Overview Of The Physician Workforce 2019 - Minnesota Department Of Health

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Overview of the Physician Workforce 2019Health Care Workforce Analysis Program Office of Rural Health and Primary CareNovember 2019

Table of ContentsTopicPageAbout this data3Section 1: Reference Maps5Section 2: Introduction to the Minnesota Physician Workforce8TopicSection 4: Demographics of the Minnesota PhysicianWorkforcePageNumber of years physicians intend to continuepracticing, by RUCA39Physicians’ gender24Physicians’ reasons for working five more years or less40Physicians’ age25Physicians’ work satisfaction41Physicians’ age by region26Physicians’ work settings42Physicians’ age by RUCA27Physicians’ primary work settings43Physicians’ race by region28Do physicians fill “gaps” in care?44Do physicians fill “gaps” in care?—Rural physiciansonly459Where are physicians practicing? (Region of practice)10Population for every one physician, by region, allphysicians11Population for every one physician, by region, primary care12Internationally-trained physicians by region29Where are physicians practicing? (RUCA of practice)13Languages spoken in clinical practice30Population for every one physician, by RUCA, all physicians14Population for every one physician, by RUCA, primary care15Work status of actively licensed physicians32Physicians by medical specialty16Physicians in private practice33Physicians by medical specialty and region17Number of hours worked per week34Physicians by medical specialty and RUCA18Number of hours worked per week, by gender35Physicians by medical subspecialties19Share of time spent providing patient care3620Number of years physicians intend to continuepracticing37Number of years physicians intend to continuepracticing, by region38Location of physicians’ medical school21Physicians’ continuing education and training22Page23Where are physicians practicing? (State of practice)Section 3: Education of the Minnesota Physician WorkforceTopicSection 5: Minnesota Physicians’ Work and Employment31Section 6: New and Emerging Models of Care46Share of physicians who use telemedicine equipment47Share of physicians who provide clinical training48Culturally competent care49Multidisciplinary care502

About this dataThe data in this report come from two sources: The Minnesota Board of Medical Practices (BMP) provides data on the entire population of physicians whohave active licenses in the state of Minnesota. The BMP maintains this database primarily for administrative andlegal purposes. BMP provides the data to the Minnesota Department of Health, Office of Rural Health andPrimary Care (MDH-ORHPC). This report uses data current as of June, 2019. At that time, there were a total of24,643 physicians with active Minnesota licenses, approximately 72 percent of whom indicated that theirprimary business address was in Minnesota. (Note that the analyses exclude physicians whose licenses wereactive/restricted or active/conditional.) The 2018 Minnesota Department of Health-Office of Rural Health and Primary Care (MDH-ORHPC) PhysicianWorkforce Survey collects additional demographic and workforce data from physicians. MDH-ORHPCadministered the survey to all physicians who renewed their Minnesota license in the 2018 calendar year. Theresponse rate was 92.4 percent.3

About this data, continuedAll the charts and tables in this report rely on the BMP and MDH-ORHPC survey data. However, different analysesrely on slightly different subsets of licensee counts, depending on the purpose of the analysis. Therefore, differentcharts have different sample sizes. Source notes at the bottom of each slide provide details. Broadly, however, thereare six possible analytical groups:GroupNAll physicians with active Minnesota licenses*24,643All physicians with active Minnesota licenses AND who responded to the MDH-ORHPC physician survey**20,852All physicians with active Minnesota licenses AND who responded to the MDH-ORHPC physician survey AND whoindicated that they were employed as a physician.**19,285All physicians with active Minnesota licenses AND whose primary business address was in Minnesota*17,761All physicians with active Minnesota licenses AND who responded to the MDH-ORHPC physician survey ANDwhose primary business address was in Minnesota.**15,630All physicians with active Minnesota licenses AND who responded to the MDH-ORHPC physician survey ANDwhose primary business address is in Minnesota, AND who indicated that they were employed as a physician.**14,817*Source: Board of Medical Practice June 2019**Source: Board of Medical Practice January 2019 and responses to the 2018 MDH-ORHPC Physician Workforce Survey.4

Section 1: Reference Maps5

Map 1: Minnesota planning regionsThese regions are defined by the Minnesota Department of Employment and Economic Development (DEED). For more information on these economicplanning areas, visit the DEED website at: lan.shtml2/28/20206

Map 2: Minnesota Rural-Urban Commuting Areas (RUCA)2/28/2020For more information about how the Rural-Urban Commuting areas are defined, visit the MDH website ethod.html#ruca.7

