Location of Kansas Medical School Loan Program Recipients Who Have Completed Their Obligation

Location of Kansas Medical School Loan Program Recipients Who Have

Completed Their Obligation

November 2013

======================================================================================= This report provides the current practice locations of the recipients of the Kansas Medical School Loan program (MSLP) who have completed their obligation for the graduating classes of 1992 through 2013. There were a total of 380 recipients that have completed their obligation. Kansas practice location for each recipient was determined by the Kansas Board of Healing Arts (KSBHA) licensure online database. The primary mailing address as provided by the licensure database was used as the practice location. It is recognized that an individual may live in one county and practice in another, and for those that lived in counties surrounding KUMC, all were checked to see if they were practicing at KUMC in Wyandotte county. Recipients not found in the KSBHA database were considered as not in Kansas. The status of the MSLP participants is provided below.

Status Number Percent

Completed by service* 247 65.0% Paid in full 118 31.1% Dropped 8 2.1% Permanent disability 1 0.3% Deceased 6 1.6% TOTAL 380 100.1%

* Includes 15 students that fulfilled their obligation by a combination of service and repayment

A total of 15 (4%) recipients were excluded from further analyses due to deceased/permanently disabled (n=7) or dropped MSLP (n=8). Therefore, a total of 365 (96%) MSLP recipients were available for further analyses.

Of the 365 recipients, 246 (67%) are practicing in Kansas, 7 (2%) have active Kansas licenses but not a Kansas address, and 112 (31%) have an inactive or exempt Kansas license. As presented in the table below, of the 247 that completed their obligation by service, 198 (80%) are practicing in Kansas and of the 118 that paid in full, 48 (41%) are practicing in Kansas.

Practice State

Completed by

Service Paid in Full Total

KS 198 48 246

Not KS 49 70 119

TOTAL 247 118 365

Of the 246 that have a Kansas location, 175 (71%) also had county where obligation was completed. A total of 110 (67%) have remained in the same county where they completed their obligation. Of those that completed their obligation

through service, 63% have remained in the county where they completed their obligation compared to 50% of those that completed their obligation through payment.

The remainder of this report focuses on the location of recipients in the state of Kansas. Therefore, the results that follow are based on the 246 recipients that have an active Kansas license and a Kansas address.

Recipient location by population density peer group

The Kansas Department of Health and Environment (KDHE) has classified each Kansas county according to population density (see appendix for the definitions). This section presents the number and percent of MSLP recipients for each designation. A total of 83 (34%) of recipients currently practice in frontier, rural, or densely-settled rural Kansas counties.

County designation Number of MSLP recipients Percent of MSLP recipients Urban 95 38.6% Semi-Urban 68 27.6% Densely-Settled Rural 53 21.5% Rural 25 10.2% Frontier 5 2.0% TOTAL 246 100%

Percent of MSLP Recipients of Total Physicians by Population Density Peer Group

County designation* Total Number of Physicians Number of MSLP recipients Percent of MSLP Urban 5188 95 1.8% Semi-Urban 730 68 9.3% Densely-Settled Rural 521 53 10.0% Rural 111 25 22.3% Frontier 32 5 15.6% TOTAL 6582 246 3.7%

* County designation by population density peer group from Primary Care Health Professional Underserved Areas report, KDHE 2013. For the Kansas counties in which MSLP recipients practice, they account for 13% of the physicians in densely-settled rural, rural and frontier Kansas counties and 21% of the physicians in rural and frontier Kansas counties.

Recipient location by MSLP medically underserved designation

The Kansas MSLP has designated acceptable or medically underserved counties in which students can meet their obligation. For the MSLP, all counties are considered medically underserved, with the exception of Douglas, Johnson, Sedgwick and Shawnee counties. Wyandotte County was considered medically underserved since July 1, 2004 and all 12 recipients currently in Wyandotte County were considered as practicing in an underserved county. A total of 169 (69%) of MSLP recipients are currently practicing in MSLP medically underserved designated counties.

