Cultivating the physician workforce: Recruiting, training, and retaining physicians to meet the needs of the population

Abstract

In the 10 years since the Lancet Commission on Education of Health Professionals for the 21st Century suggested the changes necessary to transform medical education, the United States remains plagued by shortages of physicians and maldistribution of the physician workforce. Minoritized and rural communities usually suffer the most, with widely documented health disparities across the United States by race, ethnicity, gender identity, education, and zip code. Medical schools can respond by recruiting students more likely to practice in these settings and training them to address the community needs. In 2013, the American Medical Association launched an initiative to trigger transformation in medical education and formed a consortium of schools representing a diversity of U.S. institutions. Consortium member schools highlighted in this article share lessons learned in their efforts to strengthen social accountability and develop needed sectors of the physician workforce. Development of the physician workforce involves recruiting and widening pathways of entry for diverse groups, providing training settings and competencies aligned with community needs, and explicit programming in retention, inclusion and well-being to mitigate against workforce losses. KEYWORDS Medical education; social accountability; structural and social determinants of health; diversity equity and inclusion; well-being The social accountability of educational institutions 'As for most other wealthy countries, the USA has chronic shortages of physicians, suffers from imbalances in expertise (especially shortage of primary care physicians), and has maldistribution of professionals for coverage of disadvantaged populations.' -The 2010 Lancet Commission on Education of Health Professionals for the 21st Century (Frenk et al. 2010) CONTACT Carol A. Terregino

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