Can Medical Schools Funnel More Doctors Into Primary Care?

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Can Medical Schools Funnel More Doctors Into Primary Care?
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The Association of American Medical Colleges projects a shortage of 20,200-40,400 primary care doctors by 2036.

Throughout her childhood, Julia Lo Cascio dreamed of becoming a pediatrician. So, when applying to medical school, she was thrilled to discover a new, small school founded specifically to train primary care doctors: NYU Grossman Long Island School of Medicine.

A department’s cache of federal and pharmaceutical-company grants often determines its size and prestige, he said. And at least, including Harvard, Yale, and Johns Hopkins, don’t even have full-fledged family medicine departments. Students at these schools can study internal medicine, but many of those graduates end up choosing subspecialties like gastroenterology or cardiology.

Despite such headwinds, Chukka, now in his final year, remains enthusiastic about primary care. He has long wanted to care for poor and other underserved people, and a 1-year clerkship at a community practice serving low-income patients reinforced that plan. The top 10 schools are all osteopathic medical schools, with 41%-47% of their students still practicing primary care. Unlike allopathic medical schools, which award MD degrees,At the bottom of the US News list is Yale, with 10.7% of its graduates finding lasting careers in primary care. Other elite schools have similar rates: Johns Hopkins, 13.1%; Harvard, 13.7%.

The effort starts with recruitment, looking beyond test scores to the life experiences that forge the compassionate, humanistic doctors most needed in primary care, saidassociate dean for admissions and outreach. Most of the students have families who struggle to get primary care, he said. “So they care a lot about it, and it’s not just an intellectual, abstract sense.”

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