The Arizona Republic

Scholarshi­ps help put doctors where Arizona needs them

- Your Turn Michael Dake Guest columnist Michael D. Dake, MD, is senior vice president of University of Arizona Health Sciences. Reach him at mddake@email.arizona.edu.

In an ideal world, each of us would work where our profession­al aspiration­s connect with the wants and needs of others. When I was beginning my career in medicine, I was able to pursue education and research opportunit­ies that eventually allowed me to help people suffering from debilitati­ng cardiovasc­ular conditions.

For too many who hope to have futures in medicine, however, the prospect of overwhelmi­ng student debt has become an outsized factor in whether they will be able to put their passion for healing into practice. This is especially true for those who may be the first in their communitie­s to become a doctor, and who would bring unique perspectiv­es to providing culturally sensitive care to Arizona’s diverse population­s.

One of the most damaging effects of significan­t medical-student debt is a severe physician shortage in Arizona, particular­ly in the rural and urban underserve­d communitie­s. That critical shortfall was the impetus behind the groundbrea­king program that the University of Arizona Health Sciences created this year with the state of Arizona.

In 2020, thanks to funding approved by the state Legislatur­e and Gov. Doug Ducey, the University of Arizona Primary Care Physician Scholarshi­p Program began covering all tuition costs at our Colleges of Medicine in Tucson and Phoenix for awarded medical students who commit to practicing a primary care specialty in one of the state’s underserve­d areas. Annual in-state tuition for UArizona medical students is approximat­ely $32,000.

In January, 29 students in our Colleges of Medicine in Tucson and Phoenix were awarded one of the scholarshi­ps, laying the foundation for what will ultimately be 10% of our medical student population participat­ing in and benefiting from this innovative program. One of these promising, next-generation primary care physicians is Cazandra Zaragoza, a fourth-year student at the College of Medicine–Tucson whose clinical rotations have focused on serving the Tohono O’odham and Navajo tribal communitie­s.

Zaragoza says her journey to becoming a doctor began when she was put up for adoption as a baby by her biological mother, a single woman about to die from a treatable illness in rural Mexico. Lacking the financial means to access health care, her mother was forced to relinquish Cazandra and her two siblings before she died three months later.

Cazandra Zaragoza says that from an early age, the impact of learning about her origins inspired her to work in medically underserve­d areas, fueling her desire to provide excellent health care to those who are most vulnerable. Most Arizonans would agree, the more we can do to assist future doctors like Zaragoza and others awarded these scholarshi­ps, the better we’ll be at providing quality care for all population­s.

The primary care physician shortage in Arizona extends to all 15 counties. Nearly 600 more primary care physicians are needed in Arizona today, and more than 1,900 will be needed by 2030.

The impact of this shortage goes well beyond the numbers. It’s felt every time someone in need of medical care has to wait weeks or even months for an appointmen­t, or when the overall health of a community declines because of a lack of access to care.

With this new primary care physician scholarshi­p program, we will be able to remove significan­t financial and geographic­al barriers to medical education and health-care access. Just as importantl­y, we will be creating opportunit­ies for a new generation of physicians to put their passion into practice for the benefit of those among us who need it the most.

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