What Influences Medical Student & Resident Choices? Bridget Teevan, MS The Robert Graham Center
|
|
|
- Baldwin Osborne
- 8 years ago
- Views:
Transcription
1 What Influences Medical Student & Resident Choices? Bridget Teevan, MS The Robert Graham Center
2 Shortage of Doctors an Obstacle to Obama Goals We don t have enough doctors in primary care or in any specialty. Representative Shelley Berkley (D-NV) The work force shortage is reaching crisis proportions. Orrin Hatch (R-UT) We re not producing enough primary care physicians. The costs of medical education are so high that people feel that they ve got to specialize. Barack Obama Pear, Robert. Shortage of Doctors an Obstacle to Obama Goals New York Times, 26 Apr. 2009: A1
3 Primary Care Workforce
4 Is there a Primary Care Shortage? Currently a problem of distribution Still concentrated in desirable areas Relative shortage in underserved and rural areas True for physicians, NPs and PAs
5 Physicians per 10,000 persons All Specialties
6 Primary Care Physicians Physicians per 10,000 persons
7 Horizon Problem Decline in US student interest Increased interest in specialization Increased reliance on IMGs Contraction of training programs
8 Student Interest General Internal Medicine 2.0% Med/Peds 2.7% Family Medicine 4.9% General Pediatrics 11.7% Total: 21.3% K. E. Hauer et al. Choices Regarding Internal Medicine Factors Associated With Medical Students' Career JAMA. 2008;300(10):
9
10
11 What we know about Medical Student and Resident Choices
12 Past research Student-related factors Curriculum factors Institutional factors Debt Market factors
13 Student Factors Rural born -- Primary care, rural Urban underserved -- Inner city Minority -- Minority pop. Service values -- Service careers
14 Curriculum Exposure to, preparation for underserved practice Underserved practice Relevant Mentoring Primary care, rural, underserved
15 Effects of Debt Research shows mixed results Fear of high debt keeps some lower socioeconomic and minority students from applying to medical school More debt increased students intentions to serve underserved More debt associated with FM and Peds taking Medicaid/uninsured
16 Loan Repayment National Health Service Corps and State Loan repayment -- more likely underserved But NHS Corps docs less likely to stay
17 Income Gap M. H. Ebell. Future Salary and US Residency Fill Rate RevisitedJAMA. 2008;300
18 Institutional factors Public > Private for primary care Title VII funding associated with more primary care, rural, underserved careers Rural school = rural doctors Presence of a Family Medicine Dept + Rural rotation +/-, but longitudinal experience +
19 What we wanted to know Was level of debt predictive of: Specialty choice Practice location What were effects of Title VII? How difference in quality or presence of curriculum? How do income and ROI affect choice?
20 What we wanted to know How do the following affect choice? Type or location of medical school Quality or presence of primary care, underserved experiences Student interest at graduation in service career Other factors
21 Outcomes Primary Care Family Medicine Rural National Health Service Corps FQHC, RHC Shortage/Underserved Area
22 How we did it Medical student Graduate Questionnaires (AAMC) AMA Masterfile (specialty, where practicing) Medicare claims for community health centers (FQHC, RHC; ) NHSC and Title VII data
23 Limitations Wanted student characteristics at entry Family income, parent professional status, career interests Did not have Osteopathic data Did not get a good match on residency type Pediatricians bill Medicare infrequently
24 What we found Debt had a curious effect No debt -- less likely PC, rural, underserved Middle debt (up to $150k) more likely High debt -- likelihood declines Students who trade debt for service (NHSC) are 2-7 x more likely to choose study outcomes
25 Figure 2. Relative Likelihood of Choosing a Primary Care Career (Odds Ratios) NHSC Loan repayment NHSC scholarship Born in rural county Medical School is in rural area Public medical school Married Medical school is community related Medical School debt $50-$100K* Medical School debt $100-$150K* Medical School debt $150-$200K* Experience in Title VII funded school Medical School debt $1-$50K* Year of medical school graduation Medical School debt $200-$250K* Age at graduation Medical School debt over $250K* Experience in Title VII funded residency Male Relative expected income Interpreting the display: The odds that someone in the NHSC Loan Repayment program (top bar) will make a career of primary care medicine are 7.05 times as great as the odds of someone not in the program. Statistically Significant (Confidence interval do not cross 1.0) Red bars identify odds ratios > 2.0 or < 0.5, indicating particularly strong positive or negative associations. * Reference variable: no debt See Appendix B, Table B1 for full logistic regression outputs and goodness-of-fit statistics.
