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https://www.readbyqxmd.com/read/28086953/student-and-faculty-perceptions-on-the-rapid-scale-up-of-medical-students-in-ethiopia
#1
Brittney S Mengistu, Holly Vins, Caitrin M Kelly, Daphne R McGee, Jennifer O Spicer, Miliard Derbew, Abebe Bekele, Damen Haile Mariam, Carlos Del Rio, Henry M Blumberg, Dawn L Comeau
BACKGROUND: Ethiopia is a country of over 94 million people that has a severe physician shortage with approximately only 2.5 physicians per 100,000 persons. Recently, the Ethiopian government implemented a "flood and retain" initiative to rapidly increase the quantity of physicians in Ethiopia. Consequently, medical student enrollment at Addis Ababa University (AAU) School of Medicine increased from 100 to approximately 300-400 students per class. This study evaluated the impact of the rapid scale-up in the number of medical students on the quality of medical education at AAU and the impact of the U...
January 13, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28005553/is-the-role-of-physicians-really-evolving-due-to-non-physician-clinicians-predominance-in-staff-makeup-in-sub-saharan-african-health-systems-comment-on-non-physician-clinicians-in-sub-saharan-africa-and-the-evolving-role-of-physicians
#2
Mohsin M Sidat
Health workforce shortages in Sub-Saharan Africa are widely recognized, particularly of physicians, leading the training and deployment of Non-physician clinicians (NPCs). The paper by Eyal et al provides interesting and legitimate viewpoints on evolving role of physicians in context of decisive increase of NPCss in Sub-Saharan Africa. Certainly, in short or mid-term, NPCs will continue to be a proxy solution and a valuable alternative to overcome physicians' shortages in sub-Saharan Africa. Indeed, NPCs have an important role at primary healthcare (PHC) level...
July 2, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28005543/the-evolution-of-the-physician-role-in-the-setting-of-increased-non-physician-clinicians-in-sub-saharan-africa-an-insistence-on-timing-and-culturally-sensitive-purposefully-selected-skill-development-comment-on-non-physician-clinicians-in-sub-saharan-africa
#3
Agnes Binagwaho, Gabriela Sarriera, Arielle Eagan
As Eyal et al put forth in their piece, Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians, task-shifting across sub-Saharan Africa through non-physician clinicians (NPCs) has led to an improvement in access to health services in the context of physician-shortages. Here, we offer a commentary to the piece by Eyal et al, concurring that physician's roles should evolve into specialized medicine and that skills in mentorship, research, management, and leadership may create more holistic physicians clinical services...
July 9, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27938806/pressure-and-disenchantment-in-physicians-part-ii-lessons-for-physicians-from-the-tao-te-ching
#4
Clay J Cockerell
Physicians are faced with many stressors today that place them at risk of disenchantment, depression, and "burnout." Although this is costly to the individual physician, it is equally costly to society because physician stress can lead to exercise of poor judgment and medical errors. It also threatens to exacerbate physician shortages, as more physicians opt to retire or, in some cases, change careers altogether. In this essay, suggestions are made as to how to deal with these stressors that, if used, can ameliorate them at least to some degree...
January 2017: Clinics in Dermatology
https://www.readbyqxmd.com/read/27923402/physicians-job-satisfaction-and-motivation-in-a-public-academic-hospital
#5
Paulo de Oliveira Vasconcelos Filho, Miriam Regina de Souza, Paulo Eduardo Mangeon Elias, Ana Luiza D'Ávila Viana
BACKGROUND: Physician shortage is a global issue that concerns Brazil's authorities. The organizational structure and the environment of a medical institution can hide a low-quality life of a physician. This study examines the relationship between the hospital work environment and physicians' job satisfaction and motivation when working in a large public academic hospital. METHODS: The study was restricted to one large, multispecialty Brazil's hospital. Six hundred hospital physicians were invited to participate by e-mail...
December 7, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27916358/transfer-of-acute-care-surgery-patients-in-a-rural-state-a-concerning-trend
#6
Brittany Misercola, Kristen Sihler, Molly Douglas, Stephen Ranney, Jonathan Dreifus
BACKGROUND: Regionalized care of complex patients to larger hospitals is an increasingly common practice as the population ages and the physician shortage evolves. The Acute Care Surgery model is new, and there are limited data on the patients being transferred through this system. We hypothesized transfer patients would be older, more complex, and require additional resources. MATERIALS AND METHODS: Retrospective chart review of Acute Care Surgery patients admitted to a single tertiary facility...
