A Single Mission for Academic Medicine

Ramsey, Paul G.; Miller, Edward D.

doi:10.1001/jama.2009.472

Cited by 49 publications

(46 citation statements)

References 9 publications

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“…While the most commonly recognized mission of academic medicine is the three-pronged vision of clinical care, research, and teaching 1 , the true mission is a single mandate: the pursuit of health for all. 2 This directive leaves no room for exclusion, and is a reminder for continuing to focus care on vulnerable and underserved populations.…”

mentioning

confidence: 99%

Fulfilling the Mission of Academic Medicine: Training Residents in the Health Needs of Prisoners

Wakeman

Rich

2010

J GEN INTERN MED

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The single mission of academic medicine is the pursuit of health for all. This mandate serves as a reminder to focus care on vulnerable and underserved populations. The 12 million Americans who cycle through correctional facilities each year are arguably among the most vulnerable populations in this country; predominantly black, with a high burden of disease and many barriers to care after release. Medical training programs should provide exposure to the health needs of prisoners. Residents could establish care with inmates prior to release and arrange follow-up in the community. This addition to training would not only provide care to this underserved group, but also would train residents in the myriad problems prisoners face, and foster social responsibility.

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mentioning

confidence: 99%

Fulfilling the Mission of Academic Medicine: Training Residents in the Health Needs of Prisoners

Wakeman

Rich

2010

J GEN INTERN MED

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“…8 Over the past several decades, this global vision has been fractionated into the well-known tripartite missions of research, medical education, and clinical service. 9 UMCs now fund and promote particular components of the academic triad, conferring greater import on certain "sub-missions." As a result, internal tension and unhealthy competition exist, undermining collaboration and co-operation.…”

Section: Résumémentioning

confidence: 99%

“…As a result, internal tension and unhealthy competition exist, undermining collaboration and co-operation. 9,10 These divisions have evolved into distinct pursuits in and of themselves, creating a dislocated, silo-like disorganization of clinicians, researchers, and educators. We have lost sight of our fundamental purpose: we have lost the forest for the trees.…”

Section: Résumémentioning

confidence: 99%

Academic Medicine: Reclaiming the Forest from the Trees

Wilson

2016

Can Journ Gen Int Med

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“…1 Advances in science and shifts in the structure of health care brought new expectations that shaped how the realities of practice must fit the changing demographics of health, illness, and disability. Currently emerging changes in health care policy and regulation have required physical therapists (PTs) to respond to many new expectations.…”

Section: Meeting Contemporary Expectations For Physical Therapists: Imentioning

confidence: 99%

Meeting Contemporary Expectations for Physical Therapists: Imperatives, Challenges, and Proposed Solutions for Professional Education

Deusinger¹,

Crowner²,

Burlis³

et al. 2014

Journal of Physical Therapy Education

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care always has been to improve health-first of individuals-and then of populations as science evolved and a more global view of human health emerged. 1 Advances in science and shifts in the structure of health care brought new expectations that shaped how the realities of practice must fit the changing demographics of health, illness, and disability. Currently emerging changes in health care policy and regulation have required physical therapists (PTs) to respond to many new expectations. 2 These changes are catalysts to lead the evolution of practice and capture opportunities to promote the health of our patients via new delivery models. This position paper proposes changes in professional education to allow PTs to respond to the complexities of health and health care, and be full partners in what must become an integrated and interdisciplinary service industry. POsITIOn AnD RATIOnALeWe address 3 focal areas to drive change in physical therapist didactic and clinical education. First, achieving true interdisciplinary practice demands that physical therapist educators create learning experiences that result in interprofessional competence. This expectation must apply initially and across the entire continuum of professional development. Second, while responding to new accountabilities of the federal Affordable Care Act (ACA) may be stressful for practitioners, there is opportunity to create new approaches to address current stresses in clinical education. We advocate expanding the breadth of clinical education to include experiences in accountable care organizations (ACOs) or patient-centered medical homes (PCMHs) as a strategy for building practice options for care across the lifespan of patients. Finally, providing focused and in-depth education in the care of patients with highly prevalent conditions may prepare graduates to implement new care models and pathways that The authors declare no conflicts of interest.Received October 1, 2013, and accepted February 7, 2014. the health of our patients via new delivery models-and thus lead the evolution of our profession. Position and Rationale. To lead, physical therapists must (1) demonstrate interprofessional competence in what is certain to be an interdisciplinary industry, (2) assume new roles and accountabilities within new structures of the health care system, and (3) devise models of care, particularly for patients with highly prevalent and chronic conditions, that address movement and function across the full continuum of health and life. In turn, professional education must require (1) early and persistent exposure to, and clinical mentorship by, practitioners in other disciplines; (2) accountability for expected treatment outcomes embedded in the Affordable Care Act; and (3) skill development in community health assessments, health promotion, and prevention of disability and disease across the lifespan. Discussion and Conclusion. The mission of health care is to improve the health of individuals and of populations. As science progresses and a more glo...

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A Single Mission for Academic Medicine

Cited by 49 publications

References 9 publications

Fulfilling the Mission of Academic Medicine: Training Residents in the Health Needs of Prisoners

Fulfilling the Mission of Academic Medicine: Training Residents in the Health Needs of Prisoners

Academic Medicine: Reclaiming the Forest from the Trees

Meeting Contemporary Expectations for Physical Therapists: Imperatives, Challenges, and Proposed Solutions for Professional Education

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