From MCAT to MD - ABPN
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From MCAT to MD American Board of Psychiatry and Neurology and Neurology Darrell G. Kirch, M.D. P id t d CEO AAMC President and CEO, AAMC September 26, 2009
Transcript of From MCAT to MD - ABPN
From MCAT to MD
American Board of Psychiatry and Neurologyand Neurology
Darrell G. Kirch, M.D.P id t d CEO AAMCPresident and CEO, AAMCSeptember 26, 2009
An Historical Perspective
© 2009 AAMC. May not be reproduced without permission.
Can We Rethink Our Approach to the Medical Education Continuum?Medical Education Continuum?
Premedical Medical School
Residency and
FellowshipsPractice
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AAMC FSMB AHME ABMS CMSS AMA AHA
Medical Schools
State Boards
Specialty
Specialty Societies
NBME Specialty Boards
MCAT USMLE Cert E CME Recert/
MOCExams MOC
Subject Exams
In-Training Exams
Premedical Medical School
Residency and Fellowships Practice
LCME ACGME ACCME NCQA JCAHO
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Creating a True Continuum
Premedical Medical School
Residency and
FellowshipsPractice
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The Doctors of Tomorrow
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The MCAT®
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AAMC-Howard Hughes Medical Institute ReportInstitute Report
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MR5
Chair: Steven Gabbe, M.D., M.A., ,The Ohio State University
Vice chair:Vice-chair: Ronald Franks, M.D.University of South Alabama
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Holistic Admissions
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First-Year Medical School Enrollment Projected to Increase 21% by 2012Projected to Increase 21% by 2012
Existing + New Schools
Existing Schools
16,488
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Source: AAMC Annual Survey of Medical School Expansion Plans
How the Face of Medicine Has ChangedChanged
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Younger Doctors Want Balance
Factors in a desirable practice % Very Important
Time for family/personal 71%Adequate support staff and services 43%Long term income potential 42%Practice income 39%Flexible scheduling 37%Health insurance coverage 35%No or very limited on-call 31%Adequate patient volume 30%O t it t d f i ll 28%
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Opportunity to advance professionally 28%
Source: AAMC/AMA 2006 Survey of Physicians Under 50
Younger Doctors Are Less Interested in Working More Hours Interested in Working More Hours to Earn More Money
Willing to work longer
Willing to work longer Would reduce
hours if couldWould reduce hours if could
Currently working/
interested in
Currently working/
interested inghours for more pay
ghours for more pay
hours if could afford to
hours if could afford to
interested in part-time
hours
interested in part-time
hours
66% No 80% Yes 45% Yes
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Connected 24/7
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Undergraduate Medical Education
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© 2009 AAMC. May not be reproduced without permission.Source: Reynolds, Richard C. On Doctoring : Medical School Edition. New York: Simon & Schuster, 1991.
White Coat Ceremonyy
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The Patient as Teacher
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The “Patient” as TeacherThe Patient as Teacher
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The “Virtual Patient” as Teacher
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Creating a True Continuum
Premedical Medical School
Residency and
FellowshipsPractice
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Residency and Fellowship Training
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Lifelong Learning in Practiceg g
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Individualizing the Continuum“Traditional” Student
Premedical Medical School
Residency and Fellowships Practice Life-Long
Learning
“Non-Traditional” Student
School Fellowships Learning
R id Lif
“Aspiring” Student
PremedicalNon-Premed Degree
Medical School
Residency and
FellowshipsPractice
Life-Long Learning
p g
PremedicalTwo-Year College
Medical School
Residency and
FellowshipsPractice Life-Long
Learning
“Returning” Student
Premedical Medical School
Residency and
F ll hiPractice Re-
trainingLife-Long LearningSchool Fellowships training Learning
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The Practice IdealThe Practice Ideal
Ideal, Evidence-based Practice
Clinical Care Gap
Current Practice
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The Care Model Ideal
Specialist
PharmacistGeneralist
Medical Home
Nurse Laboratory
Cli i
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Clinic
The Interprofessional Ideal
NursingMedicine NursingMedicine
PharmacyDentistry
Public Health© 2009 AAMC. May not be reproduced without permission.
The Complex Matrix of True Health Care ReformHealth Care Reform
American Psyche
Care Model Professional Interests
EconomicEconomic Model
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Institutional Culture
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Academic Medicine as a Voice in H lth C R fHealth Care Reform
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