2013 Georgia medical school graduate survey report

2013 Georgia Medical School Graduate Survey Report
GEORGIA BOARD FOR PHYSICIAN WORKFORCE JULY 2013
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

2013 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.......................................................... 6-7 Table 3: When decision was made regarding specialty choice ................................................ 8 Table 4: Factors which influenced specialty choice ................................................................. 9 Table 5: GME match information ......................................................................................... 10 Table 6: GME match information-location ........................................................................... 10 Table 7: Georgia GME match information ............................................................................ 11 Table 8: Georgia GME match information-number of programs ........................................... 11 Table 9: Top three choices of Georgia programs................................................................... 12 Table 10: Georgia medical school graduates that ranked GA programs in top three.............. 13 Table 11: Percentage of graduates that matched to GA or out-of-state program .................. 14 Map 1: Location where graduates matched ........................................................................ 14 Table 12: Primary reason for choosing an out-of-state program ........................................... 15 Table 13: Factors influencing selection of residency program ............................................... 16 Table 14: Plans to practice in an underserved area............................................................... 17 Table 15: Underserved area location ................................................................................... 17 Map 2 : Location where graduates plan to practice .............................................................. 18
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2013 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 Regents University Mercer University School of Medicine Morehouse School of Medicine Philadelphia College of Osteopathic MedicineGeorgia campus
Key Findings from the 2013 Survey:
Geography: 48.5% intend to practice in an underserved area 19.5% intend to practice in a rural community 66.8% intend to practice in Georgia 10.8% intend to practice in a state contiguous to Georgia (AL, FL, NC, SC, TN)
Specialty: The greatest declared specialty was internal medicine with 13.9%. In 2012, it was pediatrics. 38.5% declared a primary care specialty (defined as family medicine, internal medicine, pediatrics and OB/GYN). Morehouse had the highest percentage of their graduates (47.8%) say they intended to pursue a primary care specialty, followed by PCOM with 46.2%, Mercer with 42.3%, Emory with 36.1% and MCG with 26.4%. 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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2013 Georgia Medical School Graduate Survey Report
Executive Summary and Key Findings
Georgia Residency Programs: 24.7% matched to a Georgia graduate medical education program (GME) 41.5% 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. 178 respondents indicated they ranked one or more of the 474 PGY-1 ACGME approved residency positions as a top three choice. Of those going to an out-of-state residency program, 43.2% said they preferred a highly reputable out-of-state program. Other reasons for choosing an out-of-state program: Family reasons 26.3% Quality of Georgia residency programs 10.2% Desire to stay in Georgia, but did not match 7.1% Specialty not offered in Georgia 6.0% Lack of osteopathic residencies 4.1% Military obligation 2.3% Higher resident salary 0.8% As a percentage of their class, Emory respondents had the highest percentage matching to a Georgia program with 31.5%. The lowest was Philadelphia College of Osteopathic Medicine (PCOM) with 10.0%.
Practice Plans: Mercer had the highest percent of their graduates say they intended to practice in Georgia after they completed residency training (91.1%). Emory had the lowest percentage, with 47.0%. Of the graduates that plan to practice in Georgia, Mercer had the highest percentage that intend to practice in a rural area (55.9%). Of the graduates that plan to practice in Georgia, Morehouse had the highest percentage that intend to practice in an inner-city community (63.6%). PCOM had the lowest with 8.3%.
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2013 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 Dermatology Emergency Medicine Med-Peds Medicine Neurological Surgery Neurology Ophthalmology Orthopedic Surgery Otolaryngology Pathology Pediatric Neurology Plastic Surgery Psychiatry Radiology General Surgery Urology Transitional Preliminary Medicine Total

Number
20 119
34 71
12 1 40 7 4 3 6 2 25 5 6 1 3 17 2 44 5 20 15 462

Percentage

4.3 25.8
7.4 15.4

2.6

0.2

8.7

1.5

0.9

0.6

1.3

0.4

5.4 1.1 1.3

0.2

0.6

3.7

0.4

9.5

1.1

4.3

3.2

100.0

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SPECIALISTS

2013 Georgia Medical School Graduate Survey Report
Table 2: Specialty distribution declared by graduates

PRIMARY CARE

SPECIALISTS

Specialty (alphabetical) Family Medicine Internal Medicine OB/GYN Pediatrics
Allergy & Immunology Anesthesiology Breast Surgery Cardiology Child and Adolescent Psychiatry Critical Care Medicine Dermatology Emergency Medicine Endocrinology Gastroenterology General Surgery Gynecology Oncology Hematology/Oncology Infectious Disease Med-Peds Neonatal-Perinatal Medicine Nephrology
(Continued on page 7)

Number
21 63 35 56
1 17 1 13 4 3 9 44 2 3 28 1 5 1 5 3 1

Percentage
4.6 13.9 7.7 12.3
0.2 3.7 0.2 2.9 0.9 0.7 2.0 9.7 0.4 0.7 6.2 0.2 1.1 0.2 1.1 0.7 0.2
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2013 Georgia Medical School Graduate Survey Report
Table 2: Specialty distribution declared by graduates

SPECIALISTS

Specialty (alphabetical)
Neurological Surgery Neurology Ophthalmology Orthopedic Surgery Otolaryngology Pathology Pediatric Cardiology Pediatric Dermatology Pediatric Emergency Medicine Pediatric Endocrinology Pediatric Hematology/Oncology Pediatric Neurology Pediatric Surgery Physical Medicine & Rehabilitation Plastic Surgery Psychiatry Pulmonology Radiology Radiation Oncology Rheumatology Surgical Oncology Traumatic Surgery Urology Total

