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December 27, 1995

Migrating Docs: Studying Physician Practice Location-Reply

Author Affiliations

University of Washington School of Medicine Seattle
University of California, San Francisco

JAMA. 1995;274(24):1914. doi:10.1001/jama.1995.03530240024034

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In Reply.  —We are pleased to see that other investigators are studying the factors influencing physician practice location. Although our cross-sectional analysis does not allow us to comment on the mobility of physicians during their professional careers, it does provide useful information to policymakers considering options for influencing the supply and distribution of physicians. Our state-by-state analysis of the percentage of residents that remain in the state to practice can inform state policymakers in designing strategies consistent with their level of investment in GME and with their specific physician workforce goals. While we agree that GME programs cannot be held solely responsible for their graduates' practice location, we do believe that the location and curriculum of these programs play an important role in their graduates' practice decisions and that practice location should be considered in any system for downsizing GME positions.

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