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A Future in Family Physician

A Future in Family Physician. American Academy of Family Physicians Medical Education Division University of Kansas School of Medicine Family Medicine Interest Group. Today’s Presenters and Guests. American Academy of Family Physicians: Stan Kozakowski , MD Ashley Bentley, MBA

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A Future in Family Physician

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  1. A Future in Family Physician American Academy of Family Physicians Medical Education Division University of Kansas School of Medicine Family Medicine Interest Group

  2. Today’s Presenters and Guests • American Academy of Family Physicians: • Stan Kozakowski, MD • Ashley Bentley, MBA • Sam Carlson • KU School of Medicine • Emily Miller, MSII • CordeliaStaab, MSII • Brooke Varnum, MSII

  3. Human Health Care Provider Professions • Medicine • Physicians Assistants • Nursing • Pharmacy • Dentistry • Behavioral Health • Technicians and Assistants • Therapists (Physical, Mental Health)

  4. Medicine • MD and DO • Specialties vary in: • Direct care of patients • Research • Procedures • Scope of medical practice • Illnesses treated • Body parts and organs treated • Age and gender of patients treated • Practice settings and options (clinic, lab, hospital, etc.)

  5. Medical Specialties • Family Medicine • Sports Medicine, Hospice and Palliative Medicine, Geriatric Medicine, Preventative Medicine, Sleep Medicine • Pediatrics • Internal Medicine • Cardiovascular Disease, Critical Care Medicine, Hematology, Infectious Disease, Endocrinology, Oncology, Pulmonary Disease, Rheumatology • Obstetrics/Gynecology • Emergency Medicine • Psychiatry • Surgical Specialties • Others: Dermatology, Otolaryngology, Ophthalmology, Neurology, Pathology, etc.

  6. Picking a specialty • During 3rd year of medical school, need to decide what medical specialty to pursue • About ½ students entering medical school KNOW what they want to do (and about ¼ of them change their mind) • ½ are undecided when entering • A lot of influences: People you meet, interesting patients, mentors, classmates, family discussions, etc

  7. When you think of family doctors, what do you imagine they do? Family doctors provide health care to: • All members of the family • Women and men of all ages, for all conditions • Babies, children, and teens, for all conditions

  8. Family doctors treat the whole person • Family doctors know their patients and their patients’ families • Family doctors know their community • Family doctors use the sciences to provide total health care

  9. Path to becoming a doctor

  10. What kind of doctor will be needed?

  11. Especially primary care

  12. Primary Care Health Professional Shortage Areas Primary Care Health Professional Shortage Areas (2006) Primary Care Health Professional Shortage Areas, Family Physicians Removed (2006) Source: Interact For Health and the American Academy of Family Physicians. Health Landscape Primary Care Atlas (healthlandscape.org), 2006 – 2013.

  13. Improved Health Outcomes When the Usual Source of Care Is Primary Care • Increase accessibility • Promote prevention • Proactively support patients with chronic illness • Engage patients in self-management and decision-making Source: Health care for all: a framework for moving to a primary care-based health care system in the United States. American Academy of Family Physicians, 2008. Accessed August 30, 2013.

  14. What is the Patient Protection and Affordable Care Act? • Comprehensive health reform • Signed into law March 23, 2010 • Includes measures to: • Cover at least 30 million of the 60 million Americans projected to be uninsured by 2022 • Increase access to affordable care • Improve care quality and lower cost • Sound familiar? Echoes the three key elements of a high-functioning, primary care-based health system Source: Health care for all: a framework for moving to a primary care-based health care system in the United States. American Academy of Family Physicians, 2008. Accessed August 30, 2013.

  15. Family Physicians in Demand • “Primary care physicians remain at the top of the wish list for most hospitals, medical groups and other health care organizations.” • The most recruited specialty in 2013; at the top of the list for 7 straight years Source: 2012 Review of physician recruiting incentives. An overview of the salaries, bonuses, and other incentives customarily used to recruit physicians. Merritt Hawkins, 2012. Irving, Texas.

  16. The Primary Care PhysicianNumber of Office Visits to Primary Care Physicians vs. Other Specialists Source: National Ambulatory Medical Survey, 2008. Hyattsville, MD: National Center for Health Statistics. 2010.

  17. And income??? • Average US salary • $46, 000 • All doctors in the top 5% of population in earnings • Income Disparity in Specialties • Primary Care (FM, IM, Peds) - $180 - 220,000 • Medical or Surgical Subspecialty – 2 to 3 times more • Health reform and market forces will decrease gap

  18. DON’T HAVE TO MAJOR IN SCIENCES, HOWEVER, CHECK WITH THE MEDICAL SCHOOL FIRST TO FIND OUT WHAT THEY REQUIRE TO ENTER. Getting In To Medical School

  19. Do I have to major in biology? NO

  20. College Major • Admission rate for biology majors is lower than liberal arts majors • BUT - most people applying are biology majors • Do what you like in order to do well! • Economics, English, Anthropology, Philosophy • Biochemistry

  21. Medical College Admission Test (MCAT) • Starting in 2015, the MCAT® exam will balance the natural sciences with a new section on the psychological, social, and biological foundations of health.

  22. What Kind of Medical School? • MD – medical doctor, “allopathic” • DO – doctor of osteopathy , “osteopath” • DO schools offer similar medical studies as MD schools • Focus on “whole person” or more holistic approach • Learn osteopathic manipulative medicine

  23. Medical Schools • More allopathic schools • 137 • 18 more starting • More than 19,000 entering students per year • Fewer DO schools • 26, with 34 locations • 3 more starting • About 5,500 per year

  24. Health Careers Advisor • Colleges have academic advisors • Some schools have specific advisors for students pursuing health careers • Seek out their advice • Ask upper class students • Attend presentations by medical students or residents

  25. Student Debt Yes, it costs a lot to go to college and medical school • 36% have pre-medical school loans • 2/3rd less than $25,000 • 62% of students get medical school scholarships • $15,000 - $30,000 • Average medical school debt - $170,000 Data from AAMC Graduate Questionnaire, 2011

  26. Resources • AAFP Medical Education: aafp.org/med-ed • Aspiring Docs (AAMC): aamc.org/students/aspiring • American Medical Student Association: amsa.org • Explore Health Careers: explorehealthcareers.org • National Area Health Education Centers: nationalahec.org • Student National Medical Association: snma.org • Student Osteopathic Medical Association: studentdo.org

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