Abstract
Increasing Transparency for Medical School Primary Care Rankings—Moving From a Beauty Contest to a Talent Show
Highlights
The new overall Best Medical Schools for Primary Care rankings were modified in 2021 such that 30% of the score is based on graduates practicing primary care after their residency training rather than those entering primary care training
The success in changing the source data for the global primary care ranking and its weight is a step in the right direction, but the greater success was in adding 4 new rankings in 2021 (2022 rankings): (1) graduates practicing in primary care fields; (2) student diversity; (3) graduates practicing in medically underserved areas; and (4) graduates practicing in rural areas
These changes reflect a long collaboration between the Robert Graham Center of the American Academy of Family Physicians and the Fitzhugh Mullan Institute at George Washington University (Washington, DC) to develop social mission measures for medical schools.[4]
Summary
The success in changing the source data for the global primary care ranking and its weight is a step in the right direction, but the greater success was in adding 4 new rankings in 2021 (2022 rankings): (1) graduates practicing in primary care fields; (2) student diversity; (3) graduates practicing in medically underserved areas; and (4) graduates practicing in rural areas. Calculations for graduates who are practicing in primary care fields are still overestimates because nearly one-third of general internists and about 7% of family physicians and pediatricians work predominantly as hospitalists.[5] Student diversity is assessed based on underrepresented minority group data that are reported by medical schools (67% of the score) and the ratio of school underrepresented minority group enrollment to the state underrepresented minority group population (for public schools) or national underrepresented minority group population (for private schools) (33% of the score) The latter third aims to add context for the populations schools could be held accountable to serve.
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