Guest AuthorAs access to health care continues to expand, Florida policymakers have correctly noted that our state is facing a shortage of both primary-care physicians and nurses.
The Florida Medical Association (FMA), an association representing more than 20,000 physicians, is taking this concern seriously. We are working toward policy solutions that will immediately address the doctor shortage.
What are we proposing?
First, Florida’s medical schools will need additional and targeted funding for family practice residencies. While our state has done a great job of expanding the number of medical schools in Florida, the number of residency slots (clinical training positions necessary for medical school graduates) has simply not kept pace.
As a result, we are educating physicians here in Florida only to send them out of state to complete their educational requirements. Unfortunately, most of them never come back. Most physicians settle down within a few miles of where they complete their residency training.
Our plan aims to end the export of these new doctors by advocating for additional residency funding.
Second, we need to restart student loan forgiveness programs in a way that will encourage new graduates to practice in the areas of primary care and family medicine. Eighty-six percent of medical students graduate with astounding education debt. A significant number of them graduate owing $250,000 or more.
For this reason, states that offer loan forgiveness will have a competitive edge in attracting physicians. Offering state-funded loan forgiveness for targeted primary-care physicians will encourage new doctors to direct their practices into needed areas almost immediately.
Third, our physician members are revamping their business and practice models to expand the collaborative relationship between physicians and Physician Assistants (PAs) and Advanced Registered Nurse Practitioners (ARNPs).
By doing this, we can use these “care extenders” in a way that does not jeopardize patient safety. With continuing education and outreach, increasing numbers of Florida physicians are building these care teams that will reach more patients without sacrificing quality.
Fourth, we must have programs that fairly reimburse family physicians for serving Medicaid patients. Just this summer, due to a policy change supported by the FMA, many family physicians are no longer being asked to lose money when they treat Medicaid patients.
This program must be continued and expanded to more of our state’s family doctors. It will not only save tax dollars in the long run, it will (if administered correctly) encourage more family doctors to treat Floridians on Medicaid.
Fifth, we are working with lawmakers to implement new technologies via telemedicine. We have the opportunity to dramatically expand access to areas where there are too few doctors or where a second opinion is needed quickly.
Our goal is to expand the use of telemedicine while ensuring high standards, protection against fraud and, of course, patient privacy. As with all technological innovations, this will take a great deal of hard work and innovative thinking.
The FMA takes our charge seriously. We recognize that the projected shortage of primary care and family care doctors is a concern to every Floridian. We will continue our work to grow the number of these doctors and expand access to care in a way that is safe and affordable for patients and physicians.
