Nov 14, 2013 • 17M

Reforming Graduate Medical Education to Address the Healthcare Workforce Shortage: A Conversation with Dr. David Goodman (November 14th)

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David Introcaso, Ph.D.
Podcast interviews with health policy experts on timely subjects. The Healthcare Policy Podcast website features audio interviews with healthcare policy experts on timely topics. An online public forum routinely presenting expert healthcare policy analysis and comment is lacking. While other healthcare policy website programming exists, these typically present vested interest viewpoints or do not combine informed policy analysis with political insight or acumen. Since healthcare policy issues are typically complex, clear, reasoned, dispassionate discussion is required. These podcasts will attempt to fill this void. Among other topics this podcast will address: Implementation of the Affordable Care Act Other federal Medicare and state Medicaid health care issues Federal health care regulatory oversight, moreover CMS and the FDA Healthcare research Private sector healthcare delivery reforms including access, reimbursement and quality issues Public health issues including the social determinants of health Listeners are welcomed to share their program comments and suggest programming ideas. Comments made by the interviewees are strictly their own and do not represent those of their affiliated organization/s.
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It's estimated in the next few years the Affordable Care Act will add 25 million Americans to the health care insurance rolls.  In addition, 10,000 Americans age into Medicare every day.  Current estimates by the Health Resources and Services Administration and others show the country already has a shortage of health care providers, particularly primary care physicians, and the shortage is projected to grow substantially worse by 2025.   Since we can neither meet the demand nor improve supply without changes or improvements to medical workforce training what then can be done to reform federally-funded graduate medical education (GME), particularly since GME policy has been frozen since 1997.   

During this 17 minute interview Dr. Goodman discusses the adequacy of the current health care workforce, what can be done in the near term to improve supply particularly to reduce the maldistribution of providers, policy alternatives he is recommending to improve (or incent) provider supply via changes to federal funding of GME and how (any) reform to GME can avoid the consequence of more physicians simply accelerating health care spending without improving healthcare outcomes or population health.  (Please note: Dr. Goodman's comments are his own.)     

Dr. David C. Goodman is a Professor of Pediatrics, the Co-Principle Investigator of the Dartmouth Atlas of Health Care and leads the Institute for Health Policy and Clinic Practice at Dartmouth.  His primary research interest is the relationship of outcomes to health workforce supply and its implications for health workforce policy.  He also leads and mentors a wide range of projects investigating the causes and consequences of variation in health care capacity and utilization. Dr. Goodman is the co-founder of the Wennberg International Collaborative, a research network that advances the study of unwarranted medical practice variation.   He is the author of numerous research publications and serves on several editorial boards.  Dr. Goodman was graduated from SUNY, Syracuse with a MD degree, he did his medical training at Johns Hopkins and earned a MS in epidemiology from Dartmouth.