วันศุกร์ที่ 21 สิงหาคม พ.ศ. 2552

university of mi medical center

university of mi medical center
PART - REALITY OF MEDICAL EDUCATION IN THE STATES

American Medical schools do not have enough capacity for the training of doctors, the growing and aging U.S. population. In 2006, U.S. medical schools almost 400,000 requests for 14,000 seats. Combined BA / MD programs report more discouraging numbers: a well-known seven-year program in the Midwest received 32,000 applications for 40 places in 2006. We have no shortage of students who would like to intelligent physicians. We do not have an educational system in a position to help them. It is an unfortunate paradox that the U.S. imports thousands of foreign medical graduates per year, while so many of our students, this opportunity is denied.

The financial burden of higher education today is staggering. Higher education is simply not affordable in the U.S., and financial support is drying too fast in today's economy. A four-year undergraduate education in the United States can cost from $ 60,000 to $ 200,000. Tuition costs alone (excluding books, room & board) for medical education in the U.S. of $ 20,000 - $ 65,000 per year. After four years of college and four years Medical School, young graduates usually accumulated debt of $ 200,000 to $ 400,000. It is no wonder that many doctors are not lower payment specialties such as pediatrics or family practice - they only need to pay high salaries to their credit. In any case, the majority of young doctors to spend the first 20 years of their working lives paying half the one million U.S. dollars student loan. Though a few lucky students will receive financial support to education, they do not usually provide the majority of students from wealthy families. At the end, this means that many promising students are not the doctors, if they can not afford education. This is another unfortunate consequence of the U.S. model. The lack of affordable education is typical for the American system, and is one of the many reasons that the U.S. did not even place among the top 20 nations in the world for education.

American medical schools offer limited practical experience in certain areas, "hands-on. Due to the many questions, especially malpractice laws and low risk tolerance in the United States, many medical students do not have the opportunity on their hands more invasive and complicated procedures such as surgery, obstetrics and delivery of newborns. In many residency programs, including the first year residents are fighting for the opportunity to gain practical experience. So, for the most part, American physicians learn mainly through observation or mannequins. In each of Hands on the profession, it is better to learn by observation rather than by you. Since the medicine is a hands-on profession, the learning-by-monitoring 'model is perhaps not the most effective way for students to learn.

"Length of study" "is an interesting topic to discuss, because the American model provides two separate and significant obstacles. First, the American students begin their medical education after completion of four years of study. Medical School in the United States is a further four-year investment. Thus, the conventional educational system in America requires eight years after the conclusion of the study from high school. Due to the extremely competitive nature of the medical school admissions, but also many students, one year after the undergraduate to expand again, and thus its increase their chances of admission to medical school. More and more students making a year of work between under grad and medical school, the whole 9 years of investment.

Secondly, the actual graduate medical education has grown over the span of just 4 years. The attempt to huge amounts of material needed to graduate in 4 years is stressful to say the least - almost unrealistic for most students. Moreover, forcing memorization and buffalo instead of learning and understanding. A better system would allow more time for students to study medicine, while shortening the time and investment. How is this possible? The solution for the duration of the study "problem and solutions for the other issues discussed above will address in Part 2 of this three-part discussion on the medical training.

At the risk of stating the obvious, I want to emphasize that physicians must interact with people. It is not a profession, such as computer science or engineering, where the emphasis is on an inanimate object. As a doctor, the interaction with people. Moreover, relations between doctors and patients are culturally dependent. In fact, medicine in general is a culturally and geographically shaped area. You are likely to find that patients with different complaints in different countries and in different areas within a country. Doctors and patients relate to each other better if they have similar values and ideas of sickness, health and recreation. We all had the experience of seeing a doctor who just do not understand our feelings. Even more frustrating is a doctor and patient who do not understand because the language barrier, but this is only a manifestation of the culturally dependent nature of the practice of medicine. The point of all this is to say that it is better for a society to have that doctors went into society. On average, they have better relationships with their patients and all can benefit from this relationship. The fact is that our country to import doctors from 80,000 to 200,000 doctors in the next 20 years. It seems obvious that it is better to send our students for the creation and import it back, but as an import-doctors, to learn the language, customs and traditional American ideals of illness and recovery.

References to shortage of doctors in the next 20 years, the nation will be a shortage from 85,000 to 200,000 physicians. American Medical schools can not train enough doctors to meet the needs of the population. This is an indisputable fact. New medical schools are not significantly help the situation. A shortage threatens health future patients' wellbeing. A quick search on the internet for 'lack of doctors "will reveal the strong and frightening truth about the state of our health care system today and in the future.

Statistics of: http://www.usatoday.com/news/health/2005-03-02-doctor-shortage_x.htm

To make up the deficits of the United States will participate in foreign medical graduates in the next ten years.

Why not train our own students to this crisis head-on?

Read PART TWO: There is a solution.

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