2011 Georgia Medical School Graduate Survey Report GEORGIA BOARD FOR PHYSICIAN WORKFORCE MAY 2012 2 PEACHTREE STREET, NW, 36TH FLOOR, ATLANTA, GA 30303 PHONE (404) 232-7972 / FAX (404) 656-2596 Cherri Tucker, Executive Director, Colette Jeffery, Carla Graves, Cheryl Culp and G.E. Alan Dever, M.D., Ph.D., contributors. www.gbpw.georgia.gov 2011 Georgia Medical School Graduate Survey Report Table of Contents Executive Summary and Key Findings ................................................................................. 3-4 Table 1: Specialty distribution declared by graduates .............................................................5 Table 2: When decision was made regarding specialty choice .................................................6 Table 3: Factors which influenced specialty choice .................................................................7 Table 4: GME match information............................................................................................8 Table 5: GME match information-location ..............................................................................8 Table 6: Georgia GME match information ..............................................................................9 Table 7: Georgia GME match information-number of programs ..............................................9 Table 8: Top three choices of Georgia programs ................................................................... 10 Table 9: Georgia medical school graduates with GA programs in top three ........................... 11 Table 10: Percentage of graduates that matched to GA or out-of-state program................... 12 Table 11: Primary reason for choosing an out-of-state program............................................ 13 Table 12: Factors influencing selection of residency program................................................ 14 Table 13: Plans to practice in underserved area .................................................................... 15 Table 14: Underserved area location .................................................................................... 15 Map: Location where graduates plan to practice .................................................................. 16 2 2011 Georgia Medical School Graduate Survey Report Executive Summary and Key Findings The Georgia Board for Physician Workforce (GBPW) has conducted an annual survey of graduating medical school students from each of Georgia's medical schools since 2008. The purpose of this survey is to inform policy makers, medical school administrators, graduate medical education administrators, and other government and non-government agencies about the medical school education 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. Responses are collected from each of Georgia's five medical schools. They are: Emory University School of Medicine Georgia Health Sciences University Mercer University School of Medicine Morehouse School of Medicine Philadelphia College of Osteopathic Medicine Key Findings from the 2011 Survey: Geography: 54.7% intend to practice in an underserved area 25.8% intend to practice in a rural community 24.0% intend to practice in Georgia 26.5% intend to practice in a state contiguous to Georgia (AL, FL, NC, SC, TN) Specialty: The highest declared specialty was internal medicine with 19.0%. 47.8% declared a primary care specialty (defined as family practice, internal medicine, pediatrics, and OB/GYN). Over one-half (55.3%) made a decision in their third year of medical school about what specialty they would pursue. Lifestyle, mentor/role model influence, and options for fellowship training were all important factors in determining specialty. 3 2011 Georgia Medical School Graduate Survey Report Executive Summary and Key Findings Georgia Residency Programs: 24.6% matched to a Georgia graduate medical education program (GME) 43.6% ranked a Georgia GME program among their top three choices during the match, and of those, a little more than half ranked an Emory GME program 178 respondents indicated they ranked one or more of the 473 PGY-1 ACGME approved residency positions. Of those that chose to go to an out-of-state program, most (51.9%) said they preferred a highly reputable out-of-state program. Other reasons for choosing out of state programs: Family Reasons 13.3% Wanted to stay in Georgia, but did not match 11.1% Quality of Georgia residencies 9.3% Specialty not offered in Georgia 7.8% Higher resident salary 2.6% Military obligation 2.2% Lack of osteopathic residencies 1.9% Morehouse respondents had the highest percentage of matching to a Georgia program with 30.0%. The lowest was Philadelphia College of Osteopathic Medicine with 22.2%. 4 2011 Georgia Medical School Graduate Survey Report PRIMARY CARE Table 1: Specialty distribution declared by graduates Specialty (alphabetical) Family Medicine Internal Medicine OB/GYN Pediatrics Number 30 78 29 59 SPECIALISTS Anesthesiology 21 Cardiology 1 Dermatology 8 Diagnostic Radiology 1 Emergency Medicine 30 General Surgery 37 Medicine 5 Neurological Surgery 6 Neurology 15 Ophthalmology 15 Orthopedic Surgery 22 Otolaryngology 6 Pathology 6 Pediatric Neurology 1 Physical Medicine & Rehabilitation 5 Plastic Surgery 1 Preventative Medicine 1 Psychiatry 9 Radiology 12 Radiology/Oncology 3 Transitional 1 Unknown 3 Urology 4 Vascular Surgery 1 Total 410 Percentage 7.3 19.0 7.1 14.4 5.1 0.2 2.0 0.2 7.3 9.0 1.2 1.5 3.7 3.7 5.4 1.5 1.5 0.2 1.2 0.2 0.2 2.2 2.9 0.7 0.2 0.7 1.0 0.2 100.0 5 2011 Georgia Medical School Graduate Survey Report Table 2:When did you make the decision about what specialty to pursue? Time Frame 1st year of medical school 2nd year of medical school 3rd year of medical school 4th year of medical school During/after college Not certain Prior to entering college Total Number 17 34 229 54 36 15 29 414 Percentage 4.1 8.2 55.3 