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Report on Residents

Table C3. Number of Individuals Who Completed Residency and Are Practicing in Federally Designated Medically Underserved Areas, by State

Residents Who Completed Training, 2012-21

The table below displays the number and percentage of individuals who completed residency training in an ACGME-accredited program from 2012 through 2021 anywhere in the United States and Puerto Rico, are not currently active in any GME program, and practice in Medically Underserved Areas (MUAs) compared with those who do not practice in MUAs. Federally designated MUAs are based on an Index of Medical Underservice, which is derived from an area's ratio of primary medical care physicians per 1,000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population age 65 or over. Data are for graduates of MD-granting and DO-granting U.S. and Canadian schools and of international medical schools. The data are limited to physicians providing direct patient care in the United States and Puerto Rico. The "State of Practice" indicates the state where the physician is currently practicing, regardless of where the physician completed residency training. For example, 864 of 2,102 (41.1%) residents who completed a residency program from 2012 through 2021 and are now practicing in Alabama are practicing in MUAs of Alabama. Please contact residentreport@aamc.org with any comments or questions.

Selected Finding: The percentage of individuals who completed residency training from 2012 through 2021 and are now practicing in MUAs varies widely across states, ranging from 3.0% in North Dakota to 72.4% in Puerto Rico.

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State of Practice Practicing in Medically Underserved Areas Not Practicing in Medically Underserved Areas Total
Number Percent Number Percent

Note: For the purposes of this report, Medically Underserved Areas are geographically defined Medically Underserved Areas, which excludes other types of Medically Underserved Areas (see bhw.hrsa.gov/shortage-designation/muap). Geocoded practice locations include the 50 states, the District of Columbia, and Puerto Rico. States have differing numbers of areas designated as MUAs. Data are for physicians who provide direct patient care only. Data for physicians not represented in the AMA Physician Masterfile may be missing. About 10% of completed residents in GME Track® do not have information in the AMA Physician Masterfile about whether they provide direct patient care. As a result, practicing physicians may be underrepresented. There has been a minor change in the geocoding methodology of 2022 AMA Masterfile data where ZIP code was used instead of ZIP code Tabulation Area (ZCTA) to quality control the geocoded practice location. Therefore, there may be some variations in this year's report compared to last year’s reports.

Source: GME Track® as of GMEdate, YYYY1; AMA Physician Masterfile as of AMAdate, YYYY2; and Medically Underserved Area designations as of MUAdate, YYYY1.