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Schoenbaum, Stephen C.; Crome, Peter; Curry, Raymond H.; Gershon, Elliot S.; Glick, Shimon M.; Katz, David R.; Paltiel, Ora; Shapiro, Jo (2015)
Publisher: BioMed Central
Journal: Israel Journal of Health Policy Research
Languages: English
Types: Article
Subjects: Integrative Article, Medical education, L1, Health professions workforce planning, Financing medical education, Physician workforce planning, R1
A 2014 external review of medical schools in Israel identified several issues of importance to the nation's health. This paper focuses on three inter-related policy-relevant topics: planning the physician and healthcare workforce to meet the needs of Israel's population in the 21(st) century; enhancing the coordination and efficiency of medical education across the continuum of education and training; and the financing of medical education. All three involve both education and health care delivery. The physician workforce is aging and will need to be replenished. Several physician specialties have been in short supply, and some are being addressed through incentive programs. Israel's needs for primary care clinicians are increasing due to growth and aging of the population and to the increasing prevalence of chronic conditions at all ages. Attention to the structure and content of both undergraduate and graduate medical education and to aligning incentives will be required to address current and projected workforce shortage areas. Effective workforce planning depends upon data that can inform the development of appropriate policies and on recognition of the time lag between developing such policies and seeing the results of their implementation. The preclinical and clinical phases of Israeli undergraduate medical education (medical school), the mandatory rotating internship (stáge), and graduate medical education (residency) are conducted as separate "silos" and not well coordinated. The content of basic science education should be relevant to clinical medicine and research. It should stimulate inquiry, scholarship, and lifelong learning. Clinical exposures should begin early and be as hands-on as possible. Medical students and residents should acquire specific competencies. With an increasing shift of medical care from hospitals to ambulatory settings, development of ambulatory teachers and learning environments is increasingly important. Objectives such as these will require development of new policies. Undergraduate medical education (UME) in Israel is financed primarily through universities, and they receive funds through VATAT, an education-related entity. The integration of basic science and clinical education, development of earlier, more hands-on clinical experiences, and increased ambulatory and community-based medical education will demand new funding and operating partnerships between the universities and the health care delivery system. Additional financing policies will be needed to ensure the appropriate infrastructure and support for both educators and learners. If Israel develops collaborations between various government agencies such as the Ministries of Education, Health, and Finance, the universities, hospitals, and the sick funds (HMOs), it should be able to address successfully the challenges of the 21st century for the health professions and meet its population's needs.
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    • 1. Council for Higher Education, The Quality Assessment and Assurance Division. “The Self-Evaluation Process: Recommendations and Guidelines.” July 2012. Available at: che.org.il/wp-content/uploads/2012/04/Recommendations-andGuidelines-July-20123.pdf
    • 2. Liaison Committee on Medical Education. Functions and Structure of a Medical School: Standards for Accreditation of Medical Education Programs Leading to the M.D. Degree. June 2013. 28 pp. Available at: www.lcme.org/ publications.htm
    • 3. Liaison Committee on Medical Education. Data Collection Instrument (DCI). Available at: www.lcme.org/survey-connect-dci-download.htm#14-15
    • 4. Liaison Committee on Medical Education. Survey Report Guide: For full and limited LCME and CACMS survey visits conducted in the 2013-2014 academic year. Available at: www.lcme.org/publications.htm
    • 5. General Medical Council. Tomorrow's Doctors: Outcomes and standards for undergraduate medical education. September 2009. 104pp. Available at: ww.gmcuk.org/education/undergraduate/tomorrows_doctors.asp
    • 6. Schoenbaum SC. Planning and managing the physician workforce. Isr J Health Policy Res. 2012;1(1):14. doi:10.1186/2045-4015-1-14. Available at: www.ijhpr.org/content/pdf/2045-4015-1-14.pdf.
    • 7. Haklai Z. The Workforce in the Health Professions −2013. Jerusalem: Israel Ministry of Health; 2014. 205pp. [Hebrew].
    • 8. Department of Health and the Higher Education Funding Counc il for England: The Health and Education National Strategic Exchange (HENSE): Review of Medical and Dental School Intakes in England. December, 2012. Available at: https://www.gov.uk/government/uploads/system/uploads/ attachment_data/file/213236/medical-and-dental-school-intakes.pdf
    • 9. Medical Workforce Standing Advisory Committee: Third Report. Planning the Physician Workforce. December, 1997. Available at: www.nhshistory.net/mwfsac3.pdf
    • 10. Association of American Medical Colleges. More Students Going to Medical School Than Ever Before. News Release, October 29, 2014. Available for reading at: https://www.aamc.org/newsroom/newsreleases/ 411636/10282014.html
    • 11. Reis S, Borkan JM, Weingarten M. The Current State of Basic Medical Education in Israel: Implications for a New Medical School. Med Teach. 2009;31:984-9.
