Investigators: Erin Fraher, PhD, MPP Colleen Tapen, MPH, MBA, Haley Simons, Emily Hawes, PharmD, BCPS, CPP An increasing number of US states are allowing international medical graduates (IMGs) to pursue alternative pathways to residency, licensure, and practice, in some cases bypassing the requirement to complete a US residency. In this study, we will interview experts… Read more »

Investigators: Esita Patel, PhD, Erin Fraher, PhD, MPP It is unclear how the COVID-19 pandemic affected turnover of Nurse Practitioners (NP) and how NP turnover varies by setting. This study will compare NP workforce behaviors (e.g., turnover rates, intention to leave, and reasons for leaving or staying) during the pre-pandemic (2018) and mid-pandemic (2022) periods… Read more »

Investigators: Brianna Lombardi, PhD, MSW, Evan Galloway, MPS, Brooke Lombardi, PhD, MSW, Erin Fraher, PhD, MPP As the United States faces worsening workforce shortages and a persistent maldistribution of health care workers, foreign-born and foreign-trained health professionals may comprise an increasingly important labor source. We will develop a data visualization that allows users to explore… Read more »

Investigators: Erin Fraher, PhD, MPP, Evan Galloway, MPS, Brianna Lombardi, PhD, MSW Shifts in the migration patterns of the population, recent increases in immigration, and new state and federal sources of GME funding have likely spurred changes in where physicians train and practice. This study will update DocFlows version 1 (https://docflows.unc.edu) to track the moves… Read more »

Investigators: Anna Dodson, BSPH; Nathan Nelson-Maney, BS; Thomas C. Ricketts, MPH, PhD; Jill Forcina PhD, RN, CNE, CNL, OCN Objectives: To develop guidelines for training and information on accessing training resources to “surge” healthcare workforce professionals during the COVID-19 pandemic and beyond. These documents are called “Playbooks” and are meant to provide health care systems,… Read more »

Investigators: Esita Patel, PhD, Erin Fraher, PhD, MPP It is unclear how the COVID-19 pandemic affected turnover of Nurse Practitioners (NP) and how NP turnover varies by setting. This study will compare NP workforce behaviors (e.g., turnover rates, intention to leave, and reasons for leaving or staying) during the pre-pandemic (2018) and mid-pandemic (2022) periods… Read more »

Investigators: Erin Fraher, PhD, MPP Colleen Tapen, MPH, MBA, Haley Simons, Emily Hawes, PharmD, BCPS, CPP An increasing number of US states are allowing international medical graduates (IMGs) to pursue alternative pathways to residency, licensure, and practice, in some cases bypassing the requirement to complete a US residency. In this study, we will interview experts… Read more »

Investigators: Brianna Lombardi, PhD, MSW, Evan Galloway, MPS, Brooke Lombardi, PhD, MSW, Erin Fraher, PhD, MPP As the United States faces worsening workforce shortages and a persistent maldistribution of health care workers, foreign-born and foreign-trained health professionals may comprise an increasingly important labor source. We will develop a data visualization that allows users to explore… Read more »

Investigators: Erin Fraher, PhD, MPP, Evan Galloway, MPS, Brianna Lombardi, PhD, MSW Shifts in the migration patterns of the population, recent increases in immigration, and new state and federal sources of GME funding have likely spurred changes in where physicians train and practice. This study will update DocFlows version 1 (https://docflows.unc.edu) to track the moves… Read more »

Investigators: Donald E. Pathman, MD MPH; G. Mark Holmes, PhD; Samuel Berchuck, BS; James W. Terry, Jr., BA Although physician workforce planning approaches the need for physicians of each specialty individually, in fact many services are provided by physicians of several specialties. Further, there is some evidence that physicians adjust the scope and balance of services… Read more »

Comparison of Specialty Distribution of Nurse Practitioners and Physician Assistants in North Carolina, 1997-2013 Investigators: Perri Morgan, PhD, PA-C, Anna Johnson, PhD, MSPH, Erin Fraher, PhD, MPP Background: As healthcare demand in the United States is expected to grow, increased use of nurse practitioners (NPs) and physician assistants (PAs) is seen as a partial solution to… Read more »

Investigators: Erin Fraher, PhD, MPP; Rachel Machta, BS; Jacqueline Halladay, MD, MPH Secretary Burwell recently announced that by 2018, 50% of Medicare payments will be tied to value through alternative payment and care delivery models. What will this shift to value-based payment models mean for the workforce? This paper synthesizes the existing body of evidence on the workforce implications of new models of care. We identify:… Read more »

Investigators: Thomas C. Ricketts, PhD, MPH Background: Federal and state policies try to influence physician location choices using a combination of programmatic or extrinsic factors (e.g. bonus payments, subsidized loans) and personal or intrinsic factors (e.g. promoting volunteerism, orienting trainees to underserved populations and selecting motivated students) to encourage physicians to practice in communities where the population… Read more »

Investigators: Christine M. Everett, PhD, MPH, PA‐C; Brandi Leach, MS; Perri Morgan, PhD, PA‐C Background: Team-based care involving physician assistants (PAs) and nurse practitioners (NPs) is one recommended strategy for improving access, quality, and cost of care in the patient-centered medical home (PCMH). The fact that PA/NPs can, and do, perform a variety of roles on… Read more »