26 Figure 3. Relative Likelihood of Choosing a Family Medicine Career (Odds Ratios) NHSC Loan repayment NHSC scholarship Born in rural county Public medical school Married Medical School is in rural area Medical School debt $50-$100K* Medical School debt $150-$200K* Medical School debt $100-$150K* Medical school is community related Medical School debt $1-$50K* Medical School debt $200-$250K* Experience in Title VII funded school Age at graduation Year of medical school graduation Experience in Title VII funded residency Male Medical School debt over $250K* Relative expected income Interpreting the display: The odds that someone in the NHSC Loan Repayment program (top bar) will make a career of family medicine are 5.29 times as great as the odds of someone not in the program. Statistically Significant (Confidence interval did not cross 1.0) Red bars identify odds ratios > 2.0 or < 0.5, indicating particularly strong positive or negative associations. * Reference variable: no debt See Appendix B, Table B2 for full logistic regression outputs and goodness-of-fit statistics.
27 Figure 5. Relative Likelihood of Practice in a Federally Qualified or Rural Health Center (Odds Ratios) NHSC scholarship or loan repayment Career in family medicine Born in rural county Medical School is in rural area Medical School debt $150-$200K* Medical School debt $50-$100K* Medical School debt $100-$150K* Medical school is community related Medical School debt $200-$250K* Male Medical School debt over $250K* Medical School debt $1-$50K* Experience in Title VII funded school Age at graduation Public medical school Year of medical school graduation Married Career in primary care Relative expected income Experience in Title VII funded residency Interpreting the display: The odds that someone participating in the NHSC scholarship or loan repayment program (top bar) will practice in a federally qualified rural health center are 3.63 times as great as the odds of someone not participating in the program. Statistically Significant (Confidence interval do not cross 1.0) Red bars identify odds ratios > 2.0 or < 0.5, indicating particularly strong positive or negative associations. * Reference variable: no debt See Appendix B, Table B4 for full logistic regression outputs and goodness-of-fit statistics.
28 Income Gap 167% Income gap -- $150k vs. $400k Primary care vs. Radiology (high end) ROI Gap : Net Present Value - $29.58/hr vs. $78.45/hr Primary Care vs. median income of subspecialists >$3.5 million difference over career
29 Progress of the Physician Payment Gap Annual Income $450,000 $400,000 $350,000 $300,000 $250,000 $200,000 $150,000 $100,000 $50,000 Diagnostic Radiology Orthopedic Surgery Primary Care Family Medicine $ Year
30 Income Gap Income gap cuts likelihood of choosing Primary Care in half
31 Other Factors Rural birth 2.4 x rural practice 1.8 x Family medicine Public Medical School 1.8 x FM and Rural Interest in Serving Underserved 3 x an FQHC 4 x Rural Health Center Inner City, Rural and Primary Care Clerkships and Electives Matter
32 Other student characteristics Men half as likely to choose primary care (only 13% less likely FM) Women half as likely to go rural Married people 50% more likely FM
33 Title VII Significantly increased perceived quality of primary care clerkships, electives Increased likelihood of FM and rural electives Title VII interacted/enhanced effects of debt and scholarships School exposure increased specialty choice, residency exposure increased NHSC
34
35 Medical Schools can choose and train students to produce More Primary Care More Rural Access More Access for Underserved Despite the Market
36 Recommendations More debt for service Decrease disparities in physician income Change admissions: students more likely to choose primary care, rural practice, and care of the underserved Shift training: community, rural and underserved settings
37 Recommendations Support primary care Departments & Residencies--teaching, mentoring Reauthorize and revitalize Title VII Study how to make rural areas more likely practice options, especially for women New Medical schools: public and rural
38
39 Thanks Association of American Medical Colleges Diane Rittenhouse UCSF Scott Shipman Dartmouth Ed Fryer Univ Arkansas Candice Chen GWU Fitzhugh Mullan GWU David Goodman Dartmouth Sarah Brotherton AMA Bob Edsall AAFP
40 The Josiah Macy, Jr. Foundation
41 The Robert Graham Center
