期刊
ACADEMIC MEDICINE
卷 88, 期 12, 页码 1798-1801出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ACM.0000000000000020
关键词
-
资金
- AHRQ HHS [T32-HS000028] Funding Source: Medline
- AHRQ [541853, 2T32HS000028-23] Funding Source: Federal RePORTER
U.S. health care is changing, and it will continue to change across multiple dimensions: a different mix of patients; more ambulatory, chronic care and less acute, inpatient care; an older population; expanded insurance coverage; a team approach to care; rapid growth of subspecialty care; growing emphasis on cost-effective care; and rapid technological change. These changes demand a corresponding evolution in physician roles and training. However, despite innovation in content and teaching methods, there has been little alteration to the basic structure of medical education since the Flexner Report sparked widespread reform in 1910. Looking to the future, medical education might evolve to include preparation for a team approach to care via practical training for multispecialty collaborative practice and preparing physicians to be leaders of primary care teams that include nonphysician providers; shorter training for some physicians via flexible pathways and fast tracks at each phase of training; cost-effective care in clinical practice; increased training in geriatrics; and on ramps and off ramps along the physician career path for flexible training over a lifetime. Although the challenges facing the health care system are great, meeting changing health care needs must begin at the foundation, in medical education.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据