Atul Grover, MD, PhD’s Post

We know the supply of employed NPs and PAs has skyrocketed in the past decade, but what does this mean for #healthworkforce projections? Well, like so many things, it depends... A new paper published today (one of a series authored by the Association of American Medical Colleges (AAMC) Research and Action Institute’s Fellow in Residence, Gaetano Forte, MS, Assistant Director, Center for Health Workforce Studies, University at Albany, SUNY), examines ways to better understand the role of NPs and PAs and how this new knowledge should be incorporated into existing health workforce projections models. To solve modeling deficits and to better project supply and demand for NPs and PAs, the brief suggests an approach that includes improving available data on the contributions of NPs and PAs in team settings and in independent settings; and reframing workforce practice and policy parameters to reflect reality of how care is delivered—not how we wish it to be. Understanding new information on the roles of varying care team members such as NPs and PAs can not only improve workforce projection models, but can also facilitate crucial policy conversations that acknowledge the current complexities of care provision and devise realistic policy solutions to health workforce shortages. So, it depends...do we want to have an honest conversation or continue to wish away our health workforce challenges? Read the full brief: https://ow.ly/og1W50SxWmK

Such a wonderful experience working with my colleague Melisa Lindamood to bring real-world, practical examples to passionate public health advocates Johns Hopkins Bloomberg School of Public Health Passion alone won't improve health and it was great to learn first hand from leaders like Melanie Egorin how to put that passion for better health into action. https://lnkd.in/eCvSsk-8

New doctors continue to avoid training in states with bans/restrictions on reproductive care. When you look at states where abortion is banned/severely limited, they often are the same states having difficulty recruiting/retaining physicians. If this trend continues, likely to further decrease access to care across specialties (not just OB/Gyn) for patients who are already underserved, especially in states with large rural populations Thanks to Marketplace by APM for running this story https://lnkd.in/eiPT3M3H

Even here in Maryland, with an all payer inpatient system, no single health system has more than ~20% of the market at the state level. Yet CareFirst, the BCBS plan, holds over half the private market power at the sate level. https://lnkd.in/eBQ8gwQa

It’s been two years since the Dobbs v. Jackson Women’s Health Organization decision was issued, and we’re just now scratching the surface of its impacts on the #physicianworkforce. Last year, we noted at a point in time that U.S. MD seniors, the most competitive applicants for residencies, appeared to have decreased interest in training in states with restrictive reproductive health laws. An updated analysis from the AAMC Research and Action Institute shows that the number of new medical graduates from U.S. MD programs applying to residency programs decreased; and that, for two years in a row, those decreases were more pronounced in states that banned abortions compared to states without bans. In particular, similar to the trend seen for all residency applicants, the decrease in unique U.S. MD senior OB/GYN applicants year over year was largest in states with complete bans (-6.7%) while states without restrictions saw a small increase in unique applicants (0.4%). The examination of two years of data suggests that restrictions on women’s health care may continue to disproportionately decrease the likelihood that U.S. MD seniors will apply for residencies in states with the most restrictive practice environments. Read the full snapshot: https://ow.ly/mbWv50RAgpH