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Assessment of Factors for Recruiting and Retaining Medical Students to Rural Communities Using the Community Apgar Questionnaire

机译：使用社区Apgar问卷评估在农村社区招收和留住医学生的因素

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Background: Rural communities throughout the United States are eager to recruit and retain family physicians. This study examined factors that may contribute to a medical student’s decision to consider rural family medicine practice using the Community Apgar Questionnaire (CAQ). Methods: Third- and fourth-year medical students from 10 medical schools responded to a survey of 62 identified factors deemed to be present when assessing the strengths and challenges of recruiting family physicians to rural communities. Participants could also respond to six demographic questions. Factors were ranked based on importance to respondents and were compared using demographic information. Results: A total of 282 MS-3 and MS-4 students interested in family medicine from 10 US medical schools completed the survey (response rate 19.5%). Forty percent of participants anticipate practicing in a rural setting, followed by 31% for suburban and 29% for urban. The top three factors participants considered when anticipating a rural practice setting were spousal satisfaction, call frequency, and competition/collegiality. Additional differences were found across CAQ factors by future practice setting, gender, and location where the student was raised. Conclusions: Medical schools, rural preceptors, and rural communities may wish to consider highly rated factors found in the CAQ in the effort to increase the recruitment of family physicians interested in rural practice.
机译：背景：美国各地的农村社区都渴望招募和保留家庭医生。这项研究调查了可能导致医学生决定使用“社区Apgar问卷”（CAQ）考虑农村家庭医学实践的因素。方法：在评估招募家庭医生到农村社区的优势和挑战时，来自10所医学院的三年级和四年级医学生对62个已确定的因素进行了调查。参与者还可以回答六个人口统计问题。根据对受访者的重要性对因素进行排名，并使用人口统计信息进行比较。结果：来自美国10所医学院校的282位MS-3和MS-4学生对家庭医学感兴趣，完成了调查（答复率为19.5％）。 40％的参与者期望在农村环境中练习，其次是郊区的31％和城市的29％。参加者在预期农村实践环境时考虑的前三个因素是配偶满意度，通话频率和竞争/共处。在CAQ因素方面，根据未来的实践环境，性别和学生的成长地点，还发现了其他差异。结论：医学院，农村传教士和农村社区不妨考虑CAQ中发现的高度评价的因素，以努力增加对农村实践感兴趣的家庭医生的招募。

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