Training Primary Care Physicians to Serve Underserved Communities: Follow-up Survey of Primary Care Graduates
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Increasing proportions of primary care (PC) physicians enhance population life expectancy and quality of life.1 Basu et al. found that “… as the density of primary care physicians decreased from 46.6 to 41.4 per 100, 000 population” mortality increased.2 For the underserved, need for PCPs is higher, supply is worse, and attrition is greater due to burnout and leaving practice.3 Thus, effective training programs are necessary to prepare competent, committed, resilient doctors to practice PC, particularly with underserved communities.
Our prior, 2006, survey of 20 years of graduates from the NYU/Bellevue Primary Care Internal Medicine Residency (NYUBPC) concluded that program graduates’ high engagement in PC (over 90%) and unexpectedly low (15%) burnout relate to our program pillars: psychosocial medicine, clinical epidemiology, health policy, learning to learn and teach, being whole (patients and learners), and visioning—layered over rigorous inner-city clinical training.4
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Conflict of Interest
The authors declare that they do not have a conflict of interest.
- 2.Basu S, Berkowitz SA, Phillips RL, Bitton A, Landon BE, Phillips RS. Association of Primary Care Physician Supply With Population Mortality in the United States, 2005-2015Association of US Primary Care Physician Supply and Population MortalityAssociation of US Primary Care Physician Supply and Population Mortality. JAMA Internal Medicine. 2019;179(4):506–14. https://doi.org/10.1001/jamainternmed.2018.7624 CrossRefPubMedGoogle Scholar