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The Michigan Primary Care Consortium

This document analyzes the decline of the primary care workforce in Michigan between 2000 and 2005, highlighting the experiences of MDs and DOs. It reveals a troubling trend, where primary care physicians constituted only 34% of the state's physicians, with 38% expected to retire in the next decade. This shortage can impact patient care quality and accessibility. Moreover, it compares starting salaries across different specialties, underscoring the financial burdens and opportunities faced by medical graduates. A critical examination for policymakers in healthcare.

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The Michigan Primary Care Consortium

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  1. The Michigan Primary Care Consortium March 2010 Declining Primary Care Workforce

  2. National MD Experience

  3. Michigan DO Experience Number of Residents 2000 to 2005 800 600 Primary Care 400 Non-Primary Care 200 0 2000 2001 2002 2003 2004 2005 Primary Care 367.5 318.5 281.5 289.5 261.5 276 Non-Primary Care 499.5 493.5 530.5 593.5 629.5 703 *Combined Primary Care/Specialty Residents, e.g. FM/ER, are Counted as a .5 FTE, all FM & IM Emphasis and Track Interns are Included in these Numbers as well as MDs who participate in SCS programs. Traditional interns are not included.

  4. Michigan’s Primary Care Status Ideal: 50% Primary Care Physicians (Pew Commission Report on Health Care Workforce) Michigan: 34% Primary Care Physicians, of which 38% will retire within ten years (MDCH Survey of Physicians 2005)

  5. Medical School Perspective • $150,000 - $200,000 Debt • Three Years GME @ $40-45,000/Year • Take Your Choice! • Starting Salaries: • Family Practice $120,000 - $150, 000 • Internal Medicine $120,000 - $175,000 • Pediatrics $110,000 - $125,000 • Orthopedic Surgery $250,000 - $400,000 • Cardiology $250,000 - $400,00 • (Medical Opportunities in Michigan 2006 Data)

  6. How does Michigan’s reimbursement compare to inflation? *Medicaid HMOs received an 11% increase for physician services. The amount that flowed to physicians is unknown.

  7. Primary Care Score vs. Health Care Expenditures, 1997 Primary Care Score FIN Per Capita Health Care Expenditures

  8. Primary Care is the Foundation of the Health Care System More Primary Care Physicians / 100,000 • Lower Cost • Higher Quality (2003 Medicare Data on “General Practitioners”)

  9. Contributors to Health

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