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2005 Physician Workforce Research Conference
"Expanding the Science, Enhancing the Impact"
May 5-6, 2005 -
Hilton Washington and Towers, Washington, DC
The 2005 AAMC Physician Workforce Research Conference, "Expanding the Science, Enhancing the Impact," brought together nearly 200 attendees from such diverse groups as medical school deans, specialty society members, state officials, university researchers, and representatives of national physician associations.
There was a vast amount of research presented on such topics as the impact of women on the physician workforce, diversity in medicine and its implications for practice patterns, how the number of retiring physicians may affect supply, ways we can address workforce needs in underserved areas, and the U.S. physician workforce and global health.
Program
May 5, 2005
Opening Welcome Address
Jordan Cohen, MD, President, AAMC
The Physician Workforce Research Agenda: Expanding the Science, Enhancing the Impact (PDF, 44 pages)
Edward Salsberg, Director, Center for Workforce Studies, AAMC
Plenary Session I
The Dimensions of Health Care and The Demand for Physicians
Richard (Buz) Cooper, MD, Director, Health Policy Institute, Medical College of Wisconsin
Mark Pauly, Vice Dean and Director Doctoral Programs, The Wharton School
Merlon Olson, MHA, Director, Deloitte Consulting Health Care Group
Thomas E. Getzen, PhD, Professor of Risk, Insurance and Health Management, Fox School of Business, Temple University and Executive Director, International Health Economics Association
Plenary Session II
Counting Docs: Can We Do Better?
David Goodman, MD - Medicare Data
Center for the Evaluative Clinical Sciences, Dartmouth University
John (Jack) Boulet, PhD - ECFMG Data
Director , Tracking and Research, Foundation for Advancement of International Medical Education and Research (FAIMER)
Tom Ricketts, PhD - State Data / ARF
Deputy Director, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill
Phil Kletke, PhD
Director of Health Systems Studies, Health Research & Educational Trust
Concurrent Breakouts Sessions I
Session A
Women in the Physician Workforce: Implications for Workforce Planning
Results of the Women Physicians' Health Study
Erica Frank, MD, MPH, Vice Chair, Department of Family and Preventive Medicine, Emory University School of Medicine
Results of the Memo Study: Implications for Primary Care Physicians
Barbara Horner-Ibler, MD, PhD, Director of the Center for Population Research at the National Institute of Child Health and Human Development, NIH
Women Physicians in Obstetrics and Gynecology
Florence Haseltine, MD, PhD, Director of the Center for Population Research at the National Institute of Child Health and Human Development, NIH
Women In Radiology
Rebecca S. Lewis, Research Department, American College of Radiology
Women in the International Physician Workforce
Stephanie Pincus, MD, MBA, VA Western New York Healthcare System
Session B
Physician Productivity and Staffing Initiatives in the Veterans Health Administration
Overview of Physician Productivity and Staffing in the VA
Michael J. Miller, MD, Chief Medical Officer, Veteran Integrated Service Network (VISN) 1, VA New England Health Care System
VA Approach to Primary Care Physician Productivity and Staffing
Michael Mayo-Smith, MD, MPH, Primary Care Service Line Director, VISN 1, VA New England Health Care System
Specialty Physician Productivity and Staffing
Eileen Moran MS, Health Systems Specialist, VA Connecticut Healthcare System
Relationship of Primary Care Panel Size to Healthcare Outcomes
Kathy L. Frisbee, MPH, Associate Director of Veteran Integrated Service Network (VISN) Support Service Center, VA New England Health Care System
Session C
The Pediatric Workforce: Trends, Projections, and Policy
Setting the Stage and Overview of Issues
Christopher B. Forrest, MD, PhD, Associate Professor, The Johns Hopkins Schools of Public Health and Medicine
Modeling the General Pediatrician Workforce: Testing the Assumptions
Scott A. Shipman, MD, MPH, Assistant Professor, Departments of Pediatrics and Public Health/Preventive Medicine, Oregon Health & Science University
Changes in the Proportion and Volume of Pediatric Care Provided by Generalists
and Sub-specialists
Gary L. Freed, MD, MPH, Director, Division of General Pediatrics and Director, Child Health Evaluation and Research, University of Michigan, The Percy and Mary Murphy Professor of Pediatrics, University of Michigan
Are We There Yet? The Distances Children Travel to Obtain Pediatric Subspecialty Care
Michelle L. Mayer, PhD, MPH, RN, Research Assistant Professor, University of North Carolina at Chapel Hill
Synthesizing What is Known About Pediatric Subspecialty Workforce Shortages
Peggy McManus, Staff Co-Director, Maternal and Child Health Bureau Expert Work Group on Pediatric Subspecialty Capacity, Co-Director, MCH Policy Research Center
Session D
Data and Methods
The International Medical Graduate: Recent Trends
