Specialty ................................................................................................ 30 Table 16: Perception of Quality of Georgia's Residency Training Programs in Respondent's Specialty ........................................................................................... 31 Figure 9: Perception of Quality of Georgia's Residency Training Programs in Respondent's Specialty ............................................................................................ 32 Table 17: Factors Important in Choosing Residency Program ........................................................................................................................................................... 33 Figure 10: Strength of Factors' Influence Upon Choice of Residency Program ................................................................................................................................. 34 Table 18: Other Factors Cited as Important in Choosing a Georgia Residency Program .................................................................................................................. 35 Table 19: Intent to Practice in an Underserved Area and Type of Underserved Area by Medical School ........................................................................................ 36 Figure 11: Plan to Practice in Underserved Area & Type of Underserved Area ................................................................................................................................ 37 Map: Other States Where Georgia Medical School Graduates Plan to Practice Following Residency ............................................................................................. 38 Acknowledgements ............................................................................................................................................................................... 39
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Georgia Board of Health Care Workforce 2022 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 Graduates Survey Completion

Entering GME Completions

Rate

Emory University School of Medicine

149

116

77.9%

Medical College of Georgia at Augusta University

221

117

52.9%

Mercer University School of Medicine

107

90

84.1%

Morehouse School of Medicine

84

53

63.1%

Philadelphia College of Osteopathic Medicine-Georgia

121

124

100.0*

Total

682

500

73.3%

This year's MSG survey had slightly fewer responses than in 2021. In 2021, the MSG survey had 503 completions, or 72.0% of medical school graduates. *Note: PCOM-Georgia had more survey completions than graduates, indicating that a few graduates may have submitted more than one response.
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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Methodology
Each year in April, the Georgia Board of Health Care Workforce (GBHCW) data team creates an electronic 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 responses online. Analyses presented here were conducted using Microsoft Excel.
Key Findings from the 2022 Survey
Demographics
Similar to last year, more people identifying as female than male completed the MSG survey; 51.3% of survey completers are female. The medical school with the highest percentage of female respondents is Emory (56.9%), while the school with the lowest percentage of female respondents is Mercer (47.8%).
The average age of all respondents is 27.9 years old. The youngest respondent is 24 years old, while the oldest respondent is 43. Morehouse has the oldest average age of respondents at 28.8 years old, compared to MCG whose average age of respondents is 27.1 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 98.4% this year). Six respondents identified as permanent residents and two have another citizenship status.
In 2022, 54.5% of respondents identify as white. This is slightly lower than that percentage last year (57.4%). Overall, 45.5% of respondents identified as a non-white race/ethnicity (21.8% Black/African American; 21.8% Asian/Pacific Islander; 4.0% multirace; and 4.4% "other"). Morehouse School of Medicine has the highest percentage of respondents identifying as non-white (88.7%) while the school with the lowest percentage of non-white respondents is Mercer University (24.4%).
Overall, 10.8% of respondents identify as Hispanic. Mercer has the highest percentage of respondents (14.4%) who identify as Hispanic, while Morehouse has the lowest percentage of respondents (3.8%) who identify as Hispanic.
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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Intended Practice Location After Residency
56.9% of respondents (278) 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 Mercer (67.4%); the school with the lowest percentage is MCG (41.4%)
Of those who plan to locate their practice in an underserved area, 61.5% (171) plan to practice in an inner-city community. The remaining 38.5% of respondents (107) plan to locate in a rural community.
44.6% of respondents (196) answered that Georgia is the likely state for their practice after residency. Of those, 41.8% (82) listed Atlanta as the likely city.
Overall, 94 respondents (18.8%) plan to practice in a primary care core/specialty in an underserved location in Georgia. Specialty
56.2% of respondents (260) intend to practice in 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 (76.7%), while Emory University respondents were least likely (60.3%).
More than half of respondents (51.9%) made the decision about what specialty to pursue during their third year of medical school.
Choice of and Match to Georgia Residency Programs
51.7% of respondents listed a Georgia residency program among their top three choices during the Match. This is a comparable percentage to last year (51.8%).
Respondents from Morehouse School of Medicine are those most likely to have a Georgia GME program among their top three choices during the Match (64.2%). Respondents from Emory are the least likely to have a Georgia GME program in their top three choices (37.4%).
53.2% 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.
The top four Georgia GME programs ranked by survey respondents are WellStar Kennestone (32 respondents); Emory University (26); Northeast Georgia Medical Center (19); and Medical College of Georgia (17).
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Georgia Board of Health Care Workforce 2022 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

