The impact on rural New Mexico of a family medicine residency.
OBJECTIVE
To determine the impact on rural New Mexico of the large, decentralized University of New Mexico (UNM) family medicine residency.


METHODS
A cross-sectional study was conducted of all 317 residency's graduates from 1974 to 2004. Location of current practice was correlated with the residents' gender, ethnicity, medical school of origin, and whether most training took place in the urban program or one of three rural programs. The residency's impact on rural communities was assessed.


RESULTS
There was no significant gender difference between graduates who went into urban or rural practice. Compared with non-minority graduates, a significantly greater percentage of ethnic minority graduates were in rural and urban New Mexico practices and fewer in out-of-state practices. A greater percentage of graduates who had been medical students in New Mexico practiced in both rural and urban New Mexico areas compared with graduates of out of state medical schools. Finally, a greater percentage of graduates from the three rural family medicine residencies remained in the state and practiced in rural areas compared with graduates from the urban program. The graduates' contributions to the school of medicine and to rural New Mexico are described.


CONCLUSIONS
Graduates of UNM's family medicine residency have contributed significantly to the state's rural health workforce. Ethnic minority status, graduation from New Mexico's medical school, and training in one of the three rurally based residencies favored in-state and rural retention, while gender had no significant effect. The rural orientation of the residencies offered rural communities economic benefits.
Pacheco
Mario
M
Department of Family and Community Medicine, School of Medicine, University of New Mexico, 2400 Tucker NE, Albuquerque, NM 87131, USA.
Weiss
Deborah
D
Vaillant
Karen
K
Bachofer
Sally
S
Garrett
Bert
B
Dodson
William H
WH
Urbina
Chris
C
Umland
Bert
B
Derksen
Dan
D
Heffron
Warren
W
Kaufman
Arthur
A
D002321:Career Choice; D003430:Cross-Sectional Studies; D005006:Ethnicity; D005194:Family Practice / Q000193:education*; D005260:Female; D005843:Geography; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D008297:Male; D009516:New Mexico; D010821:Physicians, Family / Q000600:supply & distribution*; D011320:Primary Health Care; D011365:Professional Practice Location / Q000706:statistics & numerical data*; D019035:Rural Health Services; D012424:Rural Population; D012577:Schools, Medical / Q000706:statistics & numerical data; D000078329:Workforce