Top Family Medicine Residency Programs

Ranked by Rural Percentage by RUCA coding as per Hart method noted at  Bowman FP Grad Studies

Important Notation: In the medical literature in this area, there are errors. Rural training has been associated with 3 times higher rural distribution. Better studies controlling for origins, medical school, and age indicate that family practice is the tripling multiplier. Choice of family medicine doubles all urban distribution to serve 60% of the population left behind and triples (or greater) rural distributions when compared to other choices. IM or PD primary care might get a 1.1 multiplier so essentially FM is the only career multiplier of distribution. The same is seen for PA and NP graduates. Only the family practice component (25% and falling of PA and 25% of NP total grads) have the required distribution to be able to improve health access. And this lasts only as long as family practice sources stay in family practice. 

Robert C. Bowman, M.D.  rcbowman@atsu.edu

City listed and more details given for cities with more programs. So far the data is a mix of first practice location after leaving residency zip code but includes 1997 - 2003 graduates. Hopefully future efforts will allow some updating.

Family medicine is unique in that locations away from Major Medical Centers are maintained, with all other physicians, primary care physicians, and primary care types including NP and PA folding back into major medical centers over time. FM distributions of first time graduates often are similar to mid career and later graduates.

The standard for workforce should remain multiple class years in equilibrium conditions. 11% rural and 7% underserved are standards for all physicians across the nation and FP is a steady 24% rural and 12 - 14% underserved across class years and distance from graduation.

Additions submitted

 I was looking at the RME website as to best FM residency programs wrt grads doing rural practice. I am familiar with most of the residency programs that are listed including several UW network residency programs. As you know I have helped many of these programs develop their rural GME. I was surprised to see that Family Medicine and our RTTs were not included among “best programs”. Through 2006, FMS has had 208 grads of whom 105 (50%) practice in rural communities which is about twice the National average. The RTT has had 30 grads of whom 24 (80%) are practicing rurally. 97% of the RTT grads practice in WA, OR, AK and ID. If you could include the Spokane programs with your list that would be appreciated as I believe them to be among the better programs with rural practice preparation and placing/maintaining grads in rural areas. I am in the process of analyzing the information returned to me as part of our 2006 Graduate Follow-up Survey and it is very interesting e.g. 51% of FMS grads do OB and 29% do CS, while 67% of RTT grads do OB and 61% do C/Sections. Reflective of where they practice I am sure. Bob Maudlin

Bob truly has been instrumental in all these areas and in the training of the Minifellows and myself. I have revised to reflect these and will continue to accept submissions based on current data on a number of class years, a workforce in equilibrium. I have added two columns also as Bob has reported. Data on all tracks is appreciated since these often cannot be tracked using secondary data. Programs with a common sponsor as in Arkansas or Mayo programs are also hard to track. Maine residency programs also have rural graduates in top percentages and need updating.

City State 1992 - 95 rural % (Director Survey) 1997-2003 rural FP % (Masterfile + Graham Center total grads % in state % in state and adjacent OB and C section
Salina                   KS  75.0 96.3% 27      
Omaha UNMC RTT NE    88.5% 26      
Mason City               IA  33.3 87.5% 40      
Some programs in Maine have levels of rural distribution at this level              
Clarksburg               WV  63.2 83.7% 49      
El Dorado                AR  25.0 82.1% 39      
Glasgow                  KY    81.8% 11      
Marquette                MI  94.1 81.4% 43      
Enid                     OK  41.7 80.0% 20      
Spokane RTT WA 80+% 80.0% 30   97% 67/61%
Jonesboro                AR  75.0 78.4% 37      
Lexington Accel KY    77.8% 9      
Minot                    ND  84.6 77.8% 27      
Klamath Falls            OR    77.1% 35      
Madisonville             KY  52.9 76.0% 50      
Augusta                  ME  75.0 75.4% 61      
Traverse City            MI    74.2% 31      
Omaha UNMC Accel NE    73.9% 23      
Greenwood                SC  31.6 73.8% 61      
Carbondale               IL  66.7 73.2% 41      
Blackstone               VA  70.6 70.6% 34      
Hazard KY  100.0 68.0% 25      
Greeley                  CO  42.1 67.3% 55      
Quincy                   IL  25.0 65.4% 26      
Tupelo                   MS    65.0% 20      
Toledo MCO Accel OH    64.3% 14      
Midland                  MI  83.3 62.8% 43      
Billings                 MT    61.3% 31      
Grand Junction           CO  94.4 61.2% 49      
Waseca MN    60.9% 23      
Albany                   GA    60.5% 38      
Front Royal              VA    58.3% 12      
Concord                  NH    57.1% 35      
Sayre                    PA    57.1% 28      
Morgantown               WV  33.3 57.1% 49      
Sioux Falls              SD  73.9 56.7% 60      
Pocatello                ID  50.0 56.3% 32      
Casper                   WY  73.9 55.8% 43      
Lincoln                  NE  53.3 55.8% 52      
Memphis Accel U TN TN    55.0% 20      
Texarkana                AR    54.3% 46      
St Cloud                 MN    52.9% 17      
Duluth                   MN  72.0 52.8% 72      
Boise                    ID  68.2 51.6% 62      
Cheyenne                 WY  55.6 51.4% 35      
Wichita                  KS  40.0 51.0% 51      
Mobile   Accel USA AL    50.0% 10      
Spokane FMS WA   50.0% 208     51/29%
Omaha Accel Creighton    NE 
50.0% 6


Greenville Accel               SC    50.0% 16      
Selma                    AL  76.9 50.0% 40      
Fort Collins             CO  50.0 50.0% 42      
Bangor                   ME  43.5 50.0% 62      
Antigo                   WI  87.5 50.0% 40      
Wausau                   WI  87.5 50.0% 40      
Toledo MCO     OH  25.0 48.6% 37      
Terre Haute              IN  41.7 47.6% 42      

Accel is Accelerated family medicine programs, 3 - 3 programs except for U of NE  see Accelerated Family Medicine Training Programs

This data includes ACGME Family Medicine residency programs only. The AMA Masterfile is weak in coding for Osteopathic Family Medicine Programs. Also many GPs in the Masterfile are actually family physicians and FPGP numbers are more reflective of actual family medicine contributions. Residency programs expecting higher numbers may be disappointed in some states. This can be because they have graduates who have located in rural towns with 30% of the population or more commuting to urban areas. These have a 0.1 code in the RUCA coding scheme and are considered urban-focused and part of the urban workforce.

The 1992 - 1995 data involves program director surveys which were the basis of the authors previous publication Fam Med Residency Programs and the Graduation of Rural Family Physicians

Major Medical Centers

Distribution: Index Concentrations of Physician Distribution

Physician Workforce Studies

www.ruralmedicaleducation.org