The Standard Primary Care Year Atlas

SPCyr.GIF Main graphic illustrating primary care contributions for each source of primary care using area under the curve methodology ranging from 29 SPC year top contributions for family physicians down to 1 SPC year per graduate for foreign origin international medical graduates.

SPCperyrfail.GIF The total primary care production for all 5 sources is totaled and divided by the number of IM, NP, PA, PD, and FM graduates for each class year.

rurSPCyr.GIF Sources of primary care have consistent rural and consistent underserved location percentages. It is important to remember that the NP and PA percentages in rural locations and in underserved locations are steadily declining as NPs and PAs depart the family practice mode in practice. Family physician rates of 15% underserved and 20% rural have remained constant at 2 times or greater levels compared to national data.

SPCtot1.GIF Standard Primary Care Year production for all 5 primary care sources for each class year 1970 to 2045 in cumulative graphic

SPCtot2.GIF Standard Primary Care Year production for all 5 primary care sources for each class year 1970 to 2045 in lines for each source

share100with.GIF The share of primary care by each of the five sources of primary care with an intervention of 5000 more family medicine annual graduates

share100without.GIF The share of primary care by each of the five sources of primary care without any intervention in primary care policy.

SPCgradnumb1.GIF Annual graduate numbers of the each of the five sources are illustrated from 1970 to 2045 class years using cumulative graphics

SPCgradnumb2.GIF Annual graduate numbers of the each of the five sources are illustrated from 1970 to 2045 class years using lines for each source.

PerFactorsPCDelivery.GIF The 4 factors are listed relative to generating primary care delivery. Fewer years, lower primary care percentage, lower activity percentage, and lower volume percentage result in much less primary care delivery.

Family Medicine Contributions to Primary Care Are Over 40% of Primary Care Despite the Fewest Graduates Nurse practitioner associations have distributed reports to Congress that attempt to minimize the family medicine contributions to primary care. Fewer US medical school graduates are choosing family medicine, but those interested in family medicine have found new pathways such as Caribbean schools, including Ross University - the single largest source of primary care in the United States. US origin contributions to family medicine and to primary care remain the largest contributors to primary care. Even the foreign origin international medical graduates choosing family medicine deliver 4 or 5 times more primary care than nurse practitioners or physician assistants. Once again, the appropriate measurements of primary care reveal the truth about primary care delivery. If the 7000 nurse practitioner graduates a year were 7000 family physicians with the 35 year careers, the 85% activity levels, the 85 - 90% primary care retention levels, and the top volume of a family physician, the United States would have true health access recovery. Changes in Sources of Family Physicians still translate to top primary care contributions per graduate.

SPCrecovery5000fm.GIF The initial curve of primary care recovery from 1970 to 1978 (before moving away from health access policy) is compared across total primary care production. Gaps primary care production have been consistent with worsening in the 1980s and since 2000. A recovery of health access primary care is demonstrated by the impact of 5000 more family medicine graduates.

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