Planes de prácticas de la facultad. planes de prácticas de la facultad. Perfil y críticas
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JAMA
|July 4, 1986
Resumen
El comercialismo en las escuelas de medicina resurgió, lo que condujo a un aumento significativo en los planes de práctica de la facultad (FPP). Los modelos de gestión defectuosos y los problemas de gobernanza plantean preocupaciones sobre la rendición de cuentas en la educación médica.
Área de la Ciencia:
- Educación médica y educación médica.
- Gestión de la Gestión de la Atención Médica.
- La medicina académica es la medicina académica.
Sus antecedentes:
- El informe Flexner tenía como objetivo poner fin al mercantilismo en las escuelas de medicina, pero reapareció más tarde.
- Entre 1960 y 1985, los cambios en la financiación impulsaron un aumento de 20 veces en los planes de práctica de la facultad (FPP) en las escuelas de medicina de los Estados Unidos.
Objetivo del estudio:
- Para encuestar a todas las 127 escuelas de medicina de los Estados Unidos con respecto a los planes de práctica de la facultad.
- Evaluar el impacto del mercantilismo y las políticas de financiación en la gestión y el gobierno de las escuelas de medicina.
Principales métodos:
- Se realizó una encuesta exhaustiva de las 127 escuelas de medicina de los Estados Unidos.
- Análisis de las políticas de financiación y su impacto en el desarrollo y gestión de FPPs.
Principales resultados:
- Los planes de prácticas de la facultad (FPP) crecieron de 6 a 118 entre 1960 y 1985.
- Las fluctuaciones de la política de financiamiento federal crearon deficiencias de gestión, especialmente para los FPP.
- Los temas identificados incluyen la disposición de los ingresos, las FPP con fines de lucro, la remuneración lucrativa de los médicos, la autonomía departamental y la gobernanza.
Conclusiones:
- El auge del mercantilismo y los planes de prácticas de la facultad ha creado desafíos complejos de gestión y gobernanza.
- Han surgido cuestiones de conflicto de intereses y rendición de cuentas, lo que justifica una mayor evaluación.
- Se necesita una reevaluación de los efectos del mercantilismo en la educación médica, similar al impacto del informe Flexner.
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