How States Will Solve the Healthcare Workforce Crisis: What to ask for from the Feds. Robert Phillips MD MSPH The Robert Graham Center
How States Will Solve the Healthcare Workforce Crisis: What to ask for from the Feds Robert Phillips MD MSPH The Robert Graham Center Agenda Healthcare Reform about the Economy this time Primary Care seen
What Influences Medical Student & Resident Choices? Specialty and Geographic Distribution of the Physician Workforce:
Specialty and Geographic Distribution of the Physician Workforce: What Influences Medical Student & Resident Choices? Funded by the Josiah Macy, Jr. Foundation Specialty and Geographic Distribution of
Primary Care Recruitment & Retention Programs in
Primary Care Recruitment & Retention Programs in Massachusetts Nicole Watson National Health Service Corps Specialist Primary Care Office Nicole.watson@state.ma.us The Mission The mission of these programs
Primary Care Physician Scan in Georgia: 2014
Primary Care Physician Scan in Georgia: 2014 RECRUITMENT, RETENTION, AND COORDINATION Physician To Population Ratio Primary Care Physician Supply Georgia s Medical Workforce: Geographic 159 Counties:
Practice Michigan Snapshot. Anne Rosewarne, President Michigan Health Council
Practice Michigan Snapshot Anne Rosewarne, President Michigan Health Council Demographics Physician Shortage Overview Projected national shortage of 200,000 physicians by 2020. 25% of the national physician
Community Health Centers: Workforce and Access Issues
Community Health Centers: Workforce and Access Issues Local Perspective Family Health Centers, Inc. Louisville, KY Federally Qualified Health Center 20 FQHC grantees in Kentucky (4 urban) 1200 FQHCs Nationally
Workforce Series: Physician Assistants
National Rural Health Association Policy Position Workforce Series: Physician Assistants Recruitment and Retention of Quality Health Workforce in Rural Areas: A Series of Policy Papers on the Rural Health
In the mid-1960s, the need for greater patient access to primary care. Physician Assistants in Primary Care: Trends and Characteristics
Physician Assistants in Primary Care: Trends and Characteristics Bettie Coplan, MPAS, PA-C 1 James Cawley, MPH, PA-C 2 James Stoehr, PhD 1 1 Physician Assistant Program, College of Health Sciences, Midwestern
The Social Mission of Medical Education: At the Core of Health Reform
The Social Mission of Medical Education: At the Core of Health Reform A Collaborative Project between the Robert Graham Center and the George Washington University Department of Health Policy Fitzhugh
Health Care - Grants 2010
NATIONAL HEALTH CARE WORKFORCE COMMISSION Sec. 5101 Created in 2010 Annually Reports to Congress; Second report on high priority areas HEALTH WORKFORCE DATA, ANALYSIS AND PLANNING Health Workforce Information
ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY
HANYS ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY HANYS 2008 PHYSICIAN WORKFORCE SURVEY NOVEMBER 2008 ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY HANYS 2008 PHYSICIAN WORKFORCE SURVEY
Partners in Physician Retention: Retaining Michigan s Physician Workforce. Deb Collier Director, Recruitment Services Michigan Health Council
Partners in Physician Retention: Retaining Michigan s Physician Workforce Deb Collier Director, Recruitment Services Michigan Health Council Agenda Physician Workforce Profile Michigan Snapshot National
Primary Care Recruitment & Retention Programs in Massachusetts
Primary Care Recruitment & Retention Programs in Massachusetts Nicole Watson Recruitment / Retention Program Specialist, Massachusetts Health Care Workforce Center Nicole.watson@state.ma.us The Massachusetts
THE FUTURE OF GME: A VIEW FROM WASHINGTON (AND CHICAGO)
The Future of Graduate Medical Education: How Can We Make GME More Accountable? Robert B. Baron MD MS Professor of Medicine Associate Dean for GME and CME Declaration of full disclosure: No conflict of
The Looming Doctor Shortage. Are these scenarios possible or even probable? History of Physician Education in the United States
Policy Note The Looming Doctor Shortage by Dr. Roger Stark, MD, FACS Health Care Policy Analyst November 2011 Key Findings 1. The aging of the baby boomer generation, plus the 32 million people newly insured
PRIMARY CARE GEORGIA CHALLENGES, GEORGIA SOLUTIONS
PRIMARY CARE GEORGIA CHALLENGES, GEORGIA SOLUTIONS FIVE KEY MEASURES Number of medical students vs. number of GME slots available Number of GA medical students staying in GA residency programs Number of
