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Medical graduate retention is an important factor in health workforce planning. Using a social accountability framework and social attachment theory this study identified medical school service regions and examined national graduate retention patterns across the medical education continuum into professional practice. Graduate retention patterns were calculated using the proportion of graduates that practiced in the same service region where they completed their medical degree and/or residency training. Overall, graduate retention varied across training and practice pathways, school service region, and medical specialty. Retention patterns of graduate represent an intermediate step to advancing health equity as it serves as an outcome measure and pathway by which schools may contribute towards social accountability as one key actor in addressing societal needs.