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Report on Residents

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

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Residents Who Completed Training, 2009-18

The table below displays the number and percentage of individuals who completed residency training in an ACGME-accredited program from 2009 through 2018 anywhere in the United States and Puerto Rico, 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 "State of Practice" indicates the state where the physician is currently practicing, regardless of where the physician completed residency training. For example, 1,446 of 2,246 (64.4%) of residents who completed a residency program from 2009 through 2018 and are now practicing in the state of Alabama are practicing in Medically Underserved Areas of Alabama. Please contact residentreport@aamc.org with any comments or questions.

Selected Finding: The percentage of individuals who completed residency training from 2009 through 2018 and are now practicing in Medically Underserved Areas varies widely across states, ranging from 0.6% in Utah to 91.0% in Puerto Rico.

Practicing in Medically Underserved Areas Not Practicing in Medically Underserved Areas
State of Practice 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 Medically Underserved Areas. 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.

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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