Physician Assistant Workforce: Growing Our Own ND Professionals
Physician Assistant Workforce: Growing Our Own ND Professionals Jeanie McHugo, PhD, PA C Jay Metzger, MPAS, PA C Heidi Olson Fitzgerald, BSN, PA C Objectives Objective 1: At the conclusion of this session,
Conclusion and Recommendations Chapter 6
Conclusion and Recommendations Chapter 6 Access to healthcare providers, including physicians, nurse practitioners (NPs), physician assistants (PAs), and certified nurse midwives (CNMs), is very important
AMA student guide to advocacy Protect public service loan forgiveness
MEDICAL STUDENT ADVOCACY AND REGION CONFERENCE AMA student guide to advocacy Protect public service loan forgiveness The federal Public Service Loan Forgiveness (PSLF) Program was created in 2007 and offers
How to Prepare Physician Assistants For a Career in Indiana
COMMISSION FOR HIGHER EDUCATION Friday, February 12, 2010 DECISION ITEM A-2: Master of Science in Physician Assistant Studies To Be Offered by Indiana State University at Terre Haute Staff Recommendation
HR1722 House Study Committee on Medical Education. Cherri Tucker, Executive Director Georgia Board for Physician Workforce September 16, 2014
HR1722 House Study Committee on Medical Education Cherri Tucker, Executive Director Georgia Board for Physician Workforce September 16, 2014 1 Georgia Board for Physician Workforce Created in 1976 to increase
Who we are and what we do
Medical Education in North Carolina: What is the Return on Investment? Julie Spero, MSPH Erin Fraher, PhD MPP Who we are and what we do Program on Health Workforce Research & Policy Cecil G. Sheps Center
Student Loan Considerations for Graduating Housestaff. Stanford Transition to Practice Session April 29 th, 2015
Student Loan Considerations for Graduating Housestaff Stanford Transition to Practice Session April 29 th, 2015 Overview Changes In Student Debt Levels Federal Programs Overview Maximizing PSLF Savings
RECRUITING AND RETAINING PRIMARY CARE PHYSICIANS
PROGRAMS FOR TRAINING, RECRUITING AND RETAINING PRIMARY CARE PHYSICIANS IN RURAL SC Stacey Day, MSW, LMSW Director of Recruitment SC Office of Rural Health The South Carolina Office of Rural Health is
Health Care Reform Depends on Family Medicine: Walk softly BUT keep the stick close. Robert Phillips MD MSPH The Robert Graham Center
Health Care Reform Depends on Family Medicine: Walk softly BUT keep the stick close Robert Phillips MD MSPH The Robert Graham Center Agenda Healthcare Reform about the Economy this time Primary Care seen
Loan Repayment Programs for Primary Care Clinicians in Medically Underserved Areas
Loan Repayment Programs for Primary Care Clinicians in Medically Underserved Areas Beth Baker, MDPH, Primary Care office 617-624-6049 Beth.baker@state.ma.us Tools The MA Loan Repayment Program for Health
WORK IN COMMUNITIES IN NEED! RECEIVE A SCHOLARSHIP OR LOAN REPAYMENT IN RETURN. Monday, May 4, 2015 8pm to 9pm ET #NURSESWEEK
WORK IN COMMUNITIES IN NEED! RECEIVE A SCHOLARSHIP OR LOAN REPAYMENT IN RETURN Monday, May 4, 2015 8pm to 9pm ET #NURSESWEEK BUREAU OF HEALTH WORKFORCE The NHSC is part of HRSA s Bureau of Health Workforce
Case Study: Primary Care Offices and Health Workforce Incentive Programs
Introduction: State Primary Care Offices and Health Workforce Development State Primary Care Offices (PCOs) operate within all state health departments and are supported with federal funding. They have
May 4, 2009. The Honorable Charles W. Boustany, Jr. The Honorable Joe Courtney The Honorable Tom Price House of Representatives
United States Government Accountability Office Washington, DC 20548 May 4, 2009 The Honorable George Miller Chairman The Honorable Howard P. Buck McKeon Ranking Member Committee on Education and Labor
Addressing Physician Shortages in Underserved Communities: An Immersive Longitudinal Approach
1 Addressing Physician Shortages in Underserved Communities: An Immersive Longitudinal Approach Elizabeth M. Petty, MD Senior Associate Dean for Academic Affairs School of Medicine and Public Health University
HRSA Overview, National Health Service Corps and Other Health Workforce Scholarship, Loan, and Loan Repay Programs
HRSA Overview, National Health Service Corps and Other Health Workforce Scholarship, Loan, and Loan Repay Programs U.S. Department of Health and Human Services (HHS) Health Resources and Services Administration
