Trend to specialization reversing?
Article Abstract:
Physicians discussed ways of increasing the percentage of medical students who choose careers in primary care medicine at the 1992 National Primary Care Conference. In the US, only 33% of doctors are practicing primary care medicine, but the percentage is much larger in most other countries. In 1991, only 14% of medical students chose primary care, down from 39% in 1982. Specialists usually make more money, and students are attracted to specialties because they incur huge debts during their training. Some government agencies also reward specialization. The Resource-Based Relative Value Scale will increase the salaries of primary care physicians, which could encourage more students to enter the field. Students should also be offered interest-free loans and work-study programs. Doctors could also be re-trained for primary care practice.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1992
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Being called to care for the mighty poses unique challenges for attending physician
Article Abstract:
Physicians discussed medical care for very important persons (VIP) at a conference held by George Washington University Medical Center. Health care professionals should attempt to treat VIPs the same as other patients. Health care professionals may find it difficult to treat a head of state who has developed a disability or a life-threatening illness. A conflict may arise between confidentiality of the physician-patient relationship and the right of the public to be informed. A president's ailing health has been hidden or downplayed several times in the past. The state of the president's health was withheld mainly to protect their political position. Concern arises over policy decisions made by leaders who may have been mentally incapacitated. This secrecy can also affect the quality of care that a national leader receives.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1993
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Effect of managed care felt in every medical field
Article Abstract:
Managed care organizations (MCOs) are having a significant impact on the practice of medicine. Medical schools and teaching hospitals will have to change their curricula to teach students and residents how to function in a managed care setting. Many MCOs refuse to contribute financially to clinical trials even though it may be in their best interest to do so. Many physicians are skeptical that MCOs will focus on preventive care because the benefits will occur 5 or 10 years later and most MCOs focus on short-term profits.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1996
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