In 2015, an estimated 43.4 million Americans aged 18 and older suffered from a behavioral health issue. Accurate estimates of the number psychiatrists, psychologists, psychiatric nurse practitioners are needed as demand for care grows.The National Plan Provider Enumeration System Identifier data (October 2015) was used to examine supply practitioners. Providers were classified into three geographic categories based on their practicing county (metropolitan, micropolitan, non-core). Claritas...

Opioid use disorder (OUD) is a substantial public health problem. Buprenorphine an effective medication-assisted treatment (MAT) for OUD, but access difficult patients, especially in rural locations. To improve access, the Comprehensive Addiction and Recovery Act of 2016 extended ability to get Drug Enforcement Administration (DEA) waiver prescribe buprenorphine treat OUD nurse practitioners (NPs) physician assistants (PAs). This study summarizes geographic distribution waivered physicians,...

Abstract Purpose The United States is in the midst of a severe opioid use disorder epidemic. Buprenorphine an effective office‐based treatment that can be prescribed by physicians, nurse practitioners, and physician assistants with Drug Enforcement Administration (DEA) waiver. However, many providers report barriers keep them from either getting DEA waiver or fully using it. study team interviewed rural physicians successfully prescribing buprenorphine to identify strategies for overcoming...

IntroductionOpioid use disorder is a serious public health burden, especially throughout rural America. Although efforts have been made to increase the availability of buprenorphine (an office-based medication-assisted treatment), more than 60% counties in U.S. lack physician with Drug Enforcement Administration waiver prescribe it.MethodsThis study surveyed all physicians 2016 for opioid and asked about physician's demographics, prescribing practices, barriers treatment...

Abstract Purpose Buprenorphine is an effective medication treatment for opioid use disorder (MOUD) but access difficult patients, especially in rural locations. To improve access, legislation, including the Comprehensive Addiction and Recovery Act (2016) Substance Use Disorder Prevention that Promotes Opioid Treatment Patients Communities (SUPPORT) (2018), extended ability to get a Drug Enforcement Administration (DEA) waiver prescribe buprenorphine treat (OUD) numerous types of clinicians....

Healthcare provider implicit bias influences the learning environment and patient care. Bias awareness is one of key elements to be included in education. Research on education enhancing limited. can motivate behavior change. The objective was evaluate whether exposure a brief online course, Implicit Clinical Learning Environment, increased awareness.The course history racism medicine, social determinants health, healthcare, strategies reduce impact clinical care teaching. A sample U.S....

Abstract Background In 2016, the Comprehensive Addiction Recovery Act permitted nurse practitioners (NPs) and physician assistants (PAs) to obtain a waiver prescribe buprenorphine treat opioid use disorder (OUD), with goal of increasing access this treatment. This study's purpose was describe prescribing practices NPs PAs compare barriers rural urban providers face delivering Methods From October 2018 Drug Enforcement Administration list buprenorphine, all (1,057) random sample 500 were...

Abstract Objective To determine the distinct influences of rural background and residency training on practice choice among family physicians. Data Sources Study Setting We used a subset The RTT Collaborative list longitudinal data physicians from American Board Family Medicine National Graduate Survey (NGS; three cohorts, 2016–2018) Medical College Application Service (AMCAS). Design conducted logistic regression, computing predictive marginals to assess associations location with physician...

<h3>PURPOSE</h3> We undertook a study to evaluate the current state of pedagogy on antiracism, including barriers implementation and strengths existing curricula, in undergraduate medical education (UME) graduate (GME) programs US academic health centers. <h3>METHODS</h3> conducted cross-sectional with an exploratory qualitative approach using semistructured interviews. Participants were leaders UME GME at 5 institutions participating Academic Units for Primary Care Training Enhancement...

Objectives. To compare rural versus urban local public health workforce competencies and training needs, COVID-19 impact, turnover risk. Methods. Using the 2021 Public Health Workforce Interest Needs Survey, we examined association between agency location in United States (n = 29 751) individual staff reports of skill proficiencies, risk, experiences bullying due to work as a professional, posttraumatic stress disorder symptoms attributable COVID-19. Results. Rural had higher odds than...

