Table 3.

Level of Rural Medical Education (RME), Family Medicine Effect, and Student Characteristics Before and After Rural Medical Scholars Program (RMSP) Intervention

Campus/Track of StudyBefore RMSP Intervention (1989–1996)After RMSP Intervention (1997–2005)Before/After P* (a:b)RMSP Intervention (1997–2005)
Main CampusBranchTotal (a)Main CampusBranchTotal (b)
RME levelMinimalModerateMinimalModerateLarge
Age (mean years)24.023.824.023.924.023.9.8124.7
Race (% white)88.483.787.283.879.782.7.00390.5
Sex (% male)65.866.065.860.558.159.9.00364.3
Rural (%)16.320.717.515.122.317.0.7543.2
MCAT (mean score)29.228.429.<.00125.7
4-year graduation rate (%)85.884.785.588.787.888.5.0490.5
FM choice (%)9.724.113.43.918.97.8<.00144.0
FM effect (odds ratio)§1.05.815.6
  • * Variables with significant pre/post differences were candidates for control variables in the analysis.

  • The intervention was the RMSP, explained below as a large-level intervention.

  • RME level represents the incremental commitment to rural medical education on the separate campus tracks: “Minimal” for the main campus, “Moderate” for the family medicine–oriented branch campuses, and “Large” for the RMSP with a special admissions program and a prematriculation masters degree on a family medicine–oriented branch campus.

  • § These odds ratios, adjusted for sex, race, MCAT score, and graduation rate, compare the odds of a student choosing to become a family medicine resident after having completed tracks of study at campuses/programs offering different levels of RME. The RMSP odds ratio is significantly greater (P < .001) than the others, and the odds ratio for the family medicine–oriented branch campuses is greater than for the main campus (P < .001).

  • FM, family medicine; MCAT, Medical College Admission Test.