Rhode Island
‘How did this happen?’ Primary care shortage keeps hitting RI hard
Between burnout and retirement, the state is struggling to keep up with patients in need.
Long waits, frustrated patients and overworked health care staff are all the symptoms of a doctor shortage that has pushed providers to the brink of burnout. It’s a crisis that’s been building nationally for years. In recent months, it caused the head of the American Medical Association to raise alarm over doctors saddled with college debt and stretched to exhaustion.
Rhode Island is no exception, particularly when it comes to primary care. The people who are tasked with monitoring your health to prevent disease and treat illnesses are leaving their jobs. Blame workplace pressures, low Medicare reimbursement rates, administrative hassles and retirement.
“You don’t want to need somebody in an urgent situation, whether its for plumbing, electrical – but your health care is even more important than those things,” said Dr. Edward McGookin, a physician who is also president of Coastal Medical, the Lifespan health network provider to 120,000 Rhode Islanders.
Prescription for RI: At least 100 more primary care doctors
A new study from the Washington, D.C.-based Robert Graham Center, a research group, says Rhode Island will need nearly 100 more primary care providers in the next six years to keep up with demand.
“The demands on primary care are outpacing the improvements in the way we deliver care and the way we compensate doctors for it,” McGookin said. He said “there’s been a tremendous increase” in the burden of actions required of clinicians.
More: Finding a primary care doctor in Rhode Island is getting more difficult. Here’s why
Doctors have to perform about two hours of paperwork for every hour they spend with a patient, and hiring extra people to help with that would mean “tremendous increases in overhead,” McGookin said.
For providers, it’s an overwhelming situation, and one that means more time spent on documents than dealing directly with the people they care for.
Patient waited over 2 years to see a doctor after losing one
Mike Czaplicki hasn’t seen a primary care doctor since August 2021. Sometime around the end of that year, his doctor left Care New England Primary Care. Now, Czaplicki will go to Sturdy Memorial Associates in Plainville, Massachusetts, to finally see a new provider in January.
Finding one was tough, and being without one for so long caused Czaplicki a constant knot of stress as he crossed his fingers that he’d remain healthy in the meantime.
“I’ve always lived in cities; never had a problem getting a doc,” he said, “but now I’m waiting a year, and basically have no choice of doctor? How did this happen? What are we doing here?”
More: RI’s new nursing school wants to graduate ‘healers,’ ease job stress, reduce national exodus
Czaplicki’s story isn’t unique. Shriram Krishnamurthi, a Brown University computer science professor, said his lost his provider at Coastal Medical in July when the doctor decided to focus on research. Krishnamurthi’s next visit won’t be until April 2024, but otherwise he hasn’t needed to see a doctor. Providence resident Kathi Fisher saw her doctor leave Coastal, too, around the start of the summer.
“The particularly frustrating part for me was that the practice was sufficiently short-handed that they couldn’t assign me to another doctor in the same practice,” Fisher said. “Instead, I was reassigned to a different Coastal practice, while the rest of my family was still at our original practice.”
Providers, educators search for solutions
The numbers add hard facts to the anecdotes. This week, The Public’s Radio reported that up to 200,000 Rhode Islanders will be at risk of going without a primary care doctor in 2030 without any political or educational solutions.
Some are already trying to find a way out of the pinch. Providence College has launched a roughly $80-million School of Nursing and Health Sciences, working with students to avoid burnout and remain on their career paths. Nearly a year ago, Johnson & Wales University launched an accelerated nursing degree program. And eventually the education could start with even younger students. A proposal is under consideration for a charter school called RI MedPrep, which aims to get more diverse providers into the field.
Kenneth Botelho, a physician assistant at Coastal Medical, believes the solution also lies in empowering physician assistants and nurse practitioners to become clinicians. In 2022, Botelho launched Paving Practices, which is urging schools to adopt its clinical doctorate program to help cultivate a new workforce by building on the skills that nurses and physician assistants already have.
No schools have yet adopted Botelho’s program, but he emphasized that it’s still early.
In the meantime, Botelho handles patients with empathy.
“I try to do the best I can to look at it from the patients’ perspective,” he said. “It’s certainly not their fault they’re going through this.”
Since the pandemic, student absenteeism has skyrocketed across the country, sending education departments and school districts searching for solutions. It is a priority with the Rhode Island Department of Education (RIDE) and every school district in the state. And, while results haven’t been dramatic, they are moving in the right direction.
Statewide, pre-pandemic absenteeism in Rhode Island schools was about 19 percent. It ballooned to more than 34 percent in 2021-22, dropping the following year to 28.9 percent, and in 2023-24 it was 24.7 percent.
The same pattern is reflected in Aquidneck Island area schools. The Rhode Island Department of Education publishes a daily report on absenteeism for the more than 270 Rhode Island public schools, and certain patterns are clear. Wealthier communities have fewer absences, and it appears that greater absenteeism occurs in high and middle schools.
Newport Schools superintendent Colleen Burns Jermain says students in poorer communities face challenges of family responsibilies, housing and transportation issues. All three are recognized as significant issues nationally by Panorama Education, which says some students from “low-income families may need to stay home to care for younger siblings or work to support their families.”