November 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27871296/work-hours-and-turnover-intention-among-hospital-physicians-in-taiwan-does-income-matter
#7
Yu-Hsuan Tsai, Nicole Huang, Li-Yin Chien, Jen-Huai Chiang, Shu-Ti Chiou
BACKGROUND: Physician shortage has become an urgent and critical challenge to many countries. According to the workforce dynamic model, long work hours may be one major pressure point to the attrition of physicians. Financial incentive is a common tool to human power retention. Therefore, this large-scale physician study investigated how pay satisfaction may influence the relationship between work hours and hospital physician's turnover intention. METHODS: Data were obtained from a nationwide survey of full-time hospital staff members working at 100 hospitals in Taiwan...
November 21, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27777661/physician-retention-in-the-same-state-as-residency-training-data-from-1-michigan-gme-institution
#8
Tracy J Koehler, Jaclyn Goodfellow, Alan T Davis, John E vanSchagen, Lori Schuh
BACKGROUND : In a time of threats to the funding for graduate medical education (GME) and projected physician shortages, drawing attention to the value of physician training programs may be useful. One approach is to study the number and percentage of physicians who enter practice in the state in which they trained. OBJECTIVE : We sought to examine the percentage of graduates from a single Michigan-based GME institution over a 15-year period, who practiced medicine in Michigan during their career...
October 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27695105/using-the-fusion-proximal-area-method-and-gravity-method-to-identify-areas-with-physician-shortages
#9
Xuechen Xiong, Chao Jin, Haile Chen, Li Luo
OBJECTIVES: This paper presents a geographic information system (GIS)-based proximal area method and gravity method for identifying areas with physician shortages. The innovation of this paper is that it uses the appropriate methods to discover each type of health resource and then integrates all these methods to assess spatial access to health resources using population distribution data. In this way, spatial access to health resources for an entire city can be visualized in one neat package, which can help health policy makers quickly comprehend realistic distributions of health resources at a macro level...
2016: PloS One
https://www.readbyqxmd.com/read/27688874/medical-education-in-israel-2016-five-medical-schools-in-in-a-period-of-transition
#10
Shmuel Reis, Jacob Urkin, Rachel Nave, Rosalie Ber, Amitai Ziv, Orit Karnieli-Miller, Dafna Meitar, Peter Gilbey, Dror Mevorach
ABSTRACT: We reviewed the existing programs for basic medical education (BME) in Israel as well as their output, since they are in a phase of reassessment and transition. The transition has been informed, in part, by evaluation in 2014 by an International Review Committee (IRC). The review is followed by an analysis of its implications as well as the emergent roadmap for the future. The review documents a trend of modernizing, humanizing, and professionalizing Israeli medical education in general, and BME in particular, independently in each of the medical schools...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27669134/interprofessional-training-not-optional-in-good-medical-education
#11
Paul Burcher
Interprofessional education is a vital part of medical education, and students should not be permitted to exempt themselves from it. Physicians are part of a team, and the importance of teamwork will only increase as physician shortages continue and medical care becomes more complex. To learn to be good physicians in this emerging environment, students must appreciate the skills, strengths, and vocabularies of other professions. It is shortsighted to think that the best educators of future physicians can only be other physicians...
2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27638446/pressure-and-disenchantment-in-physicians-part-i-developing-an-approach-to-reconnect-with-what-is-noble-about-medicine
#12
Clay J Cockerell
Physicians are faced with many stressors today that place them at risk of disenchantment, depression, and burnout. Although this is costly to the individual physician, it is equally costly to society, because physician stress can lead to exercise of poor judgment and medical errors. It also threatens to exacerbate physician shortages, as more physicians opt to retire or, in some cases, change careers altogether. In this essay, suggestions are made as to how to deal with these stressors that, if used, can ameliorate them at least to some degree...
September 2016: Clinics in Dermatology
https://www.readbyqxmd.com/read/27637819/using-focus-groups-to-identify-characteristics-of-an-ideal-work-environment-for-advanced-practice-clinicians
#13
Robert J Motley, Richard J Mazzaccaro, David B Burmeister, Samuel D Land, Richard M Boulay, Heiwon Chung, Lynn Deitrick, Andrew D Sumner
Advanced Practice Clinicians (APCs) in collaborative practice represent a diverse and valuable group of health care professionals, including nurse practitioners, physician assistants, nurse anesthetists, and nurse midwives. Because these healthcare professionals have been identified as part of the solution to physician shortages, it is critical for health networks to examine and address issues affecting collaborative relationships. We invited our network APCs to participate in focus group sessions to determine both attributes and barriers to an ideal work environment...
