|Policy Issue Brief - Preventive Medicine Workforce|
ACPM recognizes residency training and board-certification in Preventive Medicine as the gold standard of competency for public health physicians.ACPM advocates for the expansion of PMR programs to meet the growing need for public health physicians.
Unfortunately, the supply of Preventive Medicine physicians is shrinking.In 2011 there were 310 Preventive Medicine residents in training at 72 programs, compared with 410 residents training at 85 programs 10 years prior.2,4
The largest contributor to the decrease in the number of Preventive Medicine residents training is inadequate funding due to the current reimbursement structure.Physicians training in Preventive Medicine are the only medical residents whose graduate medical education (GME) costs are not supported by Medicare, Medicaid or other third party insurers, because training occurs outside hospital-based settings and therefore is not financed by GME payments to hospitals.
The Institute of Medicine (IOM) recognizes the shortage of Preventive Medicine physicians and in its 2007 report, "Training Physicians for Public Health Careers,” called for expanded training capacity to graduate a minimum of an additional 400 residents each year.In addition, the report recommends that this expansion should be supported by federal general education funds that are not linked to the provision of clinical medical services.
2. Lane D. A threat to the public health workforce: evidence from trends in preventive medicine certification and training. Am J Prev Med 2000;18:87-96.
3. Graduate Medical Education National Advisory Committee. Summary Report of the Graduate Medical Education National Advisory Committee to the Secretary. US Health and Human Services, Health Resources and Services Administration, 1980.
4. Accreditation Council for Graduate Medical Education. Number of Accredited Programs by Academic Year. Available at: http://www.acgme.org/adspublic/reports/accredited_programs.asp?accredited=1. Accessed July 15, 2011.
5. Council on Graduate Medical Education First Report of the Council. US Health
and Human Services, Health Resources and Services Administration, 1988.
6. Council on Graduate Medical Education Fourth Report to Congress and the Department of Health and Human Services Secretary. Recommendations to Improve Access to Health Care Through Physician Workforce Reform. US Health and Human Services, Health Resources and Services Administration, 1994.
7. Council on Graduate Medical Education Sixth Report. Managed Health Care: Implications for the Physician Workforce and Medical Education. US Health and Human Services, Health Resources and Services Administration, 1995.
8. Council on Graduate Medical Education Resource Paper Compendium. Update on the physician workforce: Physicians in the public health workforce. US Health and Human Services, Health Resources and Services Administration, 2000.