It’s not secret these days, at least within medical circles, that primary care is in trouble. Workloads are massive, pressure has been high, payouts have been meager, and many primary care doctors are deciding - after years of running in the red - to close up shop.
On the tails of health care reform, we’ve seen a counter-surge of energy and hope around primary care. Payment reform, health care redesign, and technology (read: big changes in how we practice and offer health care) are poised to really change how we approach the whole issue.
How all of this ends up shaking out, however, is far from clear. What is clear, though, is that we need to experiment with how we teach and train primary care physicians. The old system is broken by any measure.