Budget Crunch Threatens Vital Part of Physician Training

moncler outlet sale Every day in America, 10,000 people celebrate moncler outlet sale their 65th birthday. Each will slide a new Medicare card into a purse or wallet where it will stay for life, ensuring access to health care. In addition, when the provisions of the new healthcare law are fully implemented, it’s estimated that 30 million Americans of all ages previously uninsured or underinsured also will have health benefits. moncler outlet sale

moncler outlet Some of these people will be new to the healthcare system. All of them will need doctors. cheap moncler sale And that’s where I have some significant concerns, along with a dose of optimism that the health care system can work its way through this. schools. In response, new medical schools and expanded programs at existing schools have begun training more moncler outlet online future MDs. moncler outlet

moncler jackets outlet But medical training is much more than a degree from a medical school Cheap Moncler Jackets . From there, newly minted MDs are still years away from being qualified to practice medicine. They must first go through graduate medical training at one of more than 1,000 teaching hospitals https://www.kinkhost.com . There, as interns, residents and fellows, they see and treat patients under the close supervision of more senior physicians. Depending on the chosen specialty, these newly minted doctors just out of medical school still face an average of four years, and as many as eight, nine or more years of further training, depending on the specialty or subspecialty that they chose. moncler jackets outlet

moncler factory outlet The graduate medical education that takes place in the nation’s teaching hospitals is at risk in our current budget crunch. Some states contribute to this education through their Medicaid programs, but Medicare contributes the majority of money $9.5 billion to teaching hospitals to help cover the additional costs moncler mens jackets of training new physicians. moncler factory outlet

cheap moncler outlet The Association of American Medical Colleges projects a shortage of 62,900 doctors by 2015, cheap moncler jackets and 91,500 by 2020 if nothing changes. In addition to the aging population and millions of newly insured Americans, their calculations take into account the rising rates of chronic conditions, such as diabetes and obesity, suffered by Americans. cheap moncler outlet

moncler jacket sale The growth in the number of medical schools has not been matched by a similar expansion in the number of residency slots at teaching hospitals. „Training in medical school does not necessarily allow you to be a doctor,” said Mark Noah, MD, medical director of Graduate and Continuing Medical Education at Cedars Sinai. So while the federal government has supported an increase in the number of medical schools, cheap moncler outlet it has not increased funding for residency training cheap moncler slots at teaching hospitals. „It will become more difficult for students to get residency slots,” Noah added. So the goal of increasing the number of physicians can be stymied as more medical students come out of schools with fewer places to continue their medical training. moncler jacket sale

cheap moncler jackets „I have immediate concerns,” Noah said. „If some of the proposed cuts go into place, some hospitals will have to close programs or decrease the number of trainees. If graduate medical education isn’t buy moncler jackets supported, it will have an impact on the number and quality of physicians we train.” The formerly monlcer down jackets uninsured and underinsured people who will come into the system may have trouble finding a doctor. Traditionally, residents in training have been a kind of safety net for patients in need. Perhaps the best way to understand the importance of this problem is to ask the simple question: Who will take care of my family and me when we are old? cheap moncler jackets

cheap moncler It’s going to take some time, and a great deal moncler outlet of thought, but I believe we can find a way forward on this question. The issue of how we pay for graduate medical education is entwined with other important issues in our health care delivery system, which I have previously written about: How do we entice more graduating medical students to choose primary care rather than become specialists, despite the facts that they get paid less and work longer hours than most specialists? How do we get primary care providers to practice in the places they are most needed, such as underserved areas? How do we redesign the system to create a team approach with doctors, nurses, pharmacists, nutritionists and other providers working together in a coordinated fashion to deliver personalized care to a population of patients? How do we provide the appropriate, necessary care without overutilizing our precious medical resources? cheap moncler

moncler outlet uk No matter how the medical delivery system evolves, we need to continue to train top notch physicians for primary care, and for specialty care. We should consider developing a national physician manpower blueprint that projects how many primary care doctors are moncler outlet store needed, and how many specialists and subspecialists are required for efficiently managing the healthcare needs of our country, and only pay for the training slots that conform to those numbers. Figuring out how to pay for medical training for the physicians we will need in the future will involve discussions on such diverse issues as: Who should provide medical care? Are there greater roles for professionals such as nurse practitioners? Should we change our payment system to better reward physicians for their time, and not just for the number of procedures they perform, as a way of encouraging more medical school students to choose primary moncler sale outlet care? moncler outlet uk

moncler sale I share my colleague Mark Noah’s optimism for an evolving, improved moncler sale way forward in graduate medical education. „My hope is that the system will allow doctors to train within a new type of medical system that will allow them to provide care to patients while appropriately distributing professional care according to the needs of the country,” Noah said moncler sale.

Leave a Reply

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>

© 2011 Loreto Exim srl Suffusion theme by Sayontan Sinha