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Viewpoint: Developing a physician workforce for America's disadvantaged


, : Viewpoint: Developing a physician workforce for America's disadvantaged. Academic Medicine 82(2): 133-138

Eliminating health disparities will be difficult as long as many rural and disadvantaged inner-city communities remain medically underserved. The authors argue that the current debate on physician workforce policy has not adequately emphasized medical schools' social mission to educate physicians who will improve health care access and equity; fulfilling that mission means training students who will deliver primary care to underserved people. But fewer medical students are entering primary care specialties and practicing in underserved areas, and students who have the characteristics that make them likely to select such careers are increasingly uncommon among medical school matriculants. Unless there is a dramatic change, the imbalance will only become worse. The authors argue that the epidemiology of medical student career choice is sufficiently understood to permit schools to accept applicants with those characteristics, both demographic and individual, that are known to increase the probability of students caring for populations in need after graduation. Programs that have selected students on the basis of those predictors have been successful in increasing the distribution of doctors to primary care specialties and underserved areas, but these have not been of sufficient scope. The authors present a proposal for prioritizing medical school admissions to favor applicants who, rather than delivering just high grades, will contribute to improving America's health care outcomes.

US$19.90

PMID: 17264689

DOI: 10.1097/ACM.0b013e31802d8d242


Other references

Breukink, E.; D.K.uijff, B., 1994: Lipid involvement in protein translocation in the prokaryotic secretion pathway. Torriani-Gorini, A [Editor], Yagil, E [Editor], Silver, S [Editor] Phosphate in microorganisms: Cellular and molecular biology 223-229

Yaroshevskiy A.A., 1979: Dynamic models of geochemical cycles. Pages 15-34 1979

Noda, J.; Devlin, S.; Mahon, G.M.; Zhu, W., 2015: Case report: herpes simplex esophagitis in a frail elderly patient. Journal of the American Medical Directors Association 15(12): 955-956

Fehr, P.E., 1982: Sagittal sinus thrombosis in early pregnancy. A case of spontaneous thrombosis of the [intracranial] sagittal sinus occurring at 8 wk gestation and proved by angiography is reported. The literature was reviewed and etiology and management were discussed.

Sussman, M.D.; Cusick, B., 1979: Preliminary report: the role of short-leg, tone-reducing casts as an adjunct to physical therapy of patients with cerebral palsy. In the past two years, we have used specially constructed, short-leg casts as an adjunct to the therapy program for 99 patients with cerebral palsy. The casts provide tone reduction and increased stability, while allowing mobility, and have been u...

Stehlik, Jl, 1979: Pyrrhocoridae of the Ethiopian region (Heteroptera) genus Gromierus Villiers. Casopis Moravskeho musea = Acta Musei Moraviae Vedy prirodni Scientiae naturales4(64): 177-196

Lockhart, C.L.; Gourley, C.O.; Chipman, E.W., 1976: Control of xanthomonas campestris in brussels sprouts with hot water and aureomycin seed treatment. Eight chemicals employed at various temperatures, concentrations and time periods were screened for the control of X. campestris on inoculated seed of cabbage, Brassica oleracea var. capitata. Excellent control was obtained when seed was soaked in...

Imai K., 1975: Isolation of tri carboxylic acid transport negative mutants of salmonella typhimurium. Journal Of General & Applied Microbiology: 127-134

Paiella, S.; De Pastena, M.; Landoni, L.; Esposito, A.; Casetti, L.; Miotto, M.; Ramera, M.; Salvia, R.; Secchettin, E.; Bonamini, D.; Manzini, G.; D'Onofrio, M.; Marchegiani, G.; Bassi, C., 2017: Is there a role for near-infrared technology in laparoscopic resection of pancreatic neuroendocrine tumors? Results of the COLPAN "colour-and-resect the pancreas" study. The intraoperative identification of pancreatic neuroendocrine tumors (PanNETs) is of utmost importance to drive their laparoscopic resection. Near-infrared (NIR) surgery has emerged as a new technique for localizing tumors or neoplastic tissue. T...

Delalande, C.; Monnier, A.; Cormier, P.; Mulner Lorillon, O.; Belle, R., 1998: Changes in elongation factor-1alpha transcripts are uncoupled to changes in EF-1delta during sea urchin development. A probe for Sphaerechinus granularis EF-1alpha mRNA was generated and sequenced, and further used for comparative developmental analysis of gene expressions of two components of elongation factor-1, EF-1alpha and EF-1delta. EF-1alpha mRNA, detecte...