Practice Michigan Snapshot. Anne Rosewarne, President Michigan Health Council

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1 Practice Michigan Snapshot Anne Rosewarne, President Michigan Health Council

2 Demographics

3 Physician Shortage Overview Projected national shortage of 200,000 physicians by % of the national physician workforce is age 60 or older. 941,304 Physicians in practice - in the U. S. 42,305 licensed Physicians in Michigan - only 69% are providing patient care. In Michigan, 47% of Physicians are over age 55 Source: Altarum, AMA, Michigan Dept of Community Health and SUNY Survey

4 Physician Education and Training PHYSICIAN EDUCATION AND TRAINING More than one-third (39 percent) of the physicians active in Michigan attended a medical school in Michigan (see Exhibit 3). Almost two-thirds (61 percent) completed a residency program in Michigan. 15 percent did a post-residency fellowship in Michigan. 28 percent of Michigan physicians are categorized as an international medical graduate (IMG) and 26 percent of physicians in the United States are IMGs. Michigan is ranked fourth in the nation for the number of students enrolled in a public allopathic or osteopathic medical school for the academic year, while ranking eighth in the nation for population.

5 HRSA Michigan Health Workforce Profile No Population growth is expected between 2000 and Age 65 and over population is expected to grow by 32%. 195 physicians per 100,000 population. National average is Active primary care physicians per 100,000 population. National average is 69 per 100,000. Michigan is likely to face a physician shortage by The severity of this shortage is expected to be about 4,400 physicians, or about 12% of the number of physicians required to meet the forecasted demand for medical services in AAMC, April 2009

6 880 Freshmen Medical Students entered Michigan Medical Schools in the fall of 2009 Michigan State University College of Human Medicine: 110 freshmen, total enrollment 550. Michigan State University College of Osteopathic Medicine: 300 freshmen in 2009, total enrollment is 900+ University of Michigan Medical School: 170 freshmen, total enrollment is 671. Wayne State University Medical School: 300 freshmen,1213 total enrollment. Approximately 4574 residents are training in Michigan.

7 Medical School Retention State Medical School Number of Graduates Number that stay In-state Ohio 27,736 11, % Illinois 39,533 12, % Indiana 9,639 4, % Michigan 22,024 9, % Pennsylvania 45,425 15, % Association of American Medical Colleges 2009 State Physician Workforce Data Book

8 International Medical Graduates: IN American Medicine In 2007, Michigan was ranked sixth in the country for the number of active physicians who graduated from an international medical school. A decrease in the number of IMGs in the United States could affect health care services in vulnerable areas due to our reliance on IMGs to provide care for patients in HPSAs.

9 HRSA Loan Repayment in Shortage Areas 200 Million is available for loan repayment today! $50,000 toward repayment of student debt. Primary care Physicians Nurse Practitioner & Physician Assistant Mental Health professionals Approved site in a HPSA - Nearly 65% of the nation s counties are complete or partial shortage areas. Requires two years of service Visit

10 Solutions

11 Medical Opportunities in Michigan (MIMOM.org)

12 Medical Opportunities in Michigan Founded in years of success! Developed in partnership with Michigan Hospital Association, Michigan State Medical Society, Michigan Osteopathic Association. Over 978 opportunities in Michigan J-1 and H1 jobs too! MOM is a free and easy to use tool for physicians seeking a job in Michigan candidates are currently registered.

13 Medical Opportunities + Matches Made Since 1994

14 Medical Opportunities in Michigan Hot Specialties include: Family Practice Internal Medicine Emergency Medicine Orthopedic Surgery Cardiology Hospitalist Pediatrics Urology Psychiatry

15 The Michigan Physician Profile Report provides current data trends on the physician population in Michigan, information regarding issues that affect the supply and demand of physicians, work patterns, cost of training, international medical graduates (IMG) issues and challenges in the delivery of healthcare. This information will help communities, healthcare employers, educators and policymakers create strategies to address physician workforce needs in Michigan.

16 2008 Sub-specialization Specialty Family Medicine Internal Medicine General Surgery General Orthopedic General Pediatrics General Psychiatry AMA Completed # Known Plans Pursuing More Training % Academics % 3,068 2, % % 6,598 5,144 2, % % % % % % 2, % % % %

17 Generation X & Y Changing Recruitment With technology can work anytime, anyplace. Most want long-term work relationships, but favor more family time, less career ambition. Access to technology required. Balance is all important. New definition of long term commitment. Job sharing is more common. Money is not a top priority. Community service is important. Expect convenience and results.

18 CAPE CAPE Capital Area Physician Experience Capital Area Physician Experience (CAPE) is a coalition effort created to create synergy between existing efforts by partner institutions to recruit, welcome and retain physicians in training to the Capital Area. The coalition is committed to working together to increase the number of graduate medical education trainees who upon graduation choose to remain in the Capital Area.

19 ACE Systems ACE Project Team and Users Groups

20 M-SEARCH and ACE What is M-SEARCH? The M-SEARCH program matches medical students, resident physicians, nurse practitioners and physician assistants with practice sites and clinical preceptors in underserved communities. Service includes a two to eight week clinical rotation some multidisciplinary as a health care team and can include completion of a community project.

21 M-SEARCH Program Community Examples Provide educational sessions on topics such as: Advanced directives Medicare pharmacy benefit Qualifying for Medicaid Accessing services in the community Assist with community assessments to determine gaps in health coverage or other unmet needs. Plan and implement some type of community awareness/education event Develop a directory of health resources in area

22 M-SEARCH Program Community Examples Patient screenings and education for community members on chronic health concerns, such as diabetes, hypertension, glaucoma, etc. Patient education and screenings for at-risk populations, such as the elderly, migrant and seasonal farm workers, or low income individuals. Assist with immunization days and public health screenings. Health promotion and disease prevention activities Provide Lunch and Learn sessions with community groups seniors, new parents, parents with special needs children, etc.

23 Thank You! Visit us online at

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