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When will everyone wake up!!!!!! Our State has the resources to do something about this shortage, but refused to spend any significant amount of money.
We have have a serious shortage of all types of health care workers. We need to train a lot more of everything including nurses, pharmacists, physicians, nurse practitioners, etc, etc., etc. Our state needs to support at least two more medical schools (both allopathic and osteopathic). I have always said that Purdue and Notre Dame would be the prime organizations to accomplish this. Both have plenty of money of its own. The State should support more residency programs for internal medicine, family practice and pediatrics. The current medical community should have a better relationship with nurse practitioners to share the load of primary care. Other States have figured this out. It is a turf war problem, plain and simple. Citizen of Indiana it is just going to get worse!!!!!!!!!!!!
A way to move forward in solving the rural health crisis would be to allow advanced providers (Nurse Practitioners, NP and Physician Assistants, PA) to move away from the shackles of practice agreements and practice freely in those rural communitees. A few doctors spew mis-information as to how medical doctors are perfect and advanced practitioners cannot diagnose a hangnail without an MD lording over their every move. My wife is an NP who has patients who never see an MD as they prefer to see her.
If the state wants to begin to resolve the shortage, all they have to do is start treating people who are trained in medicine to act as providers in those communitees in need.
Practice agreements are in place to keep patients safe and ensure they are receiving physician led healthcare. The training differences are vast. No one doubts an NP can dx a hangnail but it’s the recognition of complex pathology and how to best manage multiple medical comorbidities that requires 12000-16000 hours of high standardized training. Not 500 hours of loosely defined shadowing. The answer to a care shortage is not to reduce the standards of those providing it.