Health reform and primary care: physician training exposes tension in the field

Article Abstract:

A shortage of primary care physicians fuels the debate on graduate medical education (GME) reform. The Council on Graduate Medical Education argues that the number and type of residency positions is determined by hospital staffing needs. However, if medical schools were completely responsible for GME, then more primary care physicians could be trained. Alternately, the American Hospital Association argues that hospitals would become more involved in primary care provision if they were integrated into community-based networks.

Analysis, Social policy, American Hospital Association, Council on Graduate Medical Education

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Community hospital collaboration flourishes in Buffalo

Article Abstract:

Aconsortium of seven hospitals in the Buffalo, NY, area promotes primary care and graduate primary care medical education. The University at Buffalo School of Medicine and Biomedical Sciences coordinates the consortium, which plans to pool and redistribute a portion of indirect graduate medical education payments to support primary care training in participating hospitals. By 1995, the program is designed to raise the number of residents trained in primary care by 10%.

Management, Finance, Hospitals, Buffalo, New York, Regional medical programs

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Foundations seed non-hospital primary care networks

Article Abstract:

The W.K. Kellogg Foundation and the Robert Wood Johnson Foundation fund programs to foster graduate medical education reform. The W.K. Kellogg Foundation provides funding to enable seven primary care centers to create models of academic, community-based, primary health care centers. The Robert Wood Johnson Foundation authorized $32.7 million in Jan 1992 for medical school grants to encourage students to become primary care physicians.

Donations, Robert Wood Johnson Foundation, W.K. Kellogg Foundation

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