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Medicine by the numbers

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Increased Quantity but Not Proportion: U.S. Medical Schools and Family Medicine Entry ...

Feb 1, 2019 - Expansion in the number of American medical schools since 2005 led to an absolute increase in graduates matching into family medicine (FM) residency programs from 2008 to 2018. Proportionally, however, FM training has become increasingly reliant on osteopathic physicians and U.S. ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0201/p153.html

Family Medicine: An Underutilized Resource in Addressing the Opioid Epidemic? - Graham ...

Sep 1, 2016 - Opioid overdose rates have tripled since 2000, and although overprescribing of opioids by physicians is widely accepted as a causal factor, the physician's role in providing medication-assisted treatment for opioid use disorder is less appreciated. Despite a clear willingness to ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/0901/p350.html

The Continued Importance of Small Practices in the Primary Care Landscape - Graham ...

Aug 15, 2014 - In 2010, as many as 45% of active primary care physicians (PCPs) were practicing at sites with five or fewer physicians. This large cohort of practices faces unique challenges in meeting the increasing demands of practice transformation, payer reporting requirements, and integrated ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0815/od3.html

Osteopathic Schools Are Producing More Graduates, But Fewer Are Practicing in Primary ...

Jun 1, 2015 - The expansion of osteopathic medical schools was to be a boon for underserved areas in need of primary care service. However, the impact has thus far been diminished by the decrease in osteopathic graduates engaged in primary care practice. Policy makers and leaders should consider ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0601/p756.html

Ensuring Primary Care Access in States with an Aging Family Physician Workforce - ...

Jun 15, 2019 - In many states, at least 40% of family physicians are older than 55. Therefore, policymakers should support broad training models that produce enough primary care physicians to meet state population needs.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0615/p743.html

Rural Opioid Use Disorder Treatment Depends on Family Physicians - Graham Center Policy...

Oct 1, 2016 - The nation's growing opioid use disorder epidemic disproportionately impacts rural areas, where physicians who can prescribe buprenorphine are scarcest. Among physicians approved to prescribe buprenorphine, family physicians (FPs) are the most likely to work in rural areas.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/1001/p546.html

Teaching Health Center GME Funding Instability Threatens Program Viability - Graham ...

Feb 1, 2015 - The Teaching Health Center Graduate Medical Education (THCGME) program, funded since 2011 and set to expire in 2015, has increased the numbers of primary care physicians and dentists training to care for under-served populations nationwide. Without continued federal funding, most of ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0201/p168.html

Is NIH Research Funding to Medical Schools Associated with More Family Physicians? - ...

Feb 1, 2013 - National Institutes of Health (NIH) funding to family medicine departments is very low and has an inverse association with the production of family physicians at these medical schools. Clinical and Translational Science Awards and other efforts to include primary care in NIH research ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/0201/p214.html

Refocusing Geriatricians' Role in Training to Improve Care for Older Adults - Graham ...

Jan 1, 2012 - The current number of geriatricians cannot keep up with the health care needs of the growing number of older adults. To fill the gap, more geriatricians should focus on training primary care and other specialty physicians to care for older adults.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2012/0101/p59.html

FPs Lower Hospital Readmission Rates and Costs - Graham Center Policy One-Pagers - ...

May 1, 2011 - Hospital readmission after discharge is often a costly failing of the U.S. health care system to adequately manage patients who are ill. Increasing the numbers of family physicians (FPs) is associated with significant reductions in hospital readmissions and substantial cost savings.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2011/0501/p1054.html

Family Physicians Help Meet the Emergency Care Needs of Rural America - Graham Center ...

Apr 1, 2006 - Ensuring access to emergency care in rural areas remains a challenge. High costs and low patient volumes make 100 percent staffing of rural emergency departments (EDs) by emergency medicine residency-trained physicians (EPs) unlikely. As rurality increases, so does the dependence on ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0401/p1163.html

Loss of Primary Care Residency Positions Amidst Growth in Other Specialties - Graham ...

Jul 15, 2010 - Since the 1997 Balanced Budget Act capped funding for graduate medical education (GME) programs, overall growth in GME has continued (+7.8 percent), but primary care specialties have experienced a substantial decline in their number of programs and residency positions. This decline will...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0715/p121.html

Rural Origins and Choosing Family Medicine Predict Future Rural Practice - Graham ...

