Why postgraduate residency and fellowship training?
The call for a blending of expertise in individual health, population health, and public health into the role of the primary care provider has never been louder.
The Patient Protection and Affordable Care Act (PL11-148) has made a significant investment in expanding the numbers of individuals with coverage, as well as the capacity of federally qualified health centers to deliver high quality, lower cost, primary care to underserved and special populations. The health reform debate now focuses on improving quality, increasing safety, and controlling cost while ensuring access to both health insurance and healthcare. Nationally we are seeing a new policy focus on prevention, care coordination, chronic disease management, health information technology, and patient-centered medical homes. The call for a blending of expertise in individual health, population health, and public health into the role of the primary care provider has never been louder.
Against this backdrop is the acute need for an expert primary care workforce that is prepared and motivated to practice a model of primary care appropriate to our 21st century healthcare system. We recognize the importance of asking not only “Why aren’t more physicians choosing primary care?” but also “Who does want to be a primary care provider and what strategies are necessary to support them?” We believe post-graduate residency and fellowship training for new nurse practitioners is a promising answer to the latter question.