The Lacuna Project

lacuna (n.) a gap in a record where something should be

Independent research. Not affiliated with any government, agency, or company.

Exhibit 046

Medical education reforms and the origins of the rural physician shortage

Exhibit 046 · Peer-reviewed article

Medical education reforms and the origins of the rural physician shortage

These findings suggest that the medical education reforms of the early twentieth century contributed to the urban–rural disparity in access to physician care.

Finds that graduates of more rigorous medical schools were less likely to practice in rural areas, and that the chance a new graduate located in a rural area fell 40 percent between 1900 and 1920, contributing to the early urban-rural gap in access to physicians. The paper concerns where graduates set up practice.

Source
Moehling, Niemesh, Thomasson and Treber, Cliometrica 14(2):181–225
Date
2020
Quoted from
Cliometrica 14, 181-225 (2020), abstract (Springer preview; full text paywalled)
Grade
Peer-reviewed
Document
https://doi.org/10.1007/s11698-019-00187-w
Accessed
2026-11-09
Cited by
Findings citing this exhibit

Cited by

Finding MED-1.10
Peer-reviewed Graduates of more rigorous medical schools were less likely to practice in rural areas, and the closure of a medical school within 300 miles reduced physicians per capita.