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Wow . . . If youve read the latest news about the 2011 federal budget with regards to residency training then it seems like a whole lot of residents will be required to complete extra training to help close an expected demographic crisis regarding the longterm care of vulnerable patient populations who will be given federally subsidized health care coverage through Obamacare.
For example, my program director said that starting in 2012/2013 FY each resident will need to complete an end of year 8 week training session at an underserved outpatient health care facility (such as an HIV/AIDS clinic for the indigent), which after 3 years of IM training works out to an extra 24 weeks or almost six months! 😱
Some of us have loans to pay!
Here is one article pasted below:
Health and Human Services Deputy Secretary Bill Corr Announces Medical Education Initiative to Shore Up HIV/AIDS Care Services
Despite the ongoing legal battles over President Obamas Patient Protection and Affordable Care Act, and democratic legislators mounting reluctance to debate the bills merits in public, Deputy HHS Secretary Bill Corr is laying the groundwork for the training of much needed HIV/AIDS specialists, and other medical specialties, which he says will experience critical shortages in the years to come.
For years, really, weve known that we would face acute physician shortages in key patient care areas after the passage of PPACA, . . . and weve decided to proactively address these issue now, before the full scale implementation phase.
Corr noted that while many doctors in training receive extensive hospital experience caring for critically ill patients, new diseases such as HIV/AIDS and pressing public health issues such as premature birth and smoking cessation are not emphasized enough during post graduate medical training.
We are graduating doctors who are great at taking care of a hospitalized patients with pneumonia, but where we are falling behind is in the care, for instance, of a young homeless mother who has no access to prenatal care, or a father with HIV who is working two jobs and cant afford medications. As a part of how we accredit newly trained doctors, we are adopting new standards which will address these shortages and help provide the workforce which will make PPACA economically sustainable and feasible in terms of provider capacity.
The working group that Corr chairs at the HHS will submit new national guidelines to post graduate medical education training programs, and will require all non-surgical medical specialties to require their graduates to annually complete 8 weeks of training each year at a clinic in a federally designated health shortage area or one which addresses the needs of vulnerable patients such as those with HIV, chronic hepatitis, and substance abuse issues.
We foresee the development of additional competency benchmarks which are adaptive to the healthcare needs of the nation, be they administered via a written examination or through completion of a clinically relevant educational experience with defined guidelines. Should these changes prove beneficial in terms of post graduate medical education, as we believe they will be, then we might expand them further at a later date, explained Corr. Corr also suggested that both the effectiveness of the education, and the integration of newly graduated doctors into underserved health care settings will be evaluated from both a fiscal and an educational viewpoint.
The demographic challenges are . . . huge to put it bluntly. A large number of physicians who are experienced with the care of HIV/AIDS patients will be retiring, and new medical school graduates are not gravitating towards these shortage areas like they have in past years. The administration decided that we needed to be proactive in terms of how we determined what sort of clinical experiences newly accredited doctors should have had and what sustainability means in difficult fiscal times from a public health standpoint. Corr added that service to vulnerable populations should be ingrained in medical education through real world experience, rather than sidelined by emphasis on the care of critically sick patients which dominant current training guidelines.
Not all health education experts agree. Dr. Mary Williams, the director of the Kalamazoo Nurse Practitioner program, disagrees that the physician workforce can be expanded to meet the need. For decades, nurse practitioners and other mid-level care providers have stepped up to the bat when it comes to the care of patients in resource poor clinic settings, especially when it comes to the care of a defined population of patients, such as the training we give students in caring for patients attending a diabetes clinic. Dr. Williams pointed out that while the federal government can mandate the expansion of post graduate medical training, actually recruiting doctors to shortage areas has become much more difficult.
The new guidelines are expected to be released this July, and will take effect nationwide in one year.
Carlos Estevez Reuters/AP Wire
For example, my program director said that starting in 2012/2013 FY each resident will need to complete an end of year 8 week training session at an underserved outpatient health care facility (such as an HIV/AIDS clinic for the indigent), which after 3 years of IM training works out to an extra 24 weeks or almost six months! 😱
Some of us have loans to pay!
Here is one article pasted below:
Health and Human Services Deputy Secretary Bill Corr Announces Medical Education Initiative to Shore Up HIV/AIDS Care Services
Despite the ongoing legal battles over President Obamas Patient Protection and Affordable Care Act, and democratic legislators mounting reluctance to debate the bills merits in public, Deputy HHS Secretary Bill Corr is laying the groundwork for the training of much needed HIV/AIDS specialists, and other medical specialties, which he says will experience critical shortages in the years to come.
For years, really, weve known that we would face acute physician shortages in key patient care areas after the passage of PPACA, . . . and weve decided to proactively address these issue now, before the full scale implementation phase.
Corr noted that while many doctors in training receive extensive hospital experience caring for critically ill patients, new diseases such as HIV/AIDS and pressing public health issues such as premature birth and smoking cessation are not emphasized enough during post graduate medical training.
We are graduating doctors who are great at taking care of a hospitalized patients with pneumonia, but where we are falling behind is in the care, for instance, of a young homeless mother who has no access to prenatal care, or a father with HIV who is working two jobs and cant afford medications. As a part of how we accredit newly trained doctors, we are adopting new standards which will address these shortages and help provide the workforce which will make PPACA economically sustainable and feasible in terms of provider capacity.
The working group that Corr chairs at the HHS will submit new national guidelines to post graduate medical education training programs, and will require all non-surgical medical specialties to require their graduates to annually complete 8 weeks of training each year at a clinic in a federally designated health shortage area or one which addresses the needs of vulnerable patients such as those with HIV, chronic hepatitis, and substance abuse issues.
We foresee the development of additional competency benchmarks which are adaptive to the healthcare needs of the nation, be they administered via a written examination or through completion of a clinically relevant educational experience with defined guidelines. Should these changes prove beneficial in terms of post graduate medical education, as we believe they will be, then we might expand them further at a later date, explained Corr. Corr also suggested that both the effectiveness of the education, and the integration of newly graduated doctors into underserved health care settings will be evaluated from both a fiscal and an educational viewpoint.
The demographic challenges are . . . huge to put it bluntly. A large number of physicians who are experienced with the care of HIV/AIDS patients will be retiring, and new medical school graduates are not gravitating towards these shortage areas like they have in past years. The administration decided that we needed to be proactive in terms of how we determined what sort of clinical experiences newly accredited doctors should have had and what sustainability means in difficult fiscal times from a public health standpoint. Corr added that service to vulnerable populations should be ingrained in medical education through real world experience, rather than sidelined by emphasis on the care of critically sick patients which dominant current training guidelines.
Not all health education experts agree. Dr. Mary Williams, the director of the Kalamazoo Nurse Practitioner program, disagrees that the physician workforce can be expanded to meet the need. For decades, nurse practitioners and other mid-level care providers have stepped up to the bat when it comes to the care of patients in resource poor clinic settings, especially when it comes to the care of a defined population of patients, such as the training we give students in caring for patients attending a diabetes clinic. Dr. Williams pointed out that while the federal government can mandate the expansion of post graduate medical training, actually recruiting doctors to shortage areas has become much more difficult.
The new guidelines are expected to be released this July, and will take effect nationwide in one year.
Carlos Estevez Reuters/AP Wire
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