The Shortage of Physicians Continues to Cause Problems
"Is there a doctor in the house?"
In North America, the answer to that question is often no. The total
number of doctors is growing, but not fast enough. And many specialties are
in short supply. If you've got the ability and the drive, and you like to
feel needed, medicine might be your bag.
The American Association of Medical Colleges (AAMC) predicts that the United
States will face a shortage of 125,000 physicians by 2025.
"We've projected a shortage across the board in all specialties, particularly
those who care for the elderly," says Clese Erikson. She's the AAMC's director
for workforce research.
Erikson says the projection is based on the assumption that all factors
will stay constant, like the number of students entering medical school. Possible
health-care reforms will likely add to the demand, and could increase the
shortage to as many as 155,000 doctors.
"People talk a lot right now about the need for primary care [such as family
medicine], which is always in high demand. But other specialties will be
in short supply as well," Erikson says.
Shortages are more common in rural areas. However, they are also expected
to hit urban areas.
To cope with the shortages, the AAMC has several plans in place. These
plans include increasing medical school enrollment, increasing payments to
physicians practicing in under-served areas and improving efficiency of medical
workers. The AAMC also plans to employ more health professionals like nurse
practitioners and physician assistants.
Doctors require specialized education and training for 10 to 15 years after
high school. This training is normally provided in an urban center. Many
physicians get married during their training, which ties them even more to
a particular city. That makes it difficult to attract physicians to more rural,
remote areas.
To attract doctors, some towns have pooled the resources of local health
services, businesses and local government. They raise funds or offer perks
to doctors willing to move to their community.
Dr. Perry Pugno is the director of medical education for the American Academy
of Family Practice (AAFP). He says income and lifestyle factors have contributed
to the drop in numbers of medical school graduates choosing careers in primary
care (family medicine). Family physicians tend to work more hours per week
and spend more time on-call than other specialists. Their incomes also tend
to be lower.
"We still have a shortage [of family physicians], and it is going to get
worse. We need a goodly number in the next 10 years to meet the anticipated
demand," he says.
According to an AAFP workforce study, the United States will need 139,591
family physicians to meet the expected need in 2020. To achieve this number,
family medicine residency programs must produce 3,725 graduates a year by
2020.
To attract more people to family medicine, the AAFP is encouraging medical
school admissions staff to admit more students with an interest in the specialty.
It is communicating the advantages of family medicine to medical students.
And it is exposing students to outstanding family doctors, so they have a
better understanding of the profession's rewards.
Pugno says one great thing about family medicine is that family doctors
can go just about anywhere they want and set up a successful practice. That's
because family physicians are needed everywhere -- unlike specialists such
as pediatric neurologists, who typically practice in urban centers.
"It's an excellent career because the demand is substantial now and will
get greater," he says. "Also, family physicians are among the most satisfied
of physician specialties."
Each specialty faces shortages in certain areas of the country. However,
general surgery, pediatric psychiatry and family medicine are experiencing
shortages on a national level.
Erikson says the shortage of physicians is good news for students interested
in a medical career. "It's clear that physicians are going to be in high demand
in the future," she says. "It's not just primary care, but all kinds of specialties,
like cardiology and endocrinology, that will have openings for aspiring young
physicians."
She also notes that it's easier to get into medical school than many students
realize. Nearly one out of every two students who apply to medical school
is accepted. "There are better odds than you might think," she says.
Links
American Academy of Family Physicians
This site explains what it means to be a family physician and
outlines the training required
American Medical Association
Basic information about becoming a physician, including how to
prepare for medical school and how to choose a specialty
Medical Dictionary
Look up any medical term you can imagine
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