How Physicians Change Clinical Focus During the Course of Their Career
Toward developing a better understanding of how physicians change clinical focus during the course of their career
April 25, 2014: American Board of Medical Specialties National Health Policy Forum
The context: Rapid health system change underway.
Much debate has centered on:
- numbers of physicians needed, not content of practice
- redesigning curriculum for students in pipeline not retooling the existing workforce
A whirlwind tour of our physician workforce model: Our team has developed web‐based, interactive physician projection model
- Uses “plasticity” methodology to map supply (physician services provided to patients) to demand (types of health care services patients utilize)
- Plasticity acknowledges physicians flexibly adjust scope of services they provide according to training, practice context and personal preferences
Case studies of plasticity in surgery and family medicine: evidence of narrowing scope of services and a shift of services away from generalists to specialists
A case of data envy: increased collection/analysis of MOC
data would:
- inform your work at ABMS by connecting practice delivery changes to education and certification
- improve our understanding of adequacy of workforce to meet population health needs and where there may be emerging access issues
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