The Institute of Medicine report entitled Unequal Treatment recommended that all health care professionals receive training in cross-cultural communication—also called “cultural competence”—as one potential strategy for addressing racial or ethnic disparities in health care. Although evidence shows that cultural competence training improves the attitudes, knowledge, and skills of physicians...
Sheps Center – Findings of the First Year Retention Survey of the Multi-State/NHSC Retention Collaborative
In the spring of 2012, directors of Primary Care Offices and other health workforce leaders in 11 states joined to form the Multi-State/NHSC Retention Collaborative. The Collaborative’s first-year goal is to document and understand the retention of clinicians within their states who serve in the National Health Service Corps (NHSC)...
Graham Center: Trends in Physician Supply and Population Growth
The physician workforce has steadily grown faster than the U.S. population over the past 30 years, context that is often absent in conversations anticipating physician scarcity. Policy makers addressing future physician shortages should also direct resources to ensure specialty and geographic distribution that best serves population health.
Graham Center Unequal Distribution of the US Primary Care Workforce
The United States is facing a primary care physician shortage, but the most pressing problem is uneven distribution, particularly in poor and rural communities. Providing adequate access to care for the nearly 30 million uninsured people living in these communities will require potent incentives and policy.
Graham Center – Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines
With continued population aging trends, low annual birth rate, and expected health insurance expansion, it is vital that physician workforce policy be aimed at meeting population needs to deliver optimal primary care. To better understand trends in the primary care physician workforce, we have examined the growth of family...
Graham Center: Migration After Family Medicine Residency
Using the 2009 American Medical Association Physician Masterfile, this one-pager notes that 56% of family medicine residents stay within 100 miles of where they graduate from residency.
Graham Center: Projected Impact of the Primary Care Residency Expansion Program Using Historical Trends in Graduate Placement
This one-pager covers the Primary Care Residency Expansion (PCRE) program that was created by the Health Resources and Services Administration in 2010 to help address the shortage of primary care physicians. If historical graduate placement trends for funded programs remain stable, the PCRE program would have a potential impact...
Graham Center: The Changing Landscape of Primary Care HPSAs and the Influence on Practice Locations
Health Professional Shortage Area (HPSA) designations were created to highlight areas of primary care shortage and direct incentives to physicians willing to practice in these areas. This article seeks to demonstrate the volatility of these geographies by examining the HPSA status of primary care physicians whose practice locations were...
Graham Center: The Impact of Debt Load on Physician Assistants
The central question of this investigation is: To what degree, if any, does physician assistant (PA) student loan debt impact the career decisions of PAs? A mixed-methods approach to this question found that PA students are heavily influenced by their clinical rotations, especially their preceptors, and that a few...