Residency and Practice Choice Patterns of Black and White Medical Graduates: A Comparative Study
Payne, Jobe Leon
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https://hdl.handle.net/2142/71078
Description
Title
Residency and Practice Choice Patterns of Black and White Medical Graduates: A Comparative Study
Author(s)
Payne, Jobe Leon
Issue Date
1988
Doctoral Committee Chair(s)
O'Rourke, Thomas
Department of Study
Health and Safety Studies
Discipline
Health and Safety Studies
Degree Granting Institution
University of Illinois at Urbana-Champaign
Degree Name
Ph.D.
Degree Level
Dissertation
Keyword(s)
Health Sciences, Education
Health Sciences, Public Health
Sociology, Ethnic and Racial Studies
Abstract
This study compared and analyzed the specialty preference (choice) patterns and the residency and practice locations of black and white physicians who graduated from a large urban medical school during the years 1973-1984. The intent of the study was to determine if differences occurred between black and white medical graduates in terms of their specialty preference (choice) and location choice, and attempt to develop a model which would describe and predict primary care specialty and location in an innercity medically underserved area.
It was hypothesized that black and white medical graduates would exhibit different patterns of specialty preference and different residency and practice location patterns.
A disproportionate stratified sample of 313 black and white medical graduates was sent a mail questionnaire. The response rate was 65 percent. Blacks and whites were equally represented. The study sample was composed of 60 percent male and 40 percent female.
Data were analyzed using $\chi\sp2$ and logistic regression analysis. The Logistic regression results were highly consistent with those found in the $\chi\sp2$ analysis.
The results showed no significant association between race and specialty choice, as defined by primary care and nonprimary care, in the residency training nor in the practice. The differences between locations, except for the location of the residency in the state of Illinois, were found to be statistically significant.
In both the residency training and practice blacks were significantly more likely, than, whites to remain in the state and the city of Chicago. Blacks also were more likely than whites to practice in the innercity and medically underserved areas. The most dramatic differences in location patterns between the two groups occurred in the practice locations. Each group tended to locate in a community populated by persons of similar racial and ethnic origins. The patient load of blacks was predominantly black and low income. Whites on the other hand had a patient load that was predominantly white and of higher income status than the black patients.
The results of this study can be useful to those involved in medical education and health manpower policy considerations. Policy implications were presented. (Abstract shortened with permission of author.)
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