"Leaders of the two existing medical schools, the University of Colorado and Rocky Vista University, said the problem is not graduating more doctors. Instead, they said, leaders need to concentrate on finding primary- care residency programs in the state to continue their training and encourage them to settle here."
I'm not sure if you're disagreeing with what I'd said, but I'm still reading this as saying they need to get people in to primary care in the areas that it is needed.
"Many organizations already are trying hard to find doctors, nurses and assistants willing to locate in challenging areas. Payers such as Medicare and Medicaid will have to raise rates to primary-care doctors to make the field more attractive."
I know this is a bit outdated and from another state, but it shares the same point:
http://www.minnesotamedicine.com/PastIssues/PastIssues2006/June2006/PulseOutsourcingJune2006.aspx
"
The face of family medicine is changing in St. Cloud. This year for only the second time, all four slots in the St. Cloud Hospital/Mayo Family Practice Residency Program will be filled by graduates of foreign medical schools.
The St. Cloud program is like many in the United States that are increasingly relying on foreigners who graduate from international medical schools, U.S. citizens who graduate from foreign medical schools, and doctors of osteopathy to fill family residency positions because of a lack of interest among graduates of U.S. medical schools.
The St. Cloud program was launched in 1996, when medical student interest in family medicine was at a high mark. At the time, 73 percent of the 3,167 positions offered nationally were being filled by graduates of U.S. schools. In the 2006 match, U.S. graduates filled 42 percent of the 2,727 spots offered."
Also, see table 1(page 11) of the match results:
http://www.nrmp.org/data/resultsanddata2011.pdf
Family Medicine had 78 unfilled programs. If you discard "preliminary" PGY-1 positions, then the next highest was pathology with only 25.
And from Table 2:
Specialty: Family Medicine
Number of positions: 2,708
Number filled: 2,555
US senior: 1,301
US grad: 90
Osteo: 291
Canadian: 0
5th Pathway: 8
US IMG: 502
Non-US IMG: 363
Unfilled: 153
Clearly there are plenty more spots for US allo grads if they wanted them. Problem is they just aren't going into them.
I really think we need more schools that are STRICTLY primary care. I don't mean schools like UW that focus on primary care, but you could lie about your intentions then make use of the schools high standing to get into a competitive specialty residency. I mean schools that would only allow you to go into primary care specialties. That way, students who enter those schools will already know they are going there to become primary care physicians, and we can have them fill up those residency spots rather than have them trained elsewhere where there is less oversight on the quality of education (I heard a med school dean state in no uncertain terms that most caribbean schools were just extended USMLE prep courses that do a substandard job of training physicians, but just collect their money and do what they need to get the ones that actually graduate into just any residency). To some extent DO schools fill this niche (again, please no one flame me for this. I'm not pissing on DO schools, I'm just being real about the match statistics). But if it were said straight up from the beginning that if you come here you WILL go into primary care, that would make the process much simpler. Plus, then these schools should have much lower tuition (not the case for DO schools), which is psychologically more appealing than higher tuition which you are told will be forgiven.