Advocating for family medicine in Texas

The state of health care in Texas

> Condition critical: The case for rescuing primary care in Texas
This Texas Family Physician article describes the possible threats to the state’s economy and citizens if the Texas Legislature continues to ignore the primary care workforce shortage throughout the state.

> The Primary Solution: Mending Texas’ Fractured Health Care System
This document created by TAFP and its partners in the Primary Care Coalition defines recommendations to fight the health care crisis facing Texas and lay the foundation for an efficient health care delivery system.

Direct primary care

> Support H.B. 1945—Direct primary care works for patients and physicians

> Support S.B. 1018—Direct primary care works for patients and physicians
Direct primary care is an innovative model for delivering and purchasing health care services that gives physicians and their patients an alternative to the third-party, fee-for-service system. TAFP supports legislation that will improve access to direct primary care by recognizing these arrangements, protecting them, and defining them as outside the scope of state insurance regulation.

Physician workforce, medical education, & GME

> Primary care preceptorship programs work to build the physician workforce Texas needs
During the 84th Texas Legislature, the Primary Care Coalition says the state needs to restore fuding to the Texas Primary Care Preceptorship Programs so that medical students can have positive experiences with family physicians in the real world, choose family medicine as their specialty, and ultimately contribute to the physician workforce Texas needs.

> Align new GME funding with Texas’ health care needs
TAFP supports the 2015 LBB Texas State Government Effectiveness and Efficiency Report and believes that by implementing its GME recommendations, we can strengthen our state’s primary care infrastructure, ensuring access to primary care for our growing population.

> The right kind of doctors for Texas: Revisiting barriers to building the primary care workforce, 20 years later
This Texas Family Physician article recalls twenty years ago, when TAFP called for changes in medical education to ensure Texas would have the primary care physician workforce needed to care for a rapidly growing population. Now, the state is in a perilous position as academic institutions have no financial incentive to train new primary care physicians and medical students are actively discouraged from these disciplines.

> GME 101: What you need to know about graduate medical education in Texas
With funding as complex as graduate medical education – part federal, part state, and part institutional support – it is easy to get lost in the explanation. This document is a primer that covers the basics of GME.

> Recommendations for Strengthening Primary Care in the 83rd Texas Legislature

> Invest in Primary Care Residency Training Programs

> Family Medicine Residency Programs are Critical in Training Texas’ Physician Workforce

> TAFP Issue Brief: Family Medicine Residency Programs Are Critical in Training Texas’ Physician Workforce

> Primary Care Coalition Issue Brief: Preceptorship Programs and the Physician Workforce

> Invest in preceptorships, invest in primary care
In this fall 2010 article from Texas Family Physician, TAFP discussed the upcoming 82nd Texas Legislature and the scrutiny its budget would face. One program—the Texas Statewide Preceptorship Program—is increasing student specialty choice in primary care.

> Texas’ preceptorship program needs you
Want to make a real difference in the future of family medicine? This fall 2010 Texas Family Physician piece tells you how to host a pre-clinical medical student through the Texas Statewide Family Medicine Preceptorship Program.

Scope of practice

> The Question of Independent Diagnosis and Prescriptive Authority for Advanced Practice Registered Nurses in Texas: Is the Reward Worth the Risk?

> Primary Care Coalition Issue Brief: Collaboration Between Physicians and Nurses Works
Compare the Education Requirements of Primary Care Physicians and Nurse Practitioners

> Primary Care Coalition Issue Brief: Collaboration Between Physicians and Nurses Works
Primary Care Physicians Are the Most Likely Health Care Professionals to Practice in Rural and Underserved Areas

> Primary Care Coalition Issue Brief: Collaboration Between Physicians and Nurses Works
Collaboration Between Physicians and Nurse Practitioners Contains Health Care Costs

> Forces amass for looming scope fight
In the fall 2010 issue of Texas Family Physician, TAFP discussed nurse practitioners’ call for independent, autonomous prescriptive authority and the ability to diagnose patients without physician collaboration. Family physicians say collaboration works.