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Bolstering the pipeline for primary care: a proposal from stakeholders in medical education

机译：加强初级保健的渠道：医学教育利益相关者的建议

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The Association of American Medical Colleges reports an impending shortage of over 90,000 primary care physicians by the year 2025. An aging and increasingly insured population demands a larger provider workforce. Unfortunately, the supply of US-trained medical students entering primary care residencies is also dwindling, and without a redesign in this country's undergraduate and graduate medical education structure, there will be significant problems in the coming decades. As an institution producing fewer and fewer trainees in primary care for one of the poorest states in the United States, we propose this curriculum to tackle the issue of the national primary care physician shortage. The aim is to promote more recruitment of medical students into family medicine through an integrated 3-year medical school education and a direct entry into a local or state primary care residency without compromising clinical experience. Using the national primary care deficit figures, we calculated that each state medical school should reserve 20–30 primary care (family medicine) residency spots, allowing students to bypass the traditional match after successfully completing a series of rigorous externships, pre-internships, core clerkships, and board exams. Robust support, advising, and personal mentoring are also incorporated to ensure adequate preparation of students. The nation's health is at risk. With full implementation in allopathic medical schools in 50 states, we propose a long-term solution that will serve to provide more than 1,000–2,700 new primary care providers annually. Ultimately, we will produce happy, experienced, and empathetic doctors to advance our nation's primary care system.
机译：美国医学院协会报告称，到2025年，将有90,000多名初级保健医师短缺。人口老龄化和受保人数不断增加，需要提供医疗服务的劳动力更大。不幸的是，进入基层医疗机构的接受过美国培训的医学生的供应也在减少，如果不对该国的本科生和研究生医学教育结构进行重新设计，在未来几十年中将会出现严重的问题。作为一家为美国最贫困的州之一提供越来越少的初级保健培训生的机构，我们提出了本课程来解决全国初级保健医师短缺的问题。目的是通过综合的3年医学院教育和直接进入当地或州的初级保健机构，在不影响临床经验的情况下，促进更多的医学生招募家庭医学。使用全国初级保健赤字数字，我们计算出每所州立医学院应预留20–30个初级保健（家庭医学）居住点，使学生在成功完成一系列严格的实习，实习前，核心课程后，可以绕过传统比赛文员和董事会考试。还提供了强大的支持，咨询和个人指导，以确保学生的充分准备。国家的健康处于危险之中。在50个州的同种疗法医学院中全面实施后，我们提出了一项长期解决方案，该方案每年将为1,000至2,700名新的初级保健提供者提供服务。最终，我们将产生快乐，经验丰富且富有同情心的医生，以改善我们国家的初级保健系统。

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