The Selling of Primary Care 2015

Journal of General Internal Medicine

Volumn 30, Issue 9, 2015, Pages 1376-1380

  Kernan, Walter N ^a   Elnicki, D Michael ^b   Hauer, Karen E ^c  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; GENERAL PRACTITIONER; HUMAN; MEDICAL EDUCATION; MEDICAL SCHOOL; MEDICAL STUDENT; PRIMARY MEDICAL CARE; DECISION MAKING; MANPOWER; PHYSICIAN; PRIMARY HEALTH CARE; SUPPLY AND DISTRIBUTION; UNITED STATES;

CAREER CHOICE; EDUCATION, MEDICAL, UNDERGRADUATE; HUMANS; PHYSICIANS; PRIMARY HEALTH CARE; UNITED STATES;

EID: 84939215913     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-015-3364-9     Document Type: Article

References (79)

1. Robinson PA. Field of Dreams. Universal Pictures; 1989. p. 107 minutes.
2. Bodenheimer T, Pham HH. Primary care: current problems and proposed solutions. Health Aff. (Millwood). 2010;29:799–801.
3. Schwartz MD, Basco WT, Grey MR, Elmore JG, Rubenstein A. Rekindling student interest in generalist careers. Ann. Intern. Med. 2005;142:715–24.
4. Petterson SM, Liaw WR, Phillips RL, Rabin DL, Meyers DS, Bazemore AW. Projecting US primary care physician workforce needs: 2010–2025. Ann. Fam. Med. 2012;10:503–9.
5. Council on Graduate Medical Education. Twientieth Report: Advancing Primary Care. In: Services DoHaH, editor. Rockville2010.
6. Health Resources Services Administration. Physician Supply and Demand: Projections to 2020. Washington, DC: Health Resources and Services Administration; 2006.
7. Blumenthal D, Collins SR. Health care coverage under the affordable care act - a progress report. N. Engl. J. Med. 2014;371:275–81.
8. Berkowitz SA, Pahira JJ. Accountable care organization readiness and academic medical centers. Acad. Med. 2014;89:1210–5.
9. Fincher R-ME. The road less traveled—attracting students to primary care. N. Engl. J. Med. 2004;351:630–2.
10. Martini CJM, Veloski JJ, Barzansky B, Xu G, Fields SK. Medical school and student characteristics that influence choosing a generalist career. JAMA. 1994;272:661–8.
11. Perkoff GT. Teaching clinical medicine in the ambulatory setting. An idea whose time may have finally come. N. Engl. J. Med. 1986;314:27–31.
12. Shaheen A, Papp KK, Torre D. The internal medicine clerkship and ambulatory learning experiences: results of the 2010 Clerkship Directors in Internal Medicine Survey. Teach. Learn. Med. 2013;25:225–30.
13. Hemmer PA, Griffith C, Elnicki DM, Fagan M. The internal medicine clerkship in the clinical education of medical students. Am. J. Med. 2003;115:423–7.
14. Irby DM. Teaching and learning in the ambulatory care settings: a thematic review of the literature. Acad. Med. 1995;70:898–931.
15. Lesky LG, Hershman WY. Practical approaches to a major educational challenge. Training students in the ambulatory setting. Arch. Intern. Med. 1995;155:897–904.
16. Irby DM, Ramsey PG, Gillmore GM, Schad D. Characteristics of effective teachers of ambulatory care medicine. Acad. Med. 1991;66:54–5.
17. Kernan WN, Lee MY, Stone SL, Freudigman KA, O’Connor PG. Effective teaching for preceptors of ambulatory care: a survey of medical students. Am. J. Med. 2000;108:499–502.
18. Neher JO, Gordon KC, Meyer B, Stevens N. A five-step “microskills” model of clinical teaching. J. Am. Board Fam. Pract. 1992;5:419–24.
19. Hauer KE, Durning SJ, Kernan WN, et al. Factors associated with medical students’ career choices regarding internal medicine. JAMA. 2008;300:1154–64.
20. Steinbrook R. Easing the shortage in adult primary care - is it all about the money? N. Engl. J. Med. 2009;360:2696–9.
21. Volpintesta EJ. How can we get students to chose primary are careers? Acad. Med. 2013;88:1789.
22. Schwartz MD, Durning S, Linzer M, Hauer KE. Changes in medical students’ views of internal medicine careers 1990–2007. Arch. Intern. Med. 2011;171:744–9.
23. Smith RS. A recipe for medical schools to produce primary care physicians. N. Engl. J. Med. 2011;364:496–7.
24. Whitcomb ME, Cohen JJ. The future of primary care medicine. N. Engl. J. Med. 2004;351:710–2.