Section 2: Introduction to theMinnesota Physician Workforce8

Where are physicians practicing?Minnesota’s licensed physicians by state of practiceNumber ofPhysiciansPercent rth Dakota6042.5%South r country90.0%No address reported1,6586.7%Total24,643100.0%Location of Primary Business AddressOther stateSource: Minnesota Board of Medical Practice, June 2019. Physicians are statutorily mandated to supply their primary practice address to the Board unless they are not working as a physician. The most common “other” states reportedwere Florida (386), California (315), Arizona (294) and Texas (238).9

Where are physicians practicing?Minnesota’s licensed physicians, by Minnesota planning regionNumber ofPhysiciansPercent ofPhysiciansCentral Minnesota1,1876.8%Northeast Minnesota1,0215.8%Northwest Minnesota8264.7%Minneapolis/St. Paul Metro10,08757.7%Southeast Minnesota3,73421.4%Southwest Minnesota6303.6%17,485100.0%RegionTotalSource: Minnesota Board of Medical Practice, June 2019. Includes all physicians who have an active Minnesota license and a primary business address in Minnesota. (See Map 1 for the definition of Minnesota planning regions.) Note that7,158 physicians did not report a valid Minnesota address and therefore could not be coded to a region.10

Population for every one physician by Minnesota planning region(all physicians included)Southeast MinnesotaMinneapolis/Saint Paul MetroNortheast MinnesotaCentral MinnesotaSouthwest MinnesotaNorthwest Minnesota136 people to 1 physician304 to 1318 to 1597 to 1622 to 1686 to 1As one indicator of access to care, the information in this chart is based on all licensed physicians. Note that primary care physicians comprise only about 30 percent of the physicians above. Other specialists, sub-specialists, facility-basedphysicians, and physicians without board certification are also included. The lowest population-to-physician ratio is in Southeast Minnesota (due primarily to the large Mayo-affiliated workforce) and the Twin Cities and Northeast regions. Theareas of Central, Southwest, and Northwest Minnesota all have relatively high population-to-physician ratios, suggesting that residents there may encounter more difficulty accessing care from physicians. On the other hand, Minnesota residents,particularly those in the Sioux Falls, Fargo-Moorhead and East Grand Forks regions, often cross state lines to access care.Sources: Minnesota Board of Medical Practice, June 2019. Includes all physicians who have an active Minnesota license and a primary business address in Minnesota (n 17,485). Population data upon which these calculations are based are fromthe Minnesota State Demographic Center, release date August 2018 (for the 2017 population).11

Population for every one physician by Minnesota planning region(primary care physicians only)Southeast MinnesotaNortheast MinnesotaMinneapolis/Saint Paul MetroCentral Minnesota706 people to 1 physician819 to 11001 to 11275 to 1Northwest Minnesota1359 to 1Southwest Minnesota1362 to 1As another indicator of access to care, the information in this chart is based on only primary care physicians. Primary care physicians are those with a single, general board certification in family medicine; internal medicine; or pediatrics (based onthe definition of primary care physician in Minnesota Statutes section 137.38).Sources: Minnesota Board of Medical Practice, June 2019. Includes all physicians who have an active Minnesota license and a primary business address in Minnesota (n 5,449 primary care physicians). Population data upon which thesecalculations are based are from the Minnesota State Demographic Center, release date August 2018 (for the 2017 population).12

Where are physicians practicing?Minnesota’s licensed physicians by MN Rural-Urban Commuting Area (RUCA)Number ofPhysiciansPercent ofPhysiciansMetropolitan15,35687.8%Large Town1,2817.3%Small Town Rural6213.6%Isolated Rural2271.3%17,485100.0%RegionTotalSource: Minnesota Board of Medical Practice, June 2019. Includes all physicians who have an active Minnesota license and a primary business address in Minnesota. The RUCA categories are based on size of the city or town and thedaily commuting of the population to identify urban cores and adjacent territory economically integrated with those cores (see Map 2 for more information on Minnesota RUCAs).13

Population for every one physician by Rural-Urban Commuting Area(all physicians included)1,914 people to every 1physicianIsolated RuralSmall Town RuralLarge TownMetropolitan627 to 1475 to 1257 to 1As one indicator of access to care, the information in this chart is based on all physicians. Only about 30 percent of these are primary care physicians. Also included are other specialists, sub-specialists, facility-based physicians, and physicianswithout board certification.Sources: Minnesota Board of Medical Practice, June 2019. Includes all physicians who have an active Minnesota license and a primary business address in Minnesota (n 17,485). Population data upon which these calculations are based are fromthe Minnesota State Demographic Center, release date August 2018 (for the 2017 population).14

