Expanding Access to Primary Care: Addressing Barriers for Assistant Physicians and International Medical Graduates

Expanding Access to Primary Care: Addressing Barriers for Assistant Physicians and International Medical Graduates

Introduction:

Access to primary care is a significant concern in many states, with a shortage of healthcare providers exacerbating the problem. However, some states have taken steps to remove barriers and improve access by allowing assistant physicians (APs) and international medical graduates (IMGs) to contribute to primary care services. In this article, we will explore the impact of these initiatives and discuss the career development needs of IMGs in Canada.

Removing Barriers: Assistant Physicians in Primary Care:

Recognizing the shortage of primary care providers, certain states have implemented programs to allow unmatched medical school graduates to work as assistant physicians and deliver primary care services. Missouri pioneered this approach in 2017, and since then, other states like Arkansas, Idaho, Kansas, Louisiana, Utah, and Arizona have followed suit. The introduction of APs has increased the primary care provider workforce in Missouri by 3 percent by February 2023.

The Role of International Medical Graduates in Canada:

In Canada, the career development needs of international medical graduates (IMGs) revolve around two key aspects. Firstly, they must prepare for licensing exams in Canada and integrate into the local clinical practice culture. Secondly, they require training for alternative career paths beyond residency. These needs were identified through research and underscore the importance of supporting IMGs in their professional journeys.

Connecting the Dots: Expanding Opportunities for Primary Care:

While the programs for assistant physicians and international medical graduates may seem distinct, they share a common goal of expanding access to primary care. By removing barriers for unmatched medical school graduates and providing opportunities for IMGs, both initiatives contribute to addressing the shortage of primary care providers.

Insights and Unique Ideas:

Expanding access to primary care through assistant physicians and international medical graduates can have several positive outcomes. By utilizing the skills and knowledge of unmatched medical school graduates, states can tap into a pool of highly educated professionals who are eager to contribute to healthcare. Similarly, supporting IMGs in their career development not only benefits the individuals but also enhances diversity and cultural competency within the healthcare system.

Actionable Advice:

• 1. Encourage more states to adopt programs that allow assistant physicians to practice primary care. By expanding this model, more states can alleviate the shortage of healthcare providers and improve access to primary care services.

• 2. Establish comprehensive support systems for international medical graduates in Canada. This includes providing resources and mentorship programs to help IMGs navigate licensing exams, integrate into the local healthcare system, and explore alternative career paths.

• 3. Foster collaborations between medical schools, residency programs, and healthcare institutions to create structured pathways for unmatched medical school graduates and IMGs. By working together, these stakeholders can develop tailored programs that address the unique needs of these individuals and ensure a smooth transition into the workforce.

Conclusion:

Expanding access to primary care requires innovative solutions and a collaborative approach. By removing barriers for assistant physicians and supporting the career development of international medical graduates, we can bridge the gap in primary care services. It is crucial for states to continue exploring and implementing these initiatives to ensure that all individuals have access to quality primary care, regardless of their background or circumstances.