Changing Landscape of Academic Women's Health Care in the United States

Changing Landscape of Academic Women's Health Care in the United States

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Since 2005 a dozen states and more than 15 specialties have reported a physician shortage or anticipate one in the next few years. This anticipated shortage and a worsening of physician distribution are compounded by a projected increased demand for womena€™s healthcare services. Womena€™s healthcare is particularly vulnerable, because the obstetrician-gynecologist workforce is aging and is among the least satisfied medical specialists. Furthermore, fellowship training in womena€™s healthcare in internal medicine and in maternal child health in family and community medicine involves only a small portion of general internists and family physicians. In response to this challenge, the Association of American Medical Colleges called for an expansion of medical schools and graduate medical education enrollments. As we cope with significant and rapid changes in organizations and reimbursement, academic departments of obstetrics and gynecology, family and community medicine, and internal medicine have opportunities to create a unified womena€™s health curriculum for undergraduate students, share preventive health and well-woman expertise in training programs, provide improved continuity of care, instill concepts of lifelong learning to our graduates, and better develop our research programs. This volumea€™s chapters focus on strategic planning on behalf of academic faculty who will train the anticipated additional load of students, residents, and fellows in womena€™s healthcare. -changing demographics of faculty -expanding roles of clinician educators -physician investigators and their future -the hidden value of part-time faculty -faculty salaries -required skillsets of academic leaders -the meaning of tenure and faculty satisfaction and retention. Recommendations presented here from authors with distinguished leadership skills indicate a consensus, but not unanimity. In furthering these goals, we summarize in the final chapter our collective expertise and offer ways to implement recommendations to better prepare for tomorrowa€™s needs in academic womena€™s healthcare.In 2003, ACGME implemented work hour restrictions. Suddenly the traditional surgical work week of 100a€“120 h was no more. The work ... Primary care and Ob- Gyn were not as popular due to concerns of low pay and/or long hours. Yet these anbsp;...

Title:Changing Landscape of Academic Women's Health Care in the United States
Author:William F. Rayburn, Jay Schulkin
Publisher:Springer Science & Business Media - 2011-03-31


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