66

56.9%

50

43.1%

116

100.0%

Medical College of Georgia at Augusta University

56

47.9%

61

52.1%

117

100.0%

Mercer University School of Medicine

43

47.8%

47

52.2%

90

100.0%

Morehouse School of Medicine

26

49.1%

27

50.9%

53

100.0%

Philadelphia College of Osteopathic Medicine-Georgia

65

52.8%

58

47.2%

123

100.0%

Total

256

51.3% 243 48.7%

499

100.0%

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Georgia Board of Health Care Workforce 2022 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
88 99 78 39 92
396 80.8%

30-34
28 10 9 7 27
81 16.5%

35-39
0 3 1 0 3
7 1.4%

40
0 0 1 4 1
6 1.2%

Average Age*
28.2 27.1 27.4 28.8 28.3
27.9

Note: 10 respondents did not answer the age question. *Averages and total percentages are calculated from the total valid responses (490).

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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey

Figure 1: Aggregated Age Distribution
120 107 107
100

Aggregated Age Distribution

Frequency

80 72

60

49

50

40

27 25

20

16

11 9

4

3

0

1

2

1

1

1

4

0

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

43

Age

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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Table 4: Citizenship Status

Citizenship Status
Citizen (Naturalized or Native-Born) Permanent Resident Other
Total

Number
491 6 2
499

Percent
98.4% 1.2% 0.4%
100.0%

Note: 1 respondent did not answer this question. Percentages are calculated from the total valid responses (499).

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Georgia Board of Health Care Workforce 2022 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

75 64.7% 15 12.9% 13 11.2%

7

6.0%

6

5.2% 116 100.0%

70 60.3% 29 25.0%

9

7.8%

5

4.3%

3

2.6% 116 100.0%

68 75.6% 10 11.1%

5

5.6%

4

4.4%

3

3.3%

90

100.0%

Morehouse School of Medicine

6

11.3%

6

11.3% 36 67.9%

1

1.9%

4

7.5%

53

100.0%

Philadelphia College of Osteopathic Medicine-Georgia

53 42.7% 49 39.5% 13 10.5%

3

2.4%

6

4.8% 124 100.0%

Total

272 54.5% 109 21.8% 76 15.2% 20 4.0% 22 4.4% 499 100.0%

Note: 1 respondent did not answer this question. Percentages are calculated from the total valid responses (499).

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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey

Figure 2: Race/Ethnicity by Medical School
100%

Race/Ethnic Distribution

90%

80%

70%

60% 50% 40% 30%

Other Multi-race Asian/Pacific Islander Black/African American White

20%

10%

0% Emory University School of Medicine

Medical College of Georgia at Augusta
University

Mercer University School Morehouse School of

of Medicine

Medicine

Philadelphia College of Osteopathic Medicine-
Georgia

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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Table 6: Hispanic Ethnicity by Medical School

Medical School
Emory University School of Medicine

Are you of Hispanic origin?

Yes

No

Total

Number Percent Number Percent Number Percent

11

9.6%

104

90.4%

115

100.0%

Medical College of Georgia at Augusta University

12

10.3%

104

89.7%

116

100.0%

Mercer University School of Medicine

13

14.4%

77

85.6%

90

100.0%

Morehouse School of Medicine

2

3.8%

51

96.2%

53

100.0%

Philadelphia College of Osteopathic Medicine-Georgia 16

12.9%

108

87.1%

124

100.0%

Total

54 10.8% 444 89.2% 498 100.0%

Note: 2 respondents did not answer this question. Percentages are calculated from the total valid responses (498).

