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Undergraduate medical education health policy

Dan Wu, Tai Pong Lam
China is engaged in efforts to train 300,000 family doctors by 2020 to meet its population's health care needs. This Article discusses the family doctor shortage, compares family medicine training programs, examines the distributional challenges faced by these programs, and proposes directions for further experimentation. Despite an increasing number of family doctors, they represented only 5.6% of all doctors in 2013. Currently, three training programs run concurrently-the post-transfer training, residency training, and designated family medicine undergraduate education programs...
February 2017: Academic Medicine: Journal of the Association of American Medical Colleges
Kathryn Hoffmann, Silvia Wojczewski, Diederik Aarendonk, Manfred Maier, Thomas Ernst Dorner, Jan de Maeseneer
BACKGROUND: Health services research, especially in primary care, is challenging because the systems differ widely between countries. This study aimed to explore the different understanding of the terminology used, particularly, regarding the professions nursing and medical secretaries. METHODS: The study was an add-on study to the Quality and Costs in Primary Care (QUALICOPC) project in Austria and designed as qualitative research. The qualitative phase was conducted by using semi-structured telephone interviews with general practitioners (GP)...
January 2017: Wiener Klinische Wochenschrift
Darrin D'Agostino, Frank J Papa
The core competencies of medical schools and residencies have initiated a change in curricular design but have been limited in their execution of systems-based practice. The introduction of milestones and entrustable professional activities has emerged to enhance the current educational paradigm. Linking public health systemic approaches with evidence-based practices focused on population-level health care will affect patients more than current non-systems-based approaches. Curricular redesign, including population health-based strategies, public health competency, health care policy, and education linking the "determinants of health" to patient care, will better prepare future physicians to practice in the emerging paradigm of health care of the future...
November 1, 2016: Journal of the American Osteopathic Association
Jed D Gonzalo, Catherine Lucey, Terry Wolpaw, Anna Chang
To ensure physician readiness for practice and leadership in changing health systems, an emerging three-pillar framework for undergraduate medical education integrates the biomedical and clinical sciences with health systems science, which includes population health, health care policy, and interprofessional teamwork. However, the partnerships between medical schools and health systems that are commonplace today use health systems as a substrate for learning. Educators need to transform the relationship between medical schools and health systems...
August 30, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
B Ramasubbu, M Heron, R Ramasubbu, P Murphy
BACKGROUND: The Health Service Executive estimates it spent just under €2 billion on medicines in 2013 following a fivefold increase in the cost of medicines over the preceding decade. With this increasing cost, it is important to understand what factors affect doctors prescribing. AIMS: To investigate the influencing factors on prescribing of non-consultant hospital doctors (NCHDs) in Irish hospitals and to provide data regarding the sources of information NCHD's use for commonly prescribed drugs...
July 30, 2016: Irish Journal of Medical Science
Melissa Ann Theurich, Megan Elizabeth McCool
In 2011, the Surgeon General's Call to Action to Support Breastfeeding called on all health professional organizations, medical schools, and credentialing boards to establish and incorporate minimum lactation education and training requirements into their credentialing, licensing, and certification processes and to include breastfeeding education in undergraduate and graduate education and training programs. Given the commonalities between the fields of nutrition and breastfeeding, it has been proposed that nutrition professionals are an underutilized resource in the field of lactation management...
August 2016: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Jed D Gonzalo, Elizabeth Baxley, Jeffrey Borkan, Michael Dekhtyar, Richard Hawkins, Luan Lawson, Stephanie R Starr, Susan Skochelak
Educators, policy makers, and health systems leaders are calling for significant reform of undergraduate medical education (UME) and graduate medical education (GME) programs to meet the evolving needs of the health care system. Nationally, several schools have initiated innovative curricula in both classroom and workplace learning experiences to promote education in health systems science (HSS), which includes topics such as value-based care, health system improvement, and population and public health. However, the successful implementation of HSS curricula across schools is challenged by issues of curriculum design, assessment, culture, and accreditation, among others...
