Preparing Future Physicians to Adapt to the Changing Health Care System

2017 ◽  
pp. 106-125
Author(s):  
Joanna Lauren Drowos ◽  
Sarah K Wood
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Health Care System ◽  
Clinical Settings ◽  
Patient Relationship ◽  
Learning Models ◽  
Clinical Clerkships ◽  
Over Time ◽  
Care System

One vital goal of medical education is to promote the development of desirable professional qualities among future physicians, such as compassion, empathy, and humanism. Future physicians must finish their training prepared to meet the changing health needs of society, yet in reality many students graduate from medical school more cynical and less empathetic than when they began. During clinical clerkships, many students experience an “ethical erosion” as they transition in to real world clinical settings. Through innovative longitudinal integrated curricular designs focusing on continuity, medical students participate in the comprehensive care of patients over time and have continuous ongoing learning relationships with the responsible clinicians. As patients place increasing importance on the doctor-patient relationship, learning models that foster stronger connections between medical students and their patients, as well as with their teachers and communities, are needed in order to better prepare the next generation of physicians to serve a changing health care system.

Preparing Future Physicians to Adapt to the Changing Health Care System

2017 ◽  
pp. 1555-1574
Author(s):  
Joanna Lauren Drowos ◽  
Sarah K Wood
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Health Care System ◽  
Clinical Settings ◽  
Patient Relationship ◽  
Learning Models ◽  
Clinical Clerkships ◽  
Over Time ◽  
Care System

One vital goal of medical education is to promote the development of desirable professional qualities among future physicians, such as compassion, empathy, and humanism. Future physicians must finish their training prepared to meet the changing health needs of society, yet in reality many students graduate from medical school more cynical and less empathetic than when they began. During clinical clerkships, many students experience an “ethical erosion” as they transition in to real world clinical settings. Through innovative longitudinal integrated curricular designs focusing on continuity, medical students participate in the comprehensive care of patients over time and have continuous ongoing learning relationships with the responsible clinicians. As patients place increasing importance on the doctor-patient relationship, learning models that foster stronger connections between medical students and their patients, as well as with their teachers and communities, are needed in order to better prepare the next generation of physicians to serve a changing health care system.

scholarly journals How does the pharmaceutical industry influence prescription? A qualitative study of provider payment incentives and drug remunerations in hospitals in Shanghai

2016 ◽  
Vol 11 (4) ◽  
pp. 379-395 ◽  
Author(s):  
Wei Yang
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Clinical Settings ◽  
Medical Department ◽  
Social Functions ◽  
Provider Payment ◽  
Four Levels ◽  
The Government ◽  
Funding Pressure ◽  
Care System

AbstractOver-prescription has become one major problem in China’s health care sector. Incorporating interview data from hospitals in Shanghai, this paper provided empirical evidence on how the process of over-prescription was carried out in day-to-day clinical settings, and demonstrates various mechanisms that allow over-prescription to continue vigorously in the context of the Chinese health care system. In particular, this study identified four levels of incentives that over-prescription was carried out: hospital, medical department, doctors and pharmaceutical companies. Due to the insufficient funding from the government and rising operational costs, hospitals had to rely on the sales of drugs and provision of medical services to survive. This funding pressure then transferred to specific revenue targets for medical departments. A combination of incentives, including drug remunerations, bonus system, low pay and high workloads motivated over-prescription at doctor level. At pharmaceutical company level, high profits of pharmaceuticals products as well as lack of emphasis on efficacy of drugs led to under-table payments and illicit drug remunerations. The study argued that the way that the Chinese health care system operates was based on the profit-seeking principle rather than on fulfilling its social functions, and called for a systematic reform of provider incentives to eradicating the problem of over-prescription.

scholarly journals A brief instrument to measure attitudes of medical students toward changes in the health care system

1999 ◽  
Vol 74 (10) ◽  
pp. S78-80 ◽  
Author(s):  
M Hojat ◽  
J J Veloski ◽  
J S Gonnella ◽  
J B Erdmann ◽  
S Rattner
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Health Care System ◽  
Care System

scholarly journals Stories of institutional and local policy change from Harvard’s Cambridge Health Alliance

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Debra Ann Dawson
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Health Care System ◽  
Policy Change ◽  
Local Population ◽  
Cultural Exchange ◽  
Academic Community ◽  
Local Policy ◽  
Health Alliance ◽  
Care System

In May of 2017, myself and five other first and second year McGill Medical students embarked on a cultural exchange with Harvard medical students.  This is an annual program run by Dr. Semaan, professor at Harvard Medical School, and McGill Medicine graduate. During the exchange, we had the opportunity to attend some pointed lectures which had the goal of illustrating some of the realities of the health care system in the Cambridge-Boston area.  This article is a reflection on the talk given by Dr. David Bor of the Cambridge Health Alliance titled “Cambridge Health Alliance: A Public, Academic Community-Responsive Health Care System”, wherein he provided inspiring personal stories of institutional and policy change pursuits he was involved in in response to needs of the local population.

scholarly journals Historical aspects of the medical education system transformation

2021 ◽  
Vol 2 (1) ◽  
pp. 32-40
Author(s):  
I. N. Kagramanyan ◽  
A. I. Tarasenko ◽  
I. A. Kupeeva ◽  
O. O. Yanushevich ◽  
K. A. Pashkov ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Health Care System ◽  
Education System ◽  
Medical Personnel ◽  
17Th Century ◽  
Historical Aspects ◽  
Medical Education System ◽  
History Of ◽  
Care System

The history of medical and pharmaceutical education development is part of the social history. The quality of medical personnel training determines the efficiency of the entire health care system and has been a priority area of development throughout the history of the Russian state. The paper reflects the main stages of the medical education system development in the period from the 17th century to the present. The training of medical personnel in Russia began in the second half of the 17th century, when, under the Pharmaceutical Order, a medical school was established in 1654to train doctors for the needs of the army.The need to provide qualified medical personnel remains relevant, both in wartime and in peacetime. The reforms of medical education that have been taking place over the centuries make it possible to diversify educational programs, as well as the to introduce new educational technologies, considering modern requirements and global trends. The study of the historical aspects of domestic medicine determines a more competent approach to the development of the health care system and medical education.

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