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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey

Table 7: Specialty Matched to in Post Graduate Year 1

PGY-1 Specialty
Internal Medicine Pediatrics Family Medicine Psychiatry OB/GYN Emergency Medicine General Surgery Internal Medicine/Pediatrics Internal Medicine/Psychiatry PGY-1 Primary Care/Core Total Transitional/Intern/Preliminary Year Anesthesiology Neurology Orthopaedic Surgery Pathology Other Specialties Non-Primary Care/Core Total

Frequency

% of Total Respondents

122

25.3%

52

10.8%

43

8.9%

35

7.2%

31

6.4%

30

6.2%

30

6.2%

7

1.4%

2

0.4%

352

72.9%

54

11.1%

9

1.9%

9

1.9%

8

1.7%

8

1.7%

43

8.9%

131

27.1%

Note: 17 respondents did not answer this question. Percentages are calculated from the total valid responses (483).

Table 8: Intended Career Specialty

Practice Specialty

Frequency

Internal Medicine

54

Family Medicine

39

Pediatrics

39

Psychiatry

36

Emergency Medicine

30

OB/GYN

30

General Surgery

24

Internal Medicine/Pediatrics

6

Internal Medicine/Psychiatry

2

Primary Care/Core Total

260

Neurology

20

Anesthesiology

17

Orthopaedic Surgery

16

Cardiology

14

Ophthalmology

11

Radiology

11

Other Specialties

114

Non-Primary Care/Core Total

203

% of Total Respondents
11.7% 8.4% 8.4% 7.8% 6.5% 6.5% 5.2% 1.3% 0.4% 56.2% 4.3% 3.7% 3.5% 27.6% 2.4% 2.4% 24.6%
43.8%

Note: 37 respondents expressed uncertainty about their intended specialty. Percentages are calculated from the total valid responses (463).
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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Figure 3: Year Specialty Decision Made
When Did You Make the Decision About What Specialty to Pursue?
300
51.9%
250

200

Frequency

150

100

50

8.5%

10.0%

8.1%

6.3%

15.2%

0

Prior to entering During/after college 1st year of medical 2nd year of medical 3rd year of medical 4th year of medical

college

school

school

school

school

Note: 20 respondents did not answer this question. Percentages are calculated from the total valid responses (480). 15

Georgia Board of Health Care Workforce 2022 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

19

3.8%

91

18.2% 174 34.9% 215 43.1%

499

148 29.7% 169 33.9% 153 30.7%

28

5.6%

498

67

13.4% 100 20.0% 152 30.5% 180 36.1%

499

86

17.2%

93

18.6% 156 31.3% 164 32.9%

499

88

17.6% 148 29.7% 191 38.3%

72

14.4%

499

109 21.8% 169 33.9% 170 34.1%

51

10.2%

499

270 54.3% 119 23.9%

72

14.5%

36

7.2%

497

236 47.3% 135 27.1%

89

17.8%

39

7.8%

499

Note: Percentages are calculated from the total valid responses (Total Responses column) for each factor.

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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey

