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Educational programs in US medical schools, 1997-1998

B Barzansky1, H S Jonas, S I Etzel

  • 1Division of Undergraduate Medical Education, American Medical Association, Chicago, Ill 60610, USA. barbara_barzansky@ama-assn.org

JAMA
|September 8, 1998
PubMed
Summary
This summary is machine-generated.

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Medical school faculty increased slightly, but applicant numbers, especially from underrepresented minorities, decreased. Clinical training sites faced challenges with fewer available inpatients and difficulty recruiting volunteer faculty.

Area of Science:

  • Medical Education
  • Health Workforce Analysis
  • Public Health Policy

Background:

  • The landscape of medical education in the United States is dynamic, influenced by faculty numbers, applicant pools, and clinical training resources.
  • Understanding trends in medical school faculty, student demographics, and clinical education availability is crucial for assessing the health of the physician pipeline.

Purpose of the Study:

  • To provide a comprehensive overview of the status of medical education programs in the U.S. for the 1997-1998 academic year.
  • To identify trends in medical school faculty, applicant numbers, underrepresented minority participation, and clinical training environments.

Main Methods:

  • Utilized data from the Liaison Committee on Medical Education Annual Medical School Questionnaire (1997-1998) with a 100% response rate.

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  • Incorporated data from additional relevant sources to supplement the questionnaire findings.
  • Analyzed trends in full-time faculty, applicant numbers, and demographic data of entering students.

    • Main Results:

    • Full-time medical school faculty saw a modest increase of 1.2%.
    • Total applicants decreased by 8.4%, with a more significant decline of 11.1% in underrepresented minority applicants and an 8.4% decrease in entering underrepresented minority students.
    • Over half of medical schools reported a decrease in available inpatients for student education, and 31.2% experienced greater difficulty recruiting/retaining volunteer clinical faculty.

    Conclusions:

    • The findings indicate a concerning trend of declining applicant numbers, particularly among underrepresented minorities, juxtaposed with a slight increase in faculty.
    • Challenges in clinical training environments, including reduced inpatient availability and difficulties in faculty recruitment, pose potential threats to medical education quality.
    • These trends necessitate strategic interventions to ensure a diverse and well-trained future physician workforce.