30 Million New Patients and 11 Months to Go: Who Will Provide Their Primary Care?
Primary Care Access 30 Million New Patients and 11 Months to Go: Who Will Provide Their Primary Care? A Report from Chairman Bernard Sanders Subcommittee on Primary Health and Aging U.S. Senate Committee
Medical Student and Resident Preliminary Survey Results Health Professions Tracking Program
Medical Student and Resident Preliminary Survey Results Health Professions Tracking Program Patricia Moulton, Ph.D. Mary Amundson, M.A. Jaunuary 2005 Table of Contents Executive Summary...3 Introduction...5
Federal Reform-Related Funding for the Health Care Workforce (May 2010)
Highlights of HRSA Stimulus Related (ARRA) for the Health Care Workforce ARRA includes $500 million for health workforce programs. $200 million is directed to scholarships, loans and loan repayment and
HEALTH PROFESSIONAL WORKFORCE (SECTION-BY-SECTION ANALYSIS)
HEALTH PROFESSIONAL WORKFORCE (SECTION-BY-SECTION ANALYSIS) (Information compiled from the Democratic Policy Committee (DPC) Report on The Patient Protection and Affordable Care Act and the Health Care
Advancing Health in Rural America: Maximizing Nursing s Impact
Fact Sheet Advancing Health in Rural America: Maximizing Nursing s Impact Mary S. Gorski AARP Public Policy Institute AARP Public Policy Institute This Fact Sheet provides a link between the evidence-based
Loan Repayment for Primary Care Providers Practicing in Rural and Urban Health Professional Shortage Areas in Minnesota
2015 MINNESOTA STATE LOAN REPAYMENT PROGRAM INFORMATION NOTICE (PIN) Section 388I of the Public Health Services act, as amended by Public Law 101-597 and Public Law 111-148 Loan Repayment for Primary Care
Physician Workforce in Nevada
UNSOM Health Policy Report Physician Workforce in Nevada 2014 Edition John Packham, PhD, Tabor Griswold, PhD, Laima Etchegoyhen, MPH, and Christopher Marchand, MPH July 2014 Office of Statewide Initiatives
Student Loan Considerations for Incoming Housestaff. UT Chattanooga / Erlanger Health Presented by Brandon Barfield Brandon@DWOQ.com June 26 th, 2015
Student Loan Considerations for Incoming Housestaff UT Chattanooga / Erlanger Health Presented by Brandon Barfield Brandon@DWOQ.com June 26 th, 2015 Overview Changes In Student Debt Levels Legislative
Rural Medical Student Campus Life
Rural Medical Student Campus Life UofL Trover Campus at Baptist Health Madisonville Steve Fricker Director Student Rural Health/Student Affairs UofL Trover Campus Purpose of the U of L Trover Campus By
Among the most enduring problems
Which Medical Schools Produce Rural Physicians? A 15-Year Update Frederick Chen, MD, MPH, Meredith Fordyce, PhD, Steve Andes, PhD, and L. Gary Hart, PhD Abstract Purpose Despite continued federal and state
THE PHYSICIAN RECRUITING MAKEOVER: HOW TO MAKE YOUR CENTER A DOCTOR MAGNET
THE PHYSICIAN RECRUITING MAKEOVER: HOW TO MAKE YOUR CENTER A DOCTOR MAGNET THERE S AND BAD GOOD NEWS NEWS CHCs AND PHYSICIAN RECRUITING FIRST, THE BAD NEWS THE PHYSICIAN SHORTAGE IS LIKELY TO GET WORSE
Steve Shotwell B-218 West Fee Hall, MSU 517-355-7758 steve.shotwell@hc.msu.edu
Steve Shotwell B-218 West Fee Hall, MSU 517-355-7758 steve.shotwell@hc.msu.edu Michigan Center for Rural Health Information Our Mission To coordinate, plan, and advocate for improved health for Michigan
The Physician Workforce. 2012 Physician Survey Report. Dianne Reynolds-Cane, MD, Director. Virginia Department of Health Professions
The Physician Workforce 2012 Physician Survey Report Dianne Reynolds-Cane, MD, Director Virginia Department of Health Professions Joint Commission on Health Care September 17, 2013 Updated 9/18/13 Healthcare
Challenges Recruiting and Retaining Healthcare Providers
Challenges Recruiting and Retaining Healthcare Providers A Surplus of Doctors?? For the past 25 years, the AMA and other industry groups have predicted an excess of doctors and worked to limit the number
Training Physicians: Medicare support provides vital funding to train our doctors and maintain patient access.
GRADUATE MEDICAL EDUCATION Training Physicians: Medicare support provides vital funding to train our doctors and maintain patient access. GRADUATE MEDICAL EDUCATION California faces a shortfall of up to
1.3 Fellowship, Academic, Government, Caring for the Underserved, Immigration Issues, International Medicine
1. Making Career Decisions 1.17 1.3 Fellowship, Academic, Government, Caring for the Underserved, Immigration Issues, International Medicine Learning Objectives Describe these careers alternatives and
The Accelerated DO/Family Medicine Residency Continuum: A Pilot Program
The Accelerated DO/Family Medicine Residency Continuum: A Pilot Program 2012 AACOM Annual Meeting March 30, 2012 Abraham M. Jeger, PhD Leonard B. Goldstein, DDS, PhD New York College of Osteopathic Medicine
New Application for Individual Providers
Professional Discipline Eligibility New Application for Individual Providers The first set of questions in this application will determine whether you are eligible for participation in this loan repayment
SOLUTIONS TO THE CHALLENGES FACING PRIMARY CARE MEDICINE. Comprehensive Strategies from the American College of Physicians
SOLUTIONS TO THE CHALLENGES FACING PRIMARY CARE MEDICINE Comprehensive Strategies from the American College of Physicians American College of Physicians Policy Monograph 2009 SOLUTIONS TO THE CHALLENGES
Primary Care Physician Shortage Issue Brief:
Primary Care Physician Shortage Issue Brief: This shortage of primary care access in rural Alabama leads to early deaths, Deaths from heart disease in rural Alabama are approximately 50 percent higher
TREND WHITE PAPER LOCUM TENENS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS: A GROWING ROLE IN A CHANGING WORKFORCE
TREND WHITE PAPER LOCUM TENENS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS: A GROWING ROLE IN A CHANGING WORKFORCE The Leader in Locum Tenens Staffing INTRODUCTION Today s Mobile Healthcare Work Force
Access to Care: Primary Care Physicians Per 1,000 Pop.
