Will Generalist Physician Supply Meet Demands Of An Increasing And Aging Population?

Colwill, Jack M.; Cultice, James M.; Kruse, Robin L.

doi:10.1377/hlthaff.27.3.w232

Cited by 252 publications

(184 citation statements)

References 16 publications

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“…1,2 Concerns exist, however, about an increasing shortage of adult PCPs to care for an aging population. [3][4][5] Fewer physicians now enter into outpatient primary care, 6 and there is a looming attrition rate of PCPs, with almost one-quarter of practicing PCPs in 2011 being 56 years of age or older. 7 Current strategies to address the primary care shortage include payment structure reform, 8,9 implementation of team-based primary care with patient centered medical homes, 10,11 as well as increasing the number of primary care based graduate medical education residency positions.…”

Section: Introductionmentioning

confidence: 99%

Is Training in a Primary Care Internal Medicine Residency Associated with a Career in Primary Care Medicine?

et al. 2015

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PURPOSE: Professional and governmental organizations recommend an ideal US physician workforce composed of at least 40 % primary care physicians. They also support primary care residencies to promote careers in primary care. Our study examines the relationship between graduation from a primary care or categorical internal medicine residency program and subsequent career choice. METHODS: We conducted a cross-sectional electronic survey of a cohort of internal medicine residency alumni who graduated between 2001 and 2010 from a large academic center. Our primary predictor was graduation from a primary care versus a categorical internal medicine program and our primary outcome is current career role. We performed chi-square analysis comparing responses of primary care and categorical residents. RESULTS: We contacted 481 out of 513 alumni, of whom 322 responded (67 %). We compared 106 responses from primary care alumni to 169 responses from categorical alumni. Fifty-four percent of primary care alumni agreed that the majority of their current clinical work is in outpatient primary care vs. 20 % of categorical alumni (p<0.001). While 92.5 % of primary-care alumni were interested in a primary care career prior to residency, only 63 % remained interested after residency. Thirty of the 34 primary care alumni (88 %) who lost interest in a primary care career during residency agreed that their ambulatory experience during residency influenced their subsequent career choice. CONCLUSIONS: A higher percentage of primary care alumni practice outpatient primary care as compared to categorical alumni. Some alumni lost interest in primary care during residency. The outpatient clinic experience may impact interest in primary care.

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Section: Introductionmentioning

confidence: 99%

Is Training in a Primary Care Internal Medicine Residency Associated with a Career in Primary Care Medicine?

et al. 2015

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Section: Introductionmentioning

confidence: 99%

“…1 By 2025, primary care physicians will see their workload increase by an estimated 29 % at the same time the workforce is projected to expand by only 2-7 %. 1 This deficit represents a shortage of approximately 40,000 adult primary care physicians. 1 Many factors contribute to this crisis, including poorly functioning work environments and medical education systems that fail to prepare physicians for contemporary ambulatory care practice.…”

Section: Introductionmentioning

confidence: 99%

“…1 This deficit represents a shortage of approximately 40,000 adult primary care physicians. 1 Many factors contribute to this crisis, including poorly functioning work environments and medical education systems that fail to prepare physicians for contemporary ambulatory care practice. 2 As a result, recruitment into primary care remains a significant challenge.…”

Section: Introductionmentioning

confidence: 99%

“…6 In 2003, only 19 % of first year internal medicine residents and 27 % of third year residents planned to practice general medicine, resulting in a 37 % decline in the number of internal medicine residency graduates pursuing primary care between 1998 and 2005. 1,7 To address the dysfunctional primary care work environment, the American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP), and American Osteopathic Association (AOA) identified seven joint principles of the patient-centered medical home (PCMH): 1) Personal physician, 2) Physician-directed medical practice, 3) Whole person orientation, 4) Coordinated and integrated care, 5) Quality and safety, 6) Enhanced access, and 7) Payment alignment. 8 The PCMH represents a new clinical microsystem that is widely promoted and implemented to improve access, quality, and enhance sustainability and attractiveness to clinicians.…”

Section: Introductionmentioning

confidence: 99%

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Transforming Primary Care Training—Patient-Centered Medical Home Entrustable Professional Activities for Internal Medicine Residents

et al. 2012

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Physician Wages Across Specialties

Leigh¹,

Tancredi²,

Jerant³

et al. 2010

Arch Intern Med

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Wages varied substantially across physician specialties and were lowest for primary care specialties. The primary care wage gap was likely conservative owing to exclusion of radiologists, anesthesiologists, and pathologists. In light of low and declining medical student interest in primary care, these findings suggest the need for payment reform aimed at increasing incomes or reducing work hours for primary care physicians.

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Will Generalist Physician Supply Meet Demands Of An Increasing And Aging Population?

Abstract: ABSTRACT:We predict that population growth and aging will increase family physicians' and general internists' workloads by 29 percent between 2005 and 2025. We expect a 13 percent increased workload for care of children by pediatricians and family physicians.

Cited by 252 publications

References 16 publications

Is Training in a Primary Care Internal Medicine Residency Associated with a Career in Primary Care Medicine?

Is Training in a Primary Care Internal Medicine Residency Associated with a Career in Primary Care Medicine?

Transforming Primary Care Training—Patient-Centered Medical Home Entrustable Professional Activities for Internal Medicine Residents

Physician Wages Across Specialties

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