Is There a [Primary Care] Doctor in the House? Implications of the Affordable Care Act on Graduate Medical Education and Primary Care Physician / Robert J. Cullen.

Format:

Book

Manuscript

Thesis/Dissertation

Author/Creator:

Cullen, Robert J., author.

Contributor:

University of Pennsylvania. Higher Education Management, degree granting institution.

Harper, Shaun R., 1975- degree supervisor, degree committee member.

Aikins, Ross, degree committee member.

Kaplan, Eric, degree committee member.

Language:

English

Subjects (All):

Medicine.

Higher education administration.

Education.

Higher Education Management--Penn dissertations.

Penn dissertations--Higher Education Management.

Local Subjects:

Medicine.

Higher education administration.

Education.

Higher Education Management--Penn dissertations.

Penn dissertations--Higher Education Management.

Physical Description:

1 online resource (132 pages)

Contained In:

Dissertation Abstracts International 78-10B(E).

Place of Publication:

[Philadelphia, Pennsylvania] : University of Pennsylvania ; Ann Arbor : ProQuest Dissertations & Theses, 2017.

Language Note:

English

System Details:

Mode of access: World Wide Web.

text file

Summary:

As a result of a number of factors including compensation, practice environments, and socialization in medical school, there is an accelerating shortage in the number of primary care physicians in the U.S. In 2010, in its 20th Report to Congress, the Council on Graduate Medical Education called for increasing the percentage of primary care physicians from 32% to at least 40% to address this shortage. With the implementation of the Affordable Care Act, millions of uninsured and underinsured persons have become insured and enter the mainstream of healthcare. The Affordable Care Act contains several important provisions to expand the primary care workforce. Graduate medical education is central to development of this workforce. This study aims to answer the following research question: How is an individual primary care graduate medical education residency program affected by and responding to the implementation of the Affordable Care Act and the current and projected primary care physician shortages exacerbated by the Affordable Care Act? Case study methods were used to pursue this question in the context of a primary care graduate medical education residency program. Several useful implications for teaching, learning, and policy implementation emerged from this inquiry based on following themes, which emerged; the Affordable Care Act Impact, Model of Care, Advocacy, Resident Encouragement, and the Joy of Practice. This study found for the case study primary care residency program; a positive impact by the Affordable Care Act implementation, the Patient-Centered Medical Home Model of Care is well suited for primary care residency training and faculty role modeling including the Joy of Practice may encourage residents to pursue primary care practice post residency.

Notes:

Source: Dissertation Abstracts International, Volume: 78-10(E), Section: B.

Advisors: Shaun R. Harper; Committee members: Ross Aikins; Shaun R. Harper; Eric Kaplan.

Department: Higher Education Management.

Ed.D. University of Pennsylvania 2017.

Local Notes:

School code: 0175

ISBN:

9781369827361

Access Restriction:

Restricted for use by site license.