Cato Event Podcast

Expanding Access to Primary Care by Removing Barriers to Assistant Physicians


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The Association of American Medical Colleges projects a shortage of as many as 48,000 primary care physicians by 2034. Yet there are not enough residency positions for the number of medical school graduates. Missouri became the first state to address this problem by launching a new licensure category: assistant physician (AP). APs are essentially apprentice physicians. The reform lets graduates without a residency position provide primary care in clinics while enhancing their knowledge and skills. Six other states have passed similar laws: Arkansas, Kansas, Utah, Arizona, Louisiana, and Idaho.


Please join Kevin D. Dayaratna, PhD, a senior research fellow at the Heritage Foundation’s Center for Data Analysis; Keith J. Frederick, DO, a former Missouri legislator who spearheaded the country’s first AP law; and Lyman Wostrel, MD, a primary care physician practicing under Missouri’s AP law, to discuss this issue. Cato Institute senior fellow Jeffrey A. Singer, MD, will moderate the discussion.

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Cato Event PodcastBy Cato Institute

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