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Report on Residents

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Table C2. Number of Individuals Who Completed Residency and Are Practicing in Federally Designated Medically Underserved Areas, by Last Completed GME Specialty

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Residents Who Completed Training, 2009-18

The table below displays the number and percentage of individuals who completed residency training from 2009 through 2018, are not currently active in any GME program, and practice in Medically Underserved Areas, compared with those who do not practice in Medically Underserved Areas. Federally designated Medically Underserved Areas 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 include graduates of MD-granting and DO-granting U.S. and Canadian schools as well as graduates of international medical schools. The data are limited to physicians providing direct patient care in the United States and Puerto Rico. The data are displayed by the most recently completed ACGME-accredited specialty or subspecialty. For example, 186 of 1,050 (17.7%) of residents who completed a residency program in allergy and immunology from 2009 through 2018 went on to practice in a Medically Underserved Aprea in the United States or Puerto Rico. Counts and percentages shown for specialties do not include counts and percentages for the related subspecialties. Please contact residentreport@aamc.org with any comments or questions.

Selected Finding: Overall, 23.3% of the individuals who completed residency from 2009 through 2018 were practicing in Medically Underserved Areas, as of 2019. The rates of practicing in Medically Underserved Areas were greater than 20% for many of the largest specialties, such as family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, psychiatry, and surgery.

Practicing in Medically Underserved Areas Not Practicing in Medically Underserved Areas
ACGME-Accredited Specialties and Subspecialties Completed Number Percent Number Percent Total
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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 https://bhw.hrsa.gov/shortage-designation/muap). The Medically Underserved Area designation is 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. Geocoded practice locations include the 50 states, the District of Columbia, and Puerto Rico. States have differing numbers of areas designated as MUAs. Data include physicians who provide direct patient care only. Data for physicians not represented in the AMA Physician Masterfile may be missing. About 18% 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. Specialties with no reported residents were excluded.

Source: GME Track as of Sept. 5, 2019, AMA Physician Masterfile as of Dec. 31, 2018, and Medically Underserved Area designations as of July 5, 2019.

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