Purpose: The demand for physicians in the U.S., especially those practicing adult primary care, is accelerating and will inevitably require the expansion of residencies, despite current constraints on funding for graduate medical education (GME). A previous study showed little interest in or capacity for expansion of primary care residencies in current teaching hospitals in NYS. This study examines the interest in and capacity for establishing new programs among current non-teaching hospitals in that state. Design and Methods: Chief Executive Officers of eligible non-teaching hospitals in NYS were surveyed and asked if they had interest in establishing a residency program, what medical specialties they would choose assuming availability of additional funds, and what barriers there were to residency development. Results: Fourteen of 46 (30%) NYS sites completed the survey. All but one was interested in establishing residencies; 85 percent would establish new programs in Emergency Medicine; 76 percent in Family Medicine; and 54 percent in Internal Medicine and/or Primary Care Internal Medicine. Virtually all cited significant concerns related to funding, faculty supply, and need for medical school affiliations. Conclusions: A minimum of 28 percent of non-teaching hospitals in NYS have a significant interest in establishing a GME program. If implemented this could increase training in Family Medicine by 40 percent and Internal Medicine by 11 percent. However, there are formidable financial and structural barriers to doing so. Enhanced support programs that go beyond lifting of the current GME cap will be necessary to increase the training of primary care physicians.
| Published in | American Journal of Health Research (Volume 3, Issue 1) |
| DOI | 10.11648/j.ajhr.20150301.13 |
| Page(s) | 13-17 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
Graduate Medical Education, Primary Health Care, Family Medicine, Medical Residency, Medical Workforce
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APA Style
Fabio V. Lima, Karen Goldsteen, Raymond L. Goldsteen, Laura Chiu, Shamuel Yagudayev, et al. (2015). Capacity for Development of Primary Care Residency Programs in Non-Teaching Hospitals in New York State (NYS). American Journal of Health Research, 3(1), 13-17. https://doi.org/10.11648/j.ajhr.20150301.13
ACS Style
Fabio V. Lima; Karen Goldsteen; Raymond L. Goldsteen; Laura Chiu; Shamuel Yagudayev, et al. Capacity for Development of Primary Care Residency Programs in Non-Teaching Hospitals in New York State (NYS). Am. J. Health Res. 2015, 3(1), 13-17. doi: 10.11648/j.ajhr.20150301.13
AMA Style
Fabio V. Lima, Karen Goldsteen, Raymond L. Goldsteen, Laura Chiu, Shamuel Yagudayev, et al. Capacity for Development of Primary Care Residency Programs in Non-Teaching Hospitals in New York State (NYS). Am J Health Res. 2015;3(1):13-17. doi: 10.11648/j.ajhr.20150301.13
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author = {Fabio V. Lima and Karen Goldsteen and Raymond L. Goldsteen and Laura Chiu and Shamuel Yagudayev and Norman H. Edelman},
title = {Capacity for Development of Primary Care Residency Programs in Non-Teaching Hospitals in New York State (NYS)},
journal = {American Journal of Health Research},
volume = {3},
number = {1},
pages = {13-17},
doi = {10.11648/j.ajhr.20150301.13},
url = {https://doi.org/10.11648/j.ajhr.20150301.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150301.13},
abstract = {Purpose: The demand for physicians in the U.S., especially those practicing adult primary care, is accelerating and will inevitably require the expansion of residencies, despite current constraints on funding for graduate medical education (GME). A previous study showed little interest in or capacity for expansion of primary care residencies in current teaching hospitals in NYS. This study examines the interest in and capacity for establishing new programs among current non-teaching hospitals in that state. Design and Methods: Chief Executive Officers of eligible non-teaching hospitals in NYS were surveyed and asked if they had interest in establishing a residency program, what medical specialties they would choose assuming availability of additional funds, and what barriers there were to residency development. Results: Fourteen of 46 (30%) NYS sites completed the survey. All but one was interested in establishing residencies; 85 percent would establish new programs in Emergency Medicine; 76 percent in Family Medicine; and 54 percent in Internal Medicine and/or Primary Care Internal Medicine. Virtually all cited significant concerns related to funding, faculty supply, and need for medical school affiliations. Conclusions: A minimum of 28 percent of non-teaching hospitals in NYS have a significant interest in establishing a GME program. If implemented this could increase training in Family Medicine by 40 percent and Internal Medicine by 11 percent. However, there are formidable financial and structural barriers to doing so. Enhanced support programs that go beyond lifting of the current GME cap will be necessary to increase the training of primary care physicians.},
year = {2015}
}
TY - JOUR T1 - Capacity for Development of Primary Care Residency Programs in Non-Teaching Hospitals in New York State (NYS) AU - Fabio V. Lima AU - Karen Goldsteen AU - Raymond L. Goldsteen AU - Laura Chiu AU - Shamuel Yagudayev AU - Norman H. Edelman Y1 - 2015/01/30 PY - 2015 N1 - https://doi.org/10.11648/j.ajhr.20150301.13 DO - 10.11648/j.ajhr.20150301.13 T2 - American Journal of Health Research JF - American Journal of Health Research JO - American Journal of Health Research SP - 13 EP - 17 PB - Science Publishing Group SN - 2330-8796 UR - https://doi.org/10.11648/j.ajhr.20150301.13 AB - Purpose: The demand for physicians in the U.S., especially those practicing adult primary care, is accelerating and will inevitably require the expansion of residencies, despite current constraints on funding for graduate medical education (GME). A previous study showed little interest in or capacity for expansion of primary care residencies in current teaching hospitals in NYS. This study examines the interest in and capacity for establishing new programs among current non-teaching hospitals in that state. Design and Methods: Chief Executive Officers of eligible non-teaching hospitals in NYS were surveyed and asked if they had interest in establishing a residency program, what medical specialties they would choose assuming availability of additional funds, and what barriers there were to residency development. Results: Fourteen of 46 (30%) NYS sites completed the survey. All but one was interested in establishing residencies; 85 percent would establish new programs in Emergency Medicine; 76 percent in Family Medicine; and 54 percent in Internal Medicine and/or Primary Care Internal Medicine. Virtually all cited significant concerns related to funding, faculty supply, and need for medical school affiliations. Conclusions: A minimum of 28 percent of non-teaching hospitals in NYS have a significant interest in establishing a GME program. If implemented this could increase training in Family Medicine by 40 percent and Internal Medicine by 11 percent. However, there are formidable financial and structural barriers to doing so. Enhanced support programs that go beyond lifting of the current GME cap will be necessary to increase the training of primary care physicians. VL - 3 IS - 1 ER -
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