Graduate Medical Education that Meets the Nation's Health Needs PDF Download

Author: Institute of Medicine (U.S.). Committee on the Governance and Financing of Graduate Medical Education
Publisher:
ISBN: 9780309303552
Category : Medical
Languages : en
Pages : 0

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Book Description
Intro -- FrontMatter -- Reviewers -- Foreword -- Acknowledgments -- Contents -- Boxes, Figures, and Tables -- Summary -- 1 Introduction -- 2 Background on the Pipeline to the Physician Workforce -- 3 GME Financing -- 4 Governance -- 5 Recommendations for the Reform of GME Financing and Governance -- Appendix A: Abbreviations and Acronyms -- Appendix B: U.S. Senate Letters -- Appendix C: Public Workshop Agendas -- Appendix D: Committee Member Biographies -- Appendix E: Data and Methods to Analyze Medicare GME Payments -- Appendix F: Illustrations of the Phase-In of the Committee's Recommendations.

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309471214
Category : Medical
Languages : en
Pages : 85

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Book Description
Graduate medical education (GME) is critical to the career development of individual physicians, to the functioning of many teaching institutions, and to the production of our physician workforce. However, recent reports have called for substantial reform of GME. The current lack of established GME outcome measures limits our ability to assess the impact of individual graduates, the performance of residency programs and teaching institutions, and the collective contribution of GME graduates to the physician workforce. To examine the opportunities and challenges in measuring and assessing GME outcomes, the National Academies of Sciences, Engineering, and Medicine held a workshop on October 10â€"11, 2017, in Washington, DC. Workshop participants discussed: meaningful and measurable outcomes of GME; possible metrics that could be used to track these GME outcomes; possible mechanisms for collecting, collating, analyzing, and reporting these data; and further work to accomplish this ambitious goal. This publication summarizes the presentations and discussions from the workshop.

Author: Brenda Thompson
Publisher:
ISBN:
Category :
Languages : en
Pages : 339

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Book Description
Graduate Medical Education needs a stress test now to improve and enhance the health and well-being of its community members. As a member of the GME community for a decade, I found that no matter where in the U.S. I worked or in which specialty I was overseeing, I encountered the same barriers to the foundation of GME, the same challenges faced by trainees, and the same threats to members' health and well-being. After a decade in the GME community, I felt compelled to formally analyze its challenges and devise improvements for its processes, practices, structure, and oversight, from medical school candidates for residency to accreditation to the GME Office to residency and fellowship programs and their learning environments. Professional, successful, knowledgeable GME administrators are seeking safer, less stressful, and more rewarding positions outside the GME community. Practicing physicians are experiencing violence in their workplaces. More alarming, medical students, residents, fellows, and practicing physicians exhibit and share their suicidal ideation. I hope my readers will feel and respond to my sense of urgency for transforming the GME community's challenges into enhancements and improvements. This book is my call to action for all members of this community as well as to the general public who may be or may become patients seeking medical treatment. I have shared experiences I encountered as examples that illuminate areas that need immediate correction. These are concrete problems and issues pervasive in the GME community. I have included scientific support and metrics for readers to examine and contemplate. I have revealed the realities of working in the GME community to bring attention to the current, continual challenges its members face daily. I sincerely hope readers will become advocates for change to improve the culture of the GME community by: Promoting transparency within GME. Developing strategies to improve the culture of the GME community. Enhancing wellness in medical school and residencies. Improving the medical school and trainee learning environments. Aiding residency candidates in navigation through recruitment and fostering understanding of their role in GME. Assisting residency candidates in the transition to residency. Encouraging programs to strive to be more successful. Assisting residents and fellows to succeed in GME and be prepared for a career transition to practice. Acknowledging the connection between failing programs and lack of training for administrative staff. Changing the current perception of the residency coordinator role to one of administrative director, supervisor, or manager. And also: Trainee Career Transition: Topics include negotiating a contract, interview questions, professional identity formation, marketing your practice, and building referrals. Medical Students: Topics include a behind-the-scenes look at the Match and ERAS from the program point of view, learning what programs look for in a personal statement, get interview questions, and how to be successful during residency.

Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
ISBN:
Category : Education
Languages : en
Pages : 176

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Book Description
The Subcommittee met in the first of a series of hearings on graduate medical education aimed at developing a new Medicare health professional education and teaching hospital payment policy. The hearing examined new policies for training future health professionals, future medical manpower needs, and the financing of teaching hospitals. Current Medicare payment mechanisms for graduate medical education and teaching hospitals were also reviewed. Among the witnesses were representatives of the American College of Surgeons advocating continued support for teaching hospitals, the American Dental Association advocating continued funding for hospital-based graduate dental education, the American Medical Association in favor of adding third-party payers' support for graduate medical education, the American Nurses Association advocating increased support for graduate nursing education, the American Osteopathic Association advocating limiting residency funding to 110 percent of total graduates, the American Podiatric Medical Association in favor of all third-party payers sharing in the support of graduate training, the Harvard Community Health Plan advocating different allocation to training sites, and the Association of American Medical Colleges on two specific Medicare payments. Also appearing were Doctor Kenneth Shine, Doctor Robert Heyssel, Professor Ruth S. Hanft, and Nurse Michael A. Carter. Includes the prepared testimony of witnesses and six submissions for the record. (JB)

Author: Zareen Zaidi
Publisher: University Press of Florida
ISBN: 1683400860
Category : Medical
Languages : en
Pages : 297

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Book Description
While medical schools usually emphasize the teaching of advanced scientific fundamentals through a carefully planned, formal curriculum, few focus on the equally crucial “hidden curriculum” of professional attitudes, skills, and behaviors. This concise and practical guide helps educators effectively prepare students for seldom-taught issues that arise daily in the practice of clinical medicine. In this volume, experienced clinician-educators offer real-world examples of various pedagogical and clinical scenarios, providing evidence- and theory-based approaches to managing three areas of growth: professional development, professionalism, and teaching. Acknowledging human fallibility, the editors begin with a framework that institutions, educators, and learners can use to promote well-being, outlining strategies for mindfulness training, relaxation techniques, appreciative inquiry, narrative medicine, and positive psychology. They then apply these strategies to additional developmental topics like failure, burnout, and improving resilience, social identity formation, and graceful self-promotion. The editors move on to discuss power differentials. They suggest ways of combatting microaggressions faced by women and minorities, fostering a safe learning environment where learners feel comfortable advocating in the setting of ethical dilemmas, recognizing and avoiding student mistreatment, and encouraging humility. They close with implications for the classroom, explaining the benefits and pitfalls of electronic health records and social media, the positive and negative attributes of role models, how to comfortably navigate controversial topics like gun ownership and abortion, and teaching empathy. With helpful infographics and case studies, this volume is a valuable resource for frontline educators who wish to help learners navigate the transition from layperson to medical professional.

Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 144

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Book Description
This document reports testimony presented on Medicare financing of graduate medical education, as proposed by the Balanced Budget Act of 1995. Witnesses included: (1) Timothy M. Golddfarb, Director, Healthcare Systems (Oregon), who noted the importance of graduate medical education funding to teaching hospitals; (2) Leo P. Brideau of Strong Memorial Hospital (Rochester, New York) who was concerned with protecting the program's viability; (3) Larry Wickless of the American Osteopathic Association, who hoped for increased support for graduate osteopathic programs; (4) Spencer Foreman, who spoke on behalf of the Greater New York Hospital Association concerning the importance of international medical graduates to institutions serving poor populations; (5) William E. Jacott, who spoke for the American Medical Association, which supports changes in the graduate medical education program; (6) Patrick B. Harr, who spoke for the American Academy of Family Physicians, about the physician surplus; (7) Leslie S. Cutler, University of Connecticut Health Center, who suggested establishment of medical education consortiums; (8) Anthony M. Marlon and Jerry Reeves of Sierra Health Services (Las Vegas, Nevada), who described a private-public pilot program to fund education of medical residents; (9) Mary O. Mundlnger, Columbia School of Nursing (New York), who sought funds for graduate nursing education; and (10) Lynn E. Caton, representing the American Academy of Physician Assistants, who sought to make physician assistant programs eligible for such funding. In addition to the testimony, discussions between witnesses and the committee members are also transcribed. (CH)

Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
ISBN:
Category : Federal aid to medical education
Languages : en
Pages : 160

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Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309041348
Category : Medical
Languages : en
Pages : 278

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Because of changes in the health care system, the hospital has become less suitable as the primary focus of graduate medical education for primary care physicians. However, the current system of financing health care education and services makes it difficult to accomplish the needed shift to training in primary care ambulatory settings. This book suggests ways of lowering financial barriers to primary care training in ambulatory settings.

Author: United States. Congress. Senate. Committee on Labor and Human Resources. Subcommittee on Employment and Productivity
Publisher:
ISBN:
Category : Medical education
Languages : en
Pages : 296

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Author: United States. Graduate Medical Education National Advisory Committee
Publisher:
ISBN:
Category : Medical education policy
Languages : en
Pages : 372

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Book Description