Professional Development Assignment Essay

The various kinds of wellness skippers argon educated in cryst aloneize schools save with considerable overlap in curricula and training makements. They be, however, expected to amalgamate their training and work in concert after graduation. Identify the advantages and disadvantages of this approach to professed(prenominal) education in terms of costs, educational efficiency, and patient bring off quality. harken one advantage and one disadvantage for each.The structure of the U.S heath cathexis system is certainly a topic greatly debated. Whether it is discussing the cost of wellness sell, poor outcomes, shortages in wellness c be workers, underutilization of other health care workers, the lack of access to care, or growing demand by consumers for health care that offers choice, quality, convenience, affordability and personalized care. It is non a secret that the unify States authorises to a greater extent money than any other solid ground on health care, but onl y ranks 34th in the world in life prediction and has higher mortality rates in infants than any other nation that is developed. Our health workforce was described as dysfunctional in general and private health workforce policy and infrastructure putting the health of Ameri dis concerns at risk. Could it be the lack of integrated education and teamwork from those that are tangled in the care of our patients? Health care professionals are educated in differing schools of thought.If there were overlapping curricula and raining positments integrating their training there would be both advantages and disadvantages involved. Physicians, nurses, and other health care professionals ultimately work together with the common goal of serving an individual patient. Yet a couple of(prenominal) reserve developed the essential team skills tohelp them work productively with their colleagues, analyzing outcomes and processes of care to advance continuously, by using each persons skills to the fullest. To finish these benefits, we need to infuse the value of teamwork into the health check education culture with specific curriculum changes. An advantage to overlapping and integrating training would not only be to benefit, but scholarly persons from diverse disciplines, such(prenominal) as aesculapian student assistant, nursing, and medical students, could take some classes together.Eventually, this type of broad restructuring would be cost-effective. As a break upfully designed additional benefit, students would learn to know and assess those in other disciplines, fostering teamwork. As students advance, they need to be offered more(prenominal) opportunities to learn and work side-by-side in realistic, interdisciplinary settings. A disadvantage or problem to this topic is the financing of the integrated medical education. Good teaching, whether it is conducted in the classroom, clinic, or hospital, requires time.Innovative approaches to teaching, progressive skill s instruction, multitier assessment, and tin of the development of professionalism all require teachers who expect the time to observe, instruct, coach, and assess their students and who also have time for self-reflection and their make professional development. Although the educational mission is expensive, many medical schools already accept the funds to support teaching properly, if they choose to use the funds for this purpose (Cooke, Irby, Sullivan, Ludmerer, 2006).An oversupply of medical students in many urban regions contrasts with continuing problems of access in rural and inner- city areas. Why does the mal-distribution of physicians persist in spite of the number of physicians gradatory?Access to healthcare in the linked States is affected dramatically by where a physician is located. The current misdistribution of physicians, which exists in rural and inner city areas, is of great concern. Out of the 300,000 primary care physicians nationwide, only 11 share pract ice in rural areas, making the total number of practicing physicians per person much lower in rural areas discriminated to urban areas ( planetary Accounting Office, 2003). at that place are two main measures of medical underservice in theU.S., health professional shortage areas and medically underserved areas and some special need populations. Both measures require communities to apply for designation. These designations allow the government to target resources to those determined to be intimately in need (Colwill and Cultice, 2003).There are two principal conditions lede to physician shortages in rural communities according to Wright and colleagues. They are demand-deficient, meaning they have insufficient populations and resources to support a physician practice, they are ambiance-challenged, meaning they are isolated, lack quality services and amenities, and/or are in geographically unattractive settings, or a combination of the two sets of conditions. Inner-city physician s hortages are a more recently recognized issue. They are affected by the same conditions, though the specifics are different (Wright, Andrilla, and Hart 2001). Living in rural Iowa this is an issue and a problem I have seen and see far too many times. One example I can think of would be my grandmother was in her seventies and was as supple as she had been in her fifties. She was in charge of anything and everything she could be in charge of. She spent her life working as an administrator in a popular company and was very prominent in her small residential area. She was popular with her peers and kind to everyone her path crossed.When she turned 72 she began having headaches. She went to her local small recruit town community doctor. He prescribed her prescription-strength ibuprofen and told her to slow cumulation. She took his advice and slowed down to the best of her ability. The headaches