Article Figures & Data
Tables
- Table 1.
Demographic Characteristics in National Graduate Survey (NGS) Group and Continuous Certification Questionnaire (CCQ) Group from 2017 to 2020 (Cross-Sectional)
NGS Group (n = 8,492) CCQ Group (n = 30,491) Respondents 2017 2,127 (25.05%) 9,559 (31.35%) 2018 2,230 (26.26%) 8,666 (28.42%) 2019 2,472 (29.11%) 8,473 (27.79%) 2020* 1,663 (19.58%) 3,793 (12.44%) Age, Mean (SD) 2017 35.40 (4.49) 51.15 (8.98) 2018 35.35 (4.47) 51.46 (9.01) 2019 35.14 (4.15) 51.76 (9.25) 2020 35.00 (3.99) 46.86 (9.56) Gender Female 4,750 (55.93%) 13,307 (43.64%) Male 3,742 (44.07%) 17,184 (56.36%) Degree type DO 1,620 (19.08%) 3,173 (10.41%) MD 6,872 (80.92%) 27,318 (89.59%) International Medical Graduate Yes 2,708 (31.89%) 7,214 (24.03%) No 5,784 (68.11%) 2,2802 (75.97%) Rurality Metropolitan 6,928 (84.62%) 25,668 (85.01%) Micropolitan 732 (8.94%) 2,692 (8.92%) Non-core non-metropolitan 527 (6.44%) 1,833 (6.07%) Missing 305 (3.60%) 298 (0.98%) ↵* Sample sizes are smaller for the 2020 CCQ due to programmatic changes the ABFM made in 2010 that allowed physicians to delay their examination by 3 years.
Abbreviation: SD, standard deviation.
- Table 2.
Cross-Sectional Trends in Primary Practice in National Graduate Survey (NGS) Group and Continuous Certification Questionnaire (CCQ) Group from 2017 to 2020 for Respondents Doing Direct Patient Care
NGS Group (n = 8,492) CCQ Group (n = 30,491) Outpatient continuity care Yes 2017 1,726 (81.15%) 7,580 (79.30%) 2018 1,801 (80.76%) 6,768 (78.10%) 2019 2,013 (81.43%) 6,646 (78.44%) 2020 1,347 (81.00%) 2,951 (77.80%) Hospitalist 2017 191 (8.98%) 355 (3.71%) 2018 203 (9.10%) 299 (3.45%) 2019 211 (8.54%) 344 (4.06%) 2020 145 (8.72%) 234 (6.17%) Emergency medicine 2017 52 (2.44%) 481 (5.03%) 2018 69 (3.09%) 472 (5.45%) 2019 82 (3.32%) 403 (4.76%) 2020 49 (2.95%) 161 (4.24%) Urgent care 2017 99 (4.65%) 554 (5.80%) 2018 100 (4.48%) 559 (6.45%) 2019 99 (4.00%) 531 (6.27%) 2020 66 (3.97%) 244 (6.43%) Outpatient continuity care and hospitalist mixed care 2017 545 (25.62%) 1,677 (17.54%) 2018 562 (25.20%) 1,374 (15.86%) 2019 618 (25.00%) 1,327 (15.66%) 2020 415 (24.95%) 545 (14.37%) - Table 3.
Demographic Characteristics for Longitudinal Cohorts from National Graduate Survey (NGS) to Practice Demographic Survey (PDS) and Continuous Certification Questionnaire (CCQ) to Practice Demographic Survey (PDS)
NGS Group (n = 2057) CCQ Group (n = 2320) p Respondents 2016 1307 NA 2017 750 2,320 Age, Mean (SD) 2016 35.23 (4.20) NA <0.0001 2017 35.09 (4.52) 50.88 (8.35) Gender Female 1,138 (55.32%) 1,012 (43.62%) <0.0001 Male 919 (44.68%) 1,308 (56.38%) Degree type DO 296 (14.39%) 234 (10.09%) <0.0001 MD 1,761 (85.61%) 2,086 (89.91%) International Medical Graduate Yes 650 (31.60%) 317 (13.98%) <0.0001 No 1,407 (68.40%) 1,951 (86.02%) Rurality Metropolitan 1,668 (83.86%) 1,936 (84.25%) 0.996 Micropolitan 184 (9.25%) 212 (9.23%) Non-core non-metropolitan 137 (6.89%) 150 (6.53%) Abbreviation: SD, standard deviation.
- Table 4.