John R. Boulet, PhD, Director, FAIMER
Co-Authors: John J. Norcini, PhD, Gerald P. Whelan, James A. Hallock and Stephen Seeling (FAIMER)
United States Citizen International Medical Graduates
John Norcini, PhD, President and CEO, FAIMER
Co-Authors: John Boulet, PhD, FAIMER and Danette McKinley, PhD, FAIMER
Exchange Visitor Physicians in Residency Training: 1999-2004
Danette W. McKinley, PhD, Research Scientist, FAIMER
Co-Authors: John R. Boulet, PhD, John J. Norcini, PhD, Eleanor Fitzpatrick, MA, and Stephen S. Seeling, JD, (FAIMER)
Factors Affecting Physician Productivity in a Proceduralist Specialty- Radiology
Jonathan H. Sunshine, PhD, Senior Director for Research, Research Department, American College of Radiology
Co-Author: Cristian Meghea, PhD, Senior Researcher, Research Department, ACR
Recent Projections of the Primary Care Workforce: Different Models, Different Results
Martey Dodoo, PhD, Senior Economist/Demographer, The Robert Graham Center
Co-Authors: Larry A. Green, M.D., Ginger Ruddy, M.D. George E. Fryer, Ph.D. Robert L. Phillips, M.D., M.S.P.H., Jessica L. McCann, M.A., Lisa Klein
Session E
State Physician Workforce Studies
California Physician Workforce: Supply and Demand through 2015
Gaetano Forte, Center for Health Workforce Studies, University at Albany, School of Public Health
Is There a Doctor in the House? A Look at Georgia's Current and Future Physician Workforce Needs
Benjamin R. Robinson, MPA, Executive Director, Georgia Board for Physician Workforce
Co-Authors: G.E. Alan Dever, PhD, MT, MD (hon), Associate Vice President for Health Policy, Mercer University School of Medicine and Kelly McNamara, MBA, Georgia Board for Physician Workforce
Physician Supply in New Mexico 2002
Kevin McMullan, Senior Policy Analyst, New Mexico Health Policy Commission
Prioritizing Specialty Needs in Utah
Gar Elison, Executive Director, Utah Medical Education Council
Co-Author: Jennifer Ha, Research Consultant, Utah Medical Education Council
Data Demands Respect-Nebraska
Kolene Kohll, RN, Director, Health Professions Tracking Center, University of Nebraska Medical Center (UNMC)
May 6, 2005
Plenary Session III
I am My Brother's...Brother: The US Physician Workforce and Global Health
Fitzhugh Mullan, MD, Contributing Editor, Health Affairs
Jo Ivey Boufford, MD, Robert F. Wagner Graduate School of Public Service Professor of Public Service, Health Policy and Management
New York University
Gary Hart, PhD, Director, WWAMI Center for Health Workforce Studies, Department of Family Medicine, University of Washington
Richard (Buz) Cooper, MD, Director, Health Policy Institute, Medical College of Wisconsin
Concurrent Breakouts Sessions II
Session F
Diversity in Medicine: Implications for Practice Patterns
Organizational Contexts and Employment Patterns of African-American Physicians; Implications for Reducing Health Disparities
Forrest S. Briscoe, Pennsylvania State University
Co-Author: Thomas R. (Bob) Konrad, PhD, University of North Carolina at Chapel Hill
Race and Ethnicity as a Factor in Physician Distribution in Shortage Areas
Diane Hauser, MPA, Senior Researcher, Institute for Urban Family Health, New York
Co-Author: Gaetano Forte, University at Albany, SUNY
The Effect of the Resident Selection Process on Race and Gender Diversity in Medical Specialties
Dorothy Andriole MD, Associate Professor of Surgery, Assistant Dean for Medical Education, Washington University School of Medicine
Co-Authors: Alison Whelan MD, Washington University School of Medicine and Kenneth Schechtman PhD, Washington University School of Medicine
African American Physicians and Managed Care: A Qualitative Analysis
Carol Simon, PhD, Director, Health Economics Program, Associate Professor Health Services, Boston University School of Public Health
Co-Authors: William D. White, Cornell University Policy Management Program; Carrie James, Harvard University; Cheryl Lynn Walker, White Institute for Health Services Research; Martha Harris Bartot and Virginia Van Haitsma, University of Chicago
Session G
Physicians Practice and Retirement Patterns
Growing Old Together: The Influence of Population and Workforce Aging on Supply and Use of Family Physicians
Diane Watson, Primary Health Care Theme Lead, Centre for Health Services and Policy Research, University of British Columbia
Do Physicians Know When They Will Quit? Physician Retirement Intentions and Behavior
Thomas R. (Bob) Konrad, PhD, Senior Fellow, Co-Director, Program on Health Professions and Primary Care, Cecil G. Sheps Center for Health Services Research
Leaving Medicine: The Consequences of Physician Dissatisfaction
James D. Reschovsky, PhD, Center for Studying Health System Change, Washington, DC
Co-Authors: Bruce E. Landon, MD, MBA, Department of Health Care Policy, Harvard Medical School; Hoangmai H. Pham, MD, MPH, Center for Studying Health System Change, David Blumenthal, MD, MPP, Department of Health Care Policy, Harvard Medical School and the Institute for Health Care Policy, Massachusetts General Hospital/Partners HealthCare System