13.0 8.7 3.6 7.0 100.0 Over one-half of the medical school graduates chose their specialty during the third year of medical school 6 2011 Georgia Medical School Graduate Survey Report Table 3: Factors which influenced specialty choice: Minor to No Influence Moderate to Strong Influence Lifestyle (%) 25.8 74.2 Competitiveness of Specialty (%) 64.8 35.2 Mentor/role model Influence (%) 27.7 72.3 Options for fellowship training (%) 37.1 63.0 Future earning Potential (%) 46.0 53.9 Length of residency training (%) 53.0 47.0 Family expectations (%) 65.9 Medical education debt (%) 70.6 34.0 29.4 Medical education debt had the highest rate of graduates say it had a minor or no influence on specialty choice (70.6%) Competitiveness of specialty and family expectations had minor to no influence on specialty choice Lifestyle was the strongest influence chose when rating specialty choice (74.2% said it had a moderate to strong influence on specialty choice) 7 2011 Georgia Medical School Graduate Survey Report Table 4: Did you match with a GME Program? Yes No Total Table 5: If yes, did you match to . . . Georgia Program Out-of-State Total Number 386 23 409 Number 90 276 366 Percentage 94.4 5.6 100.0 Percentage 24.6 75.4 100.0 8 2011 Georgia Medical School Graduate Survey Report Table 6: Were any Georgia GME programs among your top three choices during the match? Yes No Total Number 178 230 408 Percentage 43.6 56.4 100.0 Table 7: If yes, how many Georgia GME programs were among your top three choices during the match? 1 2 3 Total Number 146 20 12 178 Percentage 82.0 6.7 11.3 100.0 42.1% of Georgia's medical school graduates ranked a Georgia GME Program in the National Resident Matching Program 170 respondents indicated they ranked a Georgia program among their top three choices during the match In 2011, there were 473 PGY-1 approved residency positions in Georgia 9 2011 Georgia Medical School Graduate Survey Report Table 8: Which programs* were among your top three choices? Georgia GME Programs Emory University School of Medicine Medical College of Georgia Morehouse School of Medicine Medical Center of Central Georgia Floyd Medical Center Atlanta Medical Center Memorial Health University Medical Center The Medical Center, Inc. Phoebe Putney Memorial Hospital Satilla Regional Medical Center Total Number 116 44 17 14 10 9 7 5 4 1 227 *Emory has over one-half (51.9%) of the total residency positions in Georgia Percent 51.1 19.4 7.5 6.2 4.4 4.0 3.1 2.2 1.8 0.4 100.0 10 2011 Georgia Medical School Graduate Survey Report Table 9: Georgia medical school graduates who ranked Georgia residency programs by their top three choices, by number and percent Medical School Emory MCG Mercer MSM PCOM Total AMC Emory Floyd Georgia Graduate Medical Education Program MCG MSM MCCG TMC MHUMC # % # % 0 0.0 37 82.2 3 4.2 38 53.5 2 6.3 20 62.5 2 6.1 13 39.4 2 4.4 7 15.6 9 4.0 115 50.9 # % 0 0.0 1 1.4 0 0.0 1 3.0 8 17.8 10 4.4 # % # % # % 3 6.7 0 0.0 3 6.7 21 29.6 4 5.6 2 2.8 5 15.6 0 0.0 3 9.4 4 12.1 9 27.3 2 6.1 11 24.4 4 8.9 4 8.9 44 19.5 17 6.2 14 6.2 # % 0 0.0 0 0.0 0 0.0 0 0.0 5 11.1 5 2.2 # % 1 2.2 1 1.4 2 6.3 1 3.0 2 41.4 7 3.1 Phoebe # % 1 2.2 1 1.4 0 0.0 1 3.0 1 2.2 4 1.8 Satilla Total # % # % 0 0.0 45 100.0 0 0.0 71 100.0 0 0.0. 32 100.0 0 0.0 33 100.0 1 2.2 45 100.0 1 0.4 226 100.0 Of the Georgia medical students that ranked a Georgia GME program among their top three choices, 50.9% ranked Emory in their top three. 82.2% of Emory Medical School graduates ranked an Emory GME program among their top three choices 11 2011 Georgia Medical School Graduate Survey Report Table 10: Percent of graduates that matched to a Georgia or out-of-state program Georgia Medical School Emory University School of Medicine Medical College of Georgia Mercer University School of Medicine Morehouse School of Medicine Philadelphia College of Osteopathic Medicine (GA Campus) GA Program (%) 29.0 23.4 21.6 30.0 22.2 Out-of-State Program (%) 71.0 76.6 78.4 70.0 77.8 12 2011 Georgia Medical School Graduate Survey Report Table 11: If you are going out-of-state for residency training, what is your primary reason for leaving? Reason for Leaving Preferred a highly reputable program Family reasons Desire to stay in Georgia, but did not match Quality of Georgia residencies Specialty not offered in Georgia Higher resident salary Military obligation Lack of osteopathic residencies Total Number 140 36 30 25 21 7 6 5 270 Percent 51.9 13.3 11.1 9.3 7.8 2.6 2.2 1.9 100.0 13 2011 Georgia Medical School Graduate Survey Report Table 12: What factors had the most influence in the selection of your residency program? Minor to No Influence Moderate to Strong Influence Family (%) 36.5 63.5 Location (%) 12.5 87.5 Reputation of residency program (%) Availability of residence positions in desired specialty (%) 11.8 39.6 88.2 60.4 Resident Salary (%) 78.4 21.6 Respondents had the opportunity to write in other factors that influenced their choice of a residency program that were not listed. Interactions with residents and faculty was the most common, followed by research opportunities and cost of living Resident salary had the least influence in selection of a residency program. 78.4% said salary had little to no influence on their selection of program Reputation of the residency program was the greatest influence. 88.2% said reputation of the residency program had a moderate to strong influence Location was also a great influence in selecting a residency program, with 87.5% saying it had a moderate to strong influence 14 2011 Georgia Medical School Graduate Survey Report Table 13: Do you plan to locate your practice in a underserved area? Yes No Total Number 216 179 395 Percent 54.7 45.3 100.0 Table 14: If yes, indicate the location: Inner-City Community Rural Community Total Number 110 102 212 Percent 51.9 48.1 100.0 15 2011 Georgia Medical School Graduate Survey Report 1166