Medical Education for a Healthier Population: Reflections on the Flexner Report From a Public Health Perspective

Maeshiro, Rika; Johnson, Ian; Koo, Denise; Parboosingh, J.; Carney, Jan; Gesundheit, Neil; Ho, Evelyn T.; Butler-Jones, David; Donovan, Denise; Finkelstein, Jonathan A.; Bennett, Nancy M.; Shore, Barbie; McCurdy, Stephen A.; Novick, Lloyd F.; Velarde, Lily; Dent, M. M.; Banchoff, Ann; Cohen, Laurence P.

doi:10.1097/acm.0b013e3181c885d8

Cited by 113 publications

(90 citation statements)

References 15 publications

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“…Our respondents' views of the ACA indicate that future physicians are willing to support and engage with health reform legislation that expands coverage and support previous statements that physicians are likely to be an integral part of efforts to redesign the health care system. [18][19][20] We also found that medical student support for the ACA (63 %) was much higher than support among the general public, and that it did not vary by level of educational debt. In a recent public opinion poll by the Kaiser Family Foundation, only 36 % of respondents had a favorable view of the ACA.…”

Section: Discussionmentioning

confidence: 74%

Medical Students’ Views and Knowledge of the Affordable Care Act: A Survey of Eight U.S. Medical Schools

et al. 2015

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BACKGROUND:It is not known whether medical students support the Affordable Care Act (ACA) or possess the knowledge or will to engage in its implementation as part of their professional obligations. OBJECTIVE: To characterize medical students' views and knowledge of the ACA and to assess correlates of these views. DESIGN: Cross-sectional email survey. PARTICIPANTS: All 5,340 medical students enrolled at eight geographically diverse U.S. medical schools (overall response rate 52 % [2,761/5,340]). MAIN MEASURES: Level of agreement with four questions regarding views of the ACA and responses to nine knowledge-based questions. KEY RESULTS: The majority of respondents indicated an understanding of (75.3 %) and support for (62.8 %) the ACA and a professional obligation to assist with its implementation (56.1 %). The mean knowledge score from nine knowledge-based questions was 6.9±1.3. Students anticipating a surgical specialty or procedural specialty compared to those anticipating a medical specialty were less likely to support the legislation (OR=0. 6 CONCLUSIONS:The majority of students in our sample support the ACA. Support was highest among students who anticipate a medical specialty, self-identify as political moderates or liberals, and have an above-average knowledge score. Support of the ACA by future physicians suggests that they are willing to engage with health care reform measures that increase access to care.

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Section: Discussionmentioning

confidence: 74%

Medical Students’ Views and Knowledge of the Affordable Care Act: A Survey of Eight U.S. Medical Schools

et al. 2015

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“…In order to train physicians who can provide patient care and also meet the health needs of the larger population, medical educators and health planners increasingly agree that public health content and a public health perspective should be an integral part of the undergraduate medical curriculum [1,2]. If we are to achieve cost savings and maximize lives saved, a prevention-based approach that addresses behavioral and environmental factors is an essential complement to increased health coverage and clinical preventive services [3].…”

Section: Introductionmentioning

confidence: 97%

From Primary Care to Public Health: Using Problem-Based Learning and the Ecological Model to Teach Public Health to First Year Medical Students

2011

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We investigated whether a public health-oriented Problem-Based Learning case presented to first-year medical students conveyed 12 "Population Health Competencies for Medical Students," as recommended by the Association of American Medical Colleges and the Regional Medicine-Public Health Education Centers. A public health-oriented Problem-Based Learning case guided by the ecological model paradigm was developed and implemented among two groups of 8 students at the University of California, Berkeley-UCSF Joint Medical Program, in the Fall of 2010. Using directed content analysis, student-generated written reports were coded for the presence of the 12 population health content areas. Students generated a total of 29 reports, of which 20 (69%) contained information relevant to at least one of the 12 population health competencies. Each of the 12 content areas was addressed by at least one report. As physicians-in-training prepare to confront the challenges of integrating prevention and population health with clinical practice, Problem-Based Learning is a promising tool to enhance medical students' engagement with public health.

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“…The Centers for Disease Control and Prevention in collaboration with the Association of American Medical Colleges (AAMC) and other organizations have signed on to a collaborative set of population health competencies for medical students, including elements of environmental health [31]. Graduate medical education organizations have also embraced this need [32,33].…”

Section: The Need For Physicians To Receive Both Public Health and Enmentioning

confidence: 99%

Lessons for Physicians from Flint's Water Crisis

Carravallah¹,

Reynolds

Woolford³

2017

AMA Journal of Ethics

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Physicians form a vital front in recognizing unusual clinical presentations that could herald a health threat. In the Flint water crisis, physicians can be credited with playing critical roles in both uncovering the crisis and providing leadership when government failed to respond effectively. Yet most physicians in Flint were not formally trained in advocacy or leadership and might have recognized the health implications of the crisis more quickly had they received formal environmental health training.

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Medical Education for a Healthier Population: Reflections on the Flexner Report From a Public Health Perspective

Cited by 113 publications

References 15 publications

Medical Students’ Views and Knowledge of the Affordable Care Act: A Survey of Eight U.S. Medical Schools

Medical Students’ Views and Knowledge of the Affordable Care Act: A Survey of Eight U.S. Medical Schools

From Primary Care to Public Health: Using Problem-Based Learning and the Ecological Model to Teach Public Health to First Year Medical Students

Lessons for Physicians from Flint's Water Crisis

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