Professional Development Assignment 4
October 14, 2014
Professional Development Assignment 4
The various kinds of health professionals are educated in separate schools but with considerable overlap in curricula and training requirements. They are, however, expected to integrate their training and work together after graduation. Identify the advantages and disadvantages of this approach to professional education in terms of costs, educational efficiency, and patient care quality. List one advantage and one disadvantage for each.
The structure of the U.S heath care system is certainly a topic greatly debated. Whether it is discussing the cost of health care, poor outcomes, shortages in health care workers, underutilization of other health care workers, the lack of access to care, or growing demand by consumers for health care that offers choice, quality, convenience, affordability and personalized care. It is not a secret that the United States spends more money than any other nation on health care, but only ranks 34th in the world in life expectancy and has higher mortality rates in infants than any other nation that is developed. Our health workforce was described as dysfunctional in public and private health workforce policy and infrastructure putting the health of Americans at risk. Could it be the lack of integrated education and teamwork from those that are involved in the care of our patients? Health care professionals are educated in differing schools of thought. If there were overlapping curricula and raining requirements integrating their training there would be both advantages and disadvantages involved. Physicians, nurses, and other health care professionals ultimately work together with the common goal of serving an individual patient. Yet few have developed the essential team skills to help them work productively with their colleagues, analyzing outcomes and processes of care to improve continuously, by using each person's skills to the fullest. To realize these benefits, we need to infuse the value of teamwork into the medical education culture through specific curriculum changes. An advantage to overlapping and integrating training would not only be to benefit, but students from diverse disciplines, such as physician assistant, nursing, and medical students, could take some classes together. Eventually, this type of broad restructuring would be cost-effective. As a purposefully designed additional benefit, students would learn to know and respect those in other disciplines, fostering teamwork. As students advance, they need to be offered more opportunities to learn and work side-by-side in realistic, interdisciplinary settings. A disadvantage or problem to this topic is the financing of the integrated medical education. Good teaching, whether it is conducted in the classroom, clinic, or hospital, requires time. Innovative approaches to teaching, progressive skills instruction, multitier assessment, and support of the development of professionalism all require teachers who have the time to observe, instruct, coach, and assess their students and who also have time for self-reflection and their own professional development. Although the educational mission is expensive, many medical schools already possess the funds to support teaching properly, if they choose to use the funds for this purpose (Cooke, Irby, Sullivan, Ludmerer, 2006).
An oversupply of physicians in many urban regions contrasts with continuing problems of access in rural and inner-city areas. Why does the mal-distribution of physicians persist in spite of the number of physicians graduated?
Access to healthcare in the United States is affected dramatically by where a physician is located. The current misdistribution of physicians, which exists in rural and inner city areas, is of great concern. Out of the 300,000 primary care...
References: Colwill, J., Cultice, J, (2003). The Future Supply of Family Physicians: Implications for Rural
Cooke M., Irby D., Sullivan W., Ludmerer K. (2006). American medical education 100 years after the Flexner report. New England Journal of Medicine. 355(13):1339-1344.
General Accounting Office (1999). Physician Shortage Areas: Medicare Incentive Payments Not
an Effective Approach to Improve Access
Greiner A., Knebel E. (2003). Health Professions Education: A Bridge to Quality Washington,
DC: National Academies Press.
Inwald, S., Winters, F. (1995). Emphasizing a preventive medicine orientation during primary
care/family practice residency training
Wright, G., Andrilla, C., Hart, L (2001). How Many Physicians Can A Rural Community
Support? A Practice Income Potential Model for Washington State
Wu S, Green A. (2000). Projection of Chronic Illness Prevalence and Cost Inflation. RAND
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