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Related Experiment Videos

Educational programs in US medical schools, 1993-1994

H S Jonas1, S I Etzel, B Barzansky

  • 1Division of Undergraduate Medical Education, American Medical Association, Chicago, Ill 60610.

JAMA
|September 7, 1994
PubMed
Summary

Medical schools are growing faculty numbers despite health system changes, with regional variations. Monitoring these trends is crucial for understanding the impact of evolving healthcare environments.

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Area of Science:

  • Medical Education
  • Health Systems Research
  • Academic Medicine

Background:

  • US medical schools exhibit diversity in goals, student profiles, and curriculum.
  • Some institutions explicitly aim to train primary care physicians.
  • External scrutiny exists regarding graduate performance and practice choices.

Purpose of the Study:

  • To analyze faculty, student, and curriculum data for responses to health system changes.
  • To identify trends in medical school faculty growth and distribution.
  • To understand the impact of health system evolution on academic medicine.

Main Methods:

  • Analysis of faculty, student, and curriculum data from US medical schools.
  • Examination of faculty number changes between 1992-1993 and 1993-1994.

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  • Comparative analysis of faculty growth across different states and regions.

    • Main Results:

    • Despite potential for downsizing, medical schools show steady faculty growth nationally.
    • Faculty expansion is inconsistent, with significant state-level variations (e.g., California vs. New York/Pennsylvania).
    • Managed care has not uniformly impacted all markets, influencing regional faculty trends.

    Conclusions:

    • Medical school faculty numbers are generally increasing, contrary to some expectations of downsizing.
    • State fiscal situations and regional practice environments significantly influence faculty growth patterns.
    • Continued monitoring of faculty trends at national and regional levels is essential for understanding health system impacts.