    • 12. Starfield B, Shi L, Grover A, Macinko J. The Effects of Specialist Supply on Populations' Health: Assessing the Evidence. Health Affairs. 2005 Jan-Jun;Suppl Web Exclusives:W5-97-W5-107 doi: 10.1377/hlthaff.w5.97 Available at: content.healthaffairs.org/content/early/2005/03/15/hlthaff.w5.97.full.pdf+html
    • 13. Organization for Economic Cooperation and Development (OECD): OECD Reviews of Health Care Quality: Israel 2012: Raising standards. OECD Publishing, 2012. 172 pp. Available for reading at: www.keepeek.com/ Digital-Asset-Management/oecd/social-issues-migration-health/oecdreviews-of-health-care-quality-israel-2012_9789264029941-en#page1
    • 14. Chernichovsky D, Regev E. Financing and work force issues in Israel's healthcare system. Taub Center for Social Policy Studies in Israel. Policy Paper No. 2014.17. Available at: taubcenter.org.il/wp-content/files_mf/ financingandworkforceissuesinisraelshealthcaresystem2014english70.pdf
    • 15. Report of the Advisory Committee for Strengthening the Public Health System. Jerusalem: 2014, 370pp. Available at: www.health.gov.il/ PublicationsFiles/publichealth2014.pdf [Hebrew]
    • 16. Arbelle JE, Chodick G, Goldstein A, Porath A. Multiple chronic disorders - health care system's modern challenge in the Maccabi Health Care System. Isr J Health Policy Res. 2014;3:29. doi:10.1186/2045-4015-3-29. eCollection 2014.
    • 17. Weissman C, Tandeter H, Zisk-Rony RY, Weiss YG, Elchalal U, Avidan A, et al. Israeli medical students' perceptions of six key medical specialties. Isr J Health Policy Res. 2013;2(1):19. doi:10.1186/2045-4015-2-19.
    • 18. Afek A, Toker A, Berlovitz Y, Shamiss A. The approach to the physician shortage in Israel Harefuah. 2011 Mar;150(3):212-5, 306. [Hebrew]
    • 19. Israeli Medical Association. Inadequate healthcare and general inequity in the periphery. Section of chapter 4, The Physician Shortage in Israel, May 2011. Available at: www.ima.org.il/ENG/ ViewCategory.aspx?CategoryId=6177
    • 20. Agency for Healthcare Research and Quality (AHRQ). The Number of Practicing Primary Care Physicians in the United States. Publication # 12- P001-2-EF Available at: www.ahrq.gov/research/findings/factsheets/primary/ pcwork1/index.html
    • 21. Young A, Chaudhry HJ, Rhyne J, Dugan M. A Census of Actively Licensed Physicians in the United States, 2010. J Medical Regulation. 2011;96(4):10-20. Available at: https://www.nationalahec.org/pdfs/ FSMBPhysicianCensus.pdf.
    • 22. Agency for Healthcare Research and Quality (AHRQ). The Number of Nurse Practitioners and Physician Assistants Practicing Primary Care in the United States. Publication # 12-P001-3-EF Available at: www.ahrq.gov/research/ findings/factsheets/primary/pcwork2/
    • 23. American Academy of Family Physicians: Primary Care in the Affordable Care Act. Available at: www.aafp.org/dam/AAFP/documents/advocacy/ coverage/aca/ES-PrimaryCareACA-061311.pdf
    • 24. GP Taskforce Final Report. Securing the Future GP Workforce. March: Delivering the Mandate on GP Expansion; 2014. 63pp Available at: http://hee.nhs.uk/wp-content/uploads/sites/321/2014/07/GP-Taskforcereport.pdf.
    • 25. Flexner, Abraham (1910), Medical Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Teaching, Bulletin No. 4., New York City: The Carnegie Foundation for the Advancement of Teaching, Available at: archive.carnegiefoundation.org/ pdfs/elibrary/Carnegie_Flexner_Report.pdf
    • 26. Cooke M, Irby DM, O'Brien BC. Educating Physicians: A Call for Reform of Medical School and Residency. San Francisco: Jossey-Bass; 2010. 320pp. ISBN 978-0470457979.
