The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training

Health Affairs

Volumn 32, Issue 1, 2013, Pages 102-110

  Chen, Candice ^a   Xierali, Imam ^b   Piwnica Worms, Katie ^c   Phillips, Robert ^d  

^a NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES   (United States)

^b ASSOCIATION OF AMERICAN MEDICAL COLLEGES   (United States)

^c THOMAS JEFFERSON UNIVERSITY   (United States)

^d American Board Family Medicine   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HOSPITAL; MEDICAID; MEDICAL EDUCATION; MEDICARE; POSTGRADUATE EDUCATION; PRIMARY MEDICAL CARE; RESIDENT; RURAL AREA;

EDUCATION, MEDICAL, GRADUATE; FORECASTING; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; INTERNSHIP AND RESIDENCY; MEDICALLY UNDERSERVED AREA; MEDICATION THERAPY MANAGEMENT; PRIMARY HEALTH CARE; RURAL HEALTH; UNITED STATES;

EID: 84872076239     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2012.0032     Document Type: Article

References (24)

1. Dorner FH, Burr RM, Tucker SL. The geographic relationships between physicians' residency sites and the locations of their first practices. Acad Med. 1991;66(9):540-4.
2. Seifer SD, Vranizan K, Grumbach K. Graduate medical education and physician practice location. JAMA. 1995;274(9):685-91.
3. Brooks RG, Walsh M, Mardon RE, Lewis M, Slawson A. The roles of nature and nurture in the recruitment and retention of primary care physicians in rural areas: a review of the literature. Acad Med. 2002; 77(8):790-8.
4. Rosenthal TC, McGuigan MH, Anderson G. Rural residency tracks in family practice: graduate outcomes. Fam Med. 2000;32(3):174-7.
5. Morris CG, Johnson B, Kim S, Chen F. Training family physicians in community health centers: a health workforce solution. Fam Med. 2008;40(4):271-6.
6. Centers for Medicare and Medicaid Services. Cost reports [Internet]. Baltimore (MD): CMS; [cited 2011 Nov 4]. Available from: https://www.cms.gov/costreports/02_hospitalcostreport.asp
7. Henderson TM. Medicaid direct and indirect graduate medical education payments: a 50-state survey [Internet]. Washington (DC): Association of American Medical Colleges; 2010 Apr [cited 2011 Dec 13]. Available from: http://www.im.org/AcademicAffairs/PolicyIssues/Education/Funding/Documen ts/2010AAMCReporton MedicaidGMEFunding.pdf
8. Government Accountability Office. Graduate medical education: trends in training and student debt [Internet]. Washington (DC): GAO; 2009 May 4 [cited 2011 Dec 13]. Available from: http://www.gao.gov/new.items/d09438r.pdf
9. Goodman DC, Fisher ES. Physician workforce crisis? Wrong diagnosis, wrong prescription. N Engl J Med. 2008;358:1658-61.
10. Colwill JM, Cultice JM, Kruse RL. Will generalist physician supply meet demands of an increasing and aging population? Health Aff (Millwood). 2008;27(3):w232-41. DOI: 10.1377/hlthaff.27.3.w232.
11. Dill MJ, Salsberg ES. The complexities of physician supply and demand: projections through 2025 [Internet]. Washington (DC): Association of American Medical Colleges; 2008 Nov [cited 2011 Nov 4]. Available from: https://members.aamc.org/eweb/upload/The%20Complexities%20of%20 Physician%20Supply.pdf
12. Fordyce MA, Chen FM, Doescher MP, Hart LG. 2005 physician supply and distribution in rural areas of the United States [Internet]. Seattle (WA): Rural Health Research and Policy Centers; 2007 Nov [cited 2011 Nov 10]. Available from: http://depts.washington.edu/uwrhrc/uploads/RHRC%20FR116%20Fordyce.pdf
13. National Association of Community Health Centers, Robert Graham Center, George Washington University School of Public Health and Health Services. Access transformed: building a primary care workforce for the 21st century [Internet]. Bethesda (MD): NACHC; 2008 Aug [cited 2011 Nov 4]. Available from: http://www.nachc.com/client/documents/ACCESS %20Transformed%20full%20report.pdf
14. Office of Management and Budget. Living within our means and investing in the future: the president's plan for economic growth and deficit reduction [Internet]. Washington (DC): White House; 2011 Sep [cited 2011 Nov 30]. Available from: http://www.whitehouse.gov/sites/default/files/omb/budget/fy2012/assets/j ointcommitteereport.pdf
15. National Commission on Fiscal Responsibility and Reform. The moment of truth: report of the National Commission on Fiscal Responsibility and Reform [Internet]. Washington (DC): The Commission; 2010 Dec [cited 2011 Nov 30]. Available from: http://www.fiscalcommission.gov/sites/fiscalcommission.gov/files/documen ts/TheMomentofTruth12_1_2010.pdf
16. Josiah Macy Jr. Foundation. Conference summary: ensuring an effective physician workforce for the United States: recommendations for reforming graduate medical education to meet the needs of the public [Internet]. New York (NY): Josiah Macy Jr. Foundation; 2011 May [cited 2011 Nov 21]. Available from: http://josiahmacyfoundation.org/docs/macy_pubs/Macy_GME_ Report,_Aug_2011.pdf
17. Medicare Payment Advisory Commission. Report to the Congress: aligning incentives in Medicare [Internet]. Washington (DC): MedPAC; 2010 Jun [cited 2011 Nov 21]. Available from: http://www.medpac.gov/documents/Jun10_EntireReport.pdf
18. Garibaldi RA, Popkave C, Bylsma W. Career plans for trainees in internal medicine residency programs. Acad Med. 2005;80(5):507-12.
19. Centers for Medicare and Medicaid Services. Medicare program; changes to the hospital inpatient prospective payment systems and fiscal year 2005 rates; final rule. Federal Register [serial on the Internet]. 2004;69(154):48916-9268 [cited 2012 Sep 9]. Available from: http://www.cms.gov/Regulations-and-Guidance/Regulations-and-Policies/Qua rterlyProviderUpdates/downloads/cms1428f.pdf
20. Weida NA, Phillips RL, Bazemore AW. Does graduate medical education also follow green? Arch Intern Med. 2010;170(4):389-90.
21. Appendix II: Graduate medical education. JAMA. 2001;286(9): 1095-107.
22. Brotherton SE, Etzel SI. Graduate medical education, 2010-2011. JAMA. 2011;306(9):1015-30.
23. Petterson S, Burke M, Phillips R, Teevan B. Accounting for graduate medical education production of primary care physicians and general surgeons: timing of measurement matters. Acad Med. 2011;86(5): 605-8.
24. Council on Graduate Medical Education. Twentieth report: advancing primary care [Internet]. Washington DC: COGME; 2010 Dec [cited 2012 Nov 14]. Available from: http://www.hrsa.gov/advisorycommittees/bhpradvisory/cogme/Reports/twenti ethreport.pdf