Racial Diversity in the Health Professions in California Catherine Dower, JD Center for the Health Professions, University of California, San Francisco Sacramento, CA February 23, 2005

2 Center for the Health Professions, UCSF. Physician Workforce California by Race/Ethnicity, 2000 Population Physicians Source: UCSF Center for the Health Professions, 2001

3 Center for the Health Professions, UCSF. Physician Workforce CA Physicians by Race/Ethnicity, 2000 Generalists Specialists Source: UCSF Center for the Health Professions, 2001

4 Center for the Health Professions, UCSF. Physician Workforce California physicians likelihood of becoming a generalist, by race, 2000 Asian/Pacific Islander45% Black, Non-Hispanic35% White, Non-Hispanic30% Hispanic/Latino49% Overall total36%

5 Center for the Health Professions, UCSF. Physician Workforce CA physicians by specialty and race/ethnicity, 2000

6 Center for the Health Professions, UCSF. Physician Workforce Medical schools attended by California active, patient-care physicians, 2000 Other US medical schools 50%

7 Center for the Health Professions, UCSF. Physician Workforce US Medical School Matriculants by Race/Ethnicity Sources: UCSF Center for Health Professions 2001; AAMC 2000 US Population 2005 Are Physicians Leaving Medicine?

8 Center for the Health Professions, UCSF. Physician Workforce Residency sites of CA physicians, 2000 California residency sites 55% Non-CA residency sites 45%

9 Center for the Health Professions, UCSF. Physician Workforce CA Physicians in Residency/Training, 1998

10 Center for the Health Professions, UCSF. Physician Workforce Mitigating Factors Other professions  Significant proportions of NPs, PAs and CNMs practice in federally designated underserved areas Fluency in Spanish, 2001  28% of primary care physicians  17% of specialists

11 Center for the Health Professions, UCSF. Physician Workforce Exacerbating factors Other professions’ racial/ethnic diversity Geographic practice area New patient enrollment

12 Center for the Health Professions, UCSF. Physician Workforce California Supply of Physicians per 100,000 population Central Valley/Sierra South Valley/Sierra Inland Empire North Counties Central Coast San Diego North Valley/Sierra Bay Area Los Angeles Orange COGME Range: MDs/100,000 population How are practice patterns changing?

13 Center for the Health Professions, UCSF. Physician Workforce CA Physicians accepting new patients, 2001 How are practice patterns changing? Source: Grumbach et al, UCSF 2002

14 Center for the Health Professions, UCSF. Physician Workforce

15 Center for the Health Professions, UCSF. Physician Workforce Are Physicians Leaving Medicine?

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