Why Doctors Practice Where They Train

Sep 2, 2026 · 27m 40s
Why Doctors Practice Where They Train
Description

Rural America is running short of doctors, and the research points to a stubbornly simple pattern: physicians tend to practice where they train. That makes local medical education one of...

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Rural America is running short of doctors, and the research points to a stubbornly simple pattern: physicians tend to practice where they train. That makes local medical education one of the most direct levers a state has for strengthening its healthcare workforce, and it is exactly why Kansas College of Osteopathic Medicine was founded. The question was always whether a brand new school could deliver, and whether its graduates would actually stay.

In this episode of Radical Cooperation, Dr. Michael Horowitz speaks with Dr. McKensie Bevens and Dr. Matthew Bevens, a married couple from Topeka who met as kids in karate class, entered KansasCOM together as part of its inaugural class, and matched together into family medicine residency at Wesley in Wichita, KS. Both came to medicine as non-traditional students after years working in other fields, and both chose primary care with an eye toward serving rural Kansas. They talk candidly about what it was like to help build a curriculum while learning from it, why full scope family medicine changed their sense of what a primary care doctor can do, and what it takes to recruit physicians who will genuinely go and stay home.

Rather than treating the physician shortage as a policy abstraction, this conversation follows two people through the decisions that actually determine where doctors end up. It is a hopeful look at what happens when a community invests in training its own.

In this episode:
  • Why physicians tend to practice where they train, and what that means for rural states
  • What it was like to be part of an inaugural class helping shape a new medical school
  • How full scope family medicine differs from what most students assume primary care is
  • Why the couples match and a community-focused residency city made staying in Kansas possible
  • Practical advice for aspiring physicians, from getting real exposure to staying curious

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Author Sweet Fish
Organization Sweet Fish
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