Racial Diversity in the Health Professions in California

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Racial Diversity in the Health Professions in
California
Sacramento, CA February 23, 2005
Catherine Dower, JD Center for the Health
Professions, University of California, San
Francisco
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California by Race/Ethnicity, 2000
Physicians
Population
Source UCSF Center for the Health Professions,
2001
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CA Physicians by Race/Ethnicity, 2000
Generalists
Specialists
Source UCSF Center for the Health Professions,
2001
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California physicians likelihood of becoming a
generalist, by race, 2000

• Asian/Pacific Islander 45
• Black, Non-Hispanic 35
• White, Non-Hispanic 30
• Hispanic/Latino 49
• Overall total 36

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CA physicians by specialty and race/ethnicity,
2000
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Medical schools attended by California active,
patient-care physicians, 2000
Other US medical schools 50
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US Medical School Matriculants by Race/Ethnicity
1975-2000
Are Physicians Leaving Medicine?
US Population 2005
Sources UCSF Center for Health Professions 2001
AAMC 2000
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Residency sites of CA physicians, 2000
Non-CA residency sites 45
California residency sites 55
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CA Physicians in Residency/Training, 1998
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Mitigating Factors

• Other professions
• Significant proportions of NPs, PAs and CNMs
  practice in federally designated underserved
  areas
• Fluency in Spanish, 2001
• 28 of primary care physicians
• 17 of specialists

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Exacerbating factors

• Other professions racial/ethnic diversity
• Geographic practice area
• New patient enrollment

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California Supply of Physicians per 100,000
population
How are practice patterns changing?
North Valley/Sierra Bay Area Los Angeles Orange
North Counties Central Coast San Diego
Central Valley/Sierra South Valley/Sierra Inland
Empire
COGME Range 145-185 MDs/100,000 population
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CA Physicians accepting new patients, 2001
How are practice patterns changing?
Source Grumbach et al, UCSF 2002
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http//futurehealth.ucsf.edu
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Are Physicians Leaving Medicine?
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UCSF Center for the Health Professions3333
California Street, Suite 410San Francisco, CA
94118415/476-1894415/476-4113

• cdower_at_thecenter.ucsf.edu
• http//futurehealth.ucsf.edu