Chronic absenteeism national is defined as missing 10 percent of school days, or the equivalent of about two days. The consequences, says Panorama, range from health, dropout, social and behavioral, along with a negative impact on academics.
RIDE publishes a daily attendance tracker. Here’s a look at area schools, as reported in the November 25 attendance tracker, and listed by state rankings.
- Howard Hathaway Elementary School, Portsmouth, with 412 students, ranked 25 with projected chronic absences of 31 (7.5 percent), a reduction of 2.9 percent from last year.
- Melville Elementary School, Portsmouth, with 320 students, ranked 26 with projected chronic absences of 25 (7.8 percent), a reduction of 4.9 percent from last year.
- Jamestown Middle School, with 189 students, ranked 36 with projected chronic absences of 31 (7.5 percent), a reduction of 2.9 percent from last year.
- Portsmouth Middle School, with 607 students, ranked 42 with projected chronic absences of 58 (9.6 percent), a reduction of 2.9 percent from last year.
- Aquidneck Elementary School, Middletown, with 302 students, ranked 44 with projected chronic absences of 29 (9.6 percent), a reduction of .3 percent from last year.
- Wilbur and McMahon Elementary and Middle School, Little Compton, with 219 students, ranked 68 with projected chronic absences of 23 (10.5 percent), a reduction of 1.3 percent from last year.
- Portsmouth High School, with 787 students, ranked 114 with projected chronic absences of 105 (13.3 percent), a reduction of 1.3 percent from last year.
- Fort Barton Elementary School, Tiverton, with 133, students, ranked 98 with projected chronic absences of 16 (12 percent), an increase of .9 percent from last year.
- Forest Avenue Elementary School, Middletown, with 300 students, ranked 112 with projected chronic absences of 40 (13.3 percent), a reduction of 1.6 percent from last year.
- Tiverton High School, with 424 students, ranked 140 with projected chronic absences of 60 (14,2 percent), a reduction of 1.6 percent from last year.
- Pocasset Elementary School, Tiverton with 31 students, ranked 150 with projected chronic absences of 31 (14.7 percent), a reduction of .4 percent from last year.
- Gaudet Middle School, Middletown, with 434 students, ranked 181 with projected chronic absences of 31 (7.5 percent), an increase of .7 percent from last year.
- Middletown High School, with 521students, ranked 209 with projected chronic absences of 107 (20.5 percent), an increase of 1.5 percent from last year.
- Claiborne Pell Elementary School, Newport, with 662 students, ranked 221, with projected chronic absences of 147 (22.2 percent), a reduction of 2.4 percent from last year.
- Frank E. Thompson Middle School, Newport, with 495 students, ranked 225 with projected chronic absences of 115 (23.2 percent), an increase of .6 percent from last year.
- Tiverton Middle School, with 500 students, ranked 234 with projected chronic absences of 119 (23.8 percent), an increase of 11.3 percent from last year.
- Rogers High School, Newport, with 600 students, ranked 246 with projected chronic absences of 183 (30.5 percent), a reduction of 5.7 percent from last year.
North Kingstown, R.I. – A Rhode Island man is facing a disturbing charge.
According to police, on Friday at approximately 4:00 p.m., the North Kingstown Police Department responded to a 911 call reporting an incident of indecent exposure. The caller, a 17-year-old, reported that a male subject drove up her on Prospect Avenue, asking for directions to the North Kingstown High School while completely naked. The suspect was driving a silver Subaru, registered in New Hampshire. The vehicle was last seen traveling towards Fairway Drive.
Officers immediately responded to the area from different directions to contain the vehicle and investigate the report. The vehicle was located and stopped on Lantern Lane. The driver/sole occupant was identified as David C. Palmer of East Providence. After further investigation, Palmer was taken into custody and charged with Disorderly Conduct – Indecent Exposure.
Palmer was later arraigned at the station before a Justice of the Peace and released on a $1,000 personal recognizance bail. He is scheduled for formal arraignment at the 3rd Division District Court on December 6th.
Rhode Island
Rhode Island FC falls 3-0 to Colorado Springs Switchbacks FC in USL Championship final – What's Up Newp
Rhode Island FC’s historic inaugural season came to an end in the USL Championship Final on Saturday when it fell 3-0 to Colorado Springs Switchbacks FC at Weidner Field. Becoming the first Eastern Conference team in league history to advance to the final match in its first season, the Ocean State club will return to Rhode Island proud after making the farthest run by an expansion side in eight years.
Colorado Springs Switchbacks FC had a golden chance to take the lead less than a minute into the match when Yosuke Hanya was on the receiving end of a central pass as he cut behind the Rhode Island FC defense. Sprinting into a one-on-one opportunity with Koke Vegas, the midfielder dragged his shot just wide of the right post.
Holding just 30 percent of possession throughout the first 15 minutes, RIFC got its first real chance of the match when it won a dangerous free kick at the corner of the 18-yard-box in the 14th minute. JJ Williams stepped up to take the free kick, and curled it narrowly over the bar as the match stayed scoreless.
