Training Physicians for Public Health Careers (2007) / Chapter Skim
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4 Funding
4 Funding
Pages 79-94
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From page 79... ...
Ensuring funding adequate to support public health physician education is a major issue for those practicing and seeking to enter the workforce. Furthermore, it is necessary to develop a funding system that accommodates physicians entering the public health workforce at various stages in their careers.
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From page 80... ...
) typically do not receive Medicare GME funds, as most programs do not qualify for direct medical education reimbursement because preventive medicine residency training tends to occur in nonhospital settings, for example, in state and local health departments, leaving such nonclinical programs to scramble for resources.
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From page 81... ...
Traditionally, teaching hospitals have been the site for residency education and training, and patient care revenues support the majority of funding for graduate medical education (COGME, 2000) , but in general, because preventive medicine residency training tends to occur in nonhospital settings, such training is not supported through the GME funding mechanism.
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From page 82... ...
maintain or improve existing residency training programs in preventive medicine, and (3) TAbLE 4.1 Title VII Health Professions Programs Relevant to Physician Training Program Name Program Description Recent Funding History Overall Public The Health Professions programs 2002: $10.47 million Health Workforce in this cluster work to strengthen Development the education and training of 2006: $7.92 million Training health professionals in the areas of public health, preventive medicine, and dental public health.
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From page 83... ...
Public Health Partnerships between accredited 2003: $5.5 million Training Center schools of public health and Grant Program related academic institutions 2006: $4.3 million and public health agencies and organizations offer training to a number of public health workers, including physicians. The centers provide training through distance learning applications and other educational tools that are tailored to workforce learning needs.
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From page 84... ...
The centers are partnerships between accredited schools of public health and related academic institutions and public health agencies and organizations that train workers in a range of professions, including physicians and other clinicians. Currently, 14 centers serve the public health workforce in 44 states and the District of Columbia (HRSA, 2006e)
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From page 85... ...
More recently, between FYs 2002 and 2006, funding for public health, preventive medicine, and dental public health programs decreased by nearly a quarter, starting at $10,473,000 in 2002 and decreasing to $7,920,000 in 2006 (HRSA, 2006a) , as shown in Table 4.2.
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From page 86... ...
Even though Title VII provides funds for essential training and educational services, Title VII alone cannot sustain public health training for physicians. Other funding mechanisms and approaches must be developed and strengthened to prepare public health physicians for their roles in the workforce.
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From page 87... ...
The U.S. Department of Defense also supports medical education and other health professions through the Defense Health Program (DHP)
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From page 88... ...
It should be noted that all agencies at all governmental levels bear some responsibility for maintaining the quality of their workforces and should contribute to this responsibility, as should the private sector. State Funding Other sources of funding for public health training activities and programs are the states, which have long supported public health training and medical education.
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From page 89... ...
These mechanisms offer brief training over periods ranging from weeks to months and are generally offered by a variety of schools of public health, federal public health agencies, and private nonprofit organizations. The cost for this training is usually borne by the individual or the individual's employer.
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From page 90... ...
The distribution and size of governmental public health agencies also mean that many public health physicians work in relative isolation from their peers. All of these forces in combination mean that there are insufficient numbers of funded positions for part-time and full-time public health physicians.
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From page 91... ...
The agencies should use these results to align the salaries of their public health physicians to parity with private sector physicians performing comparable work. • federal, state, and local public health agencies develop loan forgiveness programs for physicians who enter and continue to work in the public health sector.
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From page 92... ...
The funding for these and other mechanisms is overstretched, and supplemental funding is needed to maintain an adequate number of well-trained public health physicians. The committee strongly believes that these challenges must be met through a collaborative effort among stakeholders to maintain and expand existing programs and key leadership and programmatic positions in public health agencies, assess the salaries of public health physicians so that they are congruent with the salaries of individuals in similar positions in the private sector, and create incentives for physicians to enter the public health sector.
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From page 93... ...
2006. Training physicians for public health careers.
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