Access to Care: Primary Care Physicians Per 1,000 Pop. From 2010 to 2013 the number of physicians in Arkansas grew 2% per year. Physician growth rate differed greatly by county Median County Physician
Agenda 10/14/2015. Health Professional Shortage Areas (HPSAs)
Tamara L. Houston, PA-C, MMSc., M.Ed Rogue Community Health 99 Central Ave Ashland, OR 97520 thouston@roguech.org Agenda Health Professional Shortage Areas Tax Credit: Oregon Rural Health Loan Cancellation:
direction in the midst of uncertainty SCMA Presentation 2012
direction in the midst of uncertainty SCMA Presentation 2012 so where are we? force #1: the affordable care act STRATEGIC DIRECTIONS OF Coverage Delivery system reforms Payment reforms Transparency Health
Rural Residency Training for Family Medicine Physicians: Graduate Early-Career Outcomes, 2008-2012
http://www.raconline.org/rtt Policy Brief January 2013 Rural Residency Training for Family Medicine Physicians: Graduate Early-Career Outcomes, 2008-2012 This policy brief updates a previous one 1 with
HPNEC. FY 2015 Brochure
HPNEC Health Professions and Nursing Education COALITION Health Professions Education Programs: Connecting students to health careers, health professionals to underserved communities, and communities to
Health Provider Retention Toolkit
Health Provider Retention Toolkit Sally Buck and Angie LaFlamme November 9, 2014 The Center s Purpose 2 The National Rural Health Resource Center (The Center) is a nonprofit organization dedicated to sustaining
In recent years, the proportion of students choosing careers in primary
CASE STUDY A Workforce Analysis Informing Medical School Expansion, Admissions, Support for Primary Care, Curriculum, and Research Alfred O. Berg, MD, MPH 1 Thomas E. Norris, MD 2 1 Department of Family
Medical School Enrollment Plans Through 2013:
Medical School Enrollment Plans Through 2013: Center for Workforce Studies May 2009 Learn Serve Lead Association of American Medical Colleges 2009 AAMC. May not be reproduced without permission. Summary
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS Report to the Joint Commission On Health Care The Advisability of Establishing a MidLevel Provider License 7/1/2015 Executive Summary In response to House Joint
Locum Tenens Services Connecting Physicians to Communities
Locum Tenens Services Connecting Physicians to Communities Joseph T. Ichter, MHA, DrPH Candidate Director, OHSU Locum Tenens, AHEC Assistant Professor, OHSU Family Medicine October 20th, 2009 Goals Better
GAO. PRIMARY CARE PROFESSIONALS Recent Supply Trends, Projections, and Valuation of Services
GAO For Release on Delivery Expected at 2:30 p.m. EST Tuesday, February 12, 2008 United States Government Accountability Office Testimony Before the Committee on Health, Education, Labor, and Pensions,
AAMC Statement on the Physician Workforce
AAMC Statement on the Physician Workforce June 2006 Association of American Medical Colleges Background An appropriate supply of well-educated and trained physicians is an essential element to assure access
Policy Research Perspectives
Policy Research Perspectives Medical Liability Claim Frequency: A 2007-2008 Snapshot of Physicians By Carol K. Kane, PhD Introduction This report presents a snapshot of physicians experiences with medical
Federal Health Care Workforce Education and Training Programs
1 Federal Health Care Workforce Education and Training Programs Presented by: Kathleen M. King Director, Health Care US Government Accountability Office February 20, 2015 2 Table of Contents Overview of
PRIMARY CARE PHYSICIAN RECRUITMENT AND RETENTION PROGRAMS IN MASSACHUSETTS
PRIMARY CARE PHYSICIAN RECRUITMENT AND RETENTION PROGRAMS IN MASSACHUSETTS THIS INFORMATION HAS BEEN COLLECTED THROUGH A COLLABORATIVE EFFORT BETWEEN THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH PRIMARY
VitalSigns. CHM Graduates: Serving the People. The Primary Care M.D. School of Michigan. What is VitalSigns? Primary Care: The Narrowing Gap
italsigns CHM Graduates: Serving the People Office of Medical Education Research and Development Fall 1996 What is italsigns? With this issue, italsigns is inaugurated as a periodic report on significant
Possible Opportunities for Collaboration in Health Care Reform
MEDICARE EXTENDERS Part B Payments to Indian Hospitals and Clinics. (Sec. 2902) Spends $200 million over 10 years. Section 630 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
FILLING THE. reported by. continue...
