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  1. #1
    wcb22 is offline Elite Member
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    Residency positions increase

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    with all the recent talk of the physician shortage (projected at 85,000-200,000 by the year 2020), and the AMA saying all US allopathic med schools need to up their enrollment 30%, it only made sense that this would be coming up soon. good news for us!


    http://www.medscape.com/viewarticle/541160?src=mp

    Readers' and Author's Responses to "Fixing the US Physician Shortage Requires Many More Slots for Resident Physicians in Training"
    Posted 08/07/2006
    Jerry Kruse, MD, MSPH; Donald Miller, MD, MPH; Anand Patel; Michael C. Dugan, MD; Patrick Watterson, PA-C; **** H. Rockey, MD, MPH
    To the Editor,
    I agree with Dr. **** Rockey[1] that residency position caps should be lifted and that payers other than Medicare should share the burden of GME [graduate medical education] costs. However, if healthcare outcomes are to be improved, an increase in residency slots must be accompanied by policies that ensure a proper balance of the US physician workforce. Among modern industrialized nations, there is abundant evidence that those nations and regions that place a relatively greater emphasis on generalist medicine and primary care have consistently better health outcomes and spend less for healthcare.[2-4] It is also evident that the United States places less emphasis on primary care and generalist medicine than virtually any other nation, that our healthcare outcomes are far poorer than they should be, and that we spend far more for healthcare than any other nation. Even though these studies are powerful and consistent and clear in their findings, they have largely been ignored by legislators, regulators, and academic health centers.
    Our current workforce policies have been influenced mainly by the supply-based recommendations of COGME [Council of Graduate Medical Education], AAMC [Association of American Medical Colleges], and Richard Cooper. In addition to the failure to consider population-based studies of health outcomes and societal need, these supply-based recommendations also fail to consider a true demand-based model, and rely only on market supply and consumer response. This is the same type of economic philosophy that has made America the society with the highest rate of obesity in the world. "If you cook it, they will eat." If an expansion of residency slots responds only to these supply-based recommendations and results in an unbridled increase in the relative supply of specialist physicians, our healthcare outcomes will become even worse and the costs will continue to soar. Policies should be implemented by academic medical centers, accrediting agencies, governmental agencies, and organizations of influence (such as the AMA [American Medical Association]) that ensure a proper composition of the physician workforce, and the proper emphasis on public and population health, preventive medicine, and personal medical homes. We are moving in the wrong direction. We can begin to change this by the proper use of new residency positions.
    Jerry Kruse, MD, MSPH
    Professor and Chair, Department of Family and Community Medicine
    Southern Illinois University School of Medicine
    Springfield, Illinois
    [email protected]
    M.D., PGY-3 Internal Medicine

  2. #2
    miasma's Avatar
    miasma is offline Senior Member
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    looks good to me.
    the car's on fire and there's no driver at the wheel and the sewers are all muddied with a thousand lonely suicides and a dark wind blows. the government is corrupt and we're on so many drugs with the radio on and the curtains drawn. we're trapped in the belly of this horrible machine and the machine is bleeding to death.

    -GYBE!


  3. #3
    Miklos is offline Elite Member 511 points
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    Saying it might be a good idea and actually lifting the federal cap are two completely different things. One is a lot easier than the other...

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