A New View of the Complexion of the California Physician Workforce:
Download
1 / 24

- PowerPoint PPT Presentation


  • 173 Views
  • Uploaded on

A New View of the Complexion of the California Physician Workforce: Preliminary Data From the CA Medical Board Survey. Kevin Grumbach, MD UCSF Department of Family and Community Medicine, California Ethnic Physician Leadership Summit, 2006. Overview of Presentation.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about '' - doria


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Slide1 l.jpg

A New View of the Complexion of the California Physician Workforce: Preliminary Data From the CA Medical Board Survey

Kevin Grumbach, MD

UCSF Department of Family and Community Medicine,

California Ethnic Physician Leadership Summit, 2006


Overview of presentation l.jpg
Overview of Presentation Workforce:

  • CA Medical Board Relicensure Survey

    • New source of data on CA physicians

  • Policy context for Med Board Survey

    • AB 1586

  • Value of Med Board Survey data for understanding physician diversity

    • Results of preliminary analyses on race-ethnicity

    • Case study of South Asian physicians

  • Policy Implications


Policy context 2001 l.jpg
Policy Context 2001 Workforce:

  • Controversy about number of physicians in CA

  • Dueling reports:

    • UCSF: “Profile of the Physician Workforce”

    • CMA: “And Then There Were None”

  • Controversy over validity of AMA Physician Masterfile Data

    • Number of active physicians

    • Physician race-ethnicity


Slide4 l.jpg

California Physicians and Population by Race/Ethnicity (2000)

Sources: AMA Masterfile, California Dept. of Finance.


A constructive solution ab 1586 mcleod l.jpg
A Constructive Solution: (2000) AB 1586 (McLeod)

  • CMA Sponsored

  • Enacted October 2001

  • Required CA Medical Board to implement a physician survey linked to relicensure

  • “…training and practice characteristics for each physician licensed in California”


Survey items l.jpg
Survey Items (2000)

  • “Required” items

    • Weekly hours in patient care, research, etc

    • Practice zip code (if in patient care)

    • Training status

    • Self-designated specialties

    • Board certification


Survey items7 l.jpg
Survey Items (2000)

  • “Not-So-Required” items

    • Ethnic background

      • 28 ethnic options

      • Can select >1

    • Foreign language (“fluent”)

      • 34 options


Initial survey data base l.jpg

Active CA license, CA mail address (2000)

92,062

Survey respondents with entered data

48,840

Active patient care, zip in CA, not in training

39,843

Initial Survey Data Base

Represents 75,013 CA patient care physicians



Ethnicity summary l.jpg
Ethnicity Summary* (2000)

* Total adds to >100% due to physicians with more than 1 ethnicity checked


Selected asian ethnicities as overall ca physicians us medical grads international medical grads l.jpg
Selected Asian Ethnicities, (2000)as % Overall CA Physicians:US Medical Grads & International Medical Grads


Selected latino ethnicities as overall ca physicians us medical grads international medical grads l.jpg
Selected Latino Ethnicities, (2000)as % Overall CA Physicians:US Medical Grads & International Medical Grads


Case study of south asian physicians in ca l.jpg
Case Study of (2000)South Asian Physicians in CA

  • Context:

    • IMGs are known to be more likely than USMGs to work in underserved communities

    • Many IMGs are South Asians

    • US South Asians are growing proportion of US medical students

  • Study Question:

    • Does the likelihood of practicing in an underserved community depend on whether a South Asian physician in CA is an IMG or USMG?


Study design l.jpg
Study Design (2000)

  • Study sample

    • Self reported ethnicity Indian or Pakistani

    • Not currently in training

    • Active in patient care in California

    • 315 South Asian USMGs, 1,223 South Asian IMGs

  • Data on practice communities

    • Based on reported zip code of practice

    • Linked to state data base from OSHPD on HPSAs, MUAs, rural status, census characteristics


Slide15 l.jpg
Percentages of South Asian Physicians in CA (2000)Working in Underserved Communities,According to Whether Physician is a USMG or IMG


Study conclusion l.jpg
Study Conclusion (2000)

  • Country of medical school education, rather than ethnicity per se, is the key predictor of practice in an underserved community among South Asian physicians


The broader context of physician diversity l.jpg
The Broader Context (2000)of Physician Diversity


Underrepresented minorities u s population and u s medical school entrants l.jpg

Underrepresented Minorities: (2000) U.S. Population and U.S. Medical School Entrants

Population

Percentage

Medical School Entrants

Phase 1

Phase 2

Phase 3

Phase 4




Uc prime programs l.jpg
UC PRIME (2000)Programs

  • NewUC initiative

  • Programs in Medical Education (PRIME)

  • First expansion of medical school enrollment at UC in 30 years

    • Short term: 15% increase at existing schools

    • Long term: 1-2 new UC medical schools

  • New student tracks to address unmet health needs in California

  • Attract students with life experiences preparing them for leadership and service to disadvantaged populations



Take home points l.jpg
Take Home Points (2000)

  • Unprecedented ability to understand the ethnic profile of CA physicians using Med Board survey data

    • More accurate measurement of overall patterns and trends by major ethnic groups

    • Ability to discern variation within major ethnic groups (e.g., Asian, Latino)

  • Importance of physicians completing surveys and reporting ethnicity, language information!!!!!!

  • Need for funding and infrastructure to track and analyze CA physician workforce data


Take home points policy trends l.jpg
Take Home Points: Policy Trends (2000)

  • The Good:

    • UC Prime Programs

  • The Bad and the Ugly:

    • Elimination of federal diversity programs

  • Need for federal and state political action


ad