The survey respondents are probably more likely to be opposed to the disbanding of the PHPM as it directly affects their livelihood.
It is unfortunate that with the disbanding of the PHPM section a need may no longer exist to aggregate statewide budget information, which would allow for a more thorough comparison of MCP budgets between both programs and years.
It is likely that the disbanding of the PHPM section and recent MCP budget cuts have suppressed mosquito-borne disease prevention capabilities in North Carolina.
PHPM training continues to be challenged by an ongoing debate regarding whether specialists are necessary to fulfill the local role of MOH.
The interface between primary care and public health remains a potential area to support the work of PHPM specialists.
The public health crises of the past decade have renewed interest in ensuring that there will be adequate numbers of trained PHPM specialists to provide this unique expertise.
Interestingly, despite ongoing concerns surrounding potential shortages, a 2010 evaluation by the RCPSC suggested that PHPM was one of a number of potentially "underemployed and unemployed" specialties, with new graduates reporting some difficulty finding optimal employment.
The 2011 PHPM name change represented an important event in a long history of changes to clarify and refine the medical specialty of public health in Canada.
There is currently no consensus about the exact importance and influence of clinical practice within a population-level practice and therefore within PHPM
Since public health is very much a team-based practice, the absence of key team members limits the potential impact of a PHPM specialist.
For example, the vast majority of PHPM residency programs in this country are based in large urban centres.
A striking observation regarding the commentary is the continuing lack of data to comprehensively understand the nature of the workforce issues facing the PHPM specialty.