title: Perspective: Leveraging the health care workforce: what do we need and what educational system will get us there?
abstract: Shortages of 100,000 physicians and up to one million nurses are projected in the next 10 years. If these statistics are close to true, medical schools would need a 100% increase in graduates over the next 4 years, and nursing schools a 100% increase over the next 13 years. These calculations are instructive in that they demonstrate the absurdity of expecting schools to provide these sorts of increases in that time frame. Other solutions must be considered. For instance, do doctors and nurses need to do everything they are currently called on to do? Could not other members of the health care workforce, such as well-trained lay workers, be leveraged to do some of the more routine work, freeing medical professionals to perform their unique roles? How is such a workforce built, and how shall learners be educated to fill those needs? This article presents a hypothetical model that could be implemented based on carefully researched pilots to meet health care education needs. The model features three essential components: (1) a school for the public in which lay teachers develop curricula with members of the public, for example, about how to incentivize healthy behavior, (2) a college for health as part of a university with interdisciplinary teaching, where patients, faculty members, and students interact in each of the schools and learn together, and (3) the most effective and efficient nursing and medical school curricula, developed together based on evidence of what the student needs to know.
authors.affiliation: Center for Health Policy, and former dean, School of Medicine, University of Virginia, Charlottesville, Virginia 22903, USA. garson@virginia.edu
authors.forename: Arthur
authors.initials: A
authors.lastname: Garson
mesh_terms: D003695:Delivery of Health Care; D004501:Education, Medical / Q000458:organization & administration*; D005260:Female; D005544:Forecasting; D006282:Health Personnel / Q000193:education*; D006285:Health Planning / Q000458:organization & administration; D006801:Humans; D008297:Male; D020380:Needs Assessment; D009726:Nurses / Q000600:supply & distribution; D010820:Physicians / Q000600:supply & distribution; D014481:United States; D000078329:Workforce