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Family Doctor Shortages in Rural America Are Getting Worse

Rural physician shortages worsen access to primary and emergency care amid rising rural population; Northeast losses reach 15.3%, study finds.

  • Researchers in the Annals of Family Medicine reported a 11% decline in rural family physicians from 148 in 2017 to 131 in 2023, as of November 24, 2025.
  • Fogarty and colleagues say heavy caseloads and multi-role duties cause burnout, while fewer U.S. students choose family medicine and visa concerns worry international medical graduates.
  • The study shows female rural family physicians rose from 35.5% to 41.8%, while patient panels of 1,000–3,500 mean losing one doctor disrupts local clinics.
  • Remaining clinicians provide emergency and maternity care, and Fogarty said, `The data reflect what we already experience and know about physician shortages, but the year-over-year numbers for rural areas were astonishing to me.`
  • Training pipeline data show the 2025 National Resident Matching Program added 148 family medicine positions but 21 fewer students matched, signaling uncertain short-term gains, while the University of Rochester School of Medicine & Dentistry develops a rural residency training track.
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ramaonhealthcare.com broke the news in on Monday, November 24, 2025.
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