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The Future Supply of Rural Family Doctors

The Future Supply of Rural Family Doctors. The WWAMI Rural Health Research Center The WWAMI Center for Health Workforce Studies Spokane Rural Health Conference - 2004. How Many Physicians Are There?. Total Active Physicians. What do Physicians do? Primary care versus specialization.

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The Future Supply of Rural Family Doctors

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  1. The Future Supply of Rural Family Doctors The WWAMI Rural Health Research Center The WWAMI Center for Health Workforce Studies Spokane Rural Health Conference - 2004

  2. How Many Physicians Are There?

  3. Total Active Physicians

  4. What do Physicians do?Primary care versus specialization

  5. Accessibility Comprehensiveness Coordination Continuity Accountability Definition of Primary CareInstitute of Medicine

  6. Incentives for Specialization inthe United States Health Care System • Higher income • Greater prestige • Technological mastery • Personal autonomy

  7. Growth of Number of Recognized Medical Specialties

  8. Percentage of Primary Care and Non-Primary Care Physicians primary care non-primary care

  9. What is happening to Family Medicine?

  10. Family Medicine Residency Positions:1992 - 2004

  11. What is happening to the supply ofrural physicians?

  12. Physicians per 100,000 Population by Location

  13. Patient Care Physicians per 100,000Population by Location and Specialty rural metro

  14. UW students choosing family medicine(% of graduating class)

  15. Results of 2004 Family Medicine Matchin the WWAMI states – All Programs

  16. Results of the 2004 Family Medicine Matchin the WWAMI States – Urban Sites

  17. Results of the 2004 Family Medicine Matchin the WWAMI States – Rural Programs

  18. Per cent of family medicine trainingthat takes place in rural areas

  19. Closures of Family Medicine TrainingPrograms: 2000 - 2004

  20. Career choices of graduating med studentsand the impact of total student debt

  21. Which students choose to become family physicians?

  22. Increasing student debt - important at the margin Persistent salary disparities Increased emphasis on “life-style” control Cultural factors - very sensitive to broader societal trends First Tentative Conclusions:Declining interest in family medicine

  23. Family medicine - and all of primary care - is becoming increasingly a female occupation Increasing diversity of medical school class makes rural practice less likely Falling family medicine match rates has led to closure of residency programs - disproportionately in rural areas Second Tentative Conclusions:Greater challenges for rural recruitment

  24. UW Pipeline committee Targeted research on student debt, student career choice and the well-being of rural-based residency programs Engaging our rural constituency - that means all of us So what are we doing about it?

  25. Where will we find the doctors? • They are already there - living and going to school in rural areas.

  26. The future is waiting for us

  27. We still have mountains to climb

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