| For-profit undergraduate medical education: back to the future? | |
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MedLine Citation:
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PMID: 20107369 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One hundred years ago, Abraham Flexner wrote a report that profoundly influenced U.S. medical education. His conclusion-that medical degree (MD)-granting education programs should occur in not-for-profit universities and include hands-on laboratory and patient care experiences in teaching hospitals and clinics-led to the creation of the current model of U.S. MD education. Although this model has served the United States well, it is lengthy and costly. As the United States struggles to deal with a growing shortage of physicians, other models of medical education, including osteopathic medicine and offshore, MD-granting schools, have increased production of graduates. New private colleges of osteopathic medicine, including one accredited proprietary school, are nimble, cost-effective competitors for MD-granting schools. Do these schools portend the establishment of a U.S. for-profit medical education sector in the same way that proprietary universities have become well established in higher education? How should MD medicine respond? Can and should MD educators shorten the time needed to produce a fully trained MD-holding physician? How can MD educators make the training process shorter and less expensive to respond to the nation's physician shortage while maintaining the appeal of MD careers and without compromising educational quality? Models of shorter, less expensive pathways to earning an MD exist and have proven effective. Now is the time for MD educators to debate whether they should apply these pathways more widely. Six recommendations could help realize the goals of shortening and making less costly the training of MD physicians in the United States. |
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Authors:
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T Samuel Shomaker |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 85 ISSN: 1938-808X ISO Abbreviation: Acad Med Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-01-28 Completed Date: 2010-02-23 Revised Date: 2010-04-05 |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 363-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology, University of Texas Medical Branch Galveston, Galveston, Texas, USA. sshomaker@seton.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Commodification* Competency-Based Education Education, Medical / economics* Humans Physicians / supply & distribution Schools, Medical / economics* United States |
| Comments/Corrections | |
Erratum In:
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Acad Med. 2010 Apr;85(4):701 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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