Number
4 12 13 25 5 6 5 1 2 2 1 3 4 4 4 13 2 14 2 4 1 1 10 454

Percentage
0.9 2.6 2.9 5.5 1.1 1.3 1.1 0.2 0.4 0.4 0.2 0.6 0.9 0.9 0.9 2.9 0.4 3.1 0.4 0.9 0.2 0.2 2.2 100.0
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2013 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
24 23 260 75 52 13 25 472

Percentage
5.1 4.9 55.1 15.9 11.0 2.8 5.3 100.0

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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2013 Georgia Medical School Graduate Survey Report
Table 4: Factors which influenced specialty choice:

Minor to No Influence Moderate to Strong Influence

Lifestyle (%)
18.6 81.4

Competitiveness of
specialty (%)
55.6
44.4

Mentor/role model
influence (%)
22.0
78.0

Options for fellowship training
(%)
31.5
68.6

Future earning potential
(%)
44.1
55.9

Length of residency training
(%)
53.1
46.9

Family expectations
(%)
65.6

Medical education
debt (%)
65.5

34.3

34.5

Family expectations had the highest rate of graduates say it had a minor or no influence on specialty choice (65.6%). Lifestyle was the strongest influence chosen when rating specialty choice. 81.4% said it had a moderate to strong influence on specialty choice, followed by Mentor/Role Model Influence (78.0%). The majority of graduates said that medical education debt (65.5%) and family expectations (65.6%) had minor to no influence on specialty choice.

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2013 Georgia Medical School Graduate Survey Report
Table 5: Did you match with a GME Program?

Yes No Total

Number
418 11 429

Percentage
97.4 2.6
100.0

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

Georgia Program Out-of-State Total

Number
97 296 393

Percentage
24.7 75.3 100.0

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2013 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
178 251 429

Percentage
41.5 58.5 100.0

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

1 2 3 Total

Number
147 27 4 178

Percentage
82.6 15.2 2.2 100.0

41.5% of Georgia's medical school graduates ranked a Georgia GME Program in the National Resident Matching Program, Down from 47.8% in 2012. 178 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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2013 Georgia Medical School Graduate Survey Report
Table 9: Which programs were among your top three choices?

Georgia GME Programs

Number

Emory University

113

Medical College of Georgia

43

Medical Center of Central Georgia

17

Memorial Health University Medical Center

9

Floyd Medical Center

8

Morehouse School of Medicine

8

Atlanta Medical Center

7

The Medical Center, Inc. (Columbus)

3

Phoebe Putney Memorial Hospital

2

Houston Medical Center

0

The Mayo Clinic (Waycross)

0

Total

210

Emory University has over one-half (51.7%) of the GME slots in Georgia.

Percent
53.8 20.5
8.1 4.3 3.8 3.8 3.3 1.4 1.0 0.0 0.0 100.0

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2013 Georgia Medical School Graduate Survey Report
Table 10: Georgia medical school graduates who ranked Georgia residency programs by their top three choices, by number and percent

2011

AMC

Medical School # %

Emory 0

0

MCG 4

6.7

Mercer 3

8.3

MSM 0

0

PCOM 0

0

Total 7

3.3

Emory
#% 68 93.2 23 38.3 9 25 9 47.3 4 18.2 113 53.8

Floyd
#% 00 35 1 2.8 1 5.3 3 13.6 8 3.8

Houston
#% 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0

Georgia Graduate Medical Education Program

MCG

MSM

MCCG The Mayo Clinic TMC

#%#%#%#%#% 4 5.4 0 0 0 0 0 0.0 0 0 22 36.7 1 1.7 4 6.7 0 0.0 1 1.7 10 27.8 0 0 5 13.9 0 0.0 0 0 1 5.3 6 31.6 2 10.5 0 0.0 0 0 6 27.3 1 4.5 6 27.3 0 0.0 2 9 43 20.5 8 3.8 17 8.1 0 0.0 3 1.4

MHUMC
#% 1 1.4 00 8 22.2 00 00 9 4.3

Phoebe
#% 00 2 3.3 00 00 00 21

Total
#% 73 100 60 100 36 100 19 100 22 100 210 100

Of the Georgia medical students that ranked a Georgia GME program among their top three choices, 53.8% ranked Emory in their top three. 93.2% of Emory Medical School graduates ranked an Emory GME program among their top three choices.

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2013 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 (%)
31.5 26.7 21.9 30.8 10.0

Out-of-State Program (%) 68.5
73.3
78.1
69.2 90.0

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2013 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 Quality of Georgia residency programs Desire to stay in Georgia, but did not match Specialty not offered in Georgia Lack of osteopathic residencies Military obligation Higher resident salary Total

Number
115 70 27 19 16 11 6 2 266

Percent
43.2 26.3 10.2 7.1 6.0 4.1 2.3 0.8 100.0

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 factor when choosing a residency site out-of-state.

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2013 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 (%)
27.2 72.8

Location (%)
7.0 93.0

Reputation of residency program (%)
7.8
92.2

Fellowship Opportunities
27.2 72.8

Availability of residence positions
in desired specialty
(%)
42.2
57.8

Resident salary (%)
78.3
21.7

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. 78.3% said salary had little to no influence on their selection of program. Location of the residency program was the greatest influence. 93.0% 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 92.2% saying it had a moderate to strong influence.

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2013 Georgia Medical School Graduate Survey Report

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

Yes No Total

Number 199 211 410

Table 15: If yes, indicate the location:

Percent 48.5 51.5 100.0

Inner-City Community Rural Community Total

Number 106 80 186

Percent 57.0 43.0 100.0

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2013 Georgia Medical School Graduate Survey Report
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