Medical Education and Societal Needs A Planning Report for Health Professions (1983) / Chapter Skim
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2. Looking Ahead: An Agenda Group on Education of Health Professionals
2. Looking Ahead: An Agenda Group on Education of Health Professionals
Pages 15-28
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From page 15... ...
External forces, especially economic ones, influence the health professional education systems, but not necessarily in directions such that education of the professional student better promotes the health of the public. This is especially problematic in academic medical centers, which have a broad range of activities encompassing research, care, and training, and in which education does not always have highest priority.
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From page 16... ...
An Agenda Group on Education of Health Professionals should serve over the next several years to help stimulate and integrate the efforts of the many independent educational and professional organizations that must cooperate if their interests, and those of the public as a whole, are to be harmonized. The Agenda Group would provide a locus for systematic communication among colleges, universities, professional schools, professional organizations, governments, and public interest groups.
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From page 17... ...
Chapman defines conditions under which a national commission might possibly set the educational process on the road to reform, and states that the commission should not be based in government or in a university setting because it should be insulated from partisan and political pressures exerted by government and academe. A 1965 summer workshop noted the startling increases in the number and proportion of children and the elderly, combined with rapidly expanding biomedical knowledge, [which]
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From page 18... ...
Other issues besides education of health professionals currently share a degree of complexity and national importance which necessitates innovative, interdisciplinary mechanisms for thoughtful review. The Ad Hoc Committee on Government-University Relationships in Support of Science, of the National Academy of Sciences, for example, recently recommended the creation of a Forum on Government-University Relationships.5 The Forum was recommended in an effort to channel tensions among the federal government, the university research community, and university administrators in constructive directions; the goal is to develop a lasting, constructive approach, rather than to redocument the increasing strain in government-university relations.
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From page 19... ...
It i s recommended that appointees to the Agenda Group be a small number of knowledgeable persons of excellent judgment whose goals are to optimize the education of health professionals for meeting the heal th needs of the public . The group would be composed of perhaps six to twelve persons selected on the basis of their personal experience, expertise, broad interest in public affairs, and wisdom, rather than professional or ins titutional af f iliation.
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From page 20... ...
The group would be a continuing monitor of events, trends, quality, critical thinking, and conceptualization about health professional education both at the national level and the state level. Priority tasks of the Agenda Group would be to def ine appropriate roles in health and health care of physicians, nurses, midwives, physician extenders, and dentists,*
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From page 21... ...
* For example, the American Academy of Nursing, American Academy of Physician Assistants, American Association of Colleges of Nursing, American Association of Colleges of Osteopathic Medicine, American Association of Colleges of Pharmacy, American Association of Dental Schools, American Dental Association, American Medical Association, American Medical Student Association, American Nurses Association, American Public Health Association, American Society of Allied Health Professionals, Association of Academic Health Centers, Association of American Medical Colleges, Association of Schools and Colleges of Optometry, Association of Schools of Public Health, Association of University Programs in Health Administration, Committee on Allied Health Education and Accreditation (AMA)
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From page 22... ...
Unlike the Carnegie Commission, the Agenda Group for the Education of Health Professionals might be incorporated so that it could establish its own program of issues to study and have both control of and public accountability for its work. In this case, the sponsors of the Agenda Group would be involved initially in delineating the group's mission, but then would sever the formal tie.
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From page 23... ...
In addition, the leadership of those segments of society that the medical, nursing, and other health professional schools depend on, such as state governments and components of the federal Department of Health and Human Services, should be involved in both the planning and the follow-up to the work of the Agenda Group. The group's recommendations will stand primarily on their merit, but their implementation can be facilitated beyond the persuasiveness of wise, credible, well-intentioned people.
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From page 24... ...
victory of adoption of a four-year medical school curriculum, the introduction of laboratory teaching exercises, the improvement of the quality of instruction by means of a full-time faculty, the expansion of clinical teaching through the introduction of the clinical clerkship, the incorporation of medical schools into the framework of the universities, and the establishment of research in the teaching program.12 However, unintended effects of the Flexner renc~rt included development of uniformity and rigidity in * The universities responded with alacrity deco the challenge posed by the foundations and the dollars they provided -- $78 million from the Rockef eller Foundation alone by 1928 , roughly equivalent to 445 million 1983 dollars; and $154 million by 1936, roughly equivalent to 1.1 billion 1983 dollars.
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From page 25... ...
The ability to resist conservative pressure, the wisdom to foresee the consequences of its actions, and the resiliency to meet new problems generated by the ramified effects of its actions, 14 will be invaluable to the Agenda Group. The endorsement of the Agenda Group from the beginning by such groups as the American Medical Association, the American Nurses Association, the American Osteopathic Association, the American Public Health Association, the Association of Academic Health Centers, the Association of American Medical Colleges, the Association of University Programs in Health Administration, the U.S.
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From page 26... ...
There is widespread belief that health programs are a public responsibility, but one which should permit as much local and professional freedom as possible. Education of health professionals is an area in which political and philanthropic leadership is likely to acknowledge the need for some independent review from professional sources -- provided that those sources can be made truly independent.
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From page 27... ...
Liaison wi th other groups should be established as appropriate, and full participation of the health professions augmented by social scientists, public policy experts, economists, and others, sought as needed. Our hopes for the Agenda Group thus include that it will provide a continuing mechanism for examining change, that it will contribute to a climate leading to improvements in the education of health professionals, and that it will facilitate communication and the more rational resolution of shared problems among the partnership of health professionals.
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From page 28... ...
Medical Education Reconsidered. Report of the Endicott House Summer Study on Medical Education, July 1965.
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