title: Just what are rural premedical students thinking? A report of the first 6 years of a pathways program.
abstract: OBJECTIVE
  To assess outcomes of the first 6 years of a program designed to facilitate medical school admission for rural premedical students.
  
  
  METHODS
  Students completing the University of Louisville School of Medicine Trover Rural Scholar program were surveyed using a 23-item survey.
  
  
  RESULTS
  Twenty-two of the 24 (92%) students responded. Overall, 12 (55%) were in the physician pipeline (medical students or re-applying to medical school) and 10 (45%) had left the physician pipeline for other careers (7 were pursuing other health care careers). Differences between the 2 groups included income expectations and perceptions of intellectual challenges and physicians' job satisfaction.
  
  
  CONCLUSIONS
  Attrition can be explained by student interests, maturation and influences of pre-professional advisors and practicing physicians. Successful pipeline programs should address these issues.
authors.affiliation: University of Louisville School of Medicine, Trover Campus, 200 Clinic Drive, Madisonville, KY 42431, USA. wcrump@trover.org
authors.forename: William J
authors.initials: WJ
authors.lastname: Crump
authors.forename: R Steve
authors.initials: RS
authors.lastname: Fricker
authors.forename: Allison M
authors.initials: AM
authors.lastname: Crump
mesh_terms: D003625:Data Collection; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007629:Kentucky; D008297:Male; D008507:Medically Underserved Area; D015397:Program Evaluation; D019035:Rural Health Services; D013340:Students, Premedical; D013997:Time Factors; D000078329:Workforce