Skip to main content

Table 1 Priority 1: Appropriate size, specialty mix, and geographic composition of the physician workforce

From: Responsiveness to societal needs in postgraduate medical education: the role of accreditation

Interventions Benefits to the health care system
(relevant social accountability values)
Strategies to effect change
Ensure appropriate size, specialty mix, and skill set of the physician workforce Improved access to care for all individuals; improved population health
(relevance, equity) [3]
System: Top-down government control of specialty choice; national/state/provincial funding incentives for training generalista physicians
Accreditation: Standards that require curricula and learning experiences related to improving population health
Institution and program: Institutions and programs with a mission to train generalist physicians
Individual: Educational debt forgiveness or incentive payments for individuals selecting generalist specialties
Optimize geographic distribution of physicians Access to care and improved population health for rural and underserved inner-city populations
(relevance, equity) [3]
System: Top-down governmental control of health care; national/state/provincial funding incentives for training physicians for rural and underserved locations
Institution and program: Institutions and programs with a mission to prepare physicians for practice in rural and underserved areas
Individual: Educational debt forgiveness or incentive payments for individuals practising in rural or underserved areas
Reduce “brain drain” through international medical migration Enhanced retention of physician workforce in nations with physician shortages; increased international equity and fairness
(relevance, equity) [3]
Global systems: WHO Global Code of Practice on the International Recruitment of Health Personnel [10]
  1. aGeneralist specialties include primary care specialties and other general specialties in short supply, such as psychiatry and surgery