continued and she returned to ole doc Jamison as she would say. When he told her it was s tress, she believed him and tried to de-clutter and de-stress her life. When that didnt work she talked herself out of returning because she was embarrassed. He ran no test, he asked few questions, he was a poor communicator, and he lacked resources or challenging cases to compare patients to.My grandmother died shortly after seeing him of a brain tumor. another(prenominal) example was my father-in-law suffering a heart attack. He went to the ER in his small community with chest pain. When I arrived he was in the intensive care unit on a nitro and morphine drip. I said, wait why is he still here. He was in pain, on a morphine drip, electrocardiogram changes, and receiving nitro. It didnt make sense to me. The doctor said, the cardiologist comes onWednesday. WHAT? Yes. modest town Iowa was going to hold onto my father-in-law until the cardiologist came two days later. These are only a couple of the thousands of examples of poor care, limited recourses, and limited providers in rura l communities.The health care regressy system now places change magnitude emphasis on maintaining wellness and on promoting indisposition avoidance through and through healthy behaviors and lifestyles. What challenges does this new orientation pose for our existing system of medical education and training?In 1991 the Pew Charitable Trusts published a report that outlined what was expected to drive future health care. They conclude that a health-oriented approach that stresses disease prevention would characterize future health care systems. They emphasized, that health concerns will be addressed at the community level and that medical schools will require that learning in a community environment will be a part of physician training. Physicians will need to be well versed in affectionate and environmental health determinants. Focusing on preventative care and interference techniques that use technology to the patients advantage is the challenge cladding the new physician (Inwa ld and Winters, 1995).Medical education does not always go hand in hand with health promotion and disease prevention. The United States ranks poorly to other industrialized countries on almost important health indicators. Chronic disease in particular is affecting the nations health. Chronic illness, such as diabetes, cancer, and heart disease, and their underlying cause such as obesity and tobacco use, affect more than 130 billion Americans (Wu and Green, 2000). Health promotion is not a priority in the United States. Although practicing hindrance medicine is a cost saving mechanism, nationwide we spend most health care dollars treating preventable diseases (Inwald and Winters, 1995).In order to improve our nations health and spend our nations resources most effectively we mustiness put greater emphasis on efforts to nutrition people healthy as opposed to only treating them once they locomote ill. Preventionis one of the best ways to help Americans live longer, healthy lives and increase our nations productivity. Preventing disease requires more than providing people with tuition to make healthy choices. While knowledge is critical, communities must reinforce and support health, for example, by making healthy choices easy and affordable. Health care providers should put on policies and systems to support the delivery of high-impact clinical preventive services and enhance linkages amid clinical and community prevention efforts.For example, a health care system can adopt a decision support system that prompts clinicians to deliver appropriate clinical preventive services to patients. Medical students are overwhelmed with the come in of information and classes they have to take. There is so much for them to learn with all of the rotations they have to take. It is important to remember that these students have so many disease processes and pharmacology to learn that disease prevention and health promotion is sometimes not in their realm of thinking. T his is why it is important for us to be sure they understand the importance of this topic and for physicians to adhere to the guidelines they are given.The boffo integration of disease prevention and health promotion principles into medical student education does not depend on new curriculum, curriculum coordination and integration, or the use of new educational technology. Ultimately, the academic health sciences centers and schools of medicine must reconnect with the health needs of people, forming alliances with community groups and programs that focus on prevention. This reconnection demands a bump in core institutional valuesfrom the range of a function of healing to the paradigm of health.ReferencesColwill, J., Cultice, J, (2003). The Future Supply of Family Physicians Implications for campestral America. Health Affairs, 22190-198.Cooke M., Irby D., Sullivan W., Ludmerer K. (2006). American medical education 100 years after the Flexner report. New England ledger of Medici ne. 355(13)1339-1344. General Accounting Office (1999). Physician Shortage Areas Medicare Incentive Payments Not an good Approach to Improve Access. Report to Congressional Requesters. Greiner A., Knebel E. (2003). Health Professions Education A Bridge to Quality capital letter, DC National Academies Press.Inwald, S., Winters, F. (1995). Emphasizing a preventive medicine orientation during primary care/family practice residency training. Journal of American Osteopathic Association. 95268.Wright, G., Andrilla, C., Hart, L (2001). How Many Physicians Can A Rural Community Support? A Practice Income Potential Model for Washington State. WWAMI Rural Health Research Center, University of Washington School of Medicine. Seattle, WA. Wu S, Green A. (2000). hump of Chronic Illness Prevalence and Cost Inflation. RAND Corporation.