New Physician Workforce Studies 2006

See also Rural and Remote Health Update

Health Care Access Primer Bowman May 2007 - no smoke and mirrors, real primary care

Hart G. RUCAs and Physician Location, AAMC Presentation, May 2006.  http://www.aamc.org/workforce/pwrc06/hart.pdf .

Distribution: Index Concentrations of Physician Distribution - compare and contrast the various types that distribute to rural underserved and urban underserved locations. How do international medical graduate internal medicine physicians compare to family physicians? What does birth origin have to do with practice location?

Physicians in Poverty Discussion: Major Medical Center Locations - the distributions of physicians vary with increasing levels of poverty in the United States. This first work considers the locations of 71% of US physicians, those in major medical centers. Primary care levels are not well sustained with increasing poverty levels.

Five Periods of Health Policy and Physician Career Choice - the nation has distributed physicians and very effectively by health policy changes. The nation is now returning to an era not seen in 40 years.

Rural General Surgery from the Archives

Rural WONCA 2006 Seattle Presentations gathering together various links

MCAT and FP 2005 - scatterplot of MCAT scores 2000 - 2003 and FP 2005 Match Choices

Driving Difficulty or Distinction - The relationship between MCAT and failure rates or academic distinction rates quickly flattens. Increased admissions of students with higher MCAT scores changes outcomes very little in the students with average MCAT scores. However increased MCAT is related to less choice of family medicine, rural practice, and underserved location.

Comments Regarding the Future of Academic Medicine - This Milbank report outlined many of the changes needed in current medical education. The world is waiting.

Fitzhugh Mullan on international movements of physicians
http://content.nejm.org/cgi/content/full/353/17/1810

AAMC Testimony on Physician Workforce
http://www.aamc.org/advocacy/library/workforce/testimony/2006/051806.pdf

Mass Med Assoc Exec Summary 2006 Workforce Report
http://www.massmed.org/Content/NavigationMenu/NewsandPublications/ResearchReportsStudies/PhysicianWorkforceStudy/2006Workforce_exec_summary.pdf

Full 2006 Massachusetts Workforce report
http://www.massmed.org/Content/NavigationMenu/NewsandPublications/ResearchReportsStudies/PhysicianWorkforceStudy/2006Workforce_report.pdf
Ricketts and North Carolina Workforce http://www.healthworkforce.unc.edu/documents/NCphysicians_121505.ppt

Michigan Workforce
http://newsroom.msu.edu/site/indexer/2670/content.htm

Recent Studies of the Family Physician Workforce: Implications for Education and Training (PDF file: 8 pages / 243 KB)
http://www.graham-center.org/PreBuilt/workforcestfm0406.pdf
Bob Phillips, MD, MSPH  Andrew Bazemore, MD, MPH  Martey Dodoo, PhD  Perry Pugno, MD
STFM Spring Conference May 2006


From 2006 AAMC Workforce Conference and Other Efforts

Physician Supply Physician Supply Issues and Analysis Issues and Analysis (PDF)
Tom Ricketts, Ph.D., Deputy Director, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill

The Challenges of Expanding Physician Supply (PDF)
Richard Cooper, M.D., Professor of Medicine, Leonard Davis Institute of Health Economics, University of Pennsylvania

The Geographic Distribution of Physicians Using RUCAs (PDF)
L. Gary Hart, Ph.D., Director and Principal Investigator, WWAMI Rural Health Research Center

Which Medical Schools and Residency Programs Train Rural Physicians? (PDF)
Frederick M. Chen, M.D., M.P.H., Deputy Director, WWAMI Rural Health Research Center

The Impact of Osteopathic Medicine's Growth on Physician Workforce in the U.S. (PDF)
Stephen C. Shannon, D.O., M.P.H., President, American Association of Colleges of Osteopathic Medicine

The Osteopathic Physician Workforce: The Colleges and the Students (PDF)
Thomas Levitan, M. Ed., Vice President for Research and Application Services, American Association of Colleges of Osteopathic Medicine

The Changing Paradigm of Contemporary U.S. Allopathic Medical School Graduates' Career Paths: Analysis of the 1997-2004 National AAMC Graduation Questionnaire Database (PDF)
Donna Jeffe, Ph.D. Director, Health Behavior & Outreach Core, Siteman Cancer Center, Division of Health Behavior Research, Washington University School of Medicine

Women in the Physician Workforce: Creating Work-Life Satisfaction for Women Physicians (PDF)
Phyllis L. Carr, M.D., Associate Dean of Student Affairs, Boston University School of Medicine

Four and Five-Year Regional Medical Campuses: A Rational Response to Physician Manpower Needs (PDF)
Michael Friedland, M.D., Vice President for Medical Programs and Senior Associate Dean for Biomedical Programs, University of Miami Miller School of Medicine at Florida Atlantic University

International Medical School Graduates in the US: Background Data (PDF)
Edward Salsberg, M.P.A., Director, Center for Workforce Studies, AAMC

Preliminary Results of Survey of Physicians Over 50: Current Activity and Retirement Factors (PDF)
Clese Erikson, M.P.Aff., Senior Research Associate, Center for Workforce Studies, AAMC

The Global Health Workforce: Our Shared Challenges (PDF)
Timothy Evans, Ph.D., Assistant Director-General, World Health Organization

Missing Pieces in Physician Workforce Studies

Birth Origins and Distribution Tables - the medical schools that graduate the most rural physicians, primary care physicians, underserved physicians and distributional physicians of all types admit more humble origin students - claiming medical school or graduate influences is not possible unless the impact of income and education barriers and age at medical school graduation is considered.

Flawed Physician Workforce Beliefs - alternative hypotheses have often not been explored in physician workforce studies

Flaws in the Concept of Controllable Lifestyle - students may pursue the urban lifestyle, not a less intensive lifestyle. Deteriorations in the intensity of medical training may explain lack of intense physician career selection

Family Medicine and Physician Distribution - not understanding family medicine and the students who choose family medicine is not understanding distribution

Physician Workforce Studies with a distributional focus

www.ruralmedicaleducation.org