The International Medical Students And Young Physician Program

By Christine Thomas


While there are currently physicians and specialists working in rural areas, towns and cities, there is still a major shortage of primary care doctors and others in the United States. In fact, according to experts in the field of demographics, it is likely the country will need up to 120,000 additional specialists, general practitioners and others by the year 2030. In response, the international medical students and young physician program has now been set up in the United States.

It is also hoped that a number of medical school graduates will focus on primary care and general practice. For, most residence programs now focus on specialized areas. As a result, there are a number of primary care and general practitioner vacancies in these areas at clinics and hospitals around the country.

Other reasons for the shortage include a number of limited positions being available at hospitals hosting residency programs. In addition, most programs of residency focus on specialties rather than primary care. Training being out of alignment with current health care utilization is another issue which contributes to the problem. For, if there are no primary care providers, it can be difficult for an individual to obtain a referral to a specialist.

With a forecast suggesting that the 65 and over population will increase by 50% over the next twelve years, the shortage is a long way from over. Considering the fact that older individuals often seek out medical attention more often than young people, and the onset of baby boomers obtaining Medicare, this demand will most likely only increase in the future.

The crisis is greatest in rural, urban and underserved areas such as those with small community hospitals and clinics. In fact, a number of small cities and towns such as Arcata and McKinleyville, California have a hard time keeping doctors beyond the hours to complete a residency. Whereas, others refuse to take positions in these areas due to the cost of housing, or lack of services in the area.

While this is the case, medical students whom are averse to working in primary care fields only add to the problem. For, internal medicine, family medicine and pediatrics are often the most difficult positions to fill around the country. Most often, these individuals avoid working in these areas due to pay being lower than in a number of more specialized areas though training programs are also to blame.

As most residents are trained at huge hospital complexes and university hospitals, most are enrolled in specialized fields. Whereas, if more focus were put on working in more generalized areas, doctors in the United States could begin to overcome the crisis. After which, it will be much easier to determine which areas need the most assistance from those enrolled in the international program.

Once having arrived in the United States from participating schools of medicine, these young residents will work in rural areas as primary care physicians. For, another contributing factor to the shortage is the distribution of physicians to these areas. After which, it is hoped that the shortage will begin to shrink and more students will become interested in these areas in the future.




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