Population for every one physician by Rural-Urban Commuting Area(primary care physicians only)1,914 people toevery 1 physicianIsolated RuralSmall Town RuralLarge TownMetropolitan627 to 1475 to 1257 to 1As another indicator of access to care, this chart includes only primary care physicians. Primary care physicians are those with a single, general board certification in family medicine; internal medicine; or pediatrics (based on the definition ofprimary care physician in Minnesota Statutes 137.38).Sources: Minnesota Board of Medical Practice, June 2019. Includes all physicians who have an active Minnesota license and a primary business address in Minnesota (n 5,449). Population data upon which these calculations are based are fromthe Minnesota State Demographic Center, release date August 2018 (for the 2017 population).15

Physicians by medical specialtyNumber of allLicensed PhysiciansPercent of allLicensed Physicians7,0973,72328.7%15.1%General Internal Medicine2,3289.4%General Pediatrics1,0464.2%Other SpecialtiesGeneral OB/GYN17,54681771.2%3.3%General specialties and Mixed Specialties (see page 18 for more information)7,75431.5%No Specialty Board Certification2,3649.6%24,643100.0%Medical Specialty (specialty board certification)Primary Care SpecialtiesGeneral Family MedicineOther SurgeryGeneral PsychiatryGeneral Facility-BasedGeneral OtherTotalSource: Number and percent of all licensed physicians are from the Minnesota Board of Medical Practice, June 2019. Includes all physicians with active Minnesota licenses. Percent of all employed licensed physicians are from the MDH-ORHPCPhysician Workforce Survey, 2018. Includes all physicians with active Minnesota licenses who report being employed as a physician on the MDH-ORHPC survey (N 24,643). All board certifications listed above are from either the American Boardof Medical Specialties or the American Osteopathic Association. Primary care specialties are based on the definition in Minnesota Statutes section 137.38. Per Minn. Stat. 137.38, primary care physicians include family medicine, general internistsand general pediatricians.16

Physicians by medical specialty and Minnesota urgeryGeneralPsychiatryGeneralFacilitybasedCentral (N 1,187 physicians)33.4%8.5%5.0%4.5%2.9%7.0%2.3%Northeast (1,021)26.0%9.6%3.3%3.1%3.1%8.1%Northwest (826)36.3%11.3%2.9%4.1%4.5%Minneapolis / St. Paul Metro(10,087)13.9%10.3%6.2%4.0%Southeast (3,734)7.1%10.3%2.5%Southwest (630)34.1%7.1%16.2%10.1%RegionStatewide (17,485 physicians)OtherSubspecialtiesand 9%6.5%2.2%11.0%3.2%31.3%9.2%100.0%Source: Minnesota Board of Medical Practice, June 2019. Includes all physicians who have an active Minnesota license and a primary business address in Minnesota. (See Map 1 for the region definitions.)17

Physicians by medical specialty and tan (N 15,356)12.6%10.2%5.2%3.3%1.5%6.6%2.2%Large Town (1,281)30.4%10.4%4.8%5.4%4.7%7.7%Small Town Rural (621)54.6%7.2%1.1%4.3%6.4%Isolated Rural (227)73.6%5.7%0.4%0.4%Statewide sand 0%1.9%6.5%2.2%11.0%3.2%31.3%9.2%100.0%Source: Minnesota Board of Medical Practice, June 2019. Includes all physicians who have an active Minnesota license and a primary business address in Minnesota (n 17,485). (See Map 1 for the region definitions.)18

