Medical School Characteristics, Policies, and Practices That Support Primary Care Specialty Choice: A Scoping Review of 5 Decades of Research. Fam Med 2022 Jul;54(7):542-554
Date
07/15/2022Pubmed ID
35833935DOI
10.22454/FamMed.2022.440132Scopus ID
2-s2.0-85134054390 (requires institutional sign-in at Scopus site) 14 CitationsAbstract
BACKGROUND AND OBJECTIVES: The United States, like many other nations, faces a chronic shortage of primary care physicians. The purpose of this scoping review was to synthesize literature describing evidence-based institutional practices and interventions that support medical students' choices of primary care specialties, published in the United States, Canada, Australia, and New Zealand.
METHODS: We surveyed peer-reviewed, published research. An experienced medical librarian conducted searches of multiple databases. Articles were selected for inclusion based on explicit criteria. We charted articles by topic, methodology, year of publication, journal, country of origin, and presence or absence of funding. We then scored included articles for quality. Finally, we defined and described six common stages of development of institutional interventions.
RESULTS: We reviewed 8,083 articles and identified 199 articles meeting inclusion criteria and 41 related articles. As a group, studies were of low quality, but improved over time. Most were quantitative studies conducted in the United States. Many studies utilized one of four common methodologic approaches: retrospective surveys, studies of programs or curricula, large-scale multi-institution comparisons, and single-institution exemplars. Most studies developed groundwork or examined effectiveness or impact, with few studies of planning or piloting. Few studies examined state or regional workforce outcomes.
CONCLUSIONS: Research examining medical school interventions and institutional practices to support primary care specialty choice would benefit from stronger theoretical grounding, greater investment in planning and piloting, consistent use of language, more qualitative methods, and innovative approaches. Robust funding mechanisms are needed to advance these goals.
Author List
Phillips JP, Wendling AL, Prunuske J, Polverento ME, Ledford CJW, Erlich DR, Guard EL, Kost A, Kovar-Gough I, Lee AL, Liaw W, Nguyen BM, Pratte MA, Raleigh MF, Sairenji T, Seehusen DA, Walker S, Young V, Morley CPAuthor
Jacob P. Prunuske MD Assistant Dean, Professor in the Medical School Regional Campuses department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
CurriculumHumans
Policy
Primary Health Care
Retrospective Studies
Schools, Medical
United States
