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Ted Epperly, MD, FAAFP President and Chief Executive Officer

Building a Primary Care Workforce for Rural America Graham Center Primary Care Forum Washington, DC January 14, 2014. Ted Epperly, MD, FAAFP President and Chief Executive Officer Family Medicine Residency of Idaho, Boise, Idaho

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Ted Epperly, MD, FAAFP President and Chief Executive Officer

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  1. Building a Primary Care Workforce for Rural AmericaGraham Center Primary Care ForumWashington, DCJanuary 14, 2014 Ted Epperly, MD, FAAFP President and Chief Executive Officer Family Medicine Residency of Idaho, Boise, Idaho Clinical Professor of Family Medicine | University of Washington School of Medicine Past President and Past Chairman of the Board | American Academy of Family Physicians Co-Chair, Center on Care Delivery and Integration | Patient Centered Primary Care Collaborative Board Member | Accreditation Council for Graduate Medical Education

  2. Magnitude of the Problem • 20% of Population – 9% of Work Force • 5% of Graduates from U.S. Medical Schools • Rural Population (62 Million) • Size of Australia / Canada • 29 Combined States • 22 Million in HPSA’s (<1 PC physician per 3,500)

  3. Importance of Family Medicine in Rural America

  4. All of this starts with a Well-Trained, Comprehensive Family Physician/ Primary Care Physician

  5. Other Essential health care services - rural • Oral / Dental Health • Mental Health • General Surgery • Nursing

  6. Strategies on Growing the Workforce • K-12 Pipeline • Shadowing & Mentoring • Rural Tracks in Med Schools (WRITE, TRUST, RPAP, WARM) • Rural Training Track’s (RTT’s) AND Rural Rotations in Residencies • Scholarships (City, County, State) • Loan Repayment (City, County, State) • “Recruitention”

  7. Rural Rotation Sites for FMRI

  8. Twenty-Six (30) Active RTT’s Accredited 1-2 RTTs “Operationally” 1-2 RTTs RTT Technical Assistance Program – Updated 9-23-2013, Randall Longenecker, Senior Project Advisor

  9. One State’s Vision Sandpoint Coeur d’Alene Moscow Cottonwood McCall Hailey Rexburg Caldwell Boise Pocatello Magic Valley

  10. Team Practice • NP’s / PA’s – Part of Solution • Part of Patient Centered Medical Home • Nursing • Community Services

  11. Incentives • Differential Pay • Scholarships • Loan Repayment • Telehealth/Project ECHO

  12. Summary – Primary Care Rural Workforce • Huge Issue • Important to Resolve • Encourage / Expedite Pipeline / Continuum / Alignment of Programs • Invest in Successful Models (e.g. RTT’s) • Vision Translated into Action • Community Facing Teams • It all starts with a Well-Trained, Comprehensive Family Physician / Primary Care Physician

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