Medically underserved designation Number of MSLP recipients Percent of MSLP recipients Underserved 169 68.7% Adequately served 77 31.3% TOTAL 246 100%

Percent of MSLP Recipients of Total Physicians by Underserved Designation

County designation^ Total Number of Physicians Number of MSLP recipients Percent of MSLP Underserved 2306 169 7.3% Adequately served 4276 77 1.8% TOTAL 6582 246 3.7% ^

MSLP medically underserved designation; only Douglas, Johnson, Sedgwick and Shawnee counties are not underserved.

For the Kansas counties in which MSLP recipients practice, they make up 7.3% of the physicians in underserved areas compared to 1.8% in adequately served areas.

_____________________________________________________________________________________

Prepared by: Anthony Paolo, Ph.D. Director Page 2

Appendix

_____________________________________________________________________________________

Prepared by: Anthony Paolo, Ph.D. Director Page 4

K

ANSAS

P

OPULATION

D

ENSITY

P

EER

G

ROUPS

, 2010 C

ENSUS

Douglas 245.6 Butler 46.1 Allen 26.5 Anderson 13.8 Barber 4.3

Johnson 1159.8 Crawford 66.1 Atchison 38.8 Brown 17.5 Chase 3.6

Leavenworth 166.6 Franklin 45.2 Barton 31.1 Clay 13.3 Chautauqua 5.6

Sedgwick 501.4 Geary 91.8 Bourbon 23.5 Cloud 13.1 Cheyenne 2.7

Shawnee 325.5 Harvey 64.6 Cherokee 36.4 Coffey 13.5 Clark 2.2

Wyandotte 1045.1 Miami 56.7 Cowley 32.2 Ellsworth 9.1 Comanche 2.4

Montgomery 54.1 Dickinson 23.3 Grant 13.9 Decatur 3.3

Reno 51.5 Doniphan 20.3 Gray 7.0 Edwards 4.9

Riley 119.8 Ellis 31.9 Harper 7.5 Elk 4.3

Saline 77.6 Finney 28.5 Haskell 7.4 Gove 2.5

Ford 31.5 Kingman 9.1 Graham 2.9

Jackson 20.5 Linn 16.1 Greeley 1.6

Jefferson 35.3 Marion 13.3 Greenwood 5.8

Population Density Census Estimates Labette 33.2 Marshall 11.2 Hamilton 2.7

Lyon 39.7 Mitchell 9.0 Hodgeman 2.3

Population Density Peer Group Count Peer Group Definitions (Per sq. mi.) Population Estimate (2011) Percent of Population (2011)

McPherson 32.5 Morris 8.4 Jewell 3.4

Neosho 28.8 Nemaha 14.1 Kearny 4.6

Osage 23.2 Norton 6.4 Kiowa 3.5

Pottawatomie 26 Ottawa 8.5 Lane 2.4

Urban 6

150 or more

persons 1,580,619 55.05%

Seward 36.5 Pawnee 9.3 Lincoln 4.5

Sumner 20.1 Phillips 6.3 Logan 2.6

Pratt 13.2 Meade 4.6 Semi-Urban 10 40.0-149.9 persons 462,211 16.10% Republic 6.8 Morton 4.4 Rice 13.9 Ness 2.9 Russell 7.9 Osborne 4.3 Densely-Settled Rural 21 20.0-39.9 persons 477,364 16.63% Scott 6.8 Rawlins 2.3 Stevens 7.7 Rooks 5.8 Thomas 7.4 Rush 2.9 Rural 32 6.0-19.9 persons 237,591 8.27% Wabaunsee 8.8 Sheridan 2.9 Washington 6.5 Sherman 5.7 Wilson 16.2 Smith 4.3 Frontier 36 Less than 6.0 persons 113,453 3.95% Woodson 6.6 Stafford 5.6 Stanton 3.3 Trego 3.4 All Kansas Counties 105 State Average: 34.3 persons 2,871,238 100.00% Wallace 1.6 Wichita 3.1