Figure 4: Strength of Factors' Influence Upon Choice of Specialty

100.0% 90.0% 80.0% 70.0% 60.0%

Strength of Factors' Influence Upon Choice of Specialty

43.1%

5.6% 30.7%

36.1%

32.9%

14.4% 38.3%

10.2% 34.1%

7.2% 14.5%
23.9%

7.8% 17.8%
27.1%

50.0% 40.0% 30.0% 20.0% 10.0%
0.0%

34.9%

33.9%

30.5% 20.0%

31.3% 18.6%

29.7%

33.9%

54.3%

47.3%

18.2%
3.8% Lifestyle

29.7%

13.4%

17.2%

Competitiveness Mentor/Role of Specialty Model Influence

Options for Fellowship
Training

17.6%
Future Earning Potential

21.8%
Length of Residency
Training

Family

Medical

Expectations Education Debt

Strong Influence Moderate Influence Minor Influence No Influence
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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Other Factors Important in Determining Specialty Seventy-two respondents answered the open-ended question citing other factors for choosing their specialty. Six factors emerged as important considerations when choosing their specialties and are described below.
Personal enjoyment and interest (33 respondents): This is by far the most common theme. Respondents mentioned "passion," "interest," "enjoyment," and "fulfilment" when stating their interest and enjoyment in the content of their specialty. Respondents also mentioned interest in specific things about their specialty, like performing surgery.
Colleagues, patients, and culture (12): Respondents mentioned enjoying the atmosphere or their specialty, team dynamics, and interest in the patient population.
Other (10): These comments include other topics that influenced their specialty decision, such as the ability to Match in Georgia, the specialty fitting their personality, and what the day to day life would be like in the specialty.
Opportunities offered by the specialty (7): These comments spoke to opportunities offered by the specialty, such as working in teaching, performing research, and medical innovation.
Prior Experiences (6): These comments mentioned prior life experiences--such as interning, working in the military, and volunteering--that helped grow their interest in the specialty.
Making a difference for patients (4): respondents mentioned practicing in low resource areas overseas, the need for mental health practitioners in Georgia, and serving underserved populations.
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Georgia Board of Health Care Workforce 2022 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

113

97.4%

3

2.6%

116

100.0%

Medical College of Georgia at Augusta University

113

97.4%

3

2.6%

116

100.0%

Mercer University School of Medicine

88

97.8%

2

2.2%

90

100.0%

Morehouse School of Medicine

51

96.2%

2

3.8%

53

100.0%

Philadelphia College of Osteopathic Medicine-Georgia 118

95.2%

6

4.8%

124

100.0%

Total

483

96.8%

16

3.2%

499

100.0%

Note: 1 respondent did not answer this question. Percentages are calculated from the total valid responses for each school.

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Georgia Board of Health Care Workforce 2022 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

24

21.8%

86

78.2%

Medical College of Georgia at Augusta University

15

14.7%

87

85.3%

Mercer University School of Medicine

28

35.4%

51

64.6%

Morehouse School of Medicine

18

37.5%

30

62.5%

Philadelphia College of Osteopathic Medicine-Georgia

14

14.6%

82

85.4%

Total

Number 110 102 79 48 96

Percent 100.0% 100.0% 100.0% 100.0% 100.0%

Total

99

22.8%

336

77.2%

435

100.0%

Note: 65 respondents did not answer this question. Percentages are calculated from the total valid responses for each school.

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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Figure 5: 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 77.2%

In State 22.8%

Mercer University School of Medicine 35.4%

Morehouse School of Medicine 37.5%

Medical College

of Georgia at

Augusta University
14.7%

Emory University School of

Medicine

21.8%

Philadelphia College of Osteopathic Medicine-
Georgia 14.6%

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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Figure 6: 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 3.2%

Yes 96.8%

No 46.9%
Yes 49.9%

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Georgia Board of Health Care Workforce 2022 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

72

62.6%

Yes Number Percent

43

37.4%

Total Number Percent

115

100.0%

69

59.0%

48

41.0%

117

100.0%

37

41.1%

53

58.9%

90

100.0%

19

35.8%

34

64.2%

53

100.0%

61

49.2%

63

50.8%

124

100.0%

258

51.7%

241

48.3%

499

100.0%

Note: 1 respondent did not answer this question. Percentages are calculated from the total valid responses (499).

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Georgia Board of Health Care Workforce 2022 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

38

77.6%

8

16.3%

3

6.1%

49 100.0%

Medical College of Georgia at Augusta University

39

67.2% 10 17.2%

9

15.5% 58 100.0%

Mercer University School of Medicine

30

38.0% 28 35.4% 21 26.6% 79 100.0%

Morehouse School of Medicine

20

37.7% 12 22.6% 21 39.6% 53 100.0%

Philadelphia College of Osteopathic Medicine-Georgia 33

32.0% 22 21.4% 48 46.6% 103 100.0%

Total

160 46.8% 80 23.4% 102 29.8% 342 100.0%

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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Figure 7: Georgia GME Programs in Respondents' Top Three Choices in Match
Distribution of Georgia GME Programs in Respondents' Top Three Choices in Match

No 52.4%

Yes 48.3%

1 32.5%
2 8.1%
3 6.9%

Note: 7 respondents who answered they did have a Georgia GME program in their top three choices did not specify the number of programs. 25

Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Table 14: Georgia GME Programs in Top Three Choices