Practice Types at Baseline and 3 Years Later from National Graduate Survey (NGS) Linked to Practice Demographic Survey (PDS) and Continuous Certification Questionnaire (CCQ) Linked to Practice Demographic Survey (PDS)
NGS (2016, 2017) PDS (2019, 2020) p CCQ (2017) PDS (2020) p Outpatient continuity care Yes 1,678 (81.58%) 1,631 (79.29%) 0.036 1,826 (78.71%) 1,816 (78.28%) 0.721 No 379 (18.42%) 426 (20.71%) 494 (21.29%) 504 (21.72%) Hospitalist 180 (8.75%) 178 (8.65%) 0.648 65 (2.80%) 65 (2.80%) 0.867 Emergency medicine 53 (2.58%) 57 (2.77%) 123 (5.30%) 117 (5.04%) Urgent care 88 (4.28%) 103 (5.01%) 157 (6.77%) 141 (6.08%) Mixed practice Yes 574 (34.21%) 442 (27.10%) <0.001 436 (23.88%) 351 (19.33%) 0.001 No 1,101 (65.61%) 1,188 (72.84%) 1,390 (76.12%) 1,461 (80.45%) - Table 5.
Respondents Reporting No Change of Practice Type after 3 Years from National Graduate Survey (NGS) Linked to Practice Demographic Survey (PDS) and Continuous Certification Questionnaire (CCQ) Linked to Practice Demographic Survey (PDS)
NGS Group (2016, 2017) CCQ Group (2017) p Outpatient continuity care 1,550 (92.37%) 1,702 (93.21%) <0.0001 Hospitalist 149 (82.77%) 51 (78.46%) Emergency medicine 42 (79.25%) 102 (82.93%) Urgent care 60 (75.00%) 93 (59.24%) Mixed No change 366 (63.76%) 281 (64.45%) Only outpatient continuity care 166 (28.92%) 129 (29.59%) 0.0315 Emergency medicine 5 (0.87%) 4 (0.92%) Hospitalist 21 (3.66%) 3 (0.69%) Urgent care 5 (0.87%) 5 (1.15%) Others 11 (1.92%) 13 (2.75%) - Table 6.
The Number and Percentage of Family Physicians Who Stay in the Same or Change Type of Practice Site by Geographic Movement
Not Move Move p NGS Group Same practice site 778 (79.07%) 268 (44.22%) <0.0001 Different practice site 206 (20.93%) 338 (55.78%) Continue mix practice 270 (79.41%) 87 (50%) <0.0001 Initial mix practice 340 174 CCQ Group Same practice sites 658 (81.03%) 146 (52.33%) <0.0001 Different practice sites 154 (18.97%) 133 (47.67%) Continue mix practice 142 (77.60%) 22 (50%) 0.0002 Initial mix practice 183 44 Abbreviations: NGS, national graduate survey; CCQ, continuous certification questionnaire.
- Table 7.
Distribution of Specific Practice Site and Providing Mixed Practice Among Family Physicians Who Did Not Geographically Move More Than 3 Years
NGS Group Did Not Move and at the Same Practice Site CCQ Group Did Not Move and at the Same Practice Site Mixed Practice Continued Stopped p Continued Stopped p Academic health center/Faculty practice 57 (26.89%) 9 (16.98%) 0.003 25 (21.74%) 2 (6.25%) 0.029 Federal/Federally Qualified Health Center or Look-Alike/Government clinic, non-federal/Indian Health Service / Rural Health Clinic (federally qualified) 58 (27.36%) 7 (13.21%) 22 (10.43%) 4 (9.38%) Hospital/Health system owned medical practice/Managed care/HMO practice 54 (25.47%) 27 (50.94%) 33 (25.22%) 8 (21.88%) Independently-owned medical practice 43 (20.28%) 10 (18.87%) 34 (29.54%) 18 (56.25%) Abbreviations: NGS, national graduate survey; CCQ, continuous certification questionnaire; HMO, health maintenance organization.
NGS Group (n = 574) CCQ Group (n = 436) Age Age >38 vs < 38 0.57 (0.30-1.09) - Age 50 to 60 vs <50 - 1.03 (0.61-1.74) Age >60 vs <50 - 1.15 (0.62-2.16) Gender Male 0.87 (0.57-1.31) 1.63 (1.01-2.65) Female Ref Ref Degree type MD 0.64 (0.35-1.16) 1.73 (0.70-4.29) DO Ref Ref International medical graduate US/Canada 2.40 (1.42-4.08) 0.80 (0.41-1.57) IMG Ref Ref Rurality Metropolitan 2.31 (1.42-3.77) 2.67 (1.46-4.87) Non-metropolitan Ref Ref Moved practice location Yes 4.32 (2.84-6.57) 3.40 (1.93-5.96) No Ref Ref Abbreviations: NGS, national graduate survey; CCQ, continuous certification questionnaire; IMG, international medical graduates.
