Basic Health Access

Please reconsider your plans to devote major resources to expand family medicine graduates. We must work together for FM, but we must be effective. Effective efforts must be specificity to address the problem. The problem in primary care cannot be solved by training. More reports, conferences, staff resources, and association resources would waste time, effort, and energy. It is meaningless to attempt to expand any primary care, generalist, or general specialty workforce without the dollars specific to support more delivery team members. Only a major improvement of the financial design can support more team members in more locations - especially where most Americans have the least by design. The lack of effectiveness of more graduates is obvious and has been for decades. New sources of primary care and massive expansions of four sources have not resolved deficits of primary care or workforce where needed. The glut of workforce created will make matters worse. The finan...

The Standard Primary Care Year is a common sense measuring tool. Graduates must meet all of 4 criteria to deliver primary care - train in primary care, remain in primary care, serve long careers, and deliver signficant volume. It is not enough just to graduate primary care - especially with US policies that drive primary care graduates away from primary care before training, during training, and each year after graduation. The Standard Primary Care Year estimate = Average Career Years X % remaining in PC for a career X % active for a career X % volume. Update for 2014 Class Year Clinician Activity Over a Career Primary Care Retention Volume per FTE Career Years Standard Primary Care Years Office Primary Care Product Duluth 80.0% 43.8% 99.4% 34.0 11.85 35.1% Top Osteopathic 80.0% 33.2% 98.7% 34.0 8.92 26.6% Caribbean MD 80.0% 30.5% 97.4% 34.0 8.08 24....