Colorado Springs eventually broke the deadlock in the 22nd minute when Hanya broke free on the right wing, sending a cross into the six-yard box for Juan Tejada. Making a run into the open space, Tejada side-footed the ball into the back of the net from close range to give the hosts a 1-0 lead.
In the 42nd minute, Colorado Springs doubled its lead with a powerful strike from the top of the box. It happened when Jairo Henriquez tore down the left flank, cut inside and took a shot that was blocked by RIFC. Unfortunately for the Ocean State club, the rebound fell kindly to Haneriquez, who made no mistake on his second effort and picked out the top-left corner to make it 2-0.
The Switchbacks nearly took complete control with a third goal in first-half stoppage time when Quenzi Huerman unleashed yet another shot from distance, but Vegas punched the effort over the bar and took care of the resulting corner to keep the match 2-0 at the break.
Nine minutes into the second half, RIFC nearly cut the deficit in half when Clay Holstad connected on a corner kick from the top of the box. Instead, Colorado Springs blocked the shot and quickly broke out on the counter-attack, where Roaldo Damus finished with a low, one-on-one effort to make it 3-0.
RIFC came within inches of getting one back in the 64th minute when Frank Nodarse headed a corner towards the bottom-right corner, but Colorado Springs goalkeeper Christian Herrera produced a sharp diving save to deny the Ocean State club. Minutes later, Jack Panayotou forced another save out of Herrera, and Morris Duggan couldn’t keep the close-range rebound on frame.
The opportunities were as close as RIFC could get to finding the back of the net in the match as the USL Championship Final ended 3-0.
After the match, the visitors walked over to thank the over 400 Rhode Island FC faithful who made the trip out west. The fanbase’s incredible support during the record-breaking inaugural season fueled the team to a memorable finish. The Ocean club will now look forward to its launch of season two from The Stadium at Tidewater Landing in downtown Pawtucket.
GOAL SCORING RUNDOWN
COS – Juan Tejada (Youke Hanya), 22nd minute: Tejada connects with Hanya’s right-wing cross from inside the six-yard box. COS 1, RI 0
COS – Jairo Henriquez, 42nd minute: Henriquez picks out the top-left corner with a powerful strike from the top of the 18-yard box. COS 2, RI 0
COS – Ronaldo Damus (Matt Real), 53rd minute: Damus finishes a one-on-one counter-attack with a low finish into the bottom corner. COS 3, RI 0
ADDITIONAL NOTES
- Saturday’s match was the first-ever USL Championship Final to air nationally on network television (CBS).
- The opening goal for Colorado Springs in the 22nd minute marked the first time RIFC trailed during the 2024 USL Championship Playoffs.
- The 2-0 halftime deficit marked the first time RIFC has trailed by multiple goals at halftime since April 26.
- RIFC will return to the Ocean State after making the furthest playoff run by any Eastern Conference expansion team in league history, and becoming the first expansion club in eight years to advance to the final.
MAN OF THE MATCH: Clay Holstad
Match stats and information available here.
Ali: Neo-Nazi marches. 'Both sides' framing. This is who we are. But it doesn't have to be.
High school football: City and Southern Section championship game schedule
US retailers stretch out Black Friday deals to lure flagging shoppers
Voters in Switzerland say no to bigger motorways
Two killed and one injured as plane crashes in Colorado mountain range
Colorado Rockies game no. 116 thread: Zac Gallen vs José Ureña
See it: Tesla crashes into Columbus convention center at 70 mph
Fox News Politics: Georgia the whole day through
Why Marjorie Taylor Greene was ‘kicked out’ of the Freedom Caucus according to Rep. Buck
Death of missing Oregon girl found in stream ruled homicide
Voters in Switzerland say no to bigger motorways
Two killed and one injured as plane crashes in Colorado mountain range
Fred Harris, former Democratic senator from Oklahoma and presidential candidate, dies at 94
‘Optical illusion’: Key takeaways from COP29
With talks teetering, climate negotiators struck a controversial $300 billion deal
-
Business1 week agoColumn: Molly White's message for journalists going freelance — be ready for the pitfalls
-
Science5 days agoTrump nominates Dr. Oz to head Medicare and Medicaid and help take on 'illness industrial complex'
-
Politics7 days agoTrump taps FCC member Brendan Carr to lead agency: 'Warrior for Free Speech'
-
/cdn.vox-cdn.com/uploads/chorus_asset/file/25739950/247386_Elon_Musk_Open_AI_CVirginia.jpg "Inside Elon Musk’s messy breakup with OpenAI")
Technology6 days agoInside Elon Musk’s messy breakup with OpenAI
-
Lifestyle7 days agoSome in the U.S. farm industry are alarmed by Trump's embrace of RFK Jr. and tariffs
-
World7 days agoProtesters in Slovakia rally against Robert Fico’s populist government
-
News6 days agoThey disagree about a lot, but these singers figure out how to stay in harmony
-
News7 days agoGaetz-gate: Navigating the President-elect's most baffling Cabinet pick