Physicians by medical subspecialtiesNumber of allLicensedPhysiciansPercent of iatric Subspecialty (including pediatric cardiology, pediatric endocrinology, pediatric nephrology, and pediatric emergency medicine, among others)5362.2%OB/GYN Subspecialty (including female pelvic medicine and reconstructive surgery, maternal and fetal medicine, and gynecologic oncology, among others)1420.6%Surgical Subspecialty (including pediatric surgery, surgery of the hand, complex general surgical oncology, and surgical critical care, among others)4171.7%Psychiatric Subspecialty (including addiction psychiatry, child and adolescent psychiatry, geriatric psychiatry, and pain medicine, among others)3801.5%Facility-Based Subspecialties (including neuroradiology, pediatric urology, pediatric anesthesiology, hematopathology, and cytopathology, among others)9984.0%Other Subspecialties (including neurology, physical medicine and rehabilitation, sports medicine, pain medicine, and dermatology, among others)4331.8%Mixed Specialties (physicians who have mixed general or sub-specialties)1,2205.0%General Certifications (Physicians without subspecialties)14,78860.0%Total24,643100.0%Medical SubspecialtyNo CertificationFamily Medicine Subspecialty (including adolescent, geriatric, pain, and sleep medicine, among others)Internal Medicine Subspecialty (including cardiology, critical care, endocrinology, and gastroenterology, among others)Source: Number and percent of all actively licensed physicians are from the Minnesota Board of Medical Practice, June 2019. Includes all physicians with active Minnesota licenses who have earned subspecialty certifications from either theAmerican Board of Medical Specialties or the American Osteopathic Association.19

Section 3: Education of theMinnesota Physician Workforce20

Location of physicians’ medical schoolNumber ofPhysiciansPercent th Dakota7032.9%South Dakota3581.5%Iowa1,1284.6%Other state9,92440.3%Canada3121.3%Other country—outside U.S. and Canada990.4%Missing data—no medical school state wasprovided. Many of these are also internationallytrained physicians (see slide 29 for more details).4,32617.6%Total24,643100.0%Location of Medical SchoolSource: Minnesota Board of Medical Practice, June 2019. Includes all physicians with active Minnesota licenses. Note that these data refer to the location where the physician earned his or her medical degree, not where s/he completedresidency training. The most commonly reported states (other than border states) were Illinois (1,325), Missouri (825), New York (734), Nebraska (666), Michigan (586), Pennsylvania (542), and Ohio (537).21

Physicians’ continuing education and training“How likely are you to pursue more education or credentials to advance in your field(not including mandatory continuing education units)?”Not at all likely51.9%Somewhat likely32.8%Very likelyI am currently enrolled in a training or education programSource: 2018 MDH-ORHPC Physician Workforce Survey. Includes only actively licensed physicians. N 17,191.11.4%3.9%22

Section 4: Demographics of theMinnesota Physician Workforce23

Physicians’ genderFemale35.6%Male64.4%Source: Board of Medical Practice, June 2019. Includes only actively licensed physicians. N 24,617 (26 physicians did not provide gender information to the Board).24

Physicians’ ageNumber ofPhysiciansPercent ofPhysiciansAllOccupations,U.S.*34 and younger2,98112.1%35.1%35 to 3%17.0%65 and older4,01216.3%6.2%Total24,642100.0%100.0%Age groupSource: Minnesota Board of Medical Practice, June 2019. Includes only actively licensed physicians. N 24,642 (1 physician did not provide age information to the Board). The median age of Minnesota physicians is 49.*Data on the age distribution for all occupations in the U.S. come from the Current Population Survey, Employed Persons by Detailed Occupation and Age, 2016: https://www.bls.gov/cps/cpsaat11b.htm25

Physician’s age by regionMedian age of physicians, by nneapolis/Saint Paul MetroSoutheast4944Source: Minnesota Board of Medical Practice, June 2019. Includes 17,485 physicians with active Minnesota licenses and a primary business address in Minnesota. See Map 1 for region definitions.26

Physician’s age by Rural-Urban Commuting Area (RUCA)Median age of physicians, by RUCAIsolated Rural57Small Town Rural52Large Town52Metropolitan48Source: Minnesota Board of Medical Practice, June 2019. Includes 17,485 physicians with active Minnesota licenses and a primary business address in Minnesota. See Map 2 for RUCA definitions.27

Physicians’ race by Minnesota orthwestMinnesotaMinneapolisSaint PaulMetroAmerican ltiple .0%RaceSoutheastMinnesotaSouthwestMinnesotaSource: 2018 MDH-ORHPC Physician Workforce Survey. N 17,216 (271 physicians did not provide race information). Includes only actively licensed physicians who responded to the survey. Respondents could choose as many races as wereapplicable to them. See Map 1 for region definitions.28