25. Dowdy DW. Trained to avoid primary care. Ann. Intern. Med. 2011;154:776–7.
26. Nadkarni M, Reddy S, Bates CK, Fosburgh B, Babbott S, Holmboe ES. Ambultory-based education in internal medicine: current organization and implications for transformatin. Results of a national survey of resident continuity clinic directors. J. Gen. Intern. Med. 2010;26:16–20.
27. Peccoralo LA, Tackett S, Ward L, et al. Resident satisfaction with continuity clinic and career choice in general internal medicine. J. Gen. Intern. Med. 2013;28:1020–7.
28. Keirns CC, Bosk CL. The unintended consequences of training residents in dysfunctional outpatient settings. Acad. Med. 2008;83:498–502.
29. Heist K, Guese M, Nikels M, Swigris R, Chacko K. Impact of 4 + 1 block scheduling on patient care continuity in resident clinic. J. Gen. Intern. Med. 2014;29:1195–9.
30. Willett L. The paradoxical influence of resident continuity clinic on primary care. J. Grad. Med. Educ. 2012:552.
31. Margolius D. Less tinkering, more tranforming. How to build successful patient-centered medical homes. JAMA Intern. Med. 2013;173:1702–3.
32. Editor. Making primary care people-centered: a 21st century blueprint. Lancet. 2014;384:281.
33. MGMA. Physician Compensation and Production Survey: 2014 Report based on 2013 data2014.
34. Bodenheimer T. Primary care - will it survive. N. Engl. J. Med. 2006;355:861–4.
35. Phillips RL. Primary care in the United States: problems and possiblities. Br. Med. J. (Clin. Res. Ed). 2005;331:1400–2.
36. Erikson CE, Danish S, Jones KC, Sandberg SF, Carle AC. The role of medical school culture in primary care careeer choice. Acad. Med. 2013;88:1919–26.
37. Bland CJ, Meurer LN, Maldonado G. Determinants of primary care specialty choice: a non-statistical meta-analysis of the literature. Acad. Med. 1995;70:620–41.
38. Babbott D, Baldwin DC, Jolly P, Williams DJ. The stability of early specialty preferences among US medical school graduates in 1983. JAMA. 1988;259:1970–5.
39. Bodenheimer T, Berenson RA, Rudolf P. The primary care-specialty income gap: why it matters. Ann. Intern. Med. 2007;146:301–6.
40. Bodenheimer T, Grumbach K, Berenson RA. A lifeline for primary care. N. Engl. J. Med. 2009;360:2693–6.
41. Phillips RL, Dodoo MS, Petterson SM, et al. Specialty and Geographic Distribution of the Physician Workforce: What Influences Medical Student and Resident Choices? Washington, DC: The Robert Graham Center; 2009.
42. Baron RJ, Davis K. Accelerating the adoption of high-value primary care - a new provider type under Medicare? N. Engl. J. Med. 2014;370:99–101.
43. Sinsky CA, Willard-Grace R, Schutzbank AM, Sinsky TA, Margolius D, Bodenheimer T. In search of joy in practice: a report of 23 high-functioning primary care practices. Ann. Fam. Med. 2013;11:272–8.
44. Nelson KM, Helfrich C, Sun H, et al. Implementation of the patient-centered medical home in the Veterans Health Administration. Associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use. JAMA Intern. Med. 2014;174:1350–8.
45. Bodenheimer T. A lesson from the trenches—a high functioning primary care clinic. N. Engl. J. Med. 2011;635:5–8.
46. Grumbach K. The patient-centered medical home is not a pill. Implications for evaluating primary care reforms. JAMA Intern. Med. 2013;173:1913–4.
47. Grumbach K, Bodenheimer T. Can health care teams improve primary care practice? JAMA. 2004;291:1246–51.
48. Grumbach K, Bodenheimer T. A primary care home for Americans. JAMA. 2002;288:889–93.
49. Ghorob A, Bodengeimer T. Sharing the care to improve access to primary care. N. Engl. J. Med. 2012;366:1955–7.
50. Bodenheimer T. Transforming care. N. Engl. J. Med. 2008;359:2086–9.
51. Bodenheimer T, Willard-Grace R, Ghorob A. Expanding the roles of medical assistants. Who does what in primary care? JAMA Intern. Med. 2014;174:1025–6.
52. Barzansky B, Etzel SI. Medical schools in the United States 2011–2012. JAMA Intern. Med. 2012;308:2257–63.
53. Pugno PA, Schmittling GT, Fetter GT, Kahn NB. Results of the 2005 national resident matching program: family medicine. Fam. Med. 2005;37:555–64.