September 2016: Healthcare
https://www.readbyqxmd.com/read/27549644/reducing-the-physician-workforce-crisis-career-choice-and-graduate-medical-education-reform-in-an-emerging-arab-country
#14
Halah Ibrahim, Satish Chandrasekhar Nair, Sami Shaban, Margaret El-Zubeir
BACKGROUND: In today's interdependent world, issues of physician shortages, skill imbalances and maldistribution affect all countries. In the United Arab Emirates (UAE), a nation that has historically imported its physician manpower, there is sustained investment in educational infrastructure to meet the population's healthcare needs. However, policy development and workforce planning are often hampered by limited data regarding the career choice of physicians-in-training. The purpose of this study was to determine the specialty career choice of applicants to postgraduate training programs in the UAE and factors that influence their decisions, in an effort to inform educational and health policy reform...
May 2016: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/27532873/does-primary-care-diabetes-management-provided-to-medicare-patients-differ-between-primary-care-physicians-and-nurse-practitioners
#15
May Nawal Lutfiyya, Lisa Tomai, Bianca Frogner, Frank Cerra, Daniel Zismer, Stephen Parente
AIMS: The aim of this study was to answer the overall question: Does primary care diabetes management for Medicare patients differ in scope and outcomes by provider type (physician or nurse practitioner)? BACKGROUND: In the USA as well as globally, there is a pressing need to address high healthcare costs while improving healthcare outcomes. Primary health care is one area where healthcare reform has received considerable attention, in part because of continued projections of primary care physician shortages...
January 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27401422/when-do-primary-care-physicians-retire-implications-for-workforce-projections
#16
Stephen M Petterson, William F Rayburn, Winston R Liaw
PURPOSE: Retirement of primary care physicians is a matter of increasing concern in light of physician shortages. The joint purposes of this investigation were to identify the ages when the majority of primary care physicians retire and to compare this with the retirement ages of practitioners in other specialties. METHODS: This descriptive study was based on AMA Physician Masterfile data from the most recent 5 years (2010-2014). We also compared 2008 Masterfile data with data from the National Plan and Provider Enumeration System to calculate an adjustment for upward bias in retirement ages when using the Masterfile alone...
July 2016: Annals of Family Medicine
https://www.readbyqxmd.com/read/27389607/bolstering-the-pipeline-for-primary-care-a-proposal-from-stakeholders-in-medical-education
#17
Hanyuan Shi, Kevin C Lee
The Association of American Medical Colleges reports an impending shortage of over 90,000 primary care physicians by the year 2025. An aging and increasingly insured population demands a larger provider workforce. Unfortunately, the supply of US-trained medical students entering primary care residencies is also dwindling, and without a redesign in this country's undergraduate and graduate medical education structure, there will be significant problems in the coming decades. As an institution producing fewer and fewer trainees in primary care for one of the poorest states in the United States, we propose this curriculum to tackle the issue of the national primary care physician shortage...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27259123/nurses-and-psychologists-advancing-the-patient-centered-medical-home-model
#18
Kent A Corso, Donna Gage
As America experiences the largest health care revolution of the past 50 years, clinicians and administrators are refocusing their attention on the goals of the Quadruple Aim. Motivation and capabilities among stakeholders vary as practical tools and an adequate workforce remain elusive. At the same time, the patient-centered medical home (PCMH) model is spreading rapidly but demonstrating variable results. Positive PCMH outcomes seem to reflect high-quality teamwork. A primary care physician shortage is looming, and increasing numbers of health professionals are being pushed into the PCMH, mandated to provide "integrated" care...
July 2016: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27170786/sponsoring-institutions-with-five-or-fewer-residency-programs-produce-a-larger-proportion-of-general-internists-and-family-physicians
#19
Sarah Hemeida, Kathleen Klink, Andrew Bazemore, Stephen Petterson, Lars Peterson
Policymakers are increasingly interested in addressing the US primary care physician shortage and achieving measurable accountability for the products of the nation's $15 billion investment in graduate medical education (GME). Using one such measure, we found that sponsoring institutions (SIs) with ≤5 residency programs produce a higher percentage of general internists and family physicians than larger SIs.
May 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/27169830/career-expectancy-of-physicians-active-in-patient-care-evidence-from-mississippi
#20
Jamie Boydstun, Jeralynn S Cossman
INTRODUCTION: Physician shortages in the USA, an issue that has been particularly challenging in Mississippi, have been a concern among health scholars and policy makers for several decades. Physician shortages hinder residents from easily obtaining routine care, potentially magnifying health disparities. This study examines physician career life expectancy, or how long physicians typically practice, in Mississippi. METHODS: Data on Mississippi's physician population actively involved between 2007 and 2011 were obtained from the Mississippi State Board of Medical Licensure...
April 2016: Rural and Remote Health
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