Costs of a Medical Education: Comparison With Graduate Education in Law and Business

Kerr, Jason R; Brown, Jeffrey J.

doi:10.1016/j.jacr.2005.09.010

Cited by 12 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Like hospitals, physicians have seen the prices of medical supplies go up each year, without the same benefits of group purchasing or supplier leverage. Finally, evidence shows that younger physicians are carrying higher debt loads from their medical education compared with those of their predecessors (Kerr and Brown 2006). As a result, some observers claim that increases in practice expenses now outpace increases in reimbursement by a ratio of two to one (Garman 2007).…”

mentioning

confidence: 99%

Hospital‐Physician Collaboration: Landscape of Economic Integration and Impact on Clinical Integration

2008

View full text Add to dashboard Cite

Context: Hospital-physician relationships (HPRs) are an important area of academic research, given their impact on hospitals' financial success. HPRs also are at the center of several federal policy proposals such as gain sharing, bundled payments, and pay-for-performance (P4P). Methods:This article analyzes the HPRs that focus on the economic integration of hospitals and physicians and the goals that HPRs are designed to achieve. It then reviews the literature on the impact of HPRs on cost, quality, and clinical integration. Findings:The goals of the two parties in HPRs overlap only partly, and their primary aim is not reducing cost or improving quality. The evidence base for the impact of many models of economic integration is either weak or nonexistent, with only a few models of economic integration having robust effects. The relationship between economic and clinical integration also is weak and inconsistent. There are several possible reasons for this weak linkage and many barriers to further integration between hospitals and physicians.Conclusions: Successful HPRs may require better financial conditions for physicians, internal changes to clinical operations, application of behavioral skills to the management of HPRs, changes in how providers are paid, and systemic changes encompassing several types of integration simultaneously.

show abstract

mentioning

confidence: 99%

Hospital‐Physician Collaboration: Landscape of Economic Integration and Impact on Clinical Integration

2008

View full text Add to dashboard Cite

show abstract

“…Financial incentive is expected given the degree of debt accumulated by the end of medical school and then extended by the prolonged low-income status of a surgical residency. 15,16 The desire for continued clinical experience is not surprising either when one considers that these trainees had already chosen medical school over formal graduate training in research. Although many trainees have considerable aptitude for research, all have primarily invested in a clinical profession, hence, the desire to maintain the clinical skills they have worked so hard to obtain.…”

Section: Discussionmentioning

confidence: 99%

Surgical Residents' Clinical Activity During Research: Shedding Light on Moonlighting Practices

Jamshidi

Reilly

2008

Journal of Surgical Education

View full text Add to dashboard Cite

“…There has been extensive research regarding the financial costs associated with applying and attending medical school (Walsh 2014 ; Kerr and Brown 2006 ; Greysen et al 2011 ; Millo et al 2019 ). This anticipated cost can be daunting, leading some premed students to step off the PMP even before the application process (Lovecchio and Dundes 2002 ).…”

Section: Introductionmentioning

confidence: 99%

Examining the U.S. premed path as an example of discriminatory design & exploring the role(s) of capital

Michalec

Hafferty

2022

Soc Theory Health

View full text Add to dashboard Cite

The college-level pathway to medical school (i.e., the “premed path”) includes all coursework, extra-curriculars, shadowing, volunteering, high-stakes examination (e.g., MCAT®), and application-related processes. Although medical school admission committees routinely insist their interest in diverse and “well-rounded” applicants, the premed path (PMP), through formal and informal mechanisms, is constructed to favor those from high in socioeconomic status (SES) privileged backgrounds, and those majoring in typical premed majors such as in the Biological Sciences. In these respects, the PMP is an example of Discriminatory Design—an entity constructed and sustained in a manner that (un)intentionally discriminates against certain groups of individuals. We begin this paper by providing a brief description of the PMP (within the U.S. specifically) and conceptual and theoretical overview of the discriminatory design framework. We then explore how the PMP is an example of discriminatory design through the distinct but related role(s) of financial, social, cultural, and (what we term) (extra)curricular capital. Using data gleaned from interviews with premedical students, content analyses of the curricular structure of particular majors and publicly available data on the various “costs” associated with the PMP, we detail how the PMP is reflective of discriminatory design, spotlighting specific barriers and hurdles for certain groups of students. Given the persistent lack of representation of students from minoritized groups as well as those from diverse academic backgrounds within medical schools, our goal is to spotlight key features and processes within the PMP that actively favor the pursuit of certain majors and students from more privileged backgrounds. In turn, we conclude by offering medical schools and undergraduate institutions specific recommendations for remediating these barriers and hurdles.

show abstract

Costs of a Medical Education: Comparison With Graduate Education in Law and Business

Cited by 12 publications

References 0 publications

Hospital‐Physician Collaboration: Landscape of Economic Integration and Impact on Clinical Integration

Hospital‐Physician Collaboration: Landscape of Economic Integration and Impact on Clinical Integration

Surgical Residents' Clinical Activity During Research: Shedding Light on Moonlighting Practices

Examining the U.S. premed path as an example of discriminatory design & exploring the role(s) of capital

Contact Info

Product

Resources

About