    • 27. Nara N, Suzuki T, Tohda S. The Current Medical Education System in the World. Review J Med Dent Sci. 2011;58:79-83. Available at: lib.tmd.ac.jp/jmd/5802/07_Nara.pdf.
    • 28. Curry RH. Meaningful Roles for Medical Students in the Provision of Longitudinal Patient Care. JAMA. 2014;312(22):2335-6.
    • 29. Littlewood S, Ypinazar V, Margolis SA, Scherpbier A, Spencer J, Dornan T. Early practical experience and the social responsiveness of clinical education: systematic review. BMJ. 2005;331:387-91. Available at: https://www.aamc.org/download/130610/data/ early_clinical_experiences_bmj.pdf.pdf.
    • 30. Katz D. Is there a threat to academic medicine? A forward look to 2048. British J Hospital Medicine. 2015;76(3):124-5.
    • 31. Bligh DA. What's the Use of Lectures? Intellect Books. Eastbourne: Anthony Rowe, Ltd; 1998. 317pp.
    • 32. Association of American Medical Colleges. Core Entrustable Professional Activities for Entering Residency: Faculty and Learners' Guide. 2014. Available at: https://members.aamc.org/eweb/ DynamicPage.aspx?Action=Add&ObjectKeyFrom= 1A83491A-9853-4C87-86A4-F7D95601C2E2&WebCode=PubDetailAdd& DoNotSave=yes&ParentObject=CentralizedOrderEntry& ParentDataObject=Invoice%20Detail&ivd_formkey=69202792-63d7-4ba2- bf4e-a0da41270555&ivd_prc_prd_key=E3229B10-BFE7-4B35-89E7- 512BBB01AE3B
    • 33. Hayden JK, Smiley RA, Alexander M, Kardong-Edgren S, Jeffries PR. The NCSBN National Simulation Study: A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours with Simulation in Prelicensure Nursing Education. J Nursing Regulation. 2014;5(2):S1-S64. Available at: https://www.ncsbn.org/685.htm.
    • 34. Association of American Medical Colleges. Medical simulation in medical education: results of an AAMC survey. 2011. Available at: https://www.aamc.org/download/259760/data
    • 35. Englander R, Cameron T, Ballard AJ, Dodge J, Bull J, Aschenbrener CA. Toward a common taxonomy of competency domains for the health professions and competencies for physicians. Acad Med. 2013;88(8):1088-94. doi:10.1097/ACM.0b013e31829a3b2b.
    • 36. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system-rationale and benefits. N Engl J Med. 2012;366(11):1051-6. doi:10.1056/NEJMsr1200117. Epub 2012 Feb 22.
    • 37. General Medical Council. GMC Education Strategy 2011-2013. Shaping the future of medical education and training. 2010. 22 pp. Available at: www.gmc-uk.org/Education_Strategy_2011_2013.pdf_36672939.pdf
    • 38. Youngclaus J, Fresne JA. Physician Education Debt and the Cost to Attend Medical School, 2012 Update. February, 2013; Association of American Medical Colleges. 16 pp. Available at: https://www.aamc.org/download/ 328322/data/statedebtreport.pdf
    • 39. Health Affairs. Health Policy Brief: Graduate Medical Education. A debate continues over the size and scope of federal subsidies to support residency training of the nation's physicians. August 31, 2012. 4 pp. Available at: www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id = 75
    • 40. Institute of Medicine of the National Academies. Graduate Medical Education That Meets the Nation's Health Needs. 2014; National Academies Press. 209 pp. Available at: http://www.nap.edu/download.php?record_id = 18754
    • 41. Association of American Medical Colleges (AAMC). Medical Student Education: Debt, Costs, and Loan Repayment Fact Card. October 2014. Available at: https://www.aamc.org/download/152968/data/debtfactcard.pdf
    • 42. Skop Y. “University tuition higher in Israel than almost all of Europe, study finds.” Haaretz, Oct. 22, 2013. Available at: www.haaretz.com/news/israel/ .premium-1.553821
    • 43. Glazer K, Israeli A, Katz O. Financial arrangements between universities and Israeli hospitals: Current situation, failures and recommendations. February 2012, National Institute for Health Policy Research. 63 pp. Available in Hebrew at: www.israelhpr.org.il/e/107/&SearchClean = 1.
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