The United States is experiencing an opioid use disorder epidemic. Comprehensive Addiction and Recovery Act allows nurse practitioners (NPs) physician assistants (PAs) to obtain a Drug Enforcement Administration waiver prescribe medication-assisted treatment (MAT) for disorder. This study projected the potential increase in MAT availability provided by NPs PAs rural patients. Using workforce survey data, state scope of practice regulations, number slots that could be was estimated areas. are...

Little is known about how to develop public health workforce capacity for equity work. We explored associations of individual and organizational characteristics local departments (LHDs) with competencies essential advancing equity. Data included responses 29,751 staff from 742 LHDs in 48 states the 2021 Public Health Workforce Interests Needs Survey, plus LHD county demographics. Logistic regression assessed between key factors staff-reported “knowledge of” “confidence addressing” structural...

Objective: We sought to evaluate associations between rural training exposure during surgical residency and eventual practice in a community, whether specific types of were more likely yield surgeons. Background: Growing deficits the surgery workforce have prompted increased attention toward training. However, association communities remains limited. Methods: performed retrospective cohort study US general graduates from 2011-2020. Program information was abstracted websites, American...

We investigated the effects of our Bio-ITEST teacher professional development model and bioinformatics curricula on cognitive traits (awareness, engagement, self-efficacy, relevance) in high school teachers students that are known to accompany a developing interest science, technology, engineering, mathematics (STEM) careers. The program included best practices adult education diverse resources empower integrate STEM career information into their classrooms. introductory unit, Using...

Community paramedicine (CP) uses emergency medical services (EMS) providers to help rural communities increase access primary care and public health services. This study examined goals, activities, outcomes of 31 rural-serving CP programs through structured interviews program leaders document review. Common goals included managing chronic disease (90.3%); reducing department visits (83.9%), hospital admissions/readmissions costs (83.9%). Target populations the chronically ill (90.3%),...

Abstract Purpose Despite the efforts of numerous medical schools to produce rural physicians, many communities in United States still experience physician shortages. This study describes current landscape US undergraduate education and catalogs school characteristics activities that evidence has suggested, experts believe, may result more graduates choosing practice. Methods is a descriptive publicly available rurally relevant all 182 allopathic osteopathic operating 50 states District...

Mental health disorders are increasing among profession students. Compounding this, students from underrepresented backgrounds may face additional stressors and challenges. The aims of this study were to: (1) assess the extent to which burnout, exhaustion, experiences discrimination, stress exist in dentistry, nursing, occupational therapy, pharmacy, physical therapist professional education programs; (2) determine if there significant differences by key demographic characteristics (those...

Abstract Purpose This study assessed electronic health record (EHR) and information technology (HIT) workforce resources needed by rural primary care practices, their workforce‐related barriers to implementing using EHRs HIT. Methods Rural practices (1,772) in 13 states (34.2% response) were surveyed 2012 mailed Web‐based questionnaires. Findings or HIT used 70% of respondents. Among intending use the technology, most did not plan hire new employees obtain EHR/HIT skills even fewer planned...

American Indians and Alaska Natives (AI/ANs) remain underrepresented in the medical profession. This study sought to understand supports barriers that AI/AN students encountered on their path successful school entry.The research team analyzed qualitative semistructured, one-on-one, confidential interviews with 10 identify salient support barrier themes.Supports clustered eight categories: educational experiences, competing career options priorities, health care financial factors, cultural...

Exposing residents to rural training encourages future practice, but unified accreditation of allopathic and osteopathic graduate medical education under one system by 2020 has uncertain implications for residency programs.We describe locations rural-specific content rural-centric programs (requiring at least 8 weeks rurally located training) before this transition.In 2015, we surveyed that were or had tracks in 7 specialties classified as urban using Rural-Urban Commuting Area (RUCA)...

Family medicine rural training track (RTT) residency programs produce a higher proportion of graduates who choose practice than other programs, yet RTTs face continuing threats to their existence. This study sought understand RTT sustainability and resilience factors that enable thrive.In 2014 2015, the authors conducted semistructured interviews 21 leaders representing two closed 22 functioning programs. Interview topics included program strengths providing sustainability, risk for closure...