1. 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. 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. 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. 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. 5 Center for the Health Professions, UCSF. Physician Workforce CA physicians by specialty and race/ethnicity, 2000

6. 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. 7 Center for the Health Professions, UCSF. Physician Workforce US Medical School Matriculants by Race/Ethnicity 1975-2000 Sources: UCSF Center for Health Professions 2001; AAMC 2000 US Population 2005 Are Physicians Leaving Medicine?

8. 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. 9 Center for the Health Professions, UCSF. Physician Workforce CA Physicians in Residency/Training, 1998

10. 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. 11 Center for the Health Professions, UCSF. Physician Workforce Exacerbating factors Other professions’ racial/ethnic diversity Geographic practice area New patient enrollment

12. 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: 145-185 MDs/100,000 population How are practice patterns changing?

13. 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. 14 Center for the Health Professions, UCSF. Physician Workforce http://futurehealth.ucsf.edu

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

16. UCSF Center for the Health Professions 3333 California Street, Suite 410 San Francisco, CA 94118 415/476-1894 415/476-4113 cdower@thecenter.ucsf.edu http://futurehealth.ucsf.edu