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Distributed perfusion educational model: a shift in perfusion economic realities.

Jon W Austin1, Edward L Evans, Harry R Hoerr

  • 1Midwestern University, Cardiovascular Science Program, Glendale, Arizona, USA.

The Journal of Extra-Corporeal Technology
|March 10, 2006
PubMed
Summary

The number of perfusion education programs and graduates is declining despite increased demand, driven by economic and clinical factors. A distributed perfusion education model (DPEM) may offer a sustainable solution.

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Area of Science:

  • Cardiovascular Technology
  • Medical Education
  • Healthcare Economics

Background:

  • A notable decline in US perfusion education programs and graduates has occurred.
  • This trend parallels decreases in anesthesia and surgical residency programs.
  • Increased demand for perfusion graduates contrasts with the declining supply.

Purpose of the Study:

  • To analyze the factors contributing to the decline in perfusion education.
  • To compare two models for perfusion education programs: serial (SPEM) and distributed (DPEM).
  • To propose a sustainable model for perfusion education in the current healthcare climate.

Main Methods:

  • The paper reviews economic and clinical factors impacting perfusion education.
  • It presents and contrasts the Serial Perfusion Education Model (SPEM) and the Distributed Perfusion Education Model (DPEM).

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  • Arguments are made regarding the long-term economic viability of each model.

    • Main Results:

    • Economic factors, including decreased reimbursement and hospital resource reallocation, are key drivers.
    • Overestimated enthusiasm for beating heart surgery has negatively impacted cardiopulmonary bypass.
    • The SPEM faces significant challenges for long-term economic survival.

    Conclusions:

    • The Distributed Perfusion Education Model (DPEM), supported by tuition funding, is proposed as a viable solution.
    • DPEM can potentially navigate current clinical and economic challenges.
    • This model may enable the perfusion profession to adapt to evolving practice scopes.