2012 Georgia medical school graduate survey report

2012 Georgia Medical School Graduate Survey Report
GEORGIA BOARD FOR PHYSICIAN WORKFORCE DECEMBER 2012
2 PEACHTREE STREET, NW, 36TH FLOOR, ATLANTA, GA 30303 PHONE (404) 232-7972 / FAX (404) 656-2596
Cherri Tucker, Executive Director, Colette Jeffery, Cheryl Culp and G.E. Alan Dever, M.D., Ph.D., contributors. www.gbpw.georgia.gov

2012 Georgia Medical School Graduate Survey Report
Table of Contents Executive Summary and Key Findings ................................................................................ 3-4 Table 1: Specialty matched during PGY 1 year ........................................................................ 5 Table 2: Specialty distribution declared by graduates............................................................. 6 Table 3: When decision was made regarding specialty choice ................................................ 7 Table 4: Factors which influenced specialty choice ................................................................. 8 Table 5: GME match information ........................................................................................... 9 Table 6: GME match information-location ............................................................................. 9 Table 7: Georgia GME match information ............................................................................ 10 Table 8: Georgia GME match information-number of programs ........................................... 10 Table 9: Top three choices of Georgia programs................................................................... 11 Table 10: Georgia medical school graduates that ranked GA programs in top three.............. 12 Table 11: Percentage of graduates that matched to GA or out-of-state program .................. 13 Table 12: Primary reason for choosing an out-of-state program ........................................... 14 Table 13: Factors influencing selection of residency program ............................................... 15 Table 14: Plans to practice in an underserved area............................................................... 16 Table 15: Underserved area location ................................................................................... 16 Map: Location where graduates plan to practice.................................................................. 17
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2012 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 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. Responses are collected from each of Georgia's five medical schools. They are:
Emory University School of Medicine Medical College of Georgia at Georgia Health Sciences University Mercer University School of Medicine Morehouse School of Medicine Philadelphia College of Osteopathic MedicineGeorgia campus
Key Findings from the 2012 Survey:
Geography: 52.5% intend to practice in an underserved area 22.1% intend to practice in a rural community 64.6% intend to practice in Georgia 16.6% intend to practice in a state contiguous to Georgia (AL, FL, NC, SC, TN)
Specialty: The greatest declared specialty was pediatrics with (12.2%). In 2011, it was internal medicine. 37.3% declared a primary care specialty (defined as family medicine, internal medicine, pediatrics and OB/GYN). This is a decrease from 2011 where 47.8% said they were going into primary care. PCOM had the highest percentages of their graduates (47.8%), say they intended to pursue a primary care specialty. Lifestyle, mentor/role model influence, options for fellowship training, and future earning potential were all important factors for Georgia graduates in determining specialty.
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2012 Georgia Medical School Graduate Survey Report
Executive Summary and Key Findings
Georgia Residency Programs: 20.4% matched to a Georgia graduate medical education program (GME) 47.8% ranked a Georgia GME program among their top three choices during the match, and of those, more than half ranked an Emory GME program. Emory had 40.3% of the PGY-1 positions in 2012/2013. 196 respondents indicated they ranked one or more of the 474 PGY-1 ACGME approved residency positions. Of those going to an out-of-state residency program, 37.3% said they preferred a highly reputable out-of-state program. Other reasons for choosing an out-of-state program: Family reasons 26.0% Desire to stay in Georgia, but did not match 15.2% Quality of Georgia residency programs 8.0% Specialty not offered in Georgia 5.4% Lack of osteopathic residencies 3.6% Military obligation 2.9% Higher resident salary 1.4% As a percentage of their class, Morehouse respondents had the highest percentage matching to a Georgia program with 30.8%. The lowest was Philadelphia College of Osteopathic Medicine (PCOM) with 5.5%.
Practice Plans: Mercer had the highest percent of graduates say they intended to practice in Georgia after they completed residency training (93.2%). PCOM had the lowest percentage, with 43.6%. Of the graduates that plan to practice in Georgia, Mercer had the highest percentage that intend to practice in a rural area (52.2%). Emory had the lowest, with 14.3%. Of the graduates that plan to practice in Georgia, Morehouse had the highest percentage that intend to practice in an inner-city community (81.2%). PCOM had the lowest with 14.3%.
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2012 Georgia Medical School Graduate Survey Report 2011

