Publications by authors named "Leo Quigley"

Objective: The medical literature has demonstrated disparities and variability in physician salaries and, specifically, emergency physician (EP) salaries. We sought to investigate individual physician characteristics, including sex and educational background, together with individual preferences of graduating EPs, and their association with the salary of their first job.

Methods: The American College of Emergency Physicians and the George Washington University Mullan Institute surveyed 2019 graduating EPs.

View Article and Find Full Text PDF

One approach to ameliorating health workforce maldistribution is incentivizing health professionals, including physicians, to locate in underserved areas. However, eligibility for programs typically relies on large geographic areas whereas it is subpopulations within underserved areas who are typically at risk. New measures introduced in this article capture data on the patients actually served by incentive program physicians.

View Article and Find Full Text PDF

Access to health care is limited in part by maldistribution of physicians. Physicians agreeing to work in underserved areas can receive a financial incentive or a visa waiver that eases immigration restrictions. However, the overall landscape and scale of incentive programs and providers remains unelucidated.

View Article and Find Full Text PDF

Context: The need for hospice and palliative care is growing rapidly as the population increases and ages and as both hospice and palliative care become more accepted. Hospice and palliative medicine (HPM) is a relatively new physician specialty, currently training 325 new fellows annually. Given the time needed to increase the supply of specialty-trained physicians, it is important to assess future needs to guide planning for future training capacity.

View Article and Find Full Text PDF

Context: A relatively new specialty, hospice and palliative medicine (HPM), is unusual in that physicians can enter from 10 different specialties. This study sought to understand where HPM physicians were coming from, where they were going to practice, and the job market for HPM physicians.

Objectives: Describe characteristics of the incoming supply of HPM physicians, their practice plans, and experience finding initial jobs.

View Article and Find Full Text PDF

Objective: To examine what different types of employers value in hiring community health workers (CHWs) and determine what new competencies CHWs might need to meet workforce demands in the context of an evolving payment landscape and substantial literature suggesting that CHWs are uniquely qualified to address health disparities.

Study Design: We used a multimethod approach, including a literature review, development of a database of 76 programs, interviews with 24 key informants, and a qualitative comparison of major CHW competency lists.

Principal Findings: We find a shift in CHW employment settings from community-based organizations to hospitals/health systems.

View Article and Find Full Text PDF

The rapid growth in the physician assistant (PA) pipeline reflects in part a growing demand for health services that has created many opportunities for new PAs. However, the simultaneous growth in the production of physicians and NPs raises the question as to whether the nation will overproduce PAs and other clinicians. Although the growing supply of PAs will help meet the nation's healthcare needs, this study concludes that the job market for new PAs is likely to tighten.

View Article and Find Full Text PDF

Promoting clinical-community linkages is at the heart of Maryland's efforts systematically to transform health care delivery, with community health workers (CHW) playing a central role. This article describes how Maryland is using the evidence-base on CHW effectiveness and training to develop a workforce capable of most effectively connecting communities with care.

View Article and Find Full Text PDF