4. Who Delivers Care Flashcards
Rank the number of dentists, physicians, NPs, RNs, and pharmacists in descending order.
RNs, physicians, NPs, Pharmacists, Dentists
What’s the ratio of PCPs/Non-PCPs in US?
1/2 to 2/3
Who licenses MDs, and what’s required?
STATES. Passing grade on national licensing exams, cert of graduation from med school, and usually completion of at least 1 year of residency
How did medical school start off as?
Small establishment profiting their physician owner (rather than as a university-centered academic institution)
2 key events that ushered modern medicine?
1) Establishment of Johns Hopkins U»_space; beginning of what looked like a legit med school 2) Flexner Report - indicted most other shit med schools, which subsequently closed and surviving schools became much more stringent with education.
How does the state treat MDs v. DOs?
Most state licensing boards grant docs with MD and DO degrees EQUIVALENT scopes of practice
What program accredits allopathic residency training programs? What about board certifications or specialties after residency?
ACGME (Accreditation Council for Graduate Medical Education), and American Board of Medical Specialties
Approx 25% more physicians enter ACGME residency programs than the number of students graduating from US allopathic med schools. How?
1) Half of DO grads enter allopathic residencies 2) Remained is filled by physicians who graduated from medical schools outside the US
What happens to international medical graduates who wanna train in US?
They receive a temporary educational visa and usually go back to their country. Sometimes there are visa-waiver programs which allow the docs to stay in some physician-shortage area of the US.
How does the govt factor in financing medical education?
State tax revenues help subsidize public school medication. Federal govt doesn’t do too much with med student education but is a major source of funds for residency training (MCARE and MCAID allocates “graduate medical education” funding to hospitals that sponsor residency programs)
What’s the advantage for hospitals to train residents?
They add new residency positions in non-PCP fields cuz residents are low-cost labor to staff hospital-based specialty services (more than assessment of regional physician workforce needs)
What’s the point of a PA?
Physician Assistant….developed to fill the nice of a broadly skilled clinician who could be trained without the many years of medical school and residency education required to produce a physician, who would work closely with docs to augment medical workforce, especially in primary care fields and under-served communities. Originally vets who are being retrained for civilian settings.
Explain PA education.
condensed version of medical school, average of 27 months. Most award a master’s degree, half a based at health centers that are directly affiliated with med schools.
Where do RNS work?
Most work full time, in hospitals
Where do RNs get trained?
1/5 in diploma programs (in hospitals), almost half in associate degree programs, and a third in baccalaureate degree programs (4 year). Push for baccalaureate programs cuz of better health outcomes.
