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Princeton Conference XIV (2007)

Health Care Workforce Issues of the 21st Century

May 23-24, 2007

The Fourteenth Princeton Conference was held at The Robert Wood Johnson Foundation in Princeton, NJ, on May 23-24, 2007. Questions that were addressed included: Do we have enough physicians to meet the demand of the baby boomers?  What effect do women have on the practice styles of physicians?  What is the effect of specialty choice of new entrants into the medical profession? Do we have the right mix of physicians?   Can nurse practitioners fill the primary care provision gap?  What are the root causes of nursing shortages and what are the possible solutions?  What are the national and international effects of employing foreign medical graduates?

At this conference, new data was presented to stimulate discussion and spotlight evidence-based approaches to predicting, building and retaining a sustainable workforce.  We also discussed the changing demographics of the physician workforce and considered the means by which government and market forces influence workforce availability.

Agenda

 Fourteenth Princeton Conference Agenda

Policy Brief

Princeton Conference XIV Policy Brief: The Health Care Workforce: Facing Peril or Opportunity? 

Findings from the 14th Princeton Conference, May 23-24, 2007

By Amy Smalarz, Garen Corbett and Michael Doonan

Publication date: July 2007

Papers

Uwe's Letter to Attendees


Analyzing Cause and Effect in the U.S. Physician Workforce

Economists on Academic Medicine: Elephants in a Porcelain Shop?

Uwe E.Reinhardt, Ph.D.

James Madison Professor of Political Economy

Princeton University


What Works: Healing the Healthcare Staffing Shortage

PricewaterhouseCoopers' Health Research Institute

Presentations

     The Imperative to Increase Physician Supply

      Richard A. Cooper, M.D.
      Professor of Medicine
      University of Pennsylvania

    
     The Ultimate Question: Should We Invest Billions of Dollars to Expand Physician Training Rates?
      David C. Goodman, M.D., MS
      Professor of Pediatrics and of Community and Family Medicine
      Dartmouth Medical School

  
     Reflections
      Kevin A. Schulman, M.D.
      Director, Center for Clinical and Genetic Economics
      Duke University Medical Center

  
     Were the Projections of a Physician Surplus Wrong? If So Why? and Can We Learn from Our Mistakes?
      Edward Salsberg, MS
      Director of the Center for Workforce Studies, Associate Vice President
      The Association of American Colleges

  
     New Projections of Physician Supply
      Douglas Staiger, Ph.D.
      Professor of Economics
      Dartmouth College

  
      David Auerbach
      Principal Analyst, Health and Human Services Division
      Congressional Budget Office

  
      Peter I. Buerhaus, Ph.D., RN, FAAN
      Valere Potter Distinguished Professor of Nursing
      Director, Center for Interdisciplinary Health Workforce Studies
      Vanderbilt University Medical Center

  
     Women in the Physician Workforce
      Phyllis L. Carr, M.D.
      Associate Dean of Students
      Boston University School of Medicine

  
     The Changing Demographics of the Physician Workforce
      Joan Y. Reede, M.D., MPH, MS
      Dean for Diversity and Community Partnership
      Harvard Medical School

  
     Nursing Shortages: Is There a Crisis? If So, What Are the Implications?
      Linda H. Aiken, Ph.D.
      The Claire M. Fagin Leadership Professor of Nursing
      Director, Center for Health Outcomes and Policy Research
      University of Pennsylvania

  
     Nursing Shortages - Is There a Crisis?
      Peter I. Buerhaus, Ph.D., RN, FAAN
      Valere Potter Distinguished Professor of Nursing
      Director, Center for Interdisciplinary Health Workforce Studies
      Vanderbilt University Medical Center

  
     Breaking the Cycle: Developing the Next Generation Model of Care Delivery and Staffing for Physicians and Nurses
      Jack Rodgers, Ph.D.
      Managing Director of Health Policy Economics
      PricewaterhouseCoopers

  
     Survival of the Fittest: What Is the Mission of the Teaching Hospitals?
      Uwe E. Reinhardt, Ph.D.
      James Madison Professor of Political Economy
      Princeton University

  
     Medicare Payments & Workforce Issues
      Mark E. Miller, Ph.D.
      Executive Director
      Medicare Payment Advisory Commission

  
     The Collapsing Primary Care Foundation: Why It Matters and What to Do About It
      Kevin Grumbach, M.D.
      Professor and Chair of the Department of Family and Community Medicine
      University of California, San Francisco

  
     Evidence, Value and the Role of Doctors of Nursing Practice
      Mary O'Neil Mundinger, Dr.P.H.
      Dean and Centennial Professor in Health Policy
      Columbia University School of Nursing

  
     The Supply and Demand of Physician Assistants and Nurse Practitioners in the U.S.
      Roderick S. Hooker, Ph.D., MBA, PA
      Medical Staff - Rheumatology
      Department of Veterans Affairs, Dallas VA Medical Center

  
     Trouble in Paradise: The US and the Health Workforce of the World
      Fitzhugh Mullan, M.D.
      Murdock Head Professor of Medicine and Health Policy
      George Washington University

  
     Effects of Using International Medical Graduates and Professionals in the U.S.: An International Perspective
      Onyebuchi A. Arah, M.D., D.Sc.
      Center for Prevention and Health Services Research
      National Institute for Public Health

  
     Can We Use the Health Care Workforce More Efficiently?
      Elliott S. Fisher, M.D., MPH
      Professor of Medicine
      Dartmouth Medical School

  
     Workforce Planning: Expansion vs. Restructuring
      Jerome H. Grossman, M.D.
      Senior Fellow
      John F. Kennedy School of Government

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