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The US Primary Care Workforce and Graduate Medical Education Policy

The US Primary Care Workforce and Graduate Medical Education Policy Editorials represent the opinions EDITORIAL of the authors and JAMA and not those of the American Medical Association. The US Primary Care Workforce and Graduate Medical Education Policy vestment in physician training with the health care work- Mark D. Schwartz, MD force that society needs. In the study by West and Dupras, 9.3% of senior resi- HERE IS A SHORTAGE OF PRIMARY CARE SERVICES IN dents planned careers in hospital medicine, removing these the United States due to increasing demand and de- general internists from the office practice of primary care. clining supply. In 2010, in its 20th Report to Con- Hospitalists have made valuable contributions to quality and Tgress, the Council on Graduate Medical Education efficiency in the care of hospitalized patients, but this grow- called for increasing the percentage of primary care physi- ing field has further diminished the primary care work- cians from 32% to at least 40% to address this shortage. Al- 6 force. This “speciation” of general internists into office and though the Affordable Care Act (ACA) contains several im- hospital-based physicians may also be contributing to the portant provisions to expand the primary care workforce, primary care access problem. the effect of these http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

The US Primary Care Workforce and Graduate Medical Education Policy

JAMA , Volume 308 (21) – Dec 5, 2012

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Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2012.77034
pmid
23212505
Publisher site
See Article on Publisher Site

Abstract

Editorials represent the opinions EDITORIAL of the authors and JAMA and not those of the American Medical Association. The US Primary Care Workforce and Graduate Medical Education Policy vestment in physician training with the health care work- Mark D. Schwartz, MD force that society needs. In the study by West and Dupras, 9.3% of senior resi- HERE IS A SHORTAGE OF PRIMARY CARE SERVICES IN dents planned careers in hospital medicine, removing these the United States due to increasing demand and de- general internists from the office practice of primary care. clining supply. In 2010, in its 20th Report to Con- Hospitalists have made valuable contributions to quality and Tgress, the Council on Graduate Medical Education efficiency in the care of hospitalized patients, but this grow- called for increasing the percentage of primary care physi- ing field has further diminished the primary care work- cians from 32% to at least 40% to address this shortage. Al- 6 force. This “speciation” of general internists into office and though the Affordable Care Act (ACA) contains several im- hospital-based physicians may also be contributing to the portant provisions to expand the primary care workforce, primary care access problem. the effect of these

Journal

JAMAAmerican Medical Association

Published: Dec 5, 2012

References