Georgia GME Program
WellStar Kennestone Regional Medical Center (Marietta) Emory University School of Medicine (Atlanta) Northeast Georgia Medical Center (Gainesville) Medical College of Georgia (Augusta) Morehouse School of Medicine (Atlanta) Northside Hospital Gwinnett (Lawrenceville) WellStar Atlanta Medical Center (Atlanta) Gateway Behavioral Health (Savannah) Piedmont Athens Regional Medical Center (Athens) Piedmont Columbus Regional Midtown (Columbus) Phoebe Putney Memorial Hospital (Albany) Piedmont Macon Medical Center (Macon) Memorial Health University Medical Center (Savannah) AU/UGA Medical Partnership-St. Mary's Healthcare (Athens)

Number of Respondents
32 26 19 17 12 11 8 2 2 2 2 2 1 1

Percentage of Total Survey Respondents (500) Having this Program in their Top Three Choices
6.4% 5.2% 3.8% 3.4% 2.4% 2.2% 1.6% 0.4% 0.4% 0.4% 0.4% 0.4% 0.2% 0.2%

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Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey

Figure 7: Primary Reason for Leaving Georgia

Reasons for Leaving Georgia for Residency

2.9% 1.1% 0.4% 3.2%

5.0%

Preferred a highly reputable program out of state in specialty area
Did not match to a Georgia program

16.8%

Family reasons Quality of Georgia residency programs

50.4%

Military obligation

Specialty not offered in Georgia

20.4%

Higher resident salary Lack of osteopathic residencies

Note: 12 respondents did not answer this question. Percentages are calculated from the total valid responses (488). 27

Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Other Factors Important to Leaving Georgia for Residency Fifty-four respondents gave an open-ended answer on other factors that influenced their choice to leave Georgia for residency. Note: some responses to this question included indicators of multiple categories.
Match (12 respondents): These comments indicated a practical concern related to the matching and interview process that prohibited respondents' ability to stay in Georgia for residency training. These include not being accepted into a Georgia program, not being offered an interview in Georgia, or not liking any of the programs in Georgia.
Leave Georgia (12): Many of these comments indicated a desire to return to Georgia after training. Some of the respondents want to have new experiences outside of Georgia since they have lived in the state for their entire lives.
Lifestyle (10): Respondents wrote factors relating to lifestyle that influenced their decision, such as desire to live near a beach, desire to live in a certain city, and traffic.
Program Factors (10): These comments express positive aspects of an out of state program. Examples include having inhouse fellowships, a good balance of academic and community medicine culture, and feeling comfortable with the staff who interviewed them.
Political and identity issues (6): These comments alluded to negative views of Georgia's political and social climate and laws influencing medical practice.
Other (4): Four respondents wrote factors such as religious beliefs, proximity to family, and income tax.
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Georgia Board of Health Care Workforce 2022 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 10 20 45 62 121 108 53 69
495

Percent
1.0% 0.4% 2.0% 4.0% 9.1% 12.5% 24.4% 21.8% 10.7% 13.9%
100.0%

Note: 5 respondents did not answer this question. Percentages are calculated from the total valid responses (495). 70.8% of respondents rated their overall perception of Georgia's residency training programs in their specialty as a 7 or above.
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Georgia Board of Health Care Workforce 2022 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%

24.4%

21.8%

15.0% 10.0%

9.1%

12.5%

10.7%

13.9%

5.0%

4.0%

1.0%

0.4%

2.0%

0.0%

Very

2

3

4

5

6

7

8

9

Very

Negative

Positive

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Georgia Board of Health Care Workforce 2022 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
1 3 5 13 49 58 115 108 66 78
496

Percent
0.2% 0.6% 1.0% 2.6% 9.9% 11.7% 23.2% 21.8% 13.3% 15.7%
100.0%

Note: 4 respondents did not answer this question. Percentages are calculated from the total valid responses (496). 74.0% of respondents rated their perception of the quality of Georgia's residency training programs in their specialty as a 7 or above.
31

Georgia Board of Health Care Workforce 2022 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%

