Suchergebnisse

Intro -- PHYSICIAN SUPPLY AND DEMAND -- PHYSICIAN SUPPLY AND DEMAND -- CONTENTS -- PREFACE -- Chapter 1 GRADUATE MEDICAL EDUCATION: TRENDS IN TRAINING AND STUDENT DEBT -- ENCLOSURE I -- Graduate Medical Education: Trends in Training and Student Debt -- Overview -- Introduction -- Objectives -- Scope and Methodology -- Background -- Medical education -- Key Policy Changes in Postgraduate Medical Training -- Federal student loans -- Most specialties can fall into three categories -- Summary of Findings -- 1. Surgical and Procedural Specialties Preferred, and Subspecialization Increasing -- Surgical and Procedural Specialties Have Been More Competitive -- U.S. MD students fill higher proportions of available surgical and procedural positions -- More doctors are pursuing training to become subspecialists -- 2. Multiple Factors, Demographic Characteristics Influence Specialty Choice -- Students consider multiple factors -- Factors lead students to pursue or avoid certain specialties -- Demographics and personality traits are important -- 3. Debt Is Rising but Federal Assistance Is Available and Physicians Can Earn High Incomes -- Debt, Federal Assistance, Physician Income -- Nearly half of graduating medical students are at least 150,000 in debt -- Medical school tuition is also increasing -- Federal loans are available to cover the full cost of medical education -- Options for reducing repayment burdens until after training -- Physicians incur more debt but can earn high incomes to repay it -- ENCLOSURE II -- Trends in Postgraduate Dental Education and Student Debt -- ENCLOSURE III -- Trends in Thoracic Surgery Fellowships -- ENCLOSURE IV -- Scope and Methodology -- Data Analysis -- Literature and Document Review -- Interviews with Government Officials and Professional Groups -- ENCLOSURE V.

Operation Enduring Freedom (OEF-A) in Afghanistan and Operation Iraqi Freedom (OIF) represent the first major, sustained wars in which emergency physicians (EPs) fully participated as an integrated part of the military's health system. EPs proved invaluable in the deployments, and they frequently used the full spectrum of trauma and medical care skills. The roles EPs served expanded over the years of the conflicts and demonstrated the unique skill set of emergency medicine (EM) training. EPs supported elite special operations units, served in medical command positions, and developed and staffed flying intensive care units. EPs have brought their combat experience home to civilian practice. This narrative review summarizes the history, contributions, and lessons learned by EPs during OEF-A/OIF and describes changes to daily clinical practice of EM derived from the combat environment.

Professionalism and Ethics in Medicine: A Study Guide for Physicians and Physicians-in-Training is a unique self-study guide for practitioners and trainees covering the core competency areas of professionalism, ethics, and cultural sensitivity. This novel title presents real-world dilemmas encountered across the specialties of medicine, offering guidance and relevant information to assist physicians, residents, and medical students in their decision-making. The text is divided into two parts: Foundations and Questions with Answers. The first part provides a substantive foundation of knowledge in the principles, scholarship, policy guidelines, and decision-making strategies of the modern health professions. The second part assists practitioners and trainees in preparing for the complex issues that arise each day in the settings where health professionals work and train - clinics, research centers, educational contexts, and communities. Developed by renowned leaders in a broad range of clinical fields, Professionalism and Ethics in Medicine: A Study Guide for Physicians and Physicians-in-Training is a major, invaluable contribution to the literature and an indispensable reference for clinicians at all levels.

Physician motivation and related incentive compensations plans are central to the design and delivery of safe, high-quality, satisfying medical care as well as advancing physician satisfaction and engagement. The underlying premise of this article is that the interests of physicians and patients as well as the community ought to be better aligned to improve clinical and population health outcomes. The Triangle of Patient Centered Compensation is presented as a model to design or redesign compensation programs that seek to achieve better alignment between physicians, patients and the community. After reading this article, practitioners will be able to adopt and adapt the model to fit with the vision, mission and strategies of their organization and academics will be able to empirically test this model and revise this model.

Relationships that involve a physician and a non-physician professional spouse face many challenges that are similar to those experienced by dual career marriages. However, there are unique demands that are associated with physicians who are married to other professionals. One such challenge is the task of navigating their multiple familial and professional roles. This present study explores how physicians who are married to other professionals confront and navigate the complex environment that is often characteristic of work-family issues in this population. Employing an exploratory qualitative design, 34 heterosexual individuals (17 couples) completed in-depth qualitative interviews. These dyadic interviews included 10 male physicians and 7 female physicians. A multisystemic approach was employed to explore themes that emerged. One major theme, contextual appreciation of the physician's work demands, and three sub-themes: familial support, non-traditional parenting and domestic roles, and paid help, emerged. These data provide important information for the medical education of physicians with specific emphasis on navigating multiple familial and professional roles when part of dual career marriages. Findings provide implications for physician vitality/health, medical education, and continuing education with a focus on physician marriages.

There is only limited evidence on whether certified and uncertified health care providers in India support reforming the Medical Termination of Pregnancy (MTP) Act to expand the abortion provider base to allow trained nurses and AYUSH physicians (who are trained in Indian systems of medicine) to provide medical abortion. To explore their views, we conducted a survey of 1,200 physicians and other health care providers in Maharashtra and Bihar states and in-depth interviews with 34 of them who had used medical abortion in their practices. Findings indicate that obstetrician-gynaecologists and other allopathic physicians were less supportive than non-physicians of nurses and AYUSH physicians providing early medical abortion. The physicians did not think that these providers would be able to assess women's eligibility for medical abortion correctly. In contrast, the majority of non-physicians found task shifting of medical abortion provision to trained nurses and AYUSH physicians acceptable, and they were confident that these providers would be able to provide medical abortion as safely and effectively as trained physicians. Assuming the reforms are passed, efforts will need to be made by government and medical professional bodies to train these new providers to undertake this role, prepare the health infrastructure to include them, and create an environment, including among physicians, that is conducive to enabling non-physicians to provide medical abortion.