A New Primary Care Workforce Model Emerges in Pennsylvania

Primary care shortages have been building for years, particularly in rural communities where recruiting a replacement physician can feel less like workforce planning and more like trying to win the lottery.

The Penn State College of Medicine is testing a new response: primary care medics.

The medical school plans to enroll its first cohort next summer, training students to work under licensed clinicians and complement physicians, nurse practitioners, and physician associates in rural primary care settings. The program will focus on chronic disease management, behavioral health, maternity care, oral health, and care for older adults.

A key part of the model is bringing care closer to patients. Primary care medics will be positioned to visit people in their homes, collect accurate data, and relay it back to the care team. That could be especially valuable in communities where access barriers, transportation challenges, and clinician shortages make proactive care difficult.

The workforce math is not getting easier. The Primary Care Collaborative projects a shortage of as many as 55,000 primary care physicians by 2033, and Penn State’s approach recognizes that health systems need more ways to extend clinical capacity without pretending every gap can be solved by hiring another physician.