"The Northern Ontario School of Medicine (NOSM) is one of six medical schools in North America under the microscope as part of a U.S.-based study examining new models of medical education for the 21st century."
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"US medical schools are on track to meet a 30% increase in enrollment by 2015, including rapid growth in osteopathic schools, according to the results of the 2011 Medical School Enrollment Survey by the Center for Workforce Studies of the Association of American Medical Colleges (AAMC)."
"A major expansion is underway at the nation’s medical schools that will sharply increase the number of new physicians entering the workforce over the next decade to care for an aging baby boom generation. But critics say the move could backfire since medical schools are still channeling too many young doctors into highly paid specialties instead of primary care, which will exacerbate the problem of rising health care costs."
"University of Texas System regents on Thursday gave the thumbs-up to the creation of two new medical schools - one in South Texas and one in Austin - but progress will hinge upon finding enough revenue to support them, officials said."
As a medical student who just completed this third year of training, I took special interest in Dr. Pauline Chen’s recent article about Harvard Medical School’s “Integrated Clerkship” – a program that eliminates traditional block-style clerkships and asks students to follow a panel of “up to 100 patients” longitudinally over the course of a year in order to emphasize continuity of care and the humanistic aspects of medicine. Dr. Chen shares a story about one of her classmates who, in her eyes, began to reduce patients from people to diagnoses.
"Only a generation ago, medical students thought about what specialty to choose simply in terms of what interested them most. All doctors made a comfortable income; money wasn’t a primary motivator. There was a sense that cardiac surgeons or neurosurgeons could make more than most other physicians, but in fairness their training was much harder and longer. Internal medicine was held up to us as the most prestigious and intellectually rigorous of the specialties, and was highly attractive to medical students who are a competitive lot at baseline."
Responding to calls to meet the state’s physician shortage, Texas medical schools have increased their enrollment by roughly 30 percent in the last decade. But the slots available for students to complete their medical residencies in Texas are not keeping pace, according to a new report from the Texas Higher Education Coordinating Board.
"State and local healthcare groups say reforms to the state’s Doctors Across New York program will help address a critical shortage of physicians."
"The national debate over health care and the Affordable Care Act that has roiled the country may have some questioning the future of medical care, but it has not dimmed the hopes of thousands of medical students such as Lewis."
"In the long struggle to figure out how to get new therapies quickly from the lab to the clinic, Susan Desmond-Hellmann has seen almost every side. She’s the chancellor of the University of California, San Francisco, so she knows about the challenges faced by academic researchers and scientists who are often frustrated in the effort to get grant money to support cutting-edge projects. Before that, she was president of product development at the pharmaceutical company Genentech, which during her time there got cutting-edge targeted therapies to treat cancer, such as Avastin, Herceptin and Tarceva through the arduous, expensive FDA-approval process."
The Tulsa area is one of seven regions in the country selected for an initiative that will pay some doctors by patient, instead of by procedure or visit, and could generate more than $100 million in revenue.
"In a provocative opinion piece in the March 21, 2012 issue of JAMA, Ezekiel Emanuel, MD, PhD, and Victor Fuchs, PhD advocate for shortening medical training by 30%. Currently, they point out, it takes about 14 years after high school to train a subspecialist – 4 years of college, 4 years of medical school, 4 years of residency, and 2 years of fellowship. These doctors are now 32-36 years old and deeply in debt. They often feel that they have to make up for lost time and money, by practicing high volume, procedure-focused medicine."
"In addition to the hard-science and math questions that have for decades defined this rite of passage into the medical profession, nearly half of the new MCAT will focus on squishier topics in two new sections: one covering social and behavioral sciences and another on critical analysis and reading that will require students to analyze passages covering areas like ethics and cross-cultural studies."
"UC Riverside officials will be re-seeking accreditation for the UCR Medical School after obtaining significant financial commitments from the state and the UC Office of the President (UCOP). If the accreditation attempt is successful, the medical school would welcome its first class in August of 2013."
"The Medical College Admission Test (MCAT), a prerequisite for admission to U.S. medical schools, currently consists of four sections: physical sciences, verbal reasoning, a writing sample, and biologic sciences. A 2004 Institute of Medicine report on “Improving Medical Education” and several years of evaluation identified a need to redesign the MCAT to better reflect physicians' current challenges. Beginning in 2015, the test will include a section on behavioral and social sciences, and a section on critical analysis and reasoning will replace the writing sample."
"The number of graduates of the nation's osteopathic and allopathic medical schools does not determine the number of physicians joining the nation's physician workforce. Although medical school education is a necessary part of training, it is not sufficient. In the end, the nation's graduate medical education (GME) system determines the number of osteopathic physicians (ie, DOs) and allopathic physicians (ie, MDs) eligible to practice medicine. Graduate medical education is the last hurdle a physician must surmount to be licensed as a physician in the United States and to be eligible for specialty certification."
"The university is facing its third year with a reduced medical class, downsized from 102 to 82 because of past state budget cuts and loss of federal revenue. The Legislature funded many higher education projects this session, but declined the medical school’s initial request in a multi-year effort to enlarge the class size by 40 seats. Increasing the number of slots would eventually cost taxpayers $9.6 million a year."
"Medical students found out where they’ll go to spend the next part of their training on ‘Match Day.’ But questions about physician supply loom."
"This year, about 17,000 U.S. medical students were matched through the 60-year-old system of interviews and evaluation by teaching hospitals across the country. Some will finish residency after three years and go on to be primary-care physicians. Others will specialize in surgery, cardiology or other areas that require more training."
"Disparate voices from the White House, a national fiscal commission, Congress, a Medicare advisory body, private foundations, and academic medical leaders are advocating changes to Medicare's investment in graduate medical education (GME), which currently totals $9.5 billion annually. They offer various prescriptions, including reducing federal support, developing new achievement measures for which GME programs should be held accountable, and seeking independent assessment of the governance and financing of training programs."
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