54. Schwartz MD. The US, primary care workforce and graduate medical education policy. JAMA. 2012;308:2252–3.
55. Newton DA, Grayson MS. Trends in career choice by US medical school graduates. JAMA. 2003;290:1179–82.
56. Colquitt WL, Zeh MC, Killian CD, Cultice JM. Effect of dept on U.S. medical school graduates’ preference for family medicine, general internal medicine, and general pediatrics. Acad. Med. 1996;71:399–411.
57. Rosenblatt RA, Andrilla HA. The impact of U.S. medical students’ debt on their choice of primary care careers: an analysis of data from the 2002 medical school graduation questionnaire. Acad. Med. 2005;80:815–9.
58. Kassler WJ, Wartman SA, Silliman RA. Why medical students choose primary care careers. Acad. Med. 1991;66:41–3.
59. Scott I, Gowans M, Wright B, Brenneis F, Banner S, Boone J. Determinants of choosing a career in family medicine. Can. Med. Assoc. J. 2011;183:E1–8.
60. Schwartz MD, Linzer M, Babbott D, Divine GW, Broadhead WE. For the society of general internal medicine task force on career choice in internal medicine. The impact of an ambultory rotation on medical student interest in internal medicine. J. Gen. Intern. Med. 1995;10:542–9.
61. Phillips JP, Weismantel DP, Gold KJ, Schwenk TL. Medical student dept and primary care selection intentions. Fam. Med. 2010;42:616–22.
62. Youngclaus JA, Koehler PA, Kotlikoff LJ, Weicha JM. Can medical students afford to choose primary care? an economic analysis of physician education debt repayment. Acad. Med. 2013;88:16–25.
63. Senf JH, Campos-Outcalt D, Kutob R. Factors related to the choice of family medicine: a reassessment and literature review. J. Am. Board Fam. Pract. 2003;16:502–12.
64. Ende J. Feedback in clinical medical education. JAMA. 1983;520:777–81.
65. der Jochemsen-van Leeuw HGARR. The attributes of the clinical trainer as a role model: a systematic review. Acad. Med. 2013;88:26–34.
66. Washington AE, Coye MJ, Feinberg DT. Academic health centers and the evolution of the health care system. JAMA. 2013;310:1929–30.
67. Grumbach K, Lucey CR, Johnston SC. Transforming from centers of learning to learning health systems. The challenge for academic health centers. JAMA. 2014;311:1109–10.
68. Bitton A, Ellner A, Pabo E, et al. The Harvard Medical School Academic innovations collaborative: transforming primary care practice and education. Acad. Med. 2014;89:1239–44.
69. Pefkoff GT. General internal medicine, family practice or something better? N. Engl. J. Med. 1978;299:654–7.
70. Friedman RH. Family practice and general internal medicine: what kind of cooperation makes sense? JAMA. 1986;255:2644–6.
71. Saver BG. Attracting students to primary care. N. Engl. J. Med. 2005;352:93.
72. Sheline B, Tran AN, Jackson J, Peyser B, Rogers S, Engle D. The primary care leadership track at the Duke University School of Medicine: creating change agents to improve population health. Acad. Med. 2014;89:1370–4.
73. Abelson R. The new faces of health care. The Cleveland Clinic grapples with change. The New York Times. 2015 3/18/15;Sect. 2.
74. Choi PA, Xu S, Ayanian JZ. Primary care careers among recent graduates of research-intensive private and public medical schools. J. Gen. Intern. Med. 2013;28:787–92.
75. Meurer LN. Influence of medical school curriculum on primary care specialty choice: analysis and synthesis of the literature. Acad. Med. 1995;70:388–97.
76. Campos-Outcalt D, Senf J. A longitudinal, national study of the effect of implementing a required third-year family practice clerkship or a department of family medicinei on the selection of family medicine by medical students. Acad. Med. 1999;74:1016–20.
77. Duerson MC, Crandall LA, Dwyer JW. Impact of a required family medicine clerkship on medical students’ attitudes about primary care. Acad. Med. 1989;64:546–8.
78. Fincher R-ME. Attracting students to primary care. N. Engl. J. Med. 2005;352:95.
79. Gourevitch MN. Population health and the American medical center: the time is right. Acad. Med. 2014;89:544–9.