Publications
The Center exists in part to create original evidence and information that support and advance conversations around professionalism, value, and other health care issues.
READ about scientific publications, briefs, and reports emerging from the Center and its collaborators below.
Medical Professionalism: A contract with society
- Robert L. Phillips Jr., MD, MSPH
- Andrew W. Bazemore, MD, MPH
- Warren P. Newton, MD, MPH
- Richard L. Byyny, MD, FACP
Submitted on: October, 2019
The modern era of medicine has brought about incredible advances in science and technology to improve the care of patients and population health. Additionally, major social changes are occurring that im-pact society, patients, physicians, medicine, health care, and medical education. Medical professionals are governed by ethical codes, and make a commitment to competence, integrity, morality, altruism, and support of the public good. This is a social contract, a covenant of trust with patients and society, that determines medicine’s values and responsibilities in the care of the patient.
New Allopathic Medical Schools Train Fewer Family Physicians Than Older Ones
- Brian Beachler
- Yalda Jabbarpour
- Douglas B. Kamerow
- Elizabeth Wilkinson
- Zachary Levin
- Andrew Bazemore
Submitted on: October, 2019
The first significant expansion of allopathic medical schools since the 1970s was anticipated to produce more physicians capable of addressing the nation’s current and projected primary care shortages. However, our analysis of the early outputs of new allopathic medical schools suggests that these students were nearly 40% less likely to specialize in family medicine than existing schools.
The likelihood of future shortages of adult primary care physicians is of great concern for policy makers as the US population grows and ages.
Pursuing Practical Professionalism: Form Follows Function
- Robert L. Phillips Jr., MD, MSPH
- Andrew W. Bazemore, MD, MPH
- Warren P. Newton, MD, MPH
Submitted on: October, 2019
Still early in a long game of delivery system transformation, the United States is already experiencing some of the negative consequences of pursuing quality and value measurement on professionalism in health care, specifically in the form of provider burnout. Other countries have struggled with similar endeavors, including the United Kingdom, which in 2004 launched an important experiment in value-base payment called the Quality and Outcomes Framework, or the QOF (“Qwaf”). The QOF increased primary care payments by up to 25% depending on how physician did on more than 120 measures.
