Controversy in Medical Education

Service of the Underserved vs Physician Discipline

To increase access we need a more and more diverse group of physicians, but does that increase the potential for medical errors? Although questions have been raised about a few schools, does that mean that working for one will ignite the other - not so.

Academic Health Centers  - update on the new and changing roles, unfortunately might cost you to get a copy

Double Standard  why has the Public Citizen targeted the AAMC GQ, which has been a great tool for improving medical education

Med Schools: Four that Flunk - the controversy is re-ignited by this "investigation" by the oldest newspaper in the US.

Graduates Answer Hartford Courant - my initial response for caution and plea for more info (see below for my regression analyses)

Critique Four That Flunk - problems with the study including the omission of Drew, Morehouse and others - These schools have higher numbers of black graduates. Including even low numbers of graduates with analysis would have been appropriate. If these and other schools with higher numbers of minority graduates had similar problems, the indication would not have been problems at individual schools, but a societal problem. The paper may have been unwilling to deal with the consequences of an examination of data by race or gender. It is unlikely that this was not something considered by the paper, or anyone with experience in doing such research.

Black Medical Schools - apologetic from the Hartford Courant,

Admissions and Medical Errors previous short essay by me

AMA News Item regarding increasing complexity facing physician licensure boards http://www.ama-assn.org/sci-pubs/amnews/pick_03/prl20421.htm

Guadalahara Response Point 4 – Together…these well-established schools have produced more than 600 doctors cited by licensing boards. In your own analysis on a national level the UAG has 155 physicians cited – out of the approximate total of graduates of 13,000 – that’s 0.011%.

Minorities, Admissions, and Underserved compilation of related web pages

Flexner, Applicants, Maldistribution  Flexner's contributions, positive, and some unforeseen consequences

Flexner’s Impact on American Medicine - praise and some links to critique

Medical Schools: What Reforms Might Make a Difference - Major source article being constructed including regressions and data from the Hartford Courant. You may want to explore the regressions yourself. education, science, NIH awards, MCAT science scores, and other variables included.

Physician Discipline and Caring for the Underserved  This is a table of some of the factors involved in physician errors and how working with underserved populations might just influence disciplinary actions. An additional table notes how society contributes and some potential changes in medical education.

Role of Black and Hispanic Physicians Volume 334  This article is important since it reviews the contributions of black and hispanic physicians in California and their association with underserved populations, that just might influence how they practice.

Hope: Students From the Underserved, For the Underserved  why it is important to continue to recruit students from underserved areas, rural and inner city and other

Centralization and Regionalization  a key concern in recession times is that cutbacks not damage the small colleges and K-12 education efforts that might result in better distribution of professionals with resulting better health access, better distribution of resources and population, etc.

Community-Driven Med Ed: The Rural Component an article just published in Journal of Rural Health noting how important it is to connect medical education with the needs of various communities

Power, Maldistribution, Leadership, and Primary Care

Turning to Lawyers for a Cure

Generalism, Medical Education, and Family Medicine: Complimentary Not Competitive

The War Within

Medical Education Retardation

Robert C. Bowman, M.D.

[email protected]

www.ruralmedicaleducation.org