Practice Scope and Setting of Early Career Family Physicians, Overall and by Loan Repayment Program
| Practice Attribute | Value (P Value) | |||||
|---|---|---|---|---|---|---|
| Overall | PSLF | NHSC | IHS | Military | Other | |
| iSOP score, meana | 16.1 | 16.4 (<.001) | 17.2 (<.001) | 18.6 (<.001) | 17.3 (<.001) | 16.8 (<.001) |
| Rural area (RUCC ≥4), % | 12.0 | 10.8 (.11) | 23.3 (<.001) | 43.8 (<.001) | 8.2 (.009) | 28.9 (<.001) |
| Primary care HPSA in 2020 | ||||||
| Whole county or partial, % | 89.7 | 90.7 (.43) | 96.6 (.03) | 100.0 (.41) | 88.9 (.82) | 91.0 (.32) |
| Whole county only, % | 4.5 | 3.7 (.42) | 12.5 (<.002) | 0 (.60) | 4.9 (.83) | 8.2 (<.001) |
| Medically underserved practice setting, % | 19.5 | 24.2 (<.001) | 82.2 (<.001) | 100.0 (<.001) | 2.6 (<.001) | 30.4 (<.001) |
| Annual income, mean, $ | 208,646 | 203,995 (.02) | 191,344 (<.001) | 203,726 (.74) | 148,711 (<.001) | 223,757 (<.001) |
HPSA = Health Professional Shortage Area; IHS = Indian Health Service; iSOP = individual scope of practice; NHSC = National Health Service Corps; PSLF = Public Service Loan Forgiveness; RUCC = Rural-Urban Continuum Code.
Notes: Data are from the American Board of Family Medicine National Graduate Survey, 2016-2020. A total of 5,603 family physicians reported using no loan repayment program. P values are for comparison of the program group vs the overall sample.
↵a Reflects the number of clinical services provided; possible range is 0 to 30, with a higher score indicating a broader scope.