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Home Research Research Library Impact of Service-Based Student Loan Repayment Program on the Primary Care Workforce Impact of Service-Based Student Loan Repayment Program on the Primary Care Workforce 2023 Author(s) Davis, Caitlin S, Meyers, Peter, Bazemore, Andrew W, and Peterson, Lars E Volume 21(4):327-331 Source Annals of Family Medicine PURPOSE: As the average level of medical education indebtedness rises, physicians look to programs such as Public Service Loan Forgiveness (PSLF) and National Health Service Corps (NHSC) to manage debt burden. Both represent service-dependent loan repayment programs, but the requirements and program outcomes diverge, and assessing the relative uptake of each program may help to inform health workforce policy decisions. We sought to describe variation in the composition of repayment program participant groups and measure relative impact on patient access to care. METHODS: In this bivariate analysis, we analyzed data from 10,677 respondents to the American Board of Family Medicine’s National Graduate Survey to study differences in loan repayment program uptake as well as the unique participant demographics, scope of practice, and likelihood of practicing with a medically underserved or rural population in each program cohort. RESULTS: The rate of PSLF uptake tripled between 2016 and 2020, from 7% to 22% of early career family physicians, while NHSC uptake remained static at 4% to 5%. Family physicians reporting NHSC assistance were more likely than those reporting PSLF assistance to come from underrepresented groups, demonstrated a broader scope of practice, and were more likely to practice in rural areas (23.3% vs 10.8%) or whole-county Health Professional Shortage Areas (12.5% vs 3.7%) and with medically underserved populations (82.2% vs 24.2%). CONCLUSIONS: Although PSLF supports family physicians intending to work in public service, their peers who choose NHSC are much more likely to work in underserved settings. Our findings may prompt a review of the goals of service loan forgiveness programs with potential to better serve health workforce needs. Read More ABFM Research Read all 2024 Addressing Social Determinants of Health in Family Medicine Practices Go to Addressing Social Determinants of Health in Family Medicine Practices 2023 Trends of Geriatric Certification and Practice Patterns of Family Physicians: 1988-2019 Go to Trends of Geriatric Certification and Practice Patterns of Family Physicians: 1988-2019 2023 Interoperability among hospitals treating populations that have been marginalized Go to Interoperability among hospitals treating populations that have been marginalized 2023 The Association Between Length of Training and Family Medicine Residents’ Clinical Knowledge: A Report From the Length of Training Pilot Study Go to The Association Between Length of Training and Family Medicine Residents’ Clinical Knowledge: A Report From the Length of Training Pilot Study
Author(s) Davis, Caitlin S, Meyers, Peter, Bazemore, Andrew W, and Peterson, Lars E Volume 21(4):327-331 Source Annals of Family Medicine
ABFM Research Read all 2024 Addressing Social Determinants of Health in Family Medicine Practices Go to Addressing Social Determinants of Health in Family Medicine Practices 2023 Trends of Geriatric Certification and Practice Patterns of Family Physicians: 1988-2019 Go to Trends of Geriatric Certification and Practice Patterns of Family Physicians: 1988-2019 2023 Interoperability among hospitals treating populations that have been marginalized Go to Interoperability among hospitals treating populations that have been marginalized 2023 The Association Between Length of Training and Family Medicine Residents’ Clinical Knowledge: A Report From the Length of Training Pilot Study Go to The Association Between Length of Training and Family Medicine Residents’ Clinical Knowledge: A Report From the Length of Training Pilot Study
2024 Addressing Social Determinants of Health in Family Medicine Practices Go to Addressing Social Determinants of Health in Family Medicine Practices
2023 Trends of Geriatric Certification and Practice Patterns of Family Physicians: 1988-2019 Go to Trends of Geriatric Certification and Practice Patterns of Family Physicians: 1988-2019
2023 Interoperability among hospitals treating populations that have been marginalized Go to Interoperability among hospitals treating populations that have been marginalized
2023 The Association Between Length of Training and Family Medicine Residents’ Clinical Knowledge: A Report From the Length of Training Pilot Study Go to The Association Between Length of Training and Family Medicine Residents’ Clinical Knowledge: A Report From the Length of Training Pilot Study