Building a Primary Care Workforce for Rural America
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Building a Primary Care Workforce for Rural America Graham Center Primary Care Forum Washington, DC January 14, 2014. Ted Epperly, MD, FAAFP President and Chief Executive Officer Family Medicine Residency of Idaho, Boise, Idaho

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Building a Primary Care Workforce for Rural AmericaGraham Center Primary Care ForumWashington, DCJanuary 14, 2014

Ted Epperly, MD, FAAFP

President and Chief Executive Officer

Family Medicine Residency of Idaho, Boise, Idaho

Clinical Professor of Family Medicine | University of Washington School of Medicine

Past President and Past Chairman of the Board | American Academy of Family Physicians

Co-Chair, Center on Care Delivery and Integration | Patient Centered Primary Care Collaborative

Board Member | Accreditation Council for Graduate Medical Education


Magnitude of the problem
Magnitude of the Problem

  • 20% of Population – 9% of Work Force

  • 5% of Graduates from U.S. Medical Schools

  • Rural Population (62 Million)

    • Size of Australia / Canada

    • 29 Combined States

  • 22 Million in HPSA’s (<1 PC physician per 3,500)



All of this starts with a

Well-Trained,

Comprehensive

Family Physician/

Primary Care Physician


Other essential health care services rural
Other Essential health care services - rural

  • Oral / Dental Health

  • Mental Health

  • General Surgery

  • Nursing


Strategies on growing the workforce
Strategies on Growing the Workforce

  • K-12 Pipeline

  • Shadowing & Mentoring

  • Rural Tracks in Med Schools (WRITE, TRUST, RPAP, WARM)

  • Rural Training Track’s (RTT’s) AND Rural Rotations in Residencies

  • Scholarships (City, County, State)

  • Loan Repayment (City, County, State)

  • “Recruitention”



Twenty six 30 active rtt s
Twenty-Six (30) Active RTT’s

Accredited 1-2 RTTs

“Operationally” 1-2 RTTs

RTT Technical Assistance Program – Updated 9-23-2013, Randall Longenecker, Senior Project Advisor


One state s vision
One State’s Vision

Sandpoint

Coeur d’Alene

Moscow

Cottonwood

McCall

Hailey

Rexburg

Caldwell

Boise

Pocatello

Magic Valley


Team practice
Team Practice

  • NP’s / PA’s – Part of Solution

  • Part of Patient Centered Medical Home

  • Nursing

  • Community Services


Incentives
Incentives

  • Differential Pay

  • Scholarships

  • Loan Repayment

  • Telehealth/Project ECHO


Summary primary care rural workforce
Summary – Primary Care Rural Workforce

  • Huge Issue

  • Important to Resolve

  • Encourage / Expedite Pipeline / Continuum / Alignment of Programs

  • Invest in Successful Models (e.g. RTT’s)

  • Vision Translated into Action

  • Community Facing Teams

  • It all starts with a Well-Trained, Comprehensive Family Physician / Primary Care Physician


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