The Richard and Hinda Rosenthal Lecture 2007 Transforming Today's Health Care Workforce to Meet Tomorrow's Demands (2008) / Chapter Skim
Currently Skimming:
Fitzhugh Mullan, M.D.
Fitzhugh Mullan, M.D.
Pages 24-32
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From page 24... ...
I very much appreciate being included. I want to particularly welcome the members of the Health Policy Workforce class from GW, which happens to meet on Tuesday evenings from 6:00 p.m.
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From page 25... ...
Two reports brought this issue "out of the shadows": The Joint Learning Initiative, which was sponsored largely by the Rockefeller Foundation in the field between 2004 and 2005, produced the first clever and evidence-based report, which highlighted the issue. In 2006, a second report followed, by the World Health Report, which was dedicated to human resources in health.
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From page 26... ...
They do not come from the developing world entirely, but if you look at the percentage of international medical graduates from nations designated by the World Bank as low- or lower income countries, in the United States 60 percent come from those; in the United Kingdom, 75 percent; and in other countries it is somewhat less. So this movement is heavily from lesser developed countries.
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From page 27... ...
As you know, in order to get a license and be counted in the active workforce in this country, you have to have a residency. It doesn't matter where you went to medical school; you must have a residency in the United States.
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From page 28... ...
You need to distinguish between more medical school slots and more graduate medical education slots, which is not done in the popular press and is rarely done among academics and medical educators. But this is a key question.
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From page 29... ...
There has been a response on the part of medical schools. The Association of American Medical Colleges predicts a 17 percent increase in the number of physicians through both expansion and new schools in the next 6 to 8 years.
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From page 30... ...
They need to help us develop better guidelines and better practice norms, so that those huge gaps in differential payments and differential cultures can be brought closer together. We are way ahead of the world in the use of non-physician clinicians: There are between 150,000 and 200,000 nurse practitioners and physician assistants practicing today among those 800,000 physicians.
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From page 31... ...
But putting something on the books that says we wish to be good global citizens would be an important act of any country. We ought to know how many newly licensed physicians in the United States each year come from developing countries.
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From page 32... ...
We have domestic issues, yes. But our domestic issues, as Marla Salmon has suggested, really have enormous import for the rest of the world.
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