Predictive Validity of a Survey to Measure of Physician Plans to Leave Practice
Joel Cantor, Professor and Director, Center for State Health Policy, Rutgers University
Co-Authors: Susan Brownlee, Survey Research Analyst; Jose Nova, Research Assistant; and Cecilia Huang, Research Analyst (Rutgers University)
Professional Liability Issues and Practice Patterns of Obstetrical Providers in Washington State
Susan M. Skillman, MS, Deputy Director, Center for Health Workforce Studies, Department of Family Medicine, University of Washington
Co-Authors: Thomas Benedetti, MD, MHA, Laura-Mae Baldwin, MD, MPH and Elise Bowditch, (University of Washington)
Session H
Gaining Perspective on Generalist and Specialist Roles: Framworks, Evidence and Future Research Priorities
Setting the Stage and Overview of Issues
Jonathan Weiner, DrPH, Professor & Deputy Director, Health Services Research & Development Center, Johns Hopkins Bloomberg School of Public Health
A Framework for Understanding the Roles of Generalists and Specialists in the 21st Century
Christopher Forrest, MD, PhD, The Johns Hopkins Schools of Public Health and Medicine
Specialists and Generalists: The International Evidence
Barbara Starfield, MD, MPH, The Johns Hopkins Schools of Public Health and Medicine
Specialist / Generalist Supply and the Impact on Health: Evidence from a National Geographic Level Analysis
Leiyu Shi, DrPH, MBA, Associate Professor, The Johns Hopkins Schools of Public Health and Medicine
Organizational and Geographic Staffing Ratios: Assessing the Evidence
Jonathan Weiner, DrPH, Johns Hopkins Bloomberg School of Public Health
Session I
The Impact of Physician Assistants and Nurse Practitioners in Projecting Physician Supply
Economics of PA/NP Employments
Roderick S. Hooker, PhD, Department of Veterans Affairs Research
PA Education and Supply Trends
James F. Cawley, PA, Department of Veterans Affairs Research
NP Education and Supply Trends
Linda Berlin, PhD, RNC, Department of Veterans Affairs Research
The Implication of PA/NPs on the Supply of Physicians
Jean E. Johnson, PhD, Senior Associate Dean for Health Sciences, Professor of Health, George Washington University
Session J
Addressing Physician Workforce Needs in Rural and Underserved Communities
How Adults' Access to Outpatient Physician Services Relates to the Local Supply of Primary Care Physicians in the Rural Southeast
Donald Pathman, MD, MPH, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill
Co- Authors: Thomas C. Ricketts III, PhD and Thomas R. (Bob) Konrad, PhD (Cecil G. Sheps Center for Health Services Research, Department of Family Medicine, Department of Health Policy and Administration, University of North Carolina
Use of Quantile Regression Method to Design Effective Workforce Programs with Financial Incentives to Recruit Rural Physicians
Ya-Chen Tina Shih, PhD, Associate Professor, Section of Health Services Research Department of Biostatistics and Applied Mathematics, The University of Texas M.D. Anderson Cancer Center
Recruitment of Family Physicians into Rural California… Predictors and Possibilities
Kiki C. Nocella, MHA, PhD, Assistant Clinical Professor of Family Medicine, University of Southern California, Keck School of Medicine, Department of Family Medicine
Supplying Family Physician to Rural, Underserved Areas: A Mixed Methods Institutional Case Study and National Policy Implications
Jim L. Wilson, MD, Chairman, Department of Family Medicine, East Tennessee State University
Co-Authors: Reid Blackwelder, MD, Kingsport Family Practice Residency Director, Raymond Feierabend, MD, Bristol Family Practice Residency Director, Max Bayard, MD, Johnson City Family Practice Residency Director, Gary Kukulka, PhD, Associate Director of Primary Care Research, Kaethe P. Ferguson, MS, Grant Writer & Ed.D. Candidate and Varaprasad Ilapogu, MD, Graduate Assistant, Department of Family Medicine, Quillen College of Medicine, East Tennessee State University
Physicians and the Nation's Community Health Centers: Can We Adequately Staff the Safety-Net?
Roger A. Rosenblatt, MD, MPH, MFR, Professor and Vice Chair, Department of Family Medicine, University of Washington School of Medicine
Lunch Presentation
Recent Medical Workforce Decisions in Canada: A Tale of Bad Timing and Failure to Adequately Monitor Physician Demography Flow and Activity Levels
W. Dale Dauphineee, MD, FRCPC, Executive Director, Medical Council of Canada
Plenary Session IV
Setting the Physician Workforce Research and Policy Agenda
Moderator:
Atul Grover, MD, PhD, Senior Consultant, The Lewin Group
Speakers:
Helen Burstin, MD, MPH, Director, Center for Primary Care, Prevention and Clinical Partnerships, Agency for Healthcare Research and Quality
W. David Helms, PhD, President and CEO, AcademyHealth
Len Nichols, PhD, Vice President, Center for the Study of Health Systems
Closing and Final Remarks
Edward Salsberg, Director, Center for Workforce Studies, AAMC
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