"Many observers have been concerned about a mismatch between the knowledge, skills, and professional values of newly trained physicians and the requirements of current and future medical practice. We surveyed and interviewed Kaiser Permanente’s clinical department chiefs for internal medicine, pediatrics, general surgery, and obstetrics/gynecology to ascertain their views of the perceived gaps in the readiness of newly trained physicians."
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"Shortages of 100,000 physicians and up to one million nurses are projected in the next 10 years. If these statistics are close to true, medical schools would need a 100% increase in graduates over the next 4 years, and nursing schools a 100% increase over the next 13 years. These calculations are instructive in that they demonstrate the absurdity of expecting schools to provide these sorts of increases in that time frame."
"In this issue of the journal, you will find 15 essays responding to my 2011 Question of the Year, What improvements in medical education will lead to better health for individuals and populations? These essays, selected from over 120 submissions, represent a set of important ideas, programs, and plans aimed at understanding and strengthening the link between medical education and the health of individuals and populations."
"According to the U.S. Bureau of Labor Statistics, the number of positions for physicians and surgeons is expected to increase by about 22% in the next seven years. This rapid growth can be attributed to an aging population's increasing need for healthcare, as well as the general public's demand for high-quality medical attention."
"By mid-November, the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) must respond to the legal complaint filed in a Maryland federal court by six Augusta, Georgia family physicians."
"As of June last year, Americans now owe more in student debt than they do in credit card debt. Student borrowers are winning the dangerous debt race as both amounts hurtle toward the $1 trillion marker, student debt rose by over 500% since 1999."
"The number of applicants applying for the first time to U.S. medical schools reached an all-time high this year, according to data released Monday by the Association of American Medical Colleges (AAMC)."
"People with Medicare will be able to benefit from a new program designed to encourage primary care doctors, specialists, hospitals, and other health care providers to coordinate their care under a final regulation issued today by the Department of Health and Human Services (HHS). Created by the Affordable Care Act, these final rules on Accountable Care Organizations add to the menu of options for providers looking to better coordinate care for patients and will make it easier for providers to deliver high quality care and use health care dollars more wisely."
"People with Medicare will be able to benefit from a new program designed to encourage primary care doctors, specialists, hospitals, and other care providers to coordinate their care under a final regulation on Accountable Care Organizations issued today by the Department of Health and Human Services (HHS)."
"A document recently released by the Josiah Macy Jr. Foundation reinforces the AAFP's long-held views on needed reforms in graduate medical education, or GME. The report, which was released by a GME workgroup convened by the Macy Foundation in May, calls for major reforms in the content and format of GME education in the United States."
"The Senate Special Committee on Aging Oct. 12 held a hearing to explore the future of Medicare and some of the potential reforms being considered. The hearing, titled “A Time for Solutions: Finding Consensus in the Medicare Reform Debate,” looked at reforms such as negotiating Medicare’s drug pricing, Medicare Part Brebates, repealing the Sustainable Growth Rate (SGR) and means testing for Medicare beneficiaries. Witnesses also discussed a number of the possible proposals that may be considered by the Joint Select Committee on Deficit Reduction, or 'Supercommittee,' including a reduction in Medicare’s graduate medical education funding (GME)."
"In the second edition of his Achieving Excellence in Medical Education, author Richard Gunderman tells readers that the purpose of the new edition is to serve as the catalyst for reflection on excellence in medical education."
"According to its website, hosa.org, the national organization's mission is 'to enhance the delivery of compassionate, quality health care by providing opportunities for knowledge, skill and leadership development of all health science technology education students, therefore helping students to meet the needs of the health care community.' HOSA boasts upwards of 120,000 members in its more than 3,200 high school, postsecondary and collegiate chapters throughout the country. Nevada is home to 29 chapters, 10 of them in Clark County."
"The Medicare Payment Advisory Commission (MedPAC) voted Thursday to approve the sustainable growth rate (SGR) proposal it issued last month. Medical groups are already expressing their displeasure. MedPAC’s approved recommendation repeals the SGR for an estimated cost of $200 billion. To cover that cost MedPAC suggests a 10-year Medicare payment rate freeze for primary care physicians and cuts to payments for specialists by 5.9 percent each year for three years followed by a seven-year payment freeze. Some of the other offsets come from durable medical equipment, hospitals and Medicare benefits to seniors."
"Rather than handing out $250 million to establish new patient-care sites to serve more than 2 million additional people, as originally expected, the Obama administration gave $29 million to 67 nonprofit organizations that will serve an additional 286,000 patients. The funding cut was a result of a federal budget compromise in March to keep the government running. That agreement reduced federal spending by nearly $80 billion, including a $600 million trim in funding for ongoing operations at existing health centers."
"The expansion of the University of South Carolina School of Medicine in Greenville has gotten preliminary accreditation, enabling officials to proceed with their plans to open next fall."
"Officials broke ground Wednesday on a new medical school building at Washington State University's Spokane campus. The $70 million building is intended to produce more doctors for Washington, Wyoming, Alaska, Montana and Idaho will also be the new home of a consolidated Washington State University College of Pharmacy."
"With a shortage of doctors looming that may damage patient care in the U.S., teaching hospitals say President Barack Obama’s deficit-reduction plan could make things worse. After doctors graduate from medical school they must train at teaching hospitals, which get some of their funding through Medicare, the health program for the elderly and disabled. Obama’s proposal to cut $248 billion from Medicare over 10 years includes $1 billion in trims to teaching hospitals, which could lead to fewer residency slots for doctor training programs."
"A bill introduced recently in the U.S. Senate would increase the number of Medicare-supported training positions for medical residents by 15 percent—about 15,000 slots—over five years."
"With the current focus on reducing the federal budget deficit, funding for graduate medical education (GME) has come under scrutiny, particularly those monies labeled as indirect medical education payments; these are intended to cover ill-defined costs inherent to training programs, such as increased lengths of stay, additional testing, and patients with more complex conditions."
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