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Flexible competency based medical education: More time efficient, higher costs
Tiuri R van Rossum1, Fedde Scheele2,3, Henk E Sluiter4,5
1a School of Health Professions Education (SHE) , Maastricht University , Maastricht , The Netherlands.
Medical Teacher
|November 17, 2017
Summary
Time-variable postgraduate medical education (PGME) can shorten training but may increase hospital costs. Shorter programs are feasible if residents achieve competence, but this can impact revenue-generating activities.
Area of Science:
- Medical Education
- Healthcare Finance
- Surgical Training
Background:
- Postgraduate medical education (PGME) is a significant public expense in Western countries.
- Cost-reduction strategies for PGME are crucial for healthcare systems.
- Time-variable PGME models offer potential for efficiency gains.
Purpose of the Study:
- To analyze the financial implications of time-variable postgraduate medical education.
- To evaluate the cost-revenue balance of educational activities within PGME.
- To assess the feasibility of shortening training programs without compromising educational quality.
Main Methods:
- Identification of educational activities within PGME programs.
- Comparative analysis of costs and revenues for these activities.
- Case study focusing on gynecology training for financial modeling.
Main Results:
- A revenue-cost balance for PGME activities in gynecology was established.
- Shortening PGME programs is possible through time-variable structures without sacrificing quality.
- Gains in training time are achievable by reducing high-revenue-generating activities.
Conclusions:
- Time-variable training schemes can shorten PGME duration.
- Reducing training time may lead to increased overall hospital costs.
- Optimizing PGME financing requires balancing educational outcomes with financial impact.
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