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Just What Are Rural Premedical Students Thinking? A Report of the First 6 Years of a Pathways Program


  • For further information, contact: William J. Crump, MD, ULSOM, Trover Campus, 200 Clinic Drive, 3rd Floor, Center East, Madisonville, KY 42431; e-mail


Purpose: To assess outcomes of the first 6 years of a program designed to facilitate medical school admission for rural premedical students.

Methods: Students completing the University of Louisville School of Medicine Trover Rural Scholar program were surveyed using a 23-item survey.

Findings: Twenty-two of the 24 (92%) students responded. Overall, 12 (55%) were in the physician pipeline (medical students or re-applying to medical school) and 10 (45%) had left the physician pipeline for other careers (7 were pursuing other health care careers). Differences between the 2 groups included income expectations and perceptions of intellectual challenges and physicians’ job satisfaction.

Conclusions: Attrition can be explained by student interests, maturation and influences of pre-professional advisors and practicing physicians. Successful pipeline programs should address these issues.