Influencing medical student choice of primary care worldwide: international application of the four pillars for primary care physician workforce
- PMID: 30217222
- PMCID: PMC6138912
- DOI: 10.1186/s13584-018-0254-8
Influencing medical student choice of primary care worldwide: international application of the four pillars for primary care physician workforce
Abstract
Primary care is a crucial part of a functional health care system, though in many parts of the world there are current or projected gaps in the primary care physician workforce. The academic family medicine organizations in the United States (US) developed the "Four Pillars for Primary Care Physician Workforce," a model built on decades of research, highlighting four main areas of emphasis for increasing primary care physician output: 1) pipeline; 2) process of medical education; 3) practice transformation; and 4) payment reform. This commentary proposes that this model, although developed in the US context, is applicable in other medical education settings, including Israel, based on the recently reported findings of Weissman and colleagues in this journal.
Keywords: Family medicine; International perspectives; Physician workforce; Primary care; Student specialty choice.
Conflict of interest statement
Authors’ information
AD is the Executive Director of the Association of Departments of Family Medicine (ADFM) and AW is the Data and Special Projects Manager of the ADFM. The mission of the ADFM is to support academic departments of family medicine to lead and achieve their full potential in care, education, scholarship, and advocacy to promote health and health equity. Through the role of ADFM in Council of Academic Family Medicine, both AD and AW were integral to facilitating the development of the Four Pillars for Primary Care Physician Workforce Reform model and subsequent manuscripts. Both authors also work for the University of Washington Family Medicine Residency Network, a regional collaborative of 31 family medicine residency programs in five northwestern states of the US.
Ethics approval and consent to participate
Not applicable.
Consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Comment on
-
Challenges to the Israeli healthcare system: attracting medical students to primary care and to the periphery.Isr J Health Policy Res. 2018 May 29;7(1):28. doi: 10.1186/s13584-018-0218-z. Isr J Health Policy Res. 2018. PMID: 29843802 Free PMC article.
References
-
- Makaroff LA, Green LA, Petterson SM, Bazemore AW. Trends in physician supply and population growth. 2013. - PubMed
-
- OECD Reviews of Health Care Quality: Israel 2012: Raising Standards OCED Library http://www.oecd-ilibrary.org/social-issues-migration-health/oecd-reviews.... Accessed 10 Sept 2018.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
