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To the Editor: The discipline of family medicine was created in the 1970s, in part, as a way to address the chronic shortage of US rural physicians.¹ It was predicted that the new discipline would augment the supply of rural clinicians because family physicians are much more likely than other physicians to settle in rural areas.²

There is also empirical evidence that training family physicians in rural areas increases the likelihood that residency graduates will choose to settle in rural places.^3-6 However, the exact proportion of family medicine residency programs located in truly rural parts of the United States remains unknown, as does the extent to which training rural physicians is a priority of existing family medicine residency programs.

Methods

In January 2000 we sent questionnaires to the 453 civilian family practice residency programs listed in the directory of the American Academy of Family Physicians.⁷ Nonresponders were contacted by mail and . . . [Full Text of this Article]

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