Jul 15, 2007 - The shortage of physicians in U.S. rural practice may impact access to health care for one in five citizens. Two medical student characteristics that predict eventual practice in rural settings are clear: being born in a rural county and choosing a residency in family medicine.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/0715/p207.html

Title VII Is Criticial to the Community Health Center and National Health Service Corps...

Jan 15, 2010 - Community health centers (CHCs) and the National Health Service Corps (NHSC) are essential to a functioning health care safety net, but they struggle to recruit physicians. Compared with physicians trained in residency programs without Title VII funding, those trained in Title ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0115/p132.html

The Diminishing Role of FPs in Caring for Children - Graham Center Policy One-Pagers - ...

May 1, 2006 - Nationwide, family physicians (FPs) deliver a smaller proportion of the outpatient care of children than they did 10 years ago. Millions of children depend on FPs for care. Family medicine should reevaluate how it will contribute to the care of the nation's children.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0501/p1518.html

Title VII's Decline: Shrinking Investment in the Primary Care Training Pipeline - ...

Oct 15, 2009 - Title VII, Section 747 is a source of federal funding intended to strengthen the primary care workforce. Despite evidence that Title VII has been successful, its funding has declined over the past three decades, threatening the production of primary care physicians.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/1015/p872.html

Who Filled First-Year Family Medicine Residency Positions from 1991 to 2004? - Graham ...

Aug 1, 2005 - Graduates of U.S. allopathic schools have filled less than one half of the family medicine positions offered in the National Resident Matching Program (NRMP) Match since 2001. Overall fill rates in July have been relatively stable at approximately 94 percent. Family medicine has become ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0801/p392.html

Types of Medical Errors Commonly Reported by Family Physicians - Graham Center Policy ...

Feb 15, 2003 - In a group of studies about medical errors in family medicine, the five error types most often observed and reported by U.S. family physicians were: (1) errors in prescribing medications; (2) errors in getting the right laboratory test done for the right patient at the right time; (3) ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0215/p697.html

Family Physicians Make a Substantial Contribution to Maternity Care: The Case of the ...

Aug 1, 2003 - Family physicians provided nearly 20 percent of labor and delivery care in Maine in the year 2000. A substantial proportion of this care was provided to women insured by Medicaid and those delivering in smaller, rural hospitals and residency-affiliated hospitals. As family medicine ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0801/p405.html

Family Physicians' Present and Future Role in Caring for Older Patients - Graham Center...

Nov 15, 2009 - The population of patients older than 65 years is projected to increase substantially in the coming years, particularly in rural areas. Family physicians are essential providers of geriatric care, especially in rural areas, but need payment reform to improve their capacity to meet the ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/1115/p1072.html

The U.S. Primary Care Physician Workforce: Persistently Declining Interest in Primary ...

Oct 15, 2003 - A persistent, six-year trend in the choice of specialty training by U.S. medical students threatens the adequacy of the physician workforce of the United States. This pattern should be reversed and requires the attention of policy makers and medical educators.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/1015/p1484.html

Number of Persons Who Consulted a Physician, 1997 and 2002 - Graham Center Policy ...

Sep 15, 2005 - Most people in the United States consult a general physician each year, and some see other subspecialists. However, the proportion of people consulting a general physician who sees adults and children appears to be declining.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0915/p1007.html

Having a Usual Source of Care Reduces ED Visits - Graham Center Policy One-Pagers - ...

Jan 15, 2009 - The recent growth in the use of emergency departments (EDs) is costly, undesirable, and unnecessary. This trend is partly due to a growing proportion of persons who lack a usual source of care. This group is increasingly likely to rely on EDs for their health care needs compared with ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/0115/p94.html

Patterns of Visits to Physicians' Offices, 1980 to 2003 - Graham Center Policy ...

Sep 1, 2005 - In the past quarter century, the number of office visits to physicians in the United States increased from 581 million per year to 838 million per year, with slightly more than one half of total visits since 1980 being made to primary care physicians. Most visits to primary care ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0901/p762.html

Title VII Funding is Associated with More Family Physicians and More Physicians Serving...

