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The Role of Graduate Medical Education in the New Health Care Paradigm

Recently HRSA released the 22nd report from the Council on Graduate Medical Education, titled; “The Role of Graduate Medical Education in the New Health Care Paradigm

We’ll spend the next few weeks providing some highlights and commentary.

Challenges and Opportunities in Expanding GME Experience (p.17)

“Although the data on the impact of training sites on the quality of care provided by GME graduates is limited, there is a common misperception that only training in large academic centers can produce graduates who have the skills to provide high quality care. Asch and colleagues have found obstetrical outcomes are affected by training site, linking quality of training site with the outcomes of care provided by the trainees. However, other studies on this topic leave doubt about which markers should be used to evaluate physician practice quality in relation to residency training sites.

“In addition to concerns about quality of teaching and patient care in community and ambulatory settings, another barrier to expanding GME training to these sites is the lack of financial support for community-based programs. Present payment and training incentives for community-based training are insufficient to develop and maintain these ambulatory and community-based programs, even though it costs less to provide patient care and GME training in these sites, than AHCs and other teaching hospitals. The increased costs of AHCs and other teaching hospitals are in part due to their higher patient care costs. This includes the number of underinsured, biomedical research missions, and the maintenance of standby capacity for medically complex patients, in addition to the expenses incurred by teaching programs.”

For GMEC, this is key as training in Southwest Virginia offers the local, ambulatory, outpatient experience.  On page 23, the report states, people “expect the medical education system to produce physician specialists who reflect the cultural and economic characteristics of the patients they serve“.

With this expectation in mind – the medical education community needs to recognize that the only way to fully prepare a future physician to serve in rural Appalachia is to train that student in Appalachia.  Reviewing information about rural Southwest Virginia is not sufficient to produce a culturally competent doctor – immersion is required.

 

 

 

 

Conference Scholarships

conference logoVRHA has funds available to assist students who wish to attend the  VRHA 2015 Annual Conference.  Any full-time student studying a health-related profession may apply.

Funds will cover conference registration fees.

Completed forms must be e-mailed to boconnor@vcom.vt.edu on or before September 4th.  Winners will be announced on September 11th.

Download the application form and visit the conference website for additional event information.

SEPTEMBER NATIONAL CHILDHOOD OBESITY AWARENESS MONTH

September Childhood Obesity AwarenesssAccording to healthfinder.gov one in three children in the United States is overweight or obese.  Childhood obesity puts kids at risk for health problems that were once seen only in adults, like type 2 diabetes, high blood pressure and heart disease.

Complications of childhood obesity are:

  • Type 2 diabetes
  • Liver Disease
  • Asthma
  • High Cholesterol
  • High Blood Pressure
  • Emotional & Mental Health
  • Sleep Apnea
  • Feet Problems

September Childhood Obesity Contributing Factors