"The Northern Ontario School of Medicine (NOSM) is one of six medical schools in North America under the microscope as part of a U.S.-based study examining new models of medical education for the 21st century."
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"On today's program, we speak by phone with Dr. Fitzhugh Mullan, Professor of Medicine and Health Policy at The George Washington University. Dr. Mullan is one of the co-chairs for a conference called "Beyond Flexner 2012: Social Mission in Medical Education," which will happen next week at the Hyatt Regency Tulsa (at 100 East Second Street), from May 15th through the 17th."
"Because the Affordable Care Act will expand health insurance to cover an estimated thirty-two million additional people, new approaches are needed to expand the primary care workforce. One possible solution is Grand-Aides®, who are health care professionals operating under the direct supervision of nurses, and who are trained and equipped to conduct telephone consultations or make primary care home visits to patients who might otherwise be seen in emergency departments and clinics."
"The current shortage of primary care physicians (PCPs), particularly as more individuals obtain health insurance and seek primary care services, is a growing national concern. The Crimson Care Collaborative (CCC) is a joint student–faculty initiative in post-health-care-reform Massachusetts that was started with the explicit goal of attracting medical students to primary care careers. It fills a niche for student-run clinics, providing evening access to primary care services for patients without a PCP and urgent care services for patients of a Massachusetts General Hospital–affiliated internal medicine clinic, with the aim of decreasing emergency department use in both groups."
"In rural or poor places like Mississippi the number of doctors per person is among the lowest in the country. Five years ago, the state Legislature established the Mississippi Rural Physician Scholarship Program to provide a full ride to medical students who agree to begin their practice in a rural area. There are two conditions: Students must originally come from a small Mississippi town far from health care, and they must agree to go back into practice in a rural area for four years after they graduate."
"Today is a very big day for medical students: Earlier this afternoon, 38,377 of them found out whether they’d been accepted into one of the country’s 26,772 residency slots. It’s also a big day for the health care system too, as it gives us a sense of what kind of medicine our future doctors are interested in pursuing."
"The federal government may be interested in increasing the supply of primary care physicians, but the proportion of residency slots set aside for those specialties is roughly the same as last year, according to data from the National Resident Matching Program."
"After 2 years of notable increases in the number of U.S. medical students choosing primary care residencies, figures from this year’s National Resident Matching Program show interest remains level."
"We compare the association between barriers to timely primary care and emergency department (ED) utilization among adults with Medicaid versus private insurance."
"Health care reform is a locomotive barreling down America's tracks. In two years, the Affordable Care Act (ACA) will cover some 30 out of 50 million of us that currently lack health insurance, provided neither the Supreme Court nor a new president overturns the law. Political beliefs aside, it would seem that supplying insurance to protect the health of more people is a societal good."
"'Why don’t you aim higher? You’re too smart for that.' It’s a familiar reaction when medical students tell their teachers they are considering a career in primary care. On the first day of my third year of medical school, the palliative care physician I was assigned to work with wrinkled her nose when I told her I wanted to go into primary care. 'You should think long and hard before you choose to do that,' she warned, 'If you want a decent life, don’t do it.'"
"Most articles about why medical students don’t choose primary care will say that a career in primary care simply won’t pay off the enormous debt accrued in medical school. Indeed, the average 2010 graduate came away $157,944 in debt. And primary care salaries are in fact far lower than those of other specialties, a disparity that is increasing. However, I repeatedly ask medical students if they would choose a career in primary care if it would completely erase their student loan debt. A few hands go up, but not many."
"To address the shortage, new medical schools are opening with an emphasis on primary care and others are changing their curricula to boost the number of graduates interested in the field. Medical school professors are pairing students with family doctors and assigning them to community clinics so they see firsthand what it's like to practice preventive care and manage chronic diseases."
"The National Health Service Corps (NHSC) awarded $9.1 million in funding to medical students in 30 States and the District of Columbia who will serve as primary care doctors and help strengthen the health care workforce, U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced today at the Eisner Pediatric and Family Medical Center, a community health center in Los Angeles, Calif."
"Research demonstrates an association between the geographic concentration of primary care clinicians and mortality in the area, but there is limited evidence of a mortality benefit of primary care at the individual patient level. We examined whether patient-reported access to selected primary care attributes, including some emphasized in the medical home literature, is associated with lower individual mortality risk."
"Part I of Dr. Starfield's update of her seminal books, Primary Care: Concept, Evaluation, and Policy and Primary Care: Balancing Health Needs, Services, and Technology, comprises 6 invited lectures plus an 11-lecture course that examines the meaning, practice, and effectiveness of primary care. Topics include disease, morbidity, primary care innovations, health equities and disparities, prevention, and specialist care."
"Communities with more primary care doctors enjoy better health, yet those physicians are a dying breed. Here is what some schools are doing to combat the looming shortage."
"This fact sheet shows that primary care physicians, nurse practitioners, and physician assistants are more likely to practice in rural areas than are non-primary care specialists, but are still more concentrated in urban areas."
"The 14 RTTs in this study each graduated an average of two physicians per year. This rate of output is comparable to that of all 24 RTTs nationwide, which collectively matriculate about 45 to 50 new physicians annually."
"Family medicine educators and family physicians today hailed the introduction of the “Primary Care Workforce Access Improvement Act of 2011” as an important step toward ensuring that Americans have access to needed health care in the future."


