There is little doubt that the federal government will continue to play an important role subsidizing the training of physicians. However, given the immediate medical education and work force crisis, states will likely be the source of temporary and long-term solutions.
Physicians and their advocates scored important victories in Connecticut, Florida, and Georgia in working to defeat attempts to undermine past medical liability reform successes and achieving new ones.
The aging population and an expected influx of 30 million newly insured Americans have raised concerns about provider shortages and bolstered efforts to expand the role of advanced practice practitioners (APPs) in the delivery of patient care. Unsatisfied with collaborative teams led by physicians that empower APPs and promote patient safety, organizations representing nurse practitioners, for one, are seizing this opportunity to increase the number of states where they practice without supervision.
After dozens of false starts and temporary "fixes," policymakers and pundits predict that in 2013, Congress will finally resolve many of the issues causing instability and uncertainty in the urologic community.