Bruksch-Meck Kimberly, Crouse Byron, Quinn George, McCart Linda, Traxler Kara
Department of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin,
Department of Family Medicine and Community Health, School of Medicine and Public Health, Madison, Wisconsin.
WMJ. 2018 Dec;117(5):201-207.
The physician shortage is an increasing concern across the nation. Wisconsin is seeing this shortage grow even more prominently in rural counties. In order to prepare a sufficient rural physician workforce, several state-funded programs are collaborating to monitor the number of rural graduate medical education (GME) opportunities available, assess the number of rural physicians needed to meaningfully reduce the shortage, and promote effective development and expansion of new and existing opportunities. From 2010 to 2017, there has been substantial growth in rural-focused undergraduate, graduate, and continuing medical education opportunities; by 2020, there will be 141 new rural GME positions through creating new and expanding existing residency and fellowship programs. Once residents and fellows graduate from their respective programs, it will be possible to measure to what degree rural program expansion may impact the number of physicians who choose to stay and practice in rural Wisconsin communities. The program initiatives in this report have demonstrated success in increasing residency and fellowship training opportunities with early outcomes indicating this strategy is effective in the recruitment and retention of physicians in rural Wisconsin.
医生短缺问题在全国范围内日益受到关注。威斯康星州农村地区的这一短缺现象更为突出。为了培养足够的农村医生队伍，几个由州政府资助的项目正在合作，以监测农村地区研究生医学教育（GME）机会的数量，评估为切实缓解短缺所需的农村医生数量，并促进新的和现有的机会得到有效发展和扩大。2010年至2017年期间，以农村为重点的本科、研究生和继续医学教育机会大幅增加；到2020年，通过创建新的和扩大现有的住院医师培训和专科培训项目，将新增141个农村GME职位。一旦住院医师和专科培训学员从各自的项目毕业，就可以衡量农村项目的扩张在多大程度上可能影响选择留在威斯康星州农村社区执业的医生数量。本报告中的项目举措已成功增加了住院医师培训和专科培训机会，早期结果表明该战略在招募和留住威斯康星州农村地区的医生方面是有效的。
