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Home Research Research Library Healthcare Workforce Implications of Physician Student Loan Repayment Funding Healthcare Workforce Implications of Physician Student Loan Repayment Funding 2023 Author(s) Davis, Caitlin, Peterson, Lars E, and Bazemore, Andrew W Topic(s) Education & Training, and What Family Physicians Do Keyword(s) Rural Volume 21(Supplement 1):4221 Source Annals of Family Medicine Context: As the average level of medical education indebtedness rises, physicians look to loan repayment programs like Public Service Loan Forgiveness (PSLF). This increase in PSLF uptake translates to growing taxpayer investment, while service-based programs like National Health Service Corps (NHSC) continue to assist a relatively small proportion of physicians with more stringent service commitments.Objective: The authors set out to study differences in the demographics, the scope of practice, and likelihood of practicing with a medically underserved population or a rural area in early career physicians who choose different loan repayment options.Study Design: Bivariate analysis of differences in demographics, practice location and scope between physicians who participate in Public Service Loan Forgiveness repayment and those who are National Health Service Corps membersSetting or Dataset: Data from over 10,000 American Board of Family Medicine (ABFM) National Graduate Survey (NGS) respondentsPopulation Studied: Early career Family PhysiciansIntervention/Instrument: Self-reported loan repayment assistance modality, including Public Service Loan Forgiveness, National Health Service Corp, Military repayment, Indian Health Services repayment, and other state-based and private loan forgiveness schemesOutcome Measures: Demographic indicators including gender, race, ethnicity, degree type and international graduate status, and practice-based measures of location, scope and population servedResults: The authors found that the rate of PSLF uptake tripled between 2016 and 2020 while NHSC uptake remained static. Those physicians reporting NHSC assistance demonstrated broader scope of practice, were more likely to practice in areas that were rural (23.29% to 10.84% PSLF) or full Health Professions Shortage Areas (12.5% to 3.70% PSLF) and were more likely to work with medically underserved populations (82.17% to 24.22% PSLF).Expected Outcomes: While PSLF is intended to assist graduates engaged in public service, analysis suggests it is less effective than NHSC in directing physicians to underserved settings. These findings may prompt a reconsideration of funding goals and outcomes monitoring of service-based loan repayment assistance. Read More ABFM Research Read all 2019 Long-acting Reversible Contraception (LARC) Provision by Family Physicians: Low But on the Rise Go to Long-acting Reversible Contraception (LARC) Provision by Family Physicians: Low But on the Rise 2020 Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges Go to Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges 2015 More Comprehensive Care Among Family Physicians is Associated with Lower Costs and Fewer Hospitalizations Go to More Comprehensive Care Among Family Physicians is Associated with Lower Costs and Fewer Hospitalizations 2017 The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice Go to The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice
Author(s) Davis, Caitlin, Peterson, Lars E, and Bazemore, Andrew W Topic(s) Education & Training, and What Family Physicians Do Keyword(s) Rural Volume 21(Supplement 1):4221 Source Annals of Family Medicine
ABFM Research Read all 2019 Long-acting Reversible Contraception (LARC) Provision by Family Physicians: Low But on the Rise Go to Long-acting Reversible Contraception (LARC) Provision by Family Physicians: Low But on the Rise 2020 Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges Go to Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges 2015 More Comprehensive Care Among Family Physicians is Associated with Lower Costs and Fewer Hospitalizations Go to More Comprehensive Care Among Family Physicians is Associated with Lower Costs and Fewer Hospitalizations 2017 The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice Go to The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice
2019 Long-acting Reversible Contraception (LARC) Provision by Family Physicians: Low But on the Rise Go to Long-acting Reversible Contraception (LARC) Provision by Family Physicians: Low But on the Rise
2020 Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges Go to Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges
2015 More Comprehensive Care Among Family Physicians is Associated with Lower Costs and Fewer Hospitalizations Go to More Comprehensive Care Among Family Physicians is Associated with Lower Costs and Fewer Hospitalizations
2017 The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice Go to The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice