AAMC Physician Workforce Research Conference

"Finding the Best Solutions for Meeting Future Workforce Needs"

April 30 - May 2, 2008
Hyatt Regency - Crystal City, Va.

Over 225 participants joined us in Arlington, Va., (just outside Washington, D.C.) for the 2008 AAMC Physician Workforce Research Conference, where the nation's physician workforce researchers networked and shared their latest findings. Meeting highlights included:

• Keynote address by David Satcher
• Plenary Presentations:
  • Variations in Care: Assessing the Methods and Workforce Implications
  • Innovative Practice Models: Will they Help Reduce the Demand for Physicians?
  • The Patient Centered Medical Home: The Salvation for Primary Care?
• Breakout panels featuring new research on diversity, GME, state workforce policy, medical school expansion, workforce research methods, NPs/PAs, practice location and retention, primary care workforce, and the HRSA workforce collaborative
• Pre-conference workshop on state workforce planning, Wednesday, April 30, 1-5 p.m.

April 30, 2008
Pre-Conference Session

State Data Collection (separate registration fee required)

Jean Moore, B.S.N., M.S.N.
Director of the New York Center for Health Workforce Studies, State University of New York School of Public Health

Thomas Ricketts III, Ph.D., M.P.H, Director, Southeast Regional Center for Health Workforce Studies, Cecil G Shep's Center for Health Services Research, University of North Carolina at Chapel Hill

May 1, 2008

Welcome and Opening Comments

Medical School Expansion: On Track for a 30% Increase But Only One Part of the Solution (PDF)
Edward Salsberg, M.P.A., Associate Vice President and Director, Center for Workforce Studies, Association of American Medical Colleges

Keynote Address

The Role of Diversity in Eliminating Disparities in Health (PDF)
David Satcher, M.D., PhD, FAAFP, FACPM, FACP, Director, Center of Excellence on Health Disparities, Morehouse School of Medicine

Plenary I: Variations in Care: Assessing the Methods

Moderator: Bruce Vladeck, PhD, Senior Health Policy Advisor, Co-Director, Academic Medical Centers Service Line, Health Sciences Advisory Services, Ernst & Young LLP

Regional Variation and the Affluence-Poverty Nexus (PDF)
Richard Cooper, MD, Professor of Medicine, Leonard Davis Institute of Health Economics, University of Pennsylvania

Responders:

Comparison of Methods Examining Hospital Use Variation Among Elderly Heart Failure Patients (PDF)
Michael Ong, MD, PhD Assistant Professor of Medicine in Residence, Division of General Internal Medicine & Health Services Research, UCLA Department of Medicine

The Physician Workforce, Costs, and Health Outcomes: Comments on Cooper & Ong (PDF)
Jonathan Skinner, PhD, John Sloan Dickey Third Century Chair of Economics, Dartmouth College

Concurrent Breakout Sessions I

Panel A: The HRSA Workforce Collaborative - Lessons Learned

Moderator: Ahmed Calvo, MD, MPH, Acting Deputy Director, Center for Quality, HRSA
A Toolkit for Educational Linkages Between Academic Medical Centers and Health Centers (PDF)

Mark Loafman, MD, MPH Assistant Professor of Family Medicine, Northwestern Feinberg School of Medicine and National Quality Faculty, HRSA

Carl Morris, Assistant Professor of Family Medicine, University of Washington

Tom Bacon, DrPH, Executive Director, North Carolina Area Health Education Center

Lou Coccodrilli, Director, Division of Dentistry Branch Chief Area Health Education Center Program, HRSA

Panel B: Diversity

Moderator: Marcella Nunez-Smith MD, Assistant Professor, Yale University School of Medicine

The Role of Federal Funding in Diversification of the Medical School Applicant Pool (PDF)
Rachel Fester, MSEd, MA, PhD Student, University of Pennsylvania

Undergraduate Medical Education Program to Address the Health Care Needs of the Latino Community (PDF)
Alberto Manetta, MD, Senior Consultant to Vice Chancellor, Health Affairs, University of California, Irvine School of Medicine

Two Year Evaluation of the Office of Minority Health's Cultural Competency Curriculum Modules (PDF)
Ann S. Kenny, MPH, BSN, RN, Project Director, SRA International, Inc.

Trends in African American/Black Physician Practice Patterns in Florida (PDF)
Robert G. Brooks, MD, MBA, Associate Dean for Health Affairs, Division of Health Affairs, Florida State University College of Medicine

Panel C: Practice Location and Retention

Moderator: L. Gary Hart, Ph.D., Director of the Rural Health Office (RHO) The University of Arizona Mel and Enid Zuckerman College of Public Health

Predictors of In-State Retention of Medical Residents and Fellows: Data from New York (PDF)
Gaetano J. Forte, BA, Director of Information Management, Center for Health Workforce Studies

The Dispersion of Physicians from New Orleans After Katrina (PDF)
Thomas C. Ricketts, PhD, MPH Deputy Director University of North Carolina, Cecil G. Sheps Center for Health Services Research

Influencing Residency Choice and Practice Location through Longitudinal Rural Clinical Experiences (PDF)
Kathleen Quinn, MEd/PhD Candidate, Director, MU Area Health Education Center University of Missouri, Office of Rural Health

Rural Family Medicine Residency Training (PDF)
Mark Doesher, MD, MSPH, Director, WWAMI Rural Health Research Center, UW Center for Health Workforce Studies

Panel D: Supply

Moderator: Jonathan P. Weiner, DrPH, Professor of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health

MedPAC and COGME: Physician Reimbursement and Physician Supply - Future Implications (PDF)
Russell G. Robertson, MD, Chair, Council on Graduate Medical Education, Chair, Family Medicine Northwestern University Feinberg School of Medicine and John Bertko FSA, MAAA, Adjunct Staff, RAND

Do Physician Assistants Serve as Substitutes or Complements for Physician Care in the United States? (PDF)
Perri A. Morgan, PhD, PA-C, Director of Physician Assistant Research, Community and Family Medicine, Duke University Medical Center

Primary Care Physician Supply and Access to Care: Lessons from a Single Payer Health System.
Scott A. Shipman, MD, MPH, Assistant Professor, Pediatrics, Institute for Health Policy & Clinical Practice, Center for Health Policy Research

Role of International Medical School Graduates in Providing Office-Based Medical Care: United States, 2005-2006 (PDF)
Esther Hing, MPH, Survey Statistician, National Center for Health Statistics, Centers for Disease Control and Prevention

Concurrent Breakout Sessions II

Panel E: Leveraging the Results of Physician Forecasting Studies: Experiences in Michigan, New Jersey and New York

Moderator: Jean Moore, B.S.N., M.S.N., Director of the New York Center for Health Workforce Studies State University of New York School of Public Health

New York (PDF)
Jean Moore, B.S.N., M.S.N., Director of the New York Center for Health Workforce Studies State University of New York School of Public Health

New Jersey (PDF)
Deborah S. Briggs, BSN, MBA, Senior Vice President, Health Policy and Advocacy, New Jersey Council of Teaching Hospitals

New Jersery (PDF)
Gaetano Forte, Director of Information Management, Center for Health Workforce Studies, University at Albany, SUNY

Michigan (PDF)
Lynda Farquhar, PhD, Professor, Office of Medical Education, Research and Development Institute for Health Care Studies, College of Human Medicine, Michigan State University

Panel F: Workforce Research Methods

Moderator: Tim Dall, Vice President, The Lewin Group

Nationwide Physician Shortages Likely to Occur Beyond 2015 Based on Grey Forecasting Model (PDF)
Chau-Kuang Chen, EdD, Director of Institutional Research, Meharry Medical College

Using Claims Data to Assess and Project Need for Physician Services (PDF)
Kelley M. Withy, MD, PhD, AHEC Director and Associate Professor, University of Hawaii - John A. Burns School of Medicine

Characteristics of Practice Among Rural and Urban General Surgeons in North Carolina (PDF)
Jennifer King, Research Associate, University of North Carolina at Chapel Hill, Cecil G. Shep's Center for Health Services Research

The Generational Diagonal in Academic Medicine: A Unique Method for Forecasting and Planning for Faculty Success in the Next Two Decades (PDF)
Lydia P. Howell, MD, Vice-Chair, University of California-Davis, Department of Pathology

Panel G: Graduate Medical Education

Moderator: Paul J. Rockey, MD, MPH, Director, Graduate Medical Education, American Medical Association

The Utah Graduate Medical Demonstration Project (PDF)
David Bjorkman, MD, MPH, Chair, Utah Medical Education Council and Dean, University of Utah School of Medicine

Creating a Projection and Simulation Model for Assessing the Impact of Residency Allocation at the University of Toronto (PDF)
Caroline S. Abrahams, MPA, Health Workforce Consultant, University of Toronto, Faculty of Medicine

Aligning Health System and Community Needs for Graduate Medical Education (PDF)
Elizabeth R. Ransom, MD, Chief Quality Officer, Texas Health Resources

Attrition During Obstetrics and Gynecology Residency Training: Analysis of the National GME Census Data (PDF)
Rebecca P. McAlister, MD, Professor of Obstetrics and Gynecology, Washington University School of Medicine

Panel H: Interprofessional Workforce

Moderator: Clese Erikson, MPAff, Associate Director, Center for Workforce Studies, AAMC

Hospital Utilization of Physician Assistants: New Staffing Patterns in Inpatient Settings (PDF)
James F. Cawley, MPH, PA-C, Professor and Interim Director, The George Washington University, Physician Assistant Program

Trends in Specialty Choice Among Physician Assistants (PDF)
Perri A. Morgan, PhD, PA-C, Director of Physician Assistant Research, Duke University Medical Center, Community and Family Medicine

Are Patients Willing to be Seen by a Physician Assistant or Nurse Practitioner? (PDF)
Roderick S. Hooker, PhD, PA, Director of Rheumatology Research, Dallas VA Medical Center

Retail Health Clinics: Examining Patterns of Use and Implications for the Workforce
Scott A. Shipman, MD, MPH, Assistant Professor, Pediatrics, Institute for Health Policy & Clinical Practice, Center for Health Policy Research

Friday, May 2, 2008

Plenary II: Innovative Models of Care: Will they help reduce demand for Physicians?

