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 2 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 3 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. 4 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. 5 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). 6 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% 7 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). 8 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 9 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). 10 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). 11 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 12 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). 13 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). 14 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. 16 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 17 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. 18 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. 19 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. 20 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% 21 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% 22 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). 23 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% 24 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% 26 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. 28 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. 29 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 30 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 34 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) 35 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. 39