Table 1: Specialty matched to in PGY 1 year

PRIMARY CARE

Specialty (alphabetical)
Family Medicine Internal Medicine OB/GYN Pediatrics
Anesthesiology Cardiovascular Surgery Emergency Medicine Neurological Surgery Neurology Orthopedic Surgery Otolaryngology Pathology Plastic Surgery Psychiatry Radiology General Surgery Thoracic Surgery Urology Other Transitional Preliminary Medicine Total

Number
31 96 24 61
16 1 38 2 6 17 3 3 1 13 5 62 1 4 1 4 11 400

Percentage
7.8 24.0
6.0 15.3
4.0 0.2 9.5 0.5 1.5 4.3 0.7 0.7 0.2 3.3 1.3 15.5 0.2 1.0 0.2 1.0 2.8 100.0
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SPECIALISTS

2012 Georgia Medical School Graduate Survey Report

PRIMARY CARE

Table 2: Specialty distribution declared by graduates

Specialty (alphabetical)

Number

Family Medicine

32

Internal Medicine

48

OB/GYN

23

Pediatrics

50

Percentage
7.8 11.7
5.6 12.2

SPECIALISTS

Addiction Psychiatry

1

Anesthesiology

26

Cardiovascular Diseases

14

Cardiovascular Surgery

2

Dermatology

3

Emergency Medicine

46

Endocrinology

2

Forensic Pathology

1

Gastroenterology

2

General Surgery

23

Infectious Disease

3

Neonatal-Perinatal Medicine

2

Neurological Surgery

3

Neurology

10

Hematology/Oncology

4

Ophthalmology

11

Orthopedic Surgery

22

Otolaryngology

5

Pathology

3

Pediatric Hematology/Oncology

2

Pediatric Neurology

1

Pediatric Surgery

3

Physical Medicine & Rehabilitation

3

Plastic Surgery

1

Psychiatry

14

Pulmonary Diseases

2

Radiology

18

Thoracic Surgery

2

Urology

6

Unsure

21

Total

409

0.2

6.4

3.4

0.5

0.7

11.2

0.5

0.2

0.5

5.6

0.7

0.5

0.7

2.4

1.0

2.7

5.4

1.2

0.7

0.5

0.2

0.7

0.7

0.2

3.4

0.5

4.4

0.5

1.5

5.1

100.0

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2012 Georgia Medical School Graduate Survey Report
Table 3: 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
32 30 213 61 43 11 30 420

Percentage
7.6 7.1 50.7 14.5 10.2 2.6 7.1 100.0

Over one-half of the medical school graduates chose their specialty during the third year of medical school. This has been consistent since 2008 (the first year the survey was conducted).

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2012 Georgia Medical School Graduate Survey Report
Table 4: Factors which influenced specialty choice:

Minor to No Influence Moderate to Strong Influence

Lifestyle (%)
20.7 79.3

Competitiveness of
specialty (%)
52.3
47.7

Mentor/role model
influence (%)
27.8
72.2

Options for fellowship training
(%)
34.7
65.3

Future earning potential
(%)
38.2
61.8

Length of residency training
(%)
54.8
45.2

Family expectations
(%)
62.2

Medical education
debt (%)
62.5

37.8

37.5

Medical education debt had the highest rate of graduates say it had a minor or no influence on specialty choice (62.5%). Lifestyle was the strongest influence chosen when rating specialty choice. 79.3% said it had a moderate to strong influence on specialty choice, followed by options for fellowship training (65.3%). The majority of graduates said that medical education debt (62.5%) and family expectations (62.2%) had minor to no influence on specialty choice.

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2012 Georgia Medical School Graduate Survey Report
Table 5: Did you match with a GME Program?

Yes No Total

Number
377 32 409

Percentage
92.2 7.8
100.0

Table 6: If yes, did you match to . . .

Georgia Program Out-of-State Total

Number
72 281 353

Percentage
20.4 79.6 100.0

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2012 Georgia Medical School Graduate Survey Report

Table 7: Were any Georgia GME programs among your top three choices during the match?

Yes No Total

Number
196 214 407

Percentage
47.8 54.3 100.0

Table 8: If yes, how many Georgia GME programs were among your top three choices during the match?