FILLING THE 2013 Physician Outlook & PRACTICE TRENDS reported by continue... OVERVIEW Physician discontent appears to be creating a void in the healthcare field. Physicians are preparing to leave medicine
THE ULTIMATE RECRUITMENT TOOL : PROVIDING CLINICAL TRAINING OPPORTUNITIES TO HEALTH PROFESSIONAL STUDENTS
THE ULTIMATE RECRUITMENT TOOL : PROVIDING CLINICAL TRAINING OPPORTUNITIES TO HEALTH PROFESSIONAL STUDENTS Patrick J Enking, MS, PA-C, DFAAPA Northern Arizona University Physician Assistant Program LEARNING
Healthcare Workforce Provisions in the Patient Protection and Affordable Care Act
Title text here Healthcare Workforce Provisions in the Patient Protection and Affordable Care Act Winifred V. Quinn, PhD AARP and the Center to Champion Nursing in America September 21, 2010 Columbia,
Sue M. Nyberg, MHS, PA-C Chair and Associate Professor Wichita State University Department of Physician Assistant
Sue M. Nyberg, MHS, PA-C Chair and Associate Professor Wichita State University Department of Physician Assistant First PA students enrolled at Duke University in 1967 Response to shortage and uneven distribution
Nursing Workforce Shortage Causes - Disease, Demand and Productivity
A NATIONAL DIALOGUE: The Secretary of Education s Commission on the Future of Higher Education ISSUE PAPER Eighth in a series of Issue Papers released at the request of Chairman Charles Miller to inform
Loan Repayment Programs
Reduce Medical School Debt Loan Repayment Programs in New Hampshire & Vermont 525 Clinton Street, Bow, NH 03304 Phone 603.229.1852 Fax 603.228.2464 Vermont: www.vt-rc.org New Hampshire: www.nhrc.org National
Developing the Health Professions Workforce
Developing the Health Professions Workforce Social Work Policy Institute Investing in the Social Work Workforce May 18, 2011 Diana Espinosa Deputy Associate Administrator Department of Health and Human
KAPA ISSUE BRIEF Coming Up Short: Kentucky Laws Restrict Deployment of Physician Assistants, and Access to High-Quality Health Care for Kentuckians
KAPA ISSUE BRIEF Coming Up Short: Kentucky Laws Restrict Deployment of Physician Assistants, and Access to High-Quality Health Care for Kentuckians Stephanie Czuhajewski, CAE Issue According to the 2012
West Virginia Recruitment Programs
West Virginia Recruitment Programs West Virginia has pioneered new approaches to educating medical and other health professions students in rural settings through the West Virginia Rural Health Education
Medical School Summer Externship Program Review
Medical Student Summer Externship Program: Increasing the Number Matching in Family Practice Department of Family Medicine The Ohio State University Holly Cronau, MD, Danell J. Haines, PhD Abstract: Background
Nurse Practitioners, Certified Nurse Midwives, and Physician Assistants in Physician Offices
Nurse Practitioners, Certified Nurse Midwives, and Physician Assistants in Physician Offices Melissa Park, M.P.H.; Donald Cherry, M.S.; and Sandra L. Decker, Ph.D. Key findings Data from the National Ambulatory
ADVANCE DIRECTIVE VOLUME 19 FALL 2009 PAGES 56-67. Medical School Costs and Its Impact on Rural Medicine. Sara Zweig * I.