23.2%

21.8%

20.0%

15.0% 10.0%

9.9%

11.7%

13.3%

15.7%

5.0%

2.6%

0.2%

0.6%

1.0%

0.0%

Low Quality 2

3

4

5

6

7

8

9

High

Quality

32

Georgia Board of Health Care Workforce 2022 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

86

17.3% 115 23.2% 126 25.4% 169 34.1%

496

Location

18

3.6%

42

8.5%

144 29.0% 292 58.9%

496

Reputation of Residency Program 31

6.2%

51

10.3% 188 37.8% 227 45.7%

497

Fellowship Opportunities

64

12.9%

83

16.8% 159 32.1% 189 38.2%

495

Availability of Residency Positions in Desired Specialty

92

18.7% 114 23.2% 151 30.7% 135 27.4%

492

Resident Salary

160 32.5% 191 38.7% 103 20.9%

39

7.9%

493

Note: Percentages are calculated from the total valid responses (Total Responses column) for each factor.

33

Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey

Figure 10: Strength of Factors' Influence Upon Choice of Residency Program

Percent of Respondents

100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0%

Strength of Factors' Influence Upon Choice of Residency Program

34.1%

58.9%

45.7%

38.2%

27.4%

7.9% 20.9%

25.4%
23.2% 17.3% Family

32.1%

30.7%

38.7%

29.0%
8.5% 3.6% Location

37.8%

23.2%

16.8%

10.3% 6.2%

12.9%

18.7%

Reputation of Fellowship Availability of

residency opportunities residency

program

programs in

desired

specialty

Factors

32.5%
Resident salary

Strong Influence Moderate Influence Minor Influence No Influence

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Georgia Board of Health Care Workforce 2022 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 good experiences in away rotations Desire to train and practice in Georgia Programs have a focus on resident education, good
resources, high acuity patient population, many fellowships, and an academic focus Great program reputation Desire to be at an HBCU Love living in Atlanta and the culture Have a mission to practice in Georgia Desire to work at specific Georgia hospitals Desire to take care of low-income patients in Georgia

Negative Feedback
Faculty and residents not diverse enough Georgia programs are not competitive with others in the
South Lack of D.O.-friendly residencies in psychiatry Lack of medicine/pediatrics residencies Less preferable culture among residents and work/life
balance Poor mentorship during rotations Programs are too new Lack of specific training opportunities (such as women's
health and rural practice)

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Georgia Board of Health Care Workforce 2022 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

57

49

7

Medical College of Georgia at Augusta University

65

32

14

Mercer University School of Medicine

29

21

39

Morehouse School of Medicine

3

39

9

Philadelphia College of Osteopathic Medicine-Georgia 55

30

38

Total

209 171 107

Total (Percentage)

42.8% 35.0% 21.9%

49.6% 41.4% 67.4% 60.0% 54.8%
57.0%

113 111 89 51 124
488 100.0%

36

Georgia Board of Health Care Workforce 2022 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

Inner-city

community

No

Yes

171

209

278

Rural

community

107

37

Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Map: Other States Where Georgia Medical School Graduates Plan to Practice Following Residency
Note: percentages are calculated based on the total number of valid responses for this question (300). 38

Georgia Board of Health Care Workforce 2022 Georgia Medical School Graduate Survey
Acknowledgements
This report was produced under the direction of Chet Bhasin, Executive Director; Leanna Greenwood, MA, Senior Data Analyst; G.E. Alan Dever, MD PhD, Consultant; Cherri Tucker, Consultant; and Jocelyn Hart, Data Analyst. This document is provided to the Georgia Board of Health Care Workforce members on behalf of Executive Director Chet Bhasin.
Board Members:
Terri McFadden-Garden, M.D. - Chair James Barber, M.D. - Vice Chair William R. "Will" Kemp - Secretary/Treasurer Garrett Bennett, M.D. W. Scott Bohlke, M.D. Carolyn Clevenger, DNP Steven Gautney, MSHA Michael J. Groover, D.M.D. Lily Jung Henson, M.D. Indran Indrakrishnan, M.D. George M. McCluskey, III, M.D. Amy Reeves, PA-C Antonio Rios, M.D. James Lofton Smith, Jr., M.D. Joseph L. Walker, 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 2022 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.
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