1 2 3 Total

Number
163 24 9 196

Percentage
83.2 12.2 4.6 100.0

47.8% of Georgia's medical school graduates ranked a Georgia GME Program in the National Resident Matching Program, up from 42.1% in 2011. 196 respondents indicated they ranked a Georgia program among their top three choices during the match.
In 2012/2013, there were 474 PGY-1 approved residency positions in Georgia and 473 of these positions were filled.

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2012 Georgia Medical School Graduate Survey Report
Table 9: Which programs were among your top three choices?

Georgia GME Programs
Emory University Medical College of Georgia Medical Center of Central Georgia Memorial Health University Medical Center Floyd Medical Center Atlanta Medical Center Phoebe Putney Memorial Hospital Morehouse School of Medicine Satilla Regional Medical Center The Medical Center, Inc. Total

Number
115 54 18 11 8 8 6 5 2 1 228

Percent
50.4 23.7
7.9 4.8 3.5 3.5 2.6 2.2 0.9 0.4 100.0

Emory University has over one-half (51.9%) of the GME slots in Georgia.

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2012 Georgia Medical School Graduate Survey Report 2011

Table 10: Georgia medical school graduates who ranked Georgia residency programs by their top three choices, by number and percent

Medical School
Emory
MCG

AMC Emory

# %

# %

0 0.0 53 98.1

3 4.0 25 33.3

Floyd

Georgia Graduate Medical Education Program

MCG

MSM MCCG

TMC MHUMC

# %

# %

# %

# %

# %

0 0.0 0 0.0 1 1.9 0 0.0 0

0.0

1 1.3 33 44.0 1 1.3 5 6.7 0

0.0

# % 0 0.0 3 4.0

Phoebe

#

%

0

0.0

2

2.7

Mercer

3 7.7 16 41.0 2 5.1 8 20.5 0 0.0 7 18.0 0

0.0

3

7.7

0

0.0

MSM

1 3.1 17 53.1 1 3.1 3 9.4 2 6.3 4 12.5 0

0.0

0

0.0

4

12.5

PCOM

1 3.6 4 14.3 4 14.3 10 35.7 1 3.6 2 7.1 1

3.6

5 17.8 0

0.0

Satilla

# %

0

0.0

2

2.7

0 0.0.

0

0.0

0

0.0

Total

#

%

54 100.0

75 100.0

39 100.0

32 100.0

28 100.0

Total

8 3.5 115 50.5 8 3.5 54 23.7 5 2.2 18 7.9 1

0.4

11 4.8

6

2.6

2

0.9 228 100.0

Of the Georgia medical students that ranked a Georgia GME program among their top three choices, 50.5% ranked Emory in their top three. 98.1% of Emory Medical School graduates ranked an Emory GME program among their top three choices.

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2012 Georgia Medical School Graduate Survey Report

Table 11: 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 (%)
26.2 19.5 23.2 30.8 5.5

Out-of-State Program (%) 73.8
80.5
76.8
69.2 94.5

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2012 Georgia Medical School Graduate Survey Report
Table 12: 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 residency programs Specialty not offered in Georgia Lack of osteopathic residencies Military obligation Higher resident salary Total

Number
103 72 42 22 15 10 8 4 276

Percent
37.3 26.0 15.2 8.0 5.4 3.6 2.9 1.4 100.0

The most common reason for choosing an out-of-state residency program was that graduates preferred a highly reputable program, followed by family reasons. Resident salary was the least common reason when choosing a residency site out-of-state.

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2012 Georgia Medical School Graduate Survey Report

Table 13: What factors had the most influence in the selection of your residency program?

Minor to No Influence Moderate to Strong Influence

Family (%)
27.5 72.5

Location (%)
8.2 91.8

Reputation of residency program
(%)
11.4
88.6

Availability of residence positions in
desired specialty (%)
33.5
66.5

Resident salary (%)
73.7
26.3

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. 73.7% said salary had little to no influence on their selection of program. Location of the residency program was the greatest influence. 91.8% said location of the residency program had a moderate to strong influence. Reputation of the residency program was also a great influence in selecting a residency program, with 88.6% saying it had a moderate to strong influence.

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2012 Georgia Medical School Graduate Survey Report

Table 14: Do you plan to locate your practice in a underserved area?

Yes No Total

Number 211 191 402

Table 15: If yes, indicate the location:

Percent 52.5 47.5 100.0

Inner-City Community Rural Community Total

Number 122 89 211

Percent 57.8 42.2 100.0

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2012 Georgia Medical School Graduate Survey Report
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