ANNALS OF HEALTH LAW ADVANCE DIRECTIVE VOLUME 19 FALL 2009 PAGES 56-67 Medical School Costs and Its Impact on Rural Medicine Sara Zweig * I. INTRODUCTION President Obama s plan to reform healthcare by
Loan Repayment Guide. Brought to You by 3RNet.org your trusted resource for jobs in rural & underserved areas across the country
Loan Repayment Guide A basic overview of what you should know about your loan repayment options, in general, as a health care provider. Brought to You by 3RNet.org your trusted resource for jobs in rural
The National Health Service Corps
The National Health Service Corps An Introduction CAPT Jeanean Willis Marsh, DPM Director, Division of the National Health Service Corps June 26, 2014 Bureau of Health Workforce BUREAU OF HEALTH WORKFORCE
Key Findings from the American Academy of Physician Assistants (AAPA) Census Survey
Key Findings from the American Academy of Physician Assistants (AAPA) Census Survey Colorado Health Institute 1576 Sherman Street, Suite 300 Denver, Colorado 80203-1728 www.coloradohealthinstitute.org
Financial Aid at HMS. Bob Coughlin, Director of Financial Aid Sarah Dolisca, HMS 17 Aaron Quarles, HMS 15 Ramone Williams, HMS 15
Financial Aid at HMS Bob Coughlin, Director of Financial Aid Sarah Dolisca, HMS 17 Aaron Quarles, HMS 15 Ramone Williams, HMS 15 Topics for Discussion The Financial Aid Process The Award Package What Else
The Good, The Bad, and The Ugly
The Good, The Bad, and The Ugly Context of Nursing Today Surviving the economic downturn Recent growth in healthcare jobs Public perceptions of nursing Growth of technology Drivers of the Nursing Profession
Loan Repayment Program for Child Psychiatry, DOs and MDs in family practice, pediatrics, and general internal medicine
Lancaster Osteopathic Health Foundation Loan Repayment Program for Child Psychiatry, DOs and MDs in family practice, pediatrics, and general internal medicine 2015 Application Package Lancaster Osteopathic
Health Services - A Review of the Ontario Medical Referral System
Centre for Studies in Family Medicine Patterns of Specialty Medical Referral Analysis of a Primary Health Care Electronic Medical Record Database Joshua Shadd, MD CCFP Bridget Ryan PhD Moira Stewart PhD
Physician Recruitment Forum 2015. August 19, 2015
Physician Recruitment Forum 2015 August 19, 2015 Physicians are most likely to establish a rural practice if they have rural origins and medical training at rural centres. Canadian data showed that students
Daniel S. Blumenthal MD MPH Morehouse School of Medicine Atlanta GA USA
Daniel S. Blumenthal MD MPH Morehouse School of Medicine Atlanta GA USA M A Y 1 5-1 7, 2 0 1 CONFERENCE Co-CHAIRS: Tulsa, Oklahoma May 15-17, 2012 Fitzhugh Mullan, MD Professor of Medicine and Health Policy,
Johns Hopkins University Bloomberg School of Public Health
Johns Hopkins University Bloomberg School of Public Health Report on Johns Hopkins University School of Medicine Faculty Salary Analysis, 2003-2004 With Additional Comments November 29, 2005 Objectives:
The Emergency Care Workforce in the U.S. August 2006
The Emergency Care Workforce in the U.S. August 2006 Prepared by the Center for Health Workforce Studies by Sandra McGinnis Jean Moore David Armstrong EXECUTIVE SUMMARY Emergency care systems in the United
How to Hire International Medical Graduates with Ease by Ann Massey Badmus, Attorney at Law
May 2011 How to Hire International Medical Graduates with Ease by Ann Massey Badmus, Attorney at Law According to an American College of Physicians monograph published in 2008, International Medical Graduates
Tuition and Fees Books and Supplies Living and Personal Expenses Rent/mortgage payment Utilities (electric, gas, water, cable, phone, internet) Food
Tuition and Fees Books and Supplies Living and Personal Expenses Rent/mortgage payment Utilities (electric, gas, water, cable, phone, internet) Food (groceries, restaurants) Car payment Insurance (health,
(;AO/JJKJ)-!)I-!)8. Data on Claims Needed to Evaluate Health Centers Insurance Alternatives
(;AO/JJKJ)-!)I-!)8 Data on Claims Needed to Evaluate Health Centers Insurance Alternatives United States General Accounting Office Wahington, D.C. 20548 Human Resources Division B-24281 1 May 2,199l The
Regulatory and Legislative Action Since the September 2010 Membership Meeting:
MEMBERSHIP MEETING January 19, 2011 Delivery System Reform: Healthcare Workforce Issue: The passage of health reform will bring millions of newly insured individuals into the system and drive patients
Dual Degree Programs in Dental Education: Exploring Benefits and Challenges
Dual Degree Programs in Dental Education: Exploring Benefits and Challenges SESSION OBJECTIVES Describe how existing dual degree program models can be implemented in dental schools. Identify how a dual
Physician Assistant Nurse Practitioner. Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque
Physician Assistant Nurse Practitioner Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque Explore many careers in healthcare ExploreHEALTHCareers Occupational Outlook Handbook Google
CHAPTER 409 OREGON HEALTH AUTHORITY, OFFICE FOR OREGON HEALTH POLICY AND RESEARCH DIVISION 37 MEDICAID PRIMARY CARE LOAN REPAYMENT PROGRAM
CHAPTER 409 OREGON HEALTH AUTHORITY, OFFICE FOR OREGON HEALTH POLICY AND RESEARCH DIVISION 37 MEDICAID PRIMARY CARE LOAN REPAYMENT PROGRAM 409-037-0000 Purpose The Medicaid Primary Care Loan Repayment
Longitudinal Care Programs in Medical School
Longitudinal Care Programs in School Survey of AAMC OSR Representatives In September 2009, the OSR Med Ed team surveyed OSR reps about longitudinal care programs available at their respective institutions.