Quarterly SOHLstice
September 2019
In This Issue
President's Message
SOHL Programs: Quarterly Updates
Welcome Our Newest Members of SOHL!
FACHE® Recertification: It's Never Too Late to Begin Planning
Postgraduate Fellowships: Creating Future Leaders
Community Forums Enhance Members’ Experience
Healthcare Consultants Forum Member Directory: Connecting Executives to Consultants
Local Prep Course Offered for the BOG Exam
ACHE Joins a Partnership Focused on Improving Diagnostic Quality and Safety
Planning for the Continuation of Your Career
U.S. Medical Students Choosing Primary Care Specialties in an Eight-Year Decline
Improved Communication Leads to Higher Patient Outcomes, Lower Readmission Rates
Special Thanks to Our Platinum and Gold Sponsors
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Chapter Officers

Executive Board

Regent (California - Southern)
Ellen Zaman, FACHE
Children's Hospital Los Angeles


Dasha Dahdouh
Rady Children’s Hospital - San Diego


President Elect
Edwin Kofler
UC San Diego School of Medicine


Immediate Past President
Darrell Atkin
TruthPoint / Darrell Atkin & Associates

Spshelle Rutledge 
National University

Amy Kasahara 
UC San Diego Health

Michael Sokolowski


Board of Directors

Allison Noel
ECG Management Consultants

Aubrianna Butler

Jared Vogt
Rady Children’s Hospital

Nora Bota
County of San Diego

Michelle Martin
Casa Palmera Treatment Center

Melinda Hudson
UC San Diego Health

Career Development
Andrea Gonzalez
Scripps Health

Volunteer Coordinator
Vicki Shumulinsky
West Health

Barbara Gerber
Devon Hill Associates, LLC

Howard Salmon

Imperial County Liaison
Kathleen Lang


Subcommittee Members

Diversity Council
Chisun Chun
Rady Children's Hospital

Melody Schiaffino
San Diego State University

Allied Healthcare Professional Council
Jose PonCevega
Naval Medical Center San Diego

Nora Bota
County of San Diego

Shawn Amirhoushmand
Generations Healthcare-Friendship Manor Nursing

Yameeka Jones
Vibra Hospital of San Diego

Sarah Gerard
VA San Diego Healthcare System

Annual Conference
Johan Otter
Scripps Health

Kristine Ortwine

Mike De Castro
ECG Management Consultants

Social Media
Alice Dang
Scripps Health

Sarah Gerard
VA San Diego Healthcare System


Executive Program
Celerina Cornett

Jack Hallmark

Advancement Study Group
Jose PonCevega
Naval Medical Center San Diego

Andrea Gonzalez
Scripps Health

Graduate Program Council, San Diego State University
Brandy Lipton

Student Liaison, San Diego State University
Sarah Norwood
Britney Prince

Graduate Program Council, National University
Negin Iranfar

Student Liaison, National University
Norelis Dyshkant
Myreen Piazza

Graduate Program Council, UC San Diego

Student Liaison, UC San Diego
Justin Sigmund
Rene Lopez


College Bowl
Peggy Ranke
National University

Senior Advisors Council
Mary Parra
Neighborhood Healthcare

Mark Campbell
TRICARE Regional Office – West

Aaron Byzak
Galvanized Strategies

Nia Price

Website Manager
Carol Cannizzo
IKOR International

U.S. Medical Students Choosing Primary Care Specialties in an Eight-Year Decline

Despite hospital systems and health officials citing the need for more primary care doctors, graduates of U.S. medical schools are becoming less likely to choose a specialization in this field.

According to the 2019 National Resident Matching Program—the nonprofit group that determines where medical students will study in their chosen specialties after graduation—the percentage of primary care positions filled by fourth-year medical students was the lowest on record. The 2019 report shows that of the 8,116 internal medicine positions offered, only 41.5% were filled. Family medicine and pediatrics reflected a similar trend. In fact, according to an analysis of historical Match data, the percentage of U.S.-trained physicians matched into primary care positions has declined since 2011.

Meanwhile, recent data from the American Association of Colleges of Osteopathic Medicine shows that medical colleges granting MD degrees graduate nearly three-quarters of U.S. students moving on to become doctors. The rest graduate from osteopathic schools that grant DO degrees. The five medical schools with the highest percentage of graduates choosing primary care are all osteopathic institutions, according to a 2019 U.S. News & World Report survey.

Physicians trained at foreign institutions, including both U.S. and non-U.S. citizens, accept unfilled primary care residency positions as well. In the 2019 match, 68.9% of foreign-trained physicians went into internal medicine, family medicine and pediatrics.

Despite osteopathic graduates and foreign-trained doctors taking up primary care spots, a primary care physician shortage is still expected. In April 2019, the Association of American Medical Colleges predicted a shortage of between 21,100 and 55,200 primary care physicians by 2032.

Why the decline? One reason may be as simple as higher income. According to a recently published Medscape survey of physicians, the annual salaries of internal medicine practitioners average $243,000—a little over half of what orthopedic physicians bring home. Family medicine and pediatrics reportedly earn even less.

Another deterrent to choosing within the primary care field may be the time primary care physicians spend on paperwork and completing electronic medical records. According to the Medscape data, in 2012, 53 percent of physicians completed approximately 1 to 4 hours of administrative tasks per week. The 2019 report shows that the numbers have risen to 74 percent and about 10 hours per week.

Tellingly, only 62% of internal medicine doctors in the survey said they would choose to go into their specialty again; the lowest percentage on record for all physician specialties surveyed.

—Adapted from "American Medical Students Less Likely To Choose To Become Primary Care Doctors," by Victoria Knight,Kaiser Health News, July 3, 2019.

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