January 2017: Academic Medicine: Journal of the Association of American Medical Colleges
Jed D Gonzalo, Michael Dekhtyar, Stephanie R Starr, Jeffrey Borkan, Patrick Brunett, Tonya Fancher, Jennifer Green, Sara Jo Grethlein, Cindy Lai, Luan Lawson, Seetha Monrad, Patricia O'Sullivan, Mark D Schwartz, Susan Skochelak
PURPOSE: The authors performed a review of 30 Accelerating Change in Medical Education full grant submissions and an analysis of the health systems science (HSS)-related curricula at the 11 grant recipient schools to develop a potential comprehensive HSS curricular framework with domains and subcategories. METHOD: In phase 1, to identify domains, grant submissions were analyzed and coded using constant comparative analysis. In phase 2, a detailed review of all existing and planned syllabi and curriculum documents at the grantee schools was performed, and content in the core curricular domains was coded into subcategories...
January 2017: Academic Medicine: Journal of the Association of American Medical Colleges
Sara M Al-Hilali, Eman Al-Kahtani, Babar Zaman, Rajiv Khandekar, Abdullah Al-Shahri, Deepak P Edward
OBJECTIVES: This study aimed to evaluate attitudes, perceptions and perceived barriers towards health research among Saudi Arabian undergraduate medical students. METHODS: This cross-sectional study took place between August and October 2014 and included 520 students from five medical schools across Saudi Arabia. An anonymous online survey with 21 close-ended questions was designed to assess students' attitudes towards research, contribution to research-related activities, awareness of the importance of research, perception of available resources/opportunities for research, appreciation of medical students' research contributions and perceived barriers to research...
February 2016: Sultan Qaboos University Medical Journal
Muhammad U Sharif, Mohamed E Elsayed, Austin G Stack
Amidst the rising tide of chronic kidney disease (CKD) burden, the global nephrology workforce has failed to expand in order to meet the growing healthcare needs of this vulnerable patient population. In truth, this shortage of nephrologists is seen in many parts of the world, including North America, Europe, Australia, New Zealand, Asia and the African continent. Moreover, expert groups on workforce planning as well as national and international professional organizations predict further reductions in the nephrology workforce over the next decade, with potentially serious implications...
February 2016: Clinical Kidney Journal
Stephen C Schoenbaum, Peter Crome, Raymond H Curry, Elliot S Gershon, Shimon M Glick, David R Katz, Ora Paltiel, Jo Shapiro
A 2014 external review of medical schools in Israel identified several issues of importance to the nation's health. This paper focuses on three inter-related policy-relevant topics: planning the physician and healthcare workforce to meet the needs of Israel's population in the 21(st) century; enhancing the coordination and efficiency of medical education across the continuum of education and training; and the financing of medical education. All three involve both education and health care delivery. The physician workforce is aging and will need to be replenished...
2015: Israel Journal of Health Policy Research
Anna K Lyon, Eleanor J Hothersall, Steve Gillam
BACKGROUND: Recent policy initiatives in the UK have underlined the importance of public health education for healthcare professionals. We aimed to describe teaching inputs to medical undergraduate curricula, to identify perceived challenges in the delivery of public health teaching and make recommendations that may overcome them. METHODS: We undertook a cross-sectional survey; questionnaires were sent electronically to 32 teaching leads in academic departments of public health in UK medical schools and followed up by telephone interviews...
September 19, 2015: Journal of Public Health
Jennene A Greenhill, Judi Walker, Denese Playford
INTRODUCTION: The establishment of the rural clinical schools funded through the Commonwealth Department of Health and Ageing (now Department of Health) Rural Clinical Training and Support program over a decade ago has been a significant policy initiative in Australian rural health. This article explores the impacts of this policy initiative and presents the wide range of educational innovations contextualised to each rural community they serve. METHODS: This article reviews the achievements of the Australian rural clinical and regional medical schools (RCS/RMS) through semi-structured interviews with the program directors or other key informants...