Moderator: Scott A. Shipman, MD, MPH, Assistant Professor, Pediatrics, Institute for Health Policy & Clinical Practice, Center for Health Policy Research

Patients Onboard: Creating the New Health Care Team (PDF)
Paul C. Tang, MD, MS, Vice President and Chief Medical Information Officer, Palo Alto Medical Foundation

Building the Evidence for an Innovative Nurse-Managed Healthcare System (PDF)
Julie Novak, DNSc, RN, MA, CPNP, FAANP, Associate Dean, College of Pharmacy, Nursing and Health Sciences, Purdue University

Retail Clinics: Coming Soon to a Grocery Store Near You? (PDF)
Dean Lin, Chief Executive Officer, CareWorks Convenient Healthcare (subsidiary of Geisinger Health System)

New Ways of Thinking About the Care Delivery System (PDF)
Donald Goldmann, MD, Senior Vice President, Institute for Healthcare Improvement

Concurrent Breakout Session III

Panel I: Medical Education

Moderator: Gwen Garrison, PhD, Director, Data Resources and Studies, AAMC

International Medical School Expansion (PDF)
Danette W. McKinley, PhD, Research Scientist, FAIMER

Three Pathways to a Physician Career (PDF)
Paul Jolly, PhD, Senior Associate Vice President, AAMC

The Application Pathways of American Citizens who Pursue Medical Careers Abroad (PDF)
Amy Opalek, Data Resource Specialist, FAIMER

Student Loan Debt Levels Among Recent Dermatology Resident Graduates (PDF)
Alexa B. Kimball, MD, MPH, Associate Professor, Harvard Medical School, Director, Clinical Unit for Research, Trials in Skin, Massachusetts General Hospital

Panel J: Primary Care Workforce

Moderator: Edward Salsberg, M.P.A., Associate Vice President and Director, Center for Workforce Studies, Association of American Medical Colleges

Economic Evidence of a Primary Care Physician Shortage (PDF)
Carol J. Simon, PhD, MS, Vice President, The Lewin Group

Shortage or Mal-distribution: An Analysis of the Spatial Accessibility of Primary Care Physicians in Nebraska (PDF)
Keith Mueller, PhD, Professor and Chair, Department of Health Services Research and Administration, Associate Dean, College of Public Health, University of Nebraska Medical Center

Generalist Supply for an Increasing and Aging Population
Jack M. Colwill, MD, Professor Emeritus, Family and Community Medicine, University of Missouri School of Medicine

The Impact of the Primary Care Workforce Distribution on Health Outcomes (PDF)
James Joseph Brokaw, PhD, Assistant Dean for Student Affairs, Indiana University School of Medicine

Panel K: Medical School Expansion through a Regional Model in the USA and Canada

Moderator: Joanna Bates, MDCM, Senior Associate Dean, Education, University of British Columbia

Medical School Expansion in the US. Challenges and Strategies (PDF)
Sarah Bunton, PhD, Senior Research Associate, AAMC

Responding to the Needs of People and Communities in Northern Ontario (PDF)
Roger Strasser, MBBS, Founding Dean and Professor, Northern Ontario School of Medicine

Regional Campuses in Canada: Northern Medical Program (PDF)
Geoff Payne, PhD, Associate Professor, Northern Medical Program, University of British Columbia

Lunch Presentation:

The VA's Role in Workforce Development (PDF)
Malcolm Cox, MD, Chief Academic Affiliations Officer, Veterans Health Administration

Plenary III: The Patient Centered Medical Home Model: The Salvation for Primary Care?

Moderator: Greg Pawlson, MD, MPH, Senior Vice President, National Committee for Quality Assurance
The Patient Centered Medical Home: A Confluence of Concepts (PDF)

Getting Beyond the Position Statement (PDF)
Michael S. Barr, MD, MBA, FACP, Vice President, Practice Advocacy and Improvement, Division of Governmental Affairs and Public Policy, American College of Physicians

Achieving Patient-Centered Primary Care for Underserved Populations: How Medical Homes Can Promote Greater Equity in Health Care (PDF)
Melinda Abrams, MS, Senior Program Officer, The Commonwealth Fund

Challenges to Implementing the Medical Home (PDF)
Lloyd Michener, MD, Professor and Chair, Department of Community and Family Medicine, Duke University Medical Center, Director, Duke Center for Community Research

Closing Remarks

Fitzhugh Mullan, M.D., Murdock Head Professor of Medicine and Health Policy, George Washington University