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The Supply and Distribution of the Preventive Medicine Physician Workforce
Thomas C Ricketts1, Deborah S Porterfield, Randall L Miller
1Cecil G. Sheps Center for Health Services Research (Drs Ricketts and Fraher) and Departments of Family Medicine (Drs Porterfield and Fraher) and Preventive Medicine (Dr Miller), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; and NC Division of Public Health, Raleigh, North Carolina (Dr Porterfield).
Context:
Preventive medicine physicians work at the intersection of clinical medicine and public health. A previous report on the state of the preventive medicine workforce in 2000 revealed an ongoing decline in preventive medicine physicians and residents, but there have been few updates since.
Objective:
The purpose of this study was to describe trends in both the number of board-certified preventive medicine physicians and those physicians who self-designate preventive medicine as a primary or secondary specialty and examine the age, gender distribution, and geographic distribution of this workforce.
Design:
Analysis of the supply of preventive medicine physicians using data derived from board certification files of the American Board of Preventive Medicine and self-designation data from the American Medical Association Masterfile.
Setting:
The 50 US states and District of Columbia.
Participants:
Board-certified and self-designated preventive medicine physicians in the United States.
Main Outcome Measures:
Number, demographics, and location of preventive medicine physicians in United States.
Results:
From 1999 to 2018, the total number of physicians board certified in preventive medicine increased from 6091 to 9270; the number of self-identified preventive medicine physicians has generally decreased since 2000, with a leveling off in the past 4 years matching the trend of preventive medicine physicians per 100 000 population; there is a recent increase in women in the specialty; the practice locations of preventive medicine physicians do not match the US population in rural or micropolitan areas; and the average age of preventive medicine physicians is increasing.
Conclusions:
The number of preventive medicine physicians is not likely to match population needs in the United States in the near term and beyond. Assessing the preventive medicine physician workforce in the United States is complicated by difficulties in defining the specialty and because less than half of self-designated preventive medicine physicians hold a board certification in the specialty.
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