Aug 15, 2002 - Title VII funding of departments of family medicine at U.S. medical schools is significantly associated with expansion of the primary care physician workforce and increased accessibility to physicians for the residents of rural and underserved areas. Title VII has been successful in ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2002/0815/p554.html

Who Will Have Health Insurance in 2025? - Graham Center Policy One-Pagers - American ...

Nov 15, 2005 - If current trends continue, U.S. health insurance costs will consume the average household’s annual income by 2025. As health care becomes unaffordable for most people in the United States, it will be necessary to implement innovative models to move the system in a more equitable and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1115/p1989.html

Medical School Expansion: An Immediate Opportunity to Meet Rural Health Care Needs - ...

Jul 15, 2007 - The first expansion of allopathic medical education in 35 years is under way; this could eliminate rural physician shortage areas if students more likely to practice in rural areas are preferentially admitted and supported.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/0715/p208.html

Family Physicians and the Primary Care Physicians Workforce in 2004 - Graham Center ...

Jun 15, 2005 - In 2004, there were 91,600 family physicians (FPs) and general practitioners (GPs) and 222,000 primary care physicians actively caring for patients, one for every 1,321 persons. These primary care physicians represent the largest and best-trained primary care physician workforce that ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0615/p2260.html

The United States Relies on Family Physicians Unlike Any Other Specialty - Graham ...

May 1, 2001 - Designation of a county as a Primary Care Health Personnel Shortage Area (PCHPSA) depends on the number of primary care physicians practicing there. Without family physicians, an additional 1,332 of the United States' 3,082 urban and rural counties would qualify for designation as ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2001/0501/p1669.html

Mind the Gap: Medicare Part D's Coverage Gaps May Affect Patient Adherence - Graham ...

Feb 1, 2006 - Medicare Part D will lower medication expenditures for many older patients. However, its complex design incorporates a staggered series of cost-sharing mechanisms that create gaps in coverage and may have a negative impact on medication adherence.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0201/p404.html

Physician Distribution and Access: Priorities for Physician Workforce Policy - Graham ...

May 15, 2008 - Most Primary Health Professional Shortage Areas (HPSAs) exceed federal population-to-physician designation criteria, yet struggle to maintain access to primary care physicians. Policy options for recruiting and retaining primary care physicians to HPSAs, and new HPSA criteria that ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2008/0515/p1378.html

Physician Assistant and Nurse Practitioner Workforce Trends - Graham Center Policy ...

Oct 1, 2005 - The physician assistant (PA) and nurse practitioner (NP) workforces have realized explosive growth, but this rate of growth may be declining. Most PAs work outside primary care; however, the contributions of PAs and NPs to primary care and interdisciplinary teams should not be neglected.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1001/p1176.html

Uncoordinated Growth of the Primary Care Work Force - Graham Center Policy One-Pagers -...

Nov 1, 2001 - Family physicians, nurse practitioners and physician assistants are distinctly different in their clinical training, yet they function interdependently. Together, they represent a significant portion of the primary care work force. Training capacity for these professions has increased ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2001/1101/p1498.html

The Effect of Accredited Rural Training Tracks on Physician Placement - Graham Center ...

Jul 1, 2000 - Accredited family practice rural training tracks are placing graduates in rural settings at notably high rates: 76 percent overall and 88 percent among programs implemented in the past 10 years. Favorable, immediate results could be expected from their continuation and expansion, ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2000/0701/p22.html

Family Physicians Increase Provision of Well-Infant Care Despite Decline in Prenatal ...

Jan 1, 2003 - Over the past 20 years, family physicians and general practitioners (FP/GPs) and pediatricians have upheld their commitment to preventive care for infants. Non-Metropolitan Statistical Areas (non-MSAs) depend on family physicians for almost one half of their well-infant care. FP/GPs ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0101/p17.html

Excess, Shortage, or Sufficient Physician Workforce: How Could We Know? - Graham Center...

Nov 1, 2005 - At least three models have been used to project the future physician workforce, and each produces different results. No physician workforce predictions can be relied on until there is more consideration of and agreement on desired health outcomes and what physicians must do to achieve ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1101/p1670.html

Imperative Integration: Medical Care for Older Patients - Graham Center Policy ...

Oct 1, 2006 - The ecology of medical care changes for older people, with increases in usage of residential and institutional care, emergency departments, and home care. Care integrated across multiple settings, as is proposed for new models of primary care, is essential for the care of older patients.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/1001/p1105.html

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