Value-Added Medical Education

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Presentation transcript:

Value-Added Medical Education Engaging Future Doctors to Transform Health Care Delivery Today Steven Lin, MD and Erika Schillinger, MD STFM Annual Spring Conference Scholarly Topic Roundtable Discussion April 26, 2015

Supply won’t meet demand for care Need 22,000 to 52,000 PCPs in next 5-10 years1-2 Adding residency spots won’t solve shortage1 Growing NP/PA supply won’t solve shortage2 Solution is to share the care3… but with whom? Shortage of PCPs Shortage of PCPs Medical students projected in 2020 despite NPs + PAs enrolled in the US

Share the care with medical students Health coaching Motivational interviewing Quality improvement projects Care transitions and home visits Population health management “There are more than 80,000 students in U.S. medical schools today. Harnessing their collective engagement and untapped capacity for patient care would be transformative.”4

SHIELD L-CHAMP COMET Patient Partners IMPACT SLICK Stanford Healthcare Innovations and Experiential Learning Directive L-CHAMP Health Coaching in Communities 2013 COMET Medical Scribe Fellowship 2015 Patient Partners Care Transitions and Home Visits 2014 IMPACT Population Health Management SLICK Longitudinal Integrated Clerkship 2016

The Challenge What would it take to make value-added education a standard part of the curriculum in every medical school? References 1 Petterson SM, Liaw WR, Phillips RL Jr, Rabin DL, Meyers DS, Bazemore AW. Projecting US primary care physician workforce needs: 2010-2025. Ann Fam Med. 2012;10(6):503-9. 2 U.S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis. Projecting the Supply and Demand for Primary Care Practitioners Through 2020. Rockville, Maryland: U.S. Department of Health and Human Services, 2013. 3 Bodenheimer T, Pham HH. Primary care: current problems and proposed solutions. Health Aff (Millwood). 2010;29(5):799-805. 4 Lin SY, Schillinger E, Irby DM. Value-Added Medical Education: Engaging Future Doctors to Transform Health Care Delivery Today. J Gen Intern Med. 2014. [Epub ahead of print].