TY - JOUR
KW - Community Health Centers/legislation & jurisprudence/organization & administration
KW - Education, Medical, Graduate
KW - Health Care Reform/legislation & jurisprudence
KW - Health Services Accessibility/legislation & jurisprudence
KW - Humans
KW - Internship and Residency
KW - Medically Underserved Area
KW - Physicians, Family/education/supply & distribution
KW - Primary Health Care/legislation & jurisprudence
KW - United States
AU - R. E. Rieselbach
AU - B. J. Crouse
AU - J. G. Frohna
A1 - 
AB - Universal coverage and multiple initiatives to improve health care delivery are crucial components of health care reform. However, the missing link has been a plan to rapidly address the primary care workforce crisis for the underserved. The authors propose a link between primary care graduate medical education and care for the underserved in community health centers, where expansion will be necessary for the anticipated increase in Medicaid and insured patients. This can be achieved by establishing primary care teaching health centers in expanded community health centers, which have established a patient-centered medical home practice environment. Residents would receive their final year of training in these centers, and then have the incentive of National Health Service Corps debt repayment if they subsequently practice in an underserved area. Primary care residents being trained in this setting would immediately increase the clinical capacity of community health centers and ultimately expand the primary care physician workforce. This proposal addresses the primary care physician workforce crisis and the associated key problems of limited access for the underserved and suboptimal primary care graduate medical education.
BT - Annals of Internal Medicine
C5 - Education & Workforce; Financing & Sustainability; Healthcare Policy
CP - 2
CY - United States
DO - https://doi.org/10.7326/0003-4819-152-2-201001190-00186
IS - 2
JF - Annals of Internal Medicine
N2 - Universal coverage and multiple initiatives to improve health care delivery are crucial components of health care reform. However, the missing link has been a plan to rapidly address the primary care workforce crisis for the underserved. The authors propose a link between primary care graduate medical education and care for the underserved in community health centers, where expansion will be necessary for the anticipated increase in Medicaid and insured patients. This can be achieved by establishing primary care teaching health centers in expanded community health centers, which have established a patient-centered medical home practice environment. Residents would receive their final year of training in these centers, and then have the incentive of National Health Service Corps debt repayment if they subsequently practice in an underserved area. Primary care residents being trained in this setting would immediately increase the clinical capacity of community health centers and ultimately expand the primary care physician workforce. This proposal addresses the primary care physician workforce crisis and the associated key problems of limited access for the underserved and suboptimal primary care graduate medical education.
PP - United States
PY - 2010
SN - 1539-3704; 0003-4819
SP - 118
EP - 122
EP - 
T1 - Teaching primary care in community health centers: Addressing the workforce crisis for the underserved
T2 - Annals of Internal Medicine
TI - Teaching primary care in community health centers: Addressing the workforce crisis for the underserved
U1 - Education & Workforce; Financing & Sustainability; Healthcare Policy
U2 - 20008743
U3 - https://doi.org/10.7326/0003-4819-152-2-201001190-00186
VL - 152
VO - 1539-3704; 0003-4819
Y1 - 2010
ER -