They are looking for doctors who will practice in nonurban areas. From stats of schools and people I know, I think it is much easier from those areas.
It depends on the mission of the school.
Medical schools which have as their primary mission to train primary care doctors for rural and other medically underserved areas will select applicants whose personal goals align with that mission.
Note that:
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not all (or even most) medical schools have this as their mission.
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a medical education is privilege and not a reward for excellent academics. Stats are always important but many other factors are involved in the holistic evaluation of applicants for admission—including how well the applicants matches the mission of the school.
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all state med schools preferentially admit students from within their own state regardless of the mission of the school (because state taxes provide the bulk of their operating costs and they often are required by law to do so)
I have read some where that ArkSOM has reserved seats for certain under served counties, so the carpet baggers move there to establish residency and attempt to apply.
There is often a requirement for the med school graduate to practice in the underserved area for at least 5 years.