Category Archives: Medical schools
New guidelines from the American Association of Medical Colleges (AAMC) are intended to close the gap between expectations and the reality of what medical students are prepared to do at the start of their residencies.
Known as the Core Entrustable Professional Activities for Entering Residency, the guidelines include 13 activities—such as performing physical exams, forming clinical questions, and handing off patients to other physicians when residents go off duty—that all medical students should be able to perform, regardless of specialty, in order to be better prepared for their roles as clinicians. In August, AAMC launched a five-year implementation pilot with 10 institutions.
Ensuring that the nation’s medical school graduates “have the confidence to perform these activities is critical for clinical quality and safety,” AAMC President and CEO Darrell G. Kirch, MD, said in a news release earlier this year. “These guidelines take medical education from the theoretical to the practical as students think about some of the real-life professional activities they will be performing as physicians.”
Please join the Robert Wood Johnson Foundation (RWJF) this Friday, October 3 from 12 p.m. – 1 p.m. ET for a First Friday Google+ Hangout. Panelists will discuss a new approach to medical education in which much basic content is delivered online, thus freeing up classroom time for more interactive sessions and learning what really “sticks” with students.
Susan Dentzer, senior policy adviser to the Foundation, will lead the discussion, sharing visions for the present and future of medical education that better serve emerging physicians and patients. This event is the ninth in the #RWJF1stFri series—a platform to inform RWJF audiences about lessons our partners are learning as we all work to create a Culture of Health.
Speakers will be:
- Michael Painter, MD, JD, Robert Wood Johnson Foundation
- Charles Prober, MD, Stanford School of Medicine
- Rishi Desai, MD, MPH, Khan Academy
- Jennifer DeCoste-Lopez, Stanford School of Medicine
- Shiv Gaglani, Osmosis and Medgadget
Prior to the Hangout, you can join the conversation and ask questions on Twitter at #RWJF1stFri. RSVP and learn more.
Directors at the National Institutes of Health, medical school deans and presidents, professors, members of the Institute of Medicine and the National Academy of Sciences—these are just a few examples of the impressive roles that Harold Amos Medical Faculty Development Program (AMFDP) alumni have gone on to fill after completing the program. Its impact over three decades of nurturing the careers of physician-scientists from disadvantaged backgrounds is the subject of an article in the May issue of the Annals of the American Thoracic Society.
Authored by AMFDP Program Director David S. Wilkes, MD, and Deputy Director Nina L. Ardery, MA, MBA, both of the Indiana University School of Medicine, and David M. Krol, MD, MPH, FAAP, a senior program officer at the Robert Wood Johnson Foundation (RWJF), the article explores the evolution of the AMFDP since RWJF created it in 1983 as the Minority Medical Faculty Development Program. (It was renamed in 2004 in honor of its first director.)
Among key assumptions in creating the program, the authors write, were that minority faculty would encourage more minority students to go to medical school; exposure to more minority faculty would encourage medical schools, hospitals, and others to seek out more candidates from disadvantaged backgrounds; and minority faculty would help medical schools better understand minority issues, ultimately contributing to better care for minority patients in teaching hospitals and stronger scientific study of minority health.
Rishi Desai, Medical Partnership Program Lead at Khan Academy, works to help Khan Academy connect people to quality information about health and medicine. He is currently a pediatric infectious disease physician, and previously spent two years as an EIS officer with the Centers for Disease Control and Prevention (CDC). This post originally appeared on the Robert Wood Johnson Foundation (RWJF) Pioneering Ideas Blog.
When I think about the new MCAT test that will launch in 2015, it brings back memories of my own late night study sessions in college. Just prior to taking the MCAT, I was enrolled in a particularly tough life sciences course at UCLA where our professor asked us to design an experiment that would “prove” that DNA was the genetic material in cells. We literally had to step into the shoes of historic researchers, think critically, and rediscover the fundamentals for ourselves. Preparing for these classes was tough, but it was worth it because I knew that it would help me understand the material on a very deep level. At Khan Academy we want to help all students truly understand the material and understand how to apply it.
Recently, we teamed up with RWJF and the Association of American Medical Colleges to build the MCAT test prep collection, a free tool available to anyone, anywhere. The idea is to allow students to learn important core health and medicine information online so that they can have meaningful learning experiences in the classroom. The MCAT is based upon foundational scientific concepts that span key areas that are relevant for pre-health students, so it’s a perfect fit for our approach.
To mark National Minority Health Month, the Human Capital Blog asked several Robert Wood Johnson Foundation (RWJF) scholars to respond to questions about improving health care for all. In this post, Jamar Slocum, BS, a third year medical student at Meharry Medical College, responds to the question, “What does the country need to do to address disparities and build a culture of health that includes all people?” Slocum is a participant in Meharry’s RWJF Scholars’ program.
In virtually every public health venture, health departments are confronted with the consequences of social poverty, institutional racism, and other forms of universal injustice. It is my belief that in order to make any significant change to a society, it is essential to have leaders who are in the forefront of the upcoming generation. Young professionals will ultimately bear the responsibility for implementing the policies and programs necessary for sustainable development. Budding physicians and researchers are exposed to an extensive array of sustainable development perspectives at a formative age in their professional development. This strengthens their own knowledge base and advances their capability to comment substantively on health disparity issues and to become effective agents of change.
At its annual meeting and reunion this week in Atlanta, one of the Robert Wood Johnson Foundation’s (RWJF) long-running and highly successful programs is celebrating a milestone: its 30th anniversary.
The Harold Amos Medical Faculty Development Program, formerly known as the Minority Medical Faculty Development Program, works to foster diversity among U.S. medical school faculty. In 2011 it expanded its scope to do the same among dental school faculty.
The program opened its doors in 1983 to its first cohort of eight physicians. That was the beginning of a three-decade commitment to preparing and mentoring individuals underrepresented in academic medicine and science to help them become leaders in those fields.
Today, 200 esteemed alumni later, the program has graduates who are full professors, chairs of departments, leaders of institutes within the National Institutes of Health, and scholars who are known nationally and internationally for their enormously valuable contributions to the fields of biomedical research, clinical investigation, and health services research.
With a primary care provider shortage looming, medical schools are trying a new approach to get physicians into the workforce quickly: condensing medical education from four years to three.
Mercer University (Georgia), Texas Tech University, and New York University offer three-year primary care programs, and will soon be joined by programs in Tennessee, Indiana, University of Wisconsin, East Carolina, and Kentucky, MedPage Today and Fierce Healthcare report.
Most of the schools are shortening or eliminating fourth-year clinical rotations to consolidate their programs, leaving the first three years—which often focus on medical science—untouched.
"We chose to do it on the clinical end rather than [the] basic science end because, as long as Step 1 is [and] as important as it is, our students need to be fully prepared for it,” Betsy Jones, EdD, vice chair of research in Texas Tech's Department of Family Medicine, told MedPage Today. “We didn't make any changes to the curriculum that would threaten our students' ability to do well on [the United States Medical Licensing Examination]. The changes are really at the fourth year level."
A three-year program also saves medical students tuition money, and allows them to earn money in the workforce sooner than in a conventional four-year program, according to Fierce Healthcare.
Richard Rieselbach, MD, is an alumnus of the Robert Wood Johnson Foundation Health Policy Fellows program and a professor emeritus and health policy consultant for the University of Wisconsin Medical Foundation.
In the last decade, the nation’s community health centers (CHCs) have doubled their capacity. They now provide care for more than 22 million underserved children and adults in every state. But they’re going to need to do it again. By 2019, some 40 million patients will be in need of care.
The United States does not have enough primary care providers to serve these new patients, and our public investment in health professions education—graduate medical education (GME)—is failing to produce the pipeline we need. Medical students are choosing specialties over primary care at an alarming rate, and a policy vacuum keeps the GME program from being held accountable.
An initiative was launched in 2011 that I think holds great promise: the Teaching Health Center Graduate Medical Education initiative. This five-year, $230 million program was funded by the Affordable Care Act and created to increase the number of primary care graduates trained in community settings.
My colleagues and I have proposed a modified and expanded version of this initiative, called “CHAMP” Teaching Health Centers (CHAMP THCs). Our teaching model would pair CHCs with academic medical centers to develop a THC track that would encourage students to graduate in primary care and practice in urban and rural underserved areas.
Graduate Medical Education Funding Is Not Helping Solve Primary Care, Rural Provider Shortages, Study Finds
From 2006 to 2008, 158 of the country’s 759 residency sponsoring institutions and teaching sites did not produce any primary care graduates, according to a study published online last week by Academic Medicine. Less than one-quarter of medical school graduates entered primary care during those years.
The study also found that physician shortages in rural and underserved areas persist; only 4.8 percent of 2006-2008 graduates practice in rural areas. Nearly 200 institutions produced no rural physicians, more than half produced no Health Service Corps graduates, and 283 produced no physicians practicing at Federally Qualified Health Centers or Rural Health Clinics.
Graduate medical education (GME) distribution is uneven, the researchers found, and provides more support to subspecialty programs than to primary care programs. The top 20 primary care producing institutions (where 41 percent of graduates were in primary care) received $292 million in total Medicare GME payments, while the bottom 20 (where only 6.4 percent of graduates were in primary care) received $842 million in these funds.
Underrepresented students considering careers in medicine can talk to mentors and join discussions on the free, web-based mentoring site, DiverseMedicine.org. Launched in August 2012, the site now has 400 active users, American Medical News reports.
High school, college and medical school students can interact with mentors on the site in real time through instant messaging or video chat functions, and learn about admissions testing, residency applications, and more in discussion forums. The site also features podcasts, video lectures and other resources on topics important to aspiring physicians, and a feature that allows students to participate in a mock medical school interview.
“One of the main reasons why there are so few minorities in the field of medicine is because of the mentoring gap. If nobody’s there to tell you how to get into medical school, you’re not going to get in,” Dale O. Okorodudu, MD, the project’s founder, told American Medical News.