Internationally-trained physicians by planning regionRegionNumber ofinternationallytrained physiciansTotal number oflicensed physiciansin regionShare ofinternationally-trainedphysicians in inneapolis/Saint Paul MetroSource: Minnesota Board of Medical Practice, June 2019. Includes all internationally-trained physicians who have active Minnesota licenses and primary business addresses in Minnesota. Excludes physicians who did not provide a practice to theboard or whose practice address was outside Minnesota. The most common foreign countries from which Minnesota recruits physicians are (in this order): India, Canada, Pakistan, and the Philippines.Internationally-trained physicians, also known as International Medical Graduates (IMGs), are defined as individuals who obtained their basic medical degree outside the U.S. and Canada. IMGs in the U.S. include several distinct subsets: (1) U.S.born citizens who obtained their medical degree overseas (most commonly in the Caribbean or Central America) (sometimes referred to as U.S.-IMGs); (2) foreign-born individuals with medical degrees who reside in the U.S. on non-immigrantvisas (such as J-1, O-1 or H1-B visas) and (3) immigrants to the U.S. classified as either permanent residents (“green card” holders), U.S. citizens, asylees or refugees. For more information on the definition of an IMG, visit the EducationalCommission for Foreign Medical Graduates website at html.29

Languages spoken in clinical practice“Other than English, what languages do you speak in your practice?”(Check all that apply. Do not include languages spoken only through a medical interpreter.)Share of physicianswho communicatein this languageShare of MN households withthis language as the primarylanguage spoken at en0.0%N/AOther8.2%LanguageSource: MDH-ORHPC Physician Workforce Survey, 2018. N 21,034. Responses are from the question: Commonly spoken “Other” languages include Chinese, German, Hindi, Korean, and Urdu.*Data on languages spoken in Minnesota homes is from the United States Census American FactFinder tool: jsf/pages/productview.xhtml?src bkmk.30

Section 5: Minnesota Physicians’Work and Employment31

Work status of actively licensed physiciansWorking as aphysician92.5%Not working asa physician7.5%Not seekingwork(e.g., retired)75.2%Temporarilynot workingfor medical,personal, orfamily reasons15.6%Seeking work asa physician9.2%Source: MDH-ORHPC Physician Workforce Survey, 2018. N 20,852. Note that work status does not differ substantially by RUCA, region of employment, or gender (93.5 percent of female licensees and 91.9 percent of male licensees areworking as a physician).32

Physicians in private practice“Do you own (or co-own) an individual or group private practice?”Private practice (Y/N)Percentage ofphysiciansYes15.2%No84.8%Total100.0%Source: MDH-ORHPC Physician Workforce Survey, 2018. N 19,108.33

Number of hours worked per week“Approximately how many hours do you work in a typical week?”(Please include all hours worked on all activities. Your best estimate is fine.)Hours workedper weekPercentage ofphysicians10 or 023.0%61 or more14.6%Total100.0%Source: MDH-ORHPC Physician Workforce Survey, 2018. N 18,783. The median number of hours worked per week across all physicians is 50.34

Number of hours worked per week, by genderPercentage ofmale physiciansPercentage offemale physicians10 or .1%41-5025.9%23.8%51-6024.9%19.3%61 or more15.9%12.4%Total100.0%100.0%Hours worked per weekSource: MDH-ORHPC Physician Workforce Survey, 2018. N 18,783. The median number of hours worked per week for men is 50 and is 47 for women.35

Share of time spent providing patient care“In a typical week, how much time do you spend providing direct patient or client care?”(Different providers define “direct patient/client care” in different ways. Some include time spent on paperwork, care coordination, or appointmentscheduling, while others include only face-to-face time. Please use your own definition of direct patient/client care when answering this question.)All physiciansPrimary carephysicians onlyNone—I do not hold a position that involves direct patient care5.5%3.5%Up to a quarter of my time5.2%3.7%Between a quarter and a half of my time5.2%4.6%Between a half and three quarters of my time13.8%13.4%More than three-quarters of my time70.3%74.7%Total100.0%100.0%Share of time spent on patient careSource: MDH-ORHPC Physician Workforce Survey, 2018. N 19,163 (all physicians) and 5,679 (primary care). Primary care physicians are those with a single, general board certification in family medicine; internal medicine; or pediatrics(based on the definition of primary care physician in Minnesota Statutes section 137.38).36

Number of years physicians intend to continue practicing“About how many more years do you plan to work in this profession?”Years intending to practicePercentage ofphysicians5 years or less18.6%6 to 10 years20.5%More than 10 years60.9%Total100.0%Source: MDH-ORHPC Physician Workforce Survey, 2018. N 19,161.37

