Concept mapping may be a useful tool to assess the conceptual framework
of resident physicians.
Despite initiatives to promote racial and ethnic diversity among physicians,
minorities continue to be underrepresented among students and faculty in US
medical schools. Using data from the Association of American Medical Colleges'
Faculty Roster System, Fang and coauthorsArticle found that among medical school
faculty members who became assistant or associate professors between 1980
and 1989, minority faculty were less likely than white faculty to be promoted
by 1997. In a survey of medical school deans or directors of admissions, Kondo
and JuddArticle found that on average there were 4.1 minority members per admission
committee, but 11 of the 85 respondent schools had no minority committee members.
In a commentary, BergenArticle asserts that US medical schools have a responsibility
to create opportunities for qualified minority medical students and faculty.
The specific training necessary to prepare medical residents for clinical
practice in managed care settings has not been comprehensively evaluated.
Yedidia and colleagues defined 26 clinical tasks as necessary for effective
medical practice in managed care settings based on results of a survey of
a national sample of 59 residency directors involved in managed care training
programs. Residents who participated in these managed care training programs
reported more confidence in performing the 26 identified tasks than control
residents. National samples of managed care organization medical directors
and primary care residency program directors in areas of high managed care
penetration rated 65% of the 26 managed care tasks to be important to future
practice and agreed on the importance rating of most of the tasks.
The American Board of Internal Medicine defines a problem resident as
"a trainee who demonstrates a significant enough problem that requires intervention
by someone of authority." In this survey of internal medicine residency program
directors in the United States, Yao and Wright found that the mean point prevalence
of problem residents per program during academic year 1998-1999 was 6.9%,
and 94% of programs had problem residents. The most frequently reported difficulties
of problem residents were insufficient medical knowledge, poor clinical judgment,
and inefficient use of time.
Barzansky and colleaguesArticle describe the faculties, applicants, enrolled
students, and curriculum and evaluation at the 125 accredited US medical schools
in 1999-2000 and find considerable variation among the schools. In the annual
report from the 1999-2000 American Medical Association Annual Survey of Graduate
Medical Education Programs, Brotherton and colleaguesArticle note continued growth
in the numbers of both resident physicians and graduate medical education
programs in the United States.
In this annual review of revenue for the 125 accredited US medical schools,
Krakower and colleaguesArticle report that in fiscal year 1998-1999, total revenue
increased by 7.4% from the previous year. Most of the $39,761 million total
revenue was derived from 3 sources—practice plans, grants and contracts,
and hospital support. Studer-Ellis and colleaguesArticle examined trends in medical
school faculty salaries during the last decade. Salaries increased between
1988 and 1998 for both clinical and basic science faculty. The annualized
salary growth rate for clinical faculty decreased in the period 1988-1993
compared with 1993-1998, but increased for basic science faculty. In an editorial,
ReinhardtArticle discusses the increased financial accountability required of academic
health centers in today's price-competitive market.
"My existence is replete with fantastic resources that I use and discard
with very little thought. From time to time I simply must pause and take notice."
From "After Hours."
Winning essays from the 2000 John Conley Ethics Contest for Medical
Students consider the ethical obligations of the physician when parents of
a newborn with trisomy 21 ask that treatment be withheld for an easily repaired
but otherwise lethal condition.
For your patients: Information about the education and training of physicians.
This Week in JAMA. JAMA. 2000;284(9):1061. doi:10.1001/jama.284.9.1061