July 2015: Rural and Remote Health
Yunbo Qing, Guijie Hu, Qingyun Chen, Hailun Peng, Kailan Li, Jinling Wei, Yanhua Yi
PURPOSE: To produce competent undergraduate-level medical doctors for rural township health centers (THCs), the Chinese government mandated that medical colleges in Central and Western China recruit rural-oriented, tuition-waived medical students (RTMSs) starting in 2010. This study aimed to identify and assess factors that influence the choice to work in rural township health centers among both RTMSs and other students from five medical universities in Guangxi, China. METHODS: An internet-based self-administered questionnaire survey was conducted with medical students in Guangxi province...
2015: Journal of Educational Evaluation for Health Professions
Yunbo Qing, Guijie Hu, Qingyun Chen, Hailun Peng, Kailan Li, Jinling Wei, Yanhua Yi
Purpose: To produce competent undergraduate-level medical doctors for rural township health centers (THCs), the Chinese government mandated medical colleges in Central and Western China to recruit rural-oriented, tuition-waived medical students (RTMS) started from 2010. This study aimed to identify and assess factors that influence the choice in rural township health centers among both RTMS and other students from five medical universities in Guangxi, China. Methods: An internet-based self-administered questionnaire survey was conducted for medical students in Guangxi province...
July 10, 2015: Journal of Educational Evaluation for Health Professions
Jeffrey P Gold, Jim P Stimpson, Kelly J Caverzagie
Funding for graduate medical education (GME) and undergraduate medical education (UME) in the United States is being debated and challenged at the national and state levels as policy makers and educators question whether the multibillion dollar investment in medical education is succeeding in meeting the nation's health care needs. To address these concerns, the authors propose a novel all-payer system for GME and UME funding that equitably distributes medical education costs among all stakeholders, including those who benefit most from medical education...
September 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Moisés Goldbaum
This article describes the academic trajectory of Professor Guilherme Rodrigues da Silva and his contribution in the formation of Collective Health in Brazil. Three key aspects are covered: active participation in medical education, both undergraduate and graduate level; its application in scientific research for the study of neglected diseases and the development of epidemiological methodology; his contribution in establishing health policy with emphasis on the Unique Health System (Sistema Único de Saúde - SUS)...
July 2015: Ciência & Saúde Coletiva
Salina Bakshi, Aisha James, Marie Oliva Hennelly, Reena Karani, Ann-Gel Palermo, Andrea Jakubowski, Chloe Ciccariello, Holly Atkinson
BACKGROUND: Despite the importance of the role social justice takes in medical professionalism, the need to train health professionals to address social determinants of health, and medical trainees' desire to eliminate health disparities, undergraduate medical education offers few opportunities for comprehensive training in social justice. The Human Rights and Social Justice (HRSJ) Scholars Program at the Icahn School of Medicine at Mount Sinai is a preclinical training program in social medicine consisting of 5 components: a didactic course, faculty and student mentorship, research projects in social justice, longitudinal policy and advocacy service projects, and a career seminar series...
March 2015: Annals of Global Health
M C Spiers, M Harris
INTRODUCTION: The optimum supply of an allied health workforce in rural and remote communities is a persistent challenge. Despite previous indicative research and government investment, the primary focus for rural and remote recruitment has been on the medical profession. The consequent shortage of allied health professionals leaves these communities less able to receive appropriate health care. This comprehensive review incorporates a literature analysis while articulating policy and further research implications...
April 2015: Rural and Remote Health
D Nabarro, C Wannous
Animal products are critical to the nutrition,food security, livelihoods and resilience of hundreds of millions of people throughout the world. Livestock accounts for 40% of worldwide income from agriculture. Demand for animal products is set to continue increasing in the next three decades, as is their market price. If not carefully managed, a worldwide increase in the production of animal-derived products would increase pressure on natural resources (particularly water and land), significantly raising levels of dangerous greenhouse gas emissions and increasing the risk of people contracting zoonotic diseases...
August 2014: Revue Scientifique et Technique
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