1. 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

2. 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 despite NPs + PAs enrolled in the US

3. 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

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

5. 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: 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 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) ;29(5):
4 Lin SY, Schillinger E, Irby DM. Value-Added Medical Education: Engaging Future Doctors to Transform Health Care Delivery Today. J Gen Intern Med [Epub ahead of print].