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Physician Workforce: The Next Generation

Monday, November 15, 2010

For years, there have been concerns about whether the supply of physicians can meet the demand of our nation’s population – a population that is growing in size, age and diversity. One consideration: The physician workforce is aging as many physicians approach retirement. And physicians are increasingly looking for opportunities that allow them to balance their professional and family obligations.

The new health reform law also poses a new set of questions about how the increase in the insured population will affect the demand on the health care workforce. Will it increase the shortage among primary care physicians? What about specialists? How much of the workforce shortage can be alleviated by payment incentives in the new law for both primary care and general surgery, and other new incentives to practice in underserved areas? Are there enough effective efforts in place to recruit and train ethnically diverse and culturally sensitive physicians?

To answer these and related questions, the Alliance for Health Reform and the Robert Wood Johnson Foundation sponsored a November 15  briefing. Panelists were: Tom Ricketts of the Cecil G. Sheps Center for Health Services Research in Chapel Hill, NC; Jay Crosson of the Kaiser Permanente Institute for Health Policy and former vice-chairman of MedPAC; and Ed Salsberg of the  National Center for Workforce Analysis, HRSA. Ed Howard of the Alliance and David Krol of the Robert Wood Johnson Foundation co-moderated.


 Ed Howard, Alliance for Health Reform, Moderator
 David Krol, The Robert Wood Johnson Foundation, Moderator
 Tom Ricketts, Cecil G. Sheps Center for Health Services Research , Speaker
 Jay Crosson, Kaiser Permanente Institute for Health Policy, Speaker
 Ed Salsberg, National Center for Health Workforce Analysis, HRSA , Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Physician Workforce: The Next Generation (Adobe Acrobat PDF), 11/22/2010
Event Summary: Event Summary (Word Document), 11/22/2010
Full Webcast/Podcast: Physician Workforce: The Next Generation

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Jay Crosson Presentation (PowerPoint), 11/17/2010
Thomas Ricketts Presentation (PowerPoint), 11/17/2010
Edward Salsberg Presentation (PowerPoint), 11/17/2010

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Materials List (Word Document), , 11/10/2010
Source List (Word Document), , 11/10/2010
Event Summary (Word Document), , 11/22/2010

Offsite Materials (briefing documents saved on other websites)

More Residency Slots Needed to Curb Worsening Physician Shortages, AAFP News Now, 10/20/2010
Medical School Enrollment Shows Diversity Gains, Association of American Medical Colleges, 10/13/2010
The Complexities of Physician Supply and Demand: Projections through 2025 (Adobe Acrobat PDF),Association of American Medical Colleges, 11/1/2008
Quinnipiac Sets an Ambitious Goal for Its Future Medical School, The Conneticut Mirror, 10/12/2010
U.S. Census Data Indicate Physician Workforce May Be Smaller, Younger Than Expected, Study Says, AAFP News , 11/1/2009
- Author Barbara Bein
Preparing Medical Students for the Continual Improvement of Health and Health Care: Abraham Flexner and the New ‘Public Interest’, Journal of the American Medical Association, 9/1/2010
- Authors Donald M. Berwick and Jonathan A. Finkelstein
Letter to Kathleen Sebelius (Adobe Acrobat PDF),Council on Graduate Medical Education, 5/1/2009
The Physician Workforce: Labor Day Special, Deloitte, 9/7/2010
Hospitals Lure Doctors Away From Private Practice, Kaiser Health News, 10/13/2010
- Author Jenny Gold
Harvard Looks to Lift Primary Care Gift to Launch Center for Front-line Doctors, Boston Globe, 10/28/2010
- Author Liz Kowalczyk
Physician Shortage Projected to Soar to More Than 91,000 in a Decade, American Medical News, 10/11/2010
- Author Carolyne Krupa
Report to the Congress: Aligning Incentives in Medicare (Adobe Acrobat PDF),MedPAC, 6/1/2010
Will the United States Have a Shortage of Physicians in 10 Years (Adobe Acrobat PDF),Health Care Financing and Organization, 11/1/2009
- Author Sean Nicholson
Washington Health Policy Week in Review: MedPAC urges Changes in Doctor Training to Streamline Care, The Commonwealth Fund, 6/15/2010
- Author John Reichard
How Many Physicians? How Much Does It Matter?, Journal of the American Medical Assocation , 10/1/2009
- Author Thomas Ricketts
What Influences Medical Student & Resident Choices? (Adobe Acrobat PDF),The Robert Graham Center, 3/1/2009
New UCSF Report Identifies Steps to Increase Diversity in Medical Workforce, UCSF News, 4/13/2010
- Author Karin Rush-Monroe
Sebelius Announces New $250 Million Investment to Strengthen Primary Health Care Workforce, U.S. Department of Health and Human Services, 6/16/2010
GAO Announces Appointments to New National Health Care Workforce Commission, U.S. Government Accountability Office, 9/30/2010


Edward Salsberg, director of the National Center for Health Workforce Analysis, explains why simply increasing the supply of physicians won't ensure adequate access to care in the future. From the Nov. 15 briefing cosponsored by the Robert Wood Johnson Foundation. (8 min.)

Thomas Ricketts of the Sheps Center for Health Services Research at UNC - Chapel Hill offered two opposing views of whether the health reform law will improve the health care workforce. From the Nov. 15 briefing cosponsored by the Robert Wood Johnson Foundation. (12 min.)

Jay Crossen of the Kaiser Permanente Institute for Health Policy discusses whether newly graduated physicians are well prepared for the more efficient health care system of the future. From the Nov. 15 briefing cosponsored by the Robert Wood Johnson Foundation. (12 min.)


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