House Rural Development Council
The Georgia Board for Physician Workforce plays a crucial role in supporting and developing medical education programs to increase the number of healthcare practitioners in underserved rural areas. With a focus on rural communities, the board ensures a sustainable healthcare workforce through various initiatives and reports on physician education and retention.
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House Rural Development Council July 20, 2017 GEORGIA BOARD FOR PHYSICIAN WORKFORCE LaSharn Hughes, MBA Executive Director
Purpose of the Board O.C.G.A. 49-10-2 - The purpose of the Board shall be to address the health care workforce needs of Georgia communities through the support and development of medical education programs and to increase the number of physicians and health care practitioners practicing in underserved rural areas. 2
Board Members & Staff There are 15 Board members 5 Primary Care Physicians 5 Non-Primary Care Physicians 3 Hospital Representatives 2 Consumer Members Of the 15 members, eight members must be from rural areas Six-member staff 3
We produce data! Annual Report GME Exit Survey Medical School Graduate Survey Medical School Fact Sheet Physician Assistant Data Report Dentist Data Report Physicians by County by Specialty Supply, Mix and Distribution Report Demographics (age, sex, race) Report on retention of physicians educated in GA Award Reports 6
Undergraduate Medical Education Students in medical school State funding helps ensure an adequate supply of primary care and other needed physician specialists through public/private partnerships with Georgia s four private medical schools 7
Medical School Enrollment, 2017 GA Percent of Total Students Trained 2016- 2017 Georgia Residents Resident Percent of Total Class 34.3 Medical School Emory MCG/AU and AU/UGA partnership Mercer Morehouse PCOM GA Campus Total Enrollment 575 20.6 197 916 32.7 879 96.0 448 324 534 16.0 11.6 19.1 448 249 287 100.0 76.9 53.7 2,797 100.0 2,060 73.7 8
Graduate Medical Education Internal Medicine residents at Memorial Health University Medical Center in Savannah 9
Georgia GME Exit Survey, 2016 Debt Amount of Debt Number Percent $90,000 or Less 44 12.4% $99,000 or $159,000 44 12.4% $160,000 to $199,000 38 10.7% $200,000 to $249,000 66 18.6% $250,000 to $299,000 52 14.6% $300,000 to $349,000 55 15.5% $350,000 or More 55 15.5% N|A 1 0.3% TOTAL 355 100.0% 10
Who qualifies for loan repayment? Service-cancelable loan repayment programs are for physicians, dentists, physician assistants and advanced practice registered nurses The programs assist in paying debt incurred for tuition, fees and other expenses associated with the completion of the aforementioned degrees for practitioners who agree to practice full-time in an underserved, rural county in Georgia with a population of 35,000 or less 12
Eligible County Map for All Loan Repayment Programs Eligible Practice Locations in Red Counties of 35,000 or less, according to the 2010 U.S. Census Count 13
Physician for Rural Areas Program Loan Repayment Programs: 35 Physician for Rural Areas Awards 8 Georgia Physician Loan Repayment Program Awards 8 Dental for Rural Assistant Awards 20 Advanced Practice Registered Nurses Loan Repayment Award and Physician Assistant Loan Repayment Awards Average retention of loan repayment recipients still practicing in rural Georgia- 66.7 percent 14
Why is the Boards Work Important? 15
Aging Workforce Georgia s physician workforce is rapidly aging. In the 2015 survey, 58.7% of the physician workforce is age 50 and above, and of that percentage, 20.1% reported they be retiring in the next five years. 21.2% of the physicians retiring in the age group of 50 and above are practicing in rural counties. 41.3% of the physician workforce is age 49 and below, and 0.5% reported they will retire in the next five years. 16
Counties with No APRN or Physician Assistant Habersham Habersham Chattooga Chattooga Bank s Bank s Echols Echols No PAs No APRNs 18
Georgias Rural Health Crisis County Population County Type No Hospitals No Physicians No PAs No NPs No Dentists Echols 4,040 Rural X X X X Glascock 3,065 Rural X X X X Long 17,731 Rural X X X X X Quitman 2,302 Rural X X X X Schley 5,168 Rural X X X Taliaferro 1,639 Rural X X X X X Treutlen 6,785 Rural X X X Webster 2,658 Rural X X X X X Wheeler 7,903 Rural X X 20
Practice Opportunity Fairs Navicent Health in Macon (September 21, 2016) 30 exhibitors 43 residents Medical College of Georgia at Augusta University in Augusta (October 26, 2016) 27 exhibitors 91 residents Memorial Health University Medical Center in Savannah (November 3, 2016) 24 exhibitors 50 residents Medical College of Georgia at Augusta University in Augusta (March 8, 2017) 31 exhibitors 57 residents 22
Policy proposals Increase the number of recipients for the GBPW s loan repayment programs Create pipeline programs to connect rural middle- and high-schoolers with medical schools and the medical profession (Medical Schools/AHEC) Expand the amount of slots at current GME programs Develop new GME programs 23
Community Involvement Academic mentoring and guidance of middle/high school students interested in healthcare fields Partner with medical/nursing/PA schools to expose students to health education Work with community leaders from various institutions (i.e. churches, hospitals, schools, banks) to build an infrastructure around new physicians Work with local industries to ensure they are aware of physicians in their communities that they can add to their health plans 24
Contact Information LaSharn Hughes, MBA, Executive Director 2 Peachtree Street NW, 36th Floor Atlanta, Georgia 30303 404-463-1055 lhughes@dch.ga.gov www.gbpw.georgia.gov 25
