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Programas educativos en las escuelas de medicina de los Estados Unidos, 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
Resumen
Las escuelas de medicina están aumentando el número de profesores a pesar de los cambios en el sistema de salud, con variaciones regionales. El monitoreo de estas tendencias es crucial para comprender el impacto de la evolución de los entornos de atención médica.
Área de la Ciencia:
- Educación médica y educación médica.
- Sistemas de Salud Investigación de Sistemas de Salud
- La medicina académica es la medicina académica.
Sus antecedentes:
- Las escuelas de medicina de los Estados Unidos exhiben diversidad en objetivos, perfiles de estudiantes y currículo.
- Algunas instituciones tienen como objetivo explícito capacitar a los médicos de atención primaria.
- Existe un escrutinio externo con respecto al desempeño de los graduados y las opciones de práctica.
Objetivo del estudio:
- Analizar los datos de la facultad, los estudiantes y el plan de estudios para las respuestas a los cambios en el sistema de salud.
- Para identificar las tendencias en el crecimiento y distribución de la facultad de la escuela de medicina.
- Comprender el impacto de la evolución del sistema de salud en la medicina académica.
Principales métodos:
- Análisis de los datos de la facultad, los estudiantes y el plan de estudios de las escuelas de medicina de los Estados Unidos.
- Examen de los cambios en el número de facultades entre 1992-1993 y 1993-1994.
- Análisis comparativo del crecimiento de la facultad en diferentes estados y regiones.
Principales resultados:
- A pesar del potencial de reducción de personal, las escuelas de medicina muestran un crecimiento constante de la facultad a nivel nacional.
- La expansión de la facultad es inconsistente, con variaciones significativas a nivel estatal (por ejemplo, California vs. Nueva York / Pensilvania).
- La atención administrada no ha tenido un impacto uniforme en todos los mercados, influyendo en las tendencias regionales de la facultad.
Conclusiones:
- Los números de la facultad de la escuela de medicina generalmente están aumentando, contrariamente a algunas expectativas de reducción de personal.
- Las situaciones fiscales estatales y los entornos de práctica regional influyen significativamente en los patrones de crecimiento de la facultad.
- El monitoreo continuo de las tendencias de la facultad a nivel nacional y regional es esencial para comprender los impactos en el sistema de salud.
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