Health Care Workforce and Interprofessional Education
Majority of physicians would not recommend medicine as a career
A recent survey of physicians found that administrative hassles are a continuing issue fueling discontent among doctors. One in three survey respondents expressed a negative outlook for the profession, and nearly 60 percent would not recommend it as a career choice.
Issues cited in the survey, from physician staffing group Jackson & Coker, included "decreased autonomy, lower reimbursements, administrative and regulatory hassles, corporate medicine, litigation fears, and longer work hours, much of which has meant that they're spending too much time away from patients," reported HealthLeaders Media.
The AMA is actively seeking to change this dynamic through one of its three strategic focus areas, by ensuring sustainable physician practices that result in good health outcomes for patients and greater professional satisfaction for physicians.
COGME: Improve return on investment for GME
A new report from the Council on Graduate Medical Education (COGME) calls for improved return on investment for the more than $13 billion in public funding that goes to support training of physicians in residency/fellowship programs.
The report notes, "Physicians are poorly distributed geographically in relation to population needs and have become increasingly specialized, while primary care remains under-resourced." This is echoed in a recent Washington Monthly article, which asserts that almost all GME funding "winds up producing the wrong kinds of doctors in the wrong places, while not producing enough of the kinds of doctors we most need to sustain the U.S. health care system."
The COGME report, "Improving Value in Graduate Medical Education," calls for "better targeting of public money and more effective training models." It also recommends increasing "funding for new residency positions in order to graduate 3,000 more physicians per year."
The AMA supports expanded funding of residency programs, to ensure access to health care for all Americans. Learn more and lobby Congress to protect GME via the AMA's grassroots advocacy website, SaveGME.org.
Also, learn more about GME financing, read related news and access relevant resources on the AMA's Resident and Fellow Section website.
In related news, an article from the Texas Tribune describes the physician workforce challenges in the state, with "no long-term solution to produce enough physicians, particularly in primary care, to support the surging population."
Study: Multidisciplinary team leads to improved care for transplant patients
Expanding the breadth of the team involved in care of heart transplant patients led to significant improvements in patient care quality and outcomes, according to recent study in the Journal of Multidisciplinary Healthcare.
Additional staff that took part in weekly meetings included "physical and occupational therapists, unit- and floor-based nurses, medical and surgical fellows, nurse practitioners, care coordinators, and on occasion, hospital administrators."
Outcomes included "improved communication and throughput, quantified in an 85% decrease in time to complete transplant evaluation, a 37% decrease in median length of stay posttransplantation, and a 33% reduction in the 30 day readmission rate," the authors note.
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