The Richard and Hinda Rosenthal Lecture 2007 Transforming Today's Health Care Workforce to Meet Tomorrow's Demands (2008) / Chapter Skim
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Discussion
Discussion
Pages 33-38
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From page 33... ...
Some programs in medical education are taking Kate Lorig's work with patient empowerment, group visit models, and the chronic care model and incorporating those concepts and skills in the training of health professionals. It requires health professionals to get out of the mindset that you are just imparting knowledge -- what you are trying to do is to activate the patient.
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From page 34... ...
I will just go on the Internet and find something when I need it, and I will decide if I need to go to the specialist." But I think even the most empowered and educated person needs help integrating all of this information. I think there is still a need, even for an educated, empowered patient, for a primary care medical home that is responsive to their needs and that can work with an activated patient to get them what they need.
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From page 35... ...
There would have to be the political will to take those interests on. Now at the medical school level or the nursing school level, a related question is whether it really helps to train people in rural settings.
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From page 36... ...
There is the perception that physicians are always resistant to expanded scope of practice and independent billing for nurse practitioners, but it is really the professional societies that are worked up about it. We surveyed a random sample of physicians in California, and we found out that to them it was not that big an issue, partly because all the primary care physicians are so overworked.
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From page 37... ...
In terms of canaries in the mine shaft, these are not good omens for the future of primary care. QUESTION about whether, if the numbers of graduates coming out of allopathic schools increases quickly, there will be more competition for internship slots among osteopathic graduates, Caribbean medical school graduates, and international medical graduates for residency positions.
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From page 38... ...
We have touched the surface in a number of areas and probed deeply in a few. I do want to mention that there is an IOM report that will be forthcoming early next year, which will be particularly directed at workforce related to the growing needs of an aging population.
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