Graduate medical education and water in the soup

Article Abstract:

Changing medical residency programs may be one way to address the skewed distribution of physicians in the US. One of the goals of the Council on Graduate Medical Education is to limit the number of residency positions and ensure that half the residents choose careers in primary care medicine. The Council issues annual reports outlining the progress in reaching these goals and the 1995 report recommended limiting the Medicare reimbursement for graduates of foreign medical schools. However, these residents usually remain in the US and practice in underserved areas. Meanwhile, thousands of Americans are rejected by US medical schools. The National Health Service, which provides scholarships for those practicing in underserved areas, should be expanded. In addition, nurse practitioners and physician's assistants could be trained to practice in rural communities.

Editorial, Graduate medical education

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The case for more U.S. medical students

Article Abstract:

The US should begin training more medical students. The number of openings in hospitals for interns is 30% higher than the number of medical students who graduate each year. Many hospitals can only fill this need by hiring graduates of foreign medical schools. At the same time, US medical schools routinely reject more qualified applicants than they accept. Hiring foreign graduates to work in the US also draws talent away from other countries. If medical schools begin accepting more students, they must try to recruit minority students, and those willing to practice in under-served areas.

Statistical Data Included, Medical students, Residents (Medicine)

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The National Health Service Corps and inner-city hospitals

Article Abstract:

The National Health Service Corps (NHSC) could provide qualified physicians to inner city hospitals. Currently, many inner city hospitals use residents to provide care, but medical associations have recommended cutting residency positions to address a future physician surplus. THE NHSC provides physicians with a stipend to repay their medical school loans in return for service in an underserved community. If the money saved from the elimination of residency positions is used, over 10,000 physician positions could be filled at inner city hospitals.

Employment, United States. National Health Service Corps

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