Number of years physicians intend to continue practicing, by regionCentral MNNortheastMNNorthwestMNMinneapolis/Saint PaulSoutheastMNSouthwestMN5 years or less21.9%22.5%24.4%18.4%14.0%23.7%6 to 10 years23.8%21.7%22.6%20.5%15.8%18.2%More than 10 0%100.0%100.0%100.0%100.0%Years intending to practiceSource: MDH-ORHPC Physician Workforce Survey, 2018. N 14,571. See Map 1 for region definitions.38

Number of years physicians intend to continue practicing, by RUCAMetropolitanLarge TownSmall TownRural5 years or less17.5%23.0%26.7%31.7%6 to 10 years19.4%23.5%21.8%23.3%More than 10 0.0%Years intending to practiceSource: MDH-ORHPC Physician Workforce Survey, 2018. N 14,571. See Map 2 for RUCA definitions.IsolatedRural39

Physicians’ reasons for working five more years or lessOf the 18.6% physicians who indicated they planned to leave the physician workforce within five years“What is the main reason you plan to leave the profession within the next five years?”(If more than one of these reasons applies, select the one that best applies to you.)ReasonPercentageof PhysiciansTo retire83.6%To leave the profession because of burnout or dissatisfaction8.0%To pursue a different career2.2%To pursue training in order to advance in my current or a related profession1.5%For family or other personal reasons2.5%For some other reason2.2%TotalSource: MDH-ORHPC Physician Workforce Survey, 2018. N 3,590.100.0%40

Physicians’ work satisfaction“How satisfied have you been with your career in the last 12 months?”“How satisfied have you been with your career overall?”Last 12monthsOverallVery 9.8%5.0%Very dissatisfied2.8%1.4%100.0%100.0%Career satisfactionTotalSource: MDH-ORHPC Physician Workforce Survey, 2018. N 19,149.41

Physicians’ work settings“At how many different physical locations do you work?”Number of locationsPercentage ofPhysiciansOne45.7%Two27.9%Three or more26.4%Total100.0%(If the physician works at three or more locations)“Do you have a primary work location (that is, a physical work site where you spend the largest share of your time)?”Yes/NoPercentage ofPhysiciansYes84.9%No15.1%Total100.0%Source: MDH-ORHPC Physician Workforce Survey, 2018. N 19,205 for the first question and 5,078 for the second question.42

Physicians’ primary work settingsPrimary Work SettingPercentage ofPhysiciansAcademic (Teaching/Research)17.6%Clinic / Professional Office / Health Center / Ambulatory Care48.5%Community / Faith-Based Organization1.3%Correctional Facility0.2%Home Health Care0.1%Hospital27.3%Insurance / Benefits Management Organization0.8%Long-Term Care Facility0.4%Pharmacy0.0%Public Health Agency0.1%Commercial or Private Research Laboratory0.2%School (K-12)0.0%State, County, or City Agency0.3%Other3.1%Total100.0%Source: MDH-ORHPC Physician Workforce Survey, 2018. N 18,345.43

Do physicians fill “gaps” in care?“How often do you provide care that a different specialist mightotherwise provide if they were available/accessible?”Type of ly6.9%35.0%1.6%14.0%24.7%10.4%All the time2.8%10.6%0.3%7.4%12.5%6.2%Frequency(N 18,109)(N 4,913)(N 4,916)(N 4,875)(N 4,844)(N 3,165)Source: MDH-ORHPC Physician Workforce Survey, 2018.* The percentages for the five specialties listed here represent the number of all licensed physicians who are working in Minnesota and whose job involves providing patient care. Therefore, the interpretation for mental health, forexample, is that roughly 10.6 percent of all Minnesota-based practicing physicians say that they fill gaps in mental health care “all the time.”** The most common “other” specialties listed include addiction medicine; cardiology; dermatology; emergency medicine; family medicine; geriatrics; orthopedics; pain management; radiology; and sports medicine.44

Do physicians fill “gaps” in care? – Rural physicians only“How often do you provide care that a different specialist mightotherwise provide if they were available/accessible?”(Rural physicians only)Type of 24.9%54.2%10.4%26.9%51.7%18.8%All the time10.4%13.6%1.7%8.4%17.0%3.5%Frequ

Sources: Minnesota Board of Medical Practice, June 2019. Includes all physicians who have an active Minnesota license and a primary business address in Minnesota (n 17,485). Population data upon which these calculations are based are from the Minnesota State Demographic Center, release date August 2018 (for the 2017 population). 686 to 1. 622 to 1

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