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Changing the Medical School Curriculum to Improve Patient Access to Primary Care
John E. Verby, MD;
J. Paul Newell, MD;
Susan A. Andresen, EdD;
Walter M. Swentko, MD, MSc
JAMA. 1991;266(1):110-113.
Abstract
The problems of access to health care by the underinsured demand a systematic response. One of the critical components of that response is medical curriculum reform, with the intent to graduate adequate numbers of physicians to do primary care, to work with the underinsured and the uninsured, and to practice in rural areas. One state, Minnesota, has developed a unique response to these needs, demonstrating problem solving very much in keeping with many of the recommendations in the literature. Highlighted in this article is the University of Minnesota's Rural Physician Associate Program, a predoctoral curriculum innovation functioning for 20 years to help resolve the issue of physician maldistribution in the state. The Rural Physician Associate Program provides students with many of the skills needed to provide primary care, it is cost-effective, and it has brought a number of benefits to the participating communities.
(JAMA. 1991;266:110-113)
Author Affiliations
From the Rural Physician Associate Program (Drs Verby and Swentko) and the Department of Family Practice and Community Health (Dr Verby), University of Minnesota Medical School, Minneapolis; and the Department of Family Medicine, Southern Illinois University School of Medicine, Springfield (Drs Newell and Andresen).
Footnotes
Reprint requests to Department of Family Practice and Community Health, University of Minnesota Medical School, Box 81 UMHC, 420 Delaware St SE, Minneapolis, MN 55455 (Dr Verby).
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