Download presentation
Presentation is loading. Please wait.
Published byMartha Powell Modified over 9 years ago
1
Primary Care Physician Workforce Needs: National and Montana Perspectives Roger W. Bush, MD Program Director Internal Medicine Program Billings Clinic Montana HealthCare Forum December 8, 2014
3
Learning Goals: Primary Care Physician Workforce for MT Problem Scope What do we have? What do we need? How do we get it? Potential Solutions: More Medical School Graduates? More Regional Graduate Medical Education? More distributed GME training?
4
Problem Scope: PCP Workforce in MT
6
Montana 4 th largest state 44 th in population 56 counties (population/sq. mile) 1- urban (>50/sq. mile) 10-rural ( 6-50/sq. mile) 45-frontier ( < 6/sq. mile)
7
Primary Care in Montana 11/56 counties without a primary care physician 19,635 residents in those counties 33/56 counties with fewer primary care physicians than national average 308,648 residents in those counties
8
Montana Physician Demographics MT physicians age 60 or older 31.2%, 3 rd oldest in the nation National average 27.6% 2,297 practicing physicians 2012 - 33 rd in total physicians per capita
9
Barriers to recruiting to rural and remote Lack of spousal employment Lack of cultural activities Insufficient housing Poor-quality schools Inadequate compensation JAMA Rosenblatt 2006
10
More Medical Students?
11
More AAMC Medical Schools?
13
Billings Clinic Internal Medicine Residency Class of 2017
18
More Regional Graduate Medical Education?
19
Medicare GME cap per 100,000 2010
20
Medicare GME Payment per Person, 2010
21
Medical Education in Montana WWAMI 30 matriculates yearly WICHE 6 matriculates yearly 55 MD allopathic matriculates yearly from Montana MT 14.3 MD medical students per 100,000 US average 25.7
22
GME in Montana- 47 th nationally per capita MFMR- Billings 1995 - 8 FM residents yearly -70 % retention rate Family Medicine Residency of Western Montana 2013 -7 residents Missoula -3 residents Kalispell Billings Clinic Internal Medicine Residency 2014 -6 residents yearly
23
Future Strategies to Improve the Physician Workforce Needs in Montana Robust, Focused Medical Student Pipeline AHEC Underrepresented prospects in medicine Workforce driven WWAMI expansion Focused Scholarship opportunities GME expansion Grow Existing Primary Care Residency Sizes Psychiatry Pediatrics, Surgery, Ob/GYN??? Recruitment and retention Loan repayment, other incentives
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.