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Overhaul of Physician Education System Recommended

Cheryl Clark, for HealthLeaders Media, September 12, 2011

The panel also prioritizes its recommendation to diversify training sites from traditional teaching hospitals to federally qualified and school-based health centers "and to expand content related to professionalism, population medicine, and team-based practice.”

A third key recommendation is for educational institutions to eliminate historic boundaries so that other health provider professions can learn with their physician colleagues. "This will require revising regulations that now prevent supervision across specialties or professions," the group says.

The panel also wants to require a period of "monitored independence" during GME to confirm each physician's readiness for independent practice. "Program directors and teaching faculty express widespread concern that residents are not given sufficient opportunity to act independently within the present teaching environment and are consequently less well prepared for practice," the statement says.

The report lists four trends that make a major shift in medical training necessary:

1. New approaches to physician practice are necessary to meet the needs of an aging population, as the number of people 65 and older will double by 2020. This population will live longer with more chronic, cognitive, and functional issues and will be more racially and culturally diverse. 

2. Care continues to move outside the hospital to the home, clinics, and other community settings, and care providers are assuming new roles to meet these needs. The Affordable Care Act's directives will accelerate this trend, giving 32 million more people health coverage. This influx will require trainees to be "prepared to work in different organizations and sites of care, and in teams of health professionals."

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4 comments on "Overhaul of Physician Education System Recommended"


ECPat (9/19/2011 at 8:46 PM)
Good, but short, story about the need for more primary care physicians, though it isn't that clear that it's mostly primary care physicians that we need.

jeff mimbs (9/17/2011 at 4:03 AM)
quite possibly the dumbest article I've ever read...social engineering from the top....smells and sounds like communism I'll stick with my doctor who with years of training and sheer determination learns his craft and tries his best to do the right thing everyday...these bubbleheads need to go

Al Winston (9/13/2011 at 8:47 AM)
Perhaps one of the stupidest articles on here. A shortage of physicians? Really? The laws of supply and demand reveal that the markedly dropping reimbursement rates for physicians suggests a surplus of MDs, and this "shortage" claimed in the article is nonsense generated by third party payers wanting even MORE market competition so they can drop reimbursements even more. There is no shortage, there will be no shortage. In fact, most articles in the papers strongly suggest we OVERtreat in this country to create business for all the health care professionals we have. Lastly, the panel of 39 idiots claiming 'reform is needed' have no evidence that this is true; they have produced no outcomes measures to prove there's a deficiency in our educational system. Rather, they generate busy-work for 'reform' to justify their own jobs. This article is an embarrassment to your site.