title: Practice-based research network membership is associated with retention of clinicians in underserved communities: a Research Involving Outpatient Settings Network (RIOS Net) study.
abstract: BACKGROUND
  Professional isolation is a barrier to practicing in rural and underserved communities. The purpose of this study was to investigate the association between membership in a practice-based research network and the length of employment in members' and nonmembers' current clinic sites.
  
  
  METHODS
  This was a cross sectional study of 7 group practices (2 urban and 5 rural groups comprising 22 clinic sites) throughout New Mexico that had RIOS Net member and nonmember practicing clinicians.
  
  
  RESULTS
  The 22 clinics employed 95 clinicians, of which 43% were RIOS Net members (21 of 59 MDs, 8 of 18 Nurse Practitioners, 9 of 15 Physician Assistants and 3 of 3 others). RIOS Net members had a significantly longer mean employment time (7.0 years; SD, 6.8 years; median, 5.0 years), compared with non-RIOS Net members (4.0 years; SD, 5.0 years; median, 2.3 years; P = .003). Similar results were found when analyzed by length of time in practice with cutoffs of 2 and 5 years.
  
  
  CONCLUSIONS
  Being a member of a practice-based research network may be a determinate of staying in rural practice longer. This is a hypothesis-generating study and needs confirmation from larger studies whose analysis stratifies clinician demographics and practice type.
authors.affiliation: Department of Family and Community Medicine, University of New Mexico School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
authors.forename: Nityamo
authors.initials: N
authors.lastname: Sinclair-Lian
authors.forename: Robert L
authors.initials: RL
authors.lastname: Rhyne
authors.forename: Shirley H
authors.initials: SH
authors.lastname: Alexander
authors.forename: Robert L
authors.initials: RL
authors.lastname: Williams
mesh_terms: D000553:Ambulatory Care / Q000458:organization & administration*; D035843:Biomedical Research / Q000379:methods*; D003153:Community Health Services / Q000379:methods*; D003430:Cross-Sectional Studies; D006801:Humans; D008507:Medically Underserved Area; D009516:New Mexico; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011320:Primary Health Care / Q000592:standards*; D019035:Rural Health Services / Q000592:standards*