Graduate Medical Education—Accelerated Change

Linville, Mark; Bates, James E.

doi:10.1016/j.amjms.2016.12.001

Cited by 5 publications

(3 citation statements)

References 33 publications

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“…The ultimate goal for the larger number of medical students was to grow the physician workforce, but as the number of residency positions has only slightly increased over the same time period as the medical school expansions, there have been some concerns raised as to whether or not augmenting the number of medical school graduates will actually meet national and regional needs for practicing physicians [ 5 ]. Koehler et al have demonstrated that almost 80% of residency/fellowship graduates from a single GME training site in Michigan who also went to medical school in Michigan practiced medicine in Michigan [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Are Michigan State University medical school (MSU-CHM) alumni more likely to practice in the region of their graduate medical education primary care program compared to non-MSU-CHM alumni?

et al. 2018

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BackgroundOver the past 10 years, three new MD schools have been created in the state of Michigan, while the Michigan State University College of Human Medicine (MSU-CHM) has increased their class size to 850 students. The aim of this study was to determine if MSU-CHM alumni who graduate from an MSU-affiliated primary care residency from a single graduate medical education (GME) training program in Michigan are more likely to go on to practice in close proximity to the location of their training program immediately after graduation compared to non MSU-CHM alumni. Changes over time in the proportion of primary care graduates who received fellowship training immediately following residency were also compared between these groups.MethodsA review of historical data was performed for all 2000–2016 primary care (Family Medicine, FM; Internal Medicine, IM; Internal Medicine-Pediatrics, IMP; Pediatrics, Peds) program graduates sponsored by Grand Rapids Medical Education Partners (GRMEP). Study variables included primary care program, gender, age at graduation, fellowship training, practice location immediately after graduation and undergraduate medical education location. Summary statistics were calculated for the data. Comparisons were made using the chi-square test or Fisher’s Exact test when appropriate. Significance was assessed at p < 0.05.ResultsThere were 478 primary care program graduates who went into practice immediately following graduation, 102 of whom also graduated from MSU-CHM. Just over half of the graduates were female and the average age at graduation was 32 years. There were 152 FM, 150 IM, 50 IMP and 126 Peds graduates. Those that graduated from both MSU-CHM and GRMEP were more likely to practice in Michigan immediately after residency training (79.4% vs 52.0%; p < 0.001), as well as within 100 miles of GRMEP (71.6% vs 46.4%; p < 0.001). There were 8% of MSU-CHM primary care graduates who went on to fellowship training from 2000 to 2009, increasing to 34% from 2010 to 2016 (p < 0.001).ConclusionMedical school graduates of MSU-CHM who receive GME training in primary care are more likely to practice medicine within close proximity to their training site than non MSU-CHM graduates. However, plans for fellowship after training may add one caveat to this finding.

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Section: Introductionmentioning

confidence: 99%

Are Michigan State University medical school (MSU-CHM) alumni more likely to practice in the region of their graduate medical education primary care program compared to non-MSU-CHM alumni?

et al. 2018

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“…11,12 Graduate medical training has also been forced to react quickly to the changing nature of healthcare provision, including the need for more robust certification of junior doctors and assessment of competency. 13,14 In parallel, tools for online education and training have been generated and are providing new opportunities for high-quality cardiovascular education. Whilst the ESC Education Conference focused on knowledge and skills, we recognise the vital importance of general professionalism, supporting trainees to become "good doctors" but equally applicable to all stages of continuous education.…”

Section: Approaches To Improve Knowledge and Skills In Cardiology Acrmentioning

confidence: 99%

Roadmap for cardiovascular education across the European Society of Cardiology: inspiring better knowledge and skills, now and for the future

Kotecha

Bax²,

Carrera³

et al. 2018

European Heart Journal

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“…A team of Iranian scientists while studying the problems of medical errors has set a goal to "design a valid and reliable questionnaire to investigate the status of medical error disclosure by physicians" (see Mohammadi 2019). Systemic changes in the health care system aimed at improvement of health care delivery, including the prevention of medical errors, have become the subject of cognition by Linville and Bates (2017). In addition, the results of a systematic study of health risks and related medical errors are outlined among others by Jimenez-Rodriguez et al (2018).…”

Section: Introductionmentioning

confidence: 99%

Medical Illegality and Errors in the Leading Legal Practice

Dobroboh¹,

Кучук²,

Pimakhov³

2020

Proceedings of the 6th International Conference on Social, Economic, and Academic Leadership (ICSEAL-6-2019)

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The lack of a unified approach to understanding and tackling medical errors is a factor in the failure of the established leading legal practices of national courts. Under the Article 140 of the Criminal Code of Ukraine there exists a responsibility for improper performance of professional duties by a medical or pharmaceutical worker. Ukrainian law does not actually distinguish between a medical error and a criminal offense. Our results allow us to distinguish three approaches to understanding of the medical error. Under the first approach, a medical error is seen as objectively unlawful action with a negative social consequence inherent in it, a defect in professional activity. According to the second approach, a medical error is understood both as a result of good faith deceit and as a result of the committed negligence. In accordance with the third oneunder the error is recognized any departure from medical standards, including clinical protocols. The relationship between concepts "doctor's error", "medical error", "healthcare mistake" is determined. In the practice of the European Court of Human Rights, a medical error, medical negligence and deliberate failure or improper performance of professional duties are distinguished. The European Court of Human Rights sets out two aspects of dealing with cases of death due to failure of provision or inadequate provision of medical care: effective legal regulation of healthcare; efficient means of control, investigation and prosecution of perpetrators.

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Graduate Medical Education—Accelerated Change

Cited by 5 publications

References 33 publications

Are Michigan State University medical school (MSU-CHM) alumni more likely to practice in the region of their graduate medical education primary care program compared to non-MSU-CHM alumni?

Are Michigan State University medical school (MSU-CHM) alumni more likely to practice in the region of their graduate medical education primary care program compared to non-MSU-CHM alumni?

Roadmap for cardiovascular education across the European Society of Cardiology: inspiring better knowledge and skills, now and for the future

Medical Illegality and Errors in the Leading Legal Practice

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