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Supporting primary care medical education

F D Burg1, M A Kelley, N J Zervanos

  • 1Department of Pediatrics, University of Pennsylvania Medical School, Philadelphia 19104-6087.

Journal of General Internal Medicine
|April 1, 1994
PubMed
Summary

Preparing medical education for primary care requires significant changes in funding and structure. Academic health systems may offer a feasible model for funding primary care medical student education.

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Area of Science:

  • Medical Education
  • Health Policy
  • Primary Care Physician Training

Background:

  • The current education system faces challenges in producing sufficient primary care physicians.
  • Governmental policies and resource redirection are anticipated to reshape undergraduate and graduate primary care education.
  • A significant increase in medical school graduates entering primary care is expected, necessitating substantial program restructuring.

Purpose of the Study:

  • To address fundamental issues in preparing the education system for increased primary care physician production.
  • To present a model for studying the costs and funding of residency programs transitioning to an outpatient focus.
  • To explore strategies for educational institutions to adapt culturally and financially to prioritizing primary care.

Main Methods:

  • Analysis of governmental controls and resource redirection impacts on medical education.
  • Development of a cost and funding model for residency programs shifting from inpatient to outpatient settings.
  • Examination of strategic resource allocation for institutions competing for primary care education funding.

Main Results:

  • Restructuring and funding medical student programs in primary care presents significant challenges.
  • Institutions must strategically allocate resources to secure funding for primary care education.
  • The development of large academic health care systems may enhance the feasibility of funding primary care medical student education.

Conclusions:

  • Fundamental changes in educational structure and funding are essential for increasing primary care physicians.
  • A cultural adaptation towards prioritizing primary care within educational institutions is necessary.
  • Large academic health care systems show promise in supporting the financial aspects of primary care medical student education.

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