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"Education, Medical - legislation "
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Abortion Training in Medical Education — Implications of the Supreme Court’s Upcoming Decision
The Supreme Court’s decision to hear a case challenging a restrictive Mississippi abortion law could dramatically change the landscape of abortion care in the United States. It could also allow states to impose new regulations on training related to reproductive health.
Journal Article
Medical education in Poland: a descriptive analysis of legislative changes broadening the range of institutions eligible to conduct medical degree programmes
Background
The expansion of medical schools is one of the proposed solutions to shortages in health workforces. Poland has been struggling with limited human resources in healthcare for years. The aim of the study was to provide an analysis of the current situation of medical education in Poland and to describe the impact of the government’s ongoing measures to provide a new influx of doctors.
Methods
A retrospective, cross-sectional study presents a descriptive and comparative analysis of official governmental documents, showing the latest legal amendments, changes in admission limits, and geographical distribution of Higher Educational Institutions (HEIs) for the period of 2013–2023. We referenced the current number of physicians in each voivodship and used a dynamic index to analyse the changes in quotas. We performed statistical tests where needed, considering a
p
-value < 0.05 to be statistically significant.
Results
The latest legislative changes enabled occupational HEIs to offer MD programmes. The mean distance between the two nearest HEIs decreased between 2013 and 2023. Total admission limits increased by 92.3%, reaching 10,289 available spots in 2023. The dynamic index was higher for quotas in private HEIs than in public institutions. The index was comparable, regardless of the teaching language. The number of students positively correlated with the number of physicians working in each voivodship.
Conclusions
This study highlights the uncontrolled expansion of medical education in Poland, driven by workforce demands but lacking a long-term strategy. Legislative inconsistencies hinder regulation, while new medical schools in rural areas may improve regional healthcare if properly planned. Recent policy changes emphasize the need for a national strategy based on demographic data and healthcare needs. Strengthening accreditation and quality control is crucial for sustainable medical education reform.
Journal Article
EU protection requirements for ePortfolios in clinical healthcare education
Background
When using ePortfolios in healthcare education, the collection and processing of personal data from various stakeholders, also known as data subjects (e.g., students, mentors, supervisors) is inevitable. This is why it is crucial to identify the stakeholders who need to comply with legal obligations imposed by data protection law, and to assess the legal grounds for processing personal (health) data. Research on the legal aspects of such ePortfolios is lacking. Therefore, the aim of this study was to identify and document the data protection requirements for ePortfolios in clinical healthcare education that apply in the EU.
Methods
Desk research based on a traditional legal analysis of legislation, policy documents, guidelines, case law, and legal doctrine was performed during a multidisciplinary ePortfolio research project.
Results
The analysis resulted in a description of the relevant EU data protection requirements covering the Charter of Fundamental Rights and the General Data Protection Regulation, a translation of these legal requirements into the context of ePortfolios in clinical healthcare education and the formulation of recommendations for data protection compliance based on these insights: (1) the duties and responsibilities of educational institutions and the healthcare student must be clarified in an agreement before the start of an internship, (2) ‘(substantial) public interest’ is the most appropriate legal basis for the processing of health data in ePortfolios, and (3) adequate and appropriate measures to protect the fundamental rights and interests of the data subjects must be provided.
Conclusion
This study contributes to the limited literature on the legal aspects of the use of digital technologies, such as ePortfolios, in healthcare education. There is a need for rigorous evidence on how to design legally compliant ePortfolios for healthcare education.
Journal Article
The Policy Argument for Healthcare Workforce Diversity
This perspectives article considers the potential implications an affirmative action ban would have on patient care in the US. A physician’s race and ethnicity are among the strongest predictors of specialty choice and whether or not a physician cares for Medicaid and uninsured populations. Taking this into account, research suggests that an affirmative action ban in university admissions would sharply reduce the supply of primary care physicians to Medicaid and uninsured populations over the coming decade. Our article compares current conditions to the potential effect of an affirmative action ban by projecting how many future medical students will become primary care physicians for Medicaid and uninsured patients by 2025. Based on previous evidence and current medical student training patterns, we project that a ban could deny primary care access for 1.25 million of our nation’s most vulnerable patients, considerably worsening existing healthcare disparities. More broadly, we argue that the effects of eliminating affirmative action would be fundamentally contrary to the Association of American Medical Colleges’ stated goal of medical education—“to improve the health of all.”
Journal Article
The physician-scientist, 75 years after Vannevar Bush–rethinking the ‘bench’ and ‘bedside’ dichotomy
Vannevar Bush enshrined the ‘basic’ and ‘applied’ research dichotomy on which much of science policy is still built 75 years later. However, it is time to assess whether this vision for science best serves the purposes of medical research and physician-scientists in the 21st century.
Journal Article
The Implications of the Current Visa System for Foreign Medical Graduates During and After Graduate Medical Education Training
The current and projected deficit in the physician workforce in the US is a challenge for primary care and specialty medical settings. Foreign medical graduates (FMGs) represent an important component of the US graduate medical education (GME) training pathway and can help to address the US physician workforce deficit. Availability of FMGs is particularly important to the internal medicine community, as recent data demonstrate that internal medicine is the specialty with the highest number of FMGs. System-based and logistical inefficiencies in the current US visa system represent significant obstacles to FMG trainees and have important psychological, emotional, and logistical consequences to FMG engagement and participation in US GME training and in the post-training workforce. In this article, we review the contemporary structure, process, and challenges of obtaining a visa for GME training. The H1B and J1 visa programs are compared and contrasted, with an emphasis on logistical specifics for FMG GME trainees and training programs. The process of and options for J1 visa waivers are reviewed. These considerations are specifically reviewed in the context of recent policy decisions by the Trump administration, with emphasis on the effects of these decisions on FMGs in medical training and practice.
Journal Article
Global research agenda for medical education regulation: findings from a nominal group consensus exercise
BackgroundAlthough medical education regulation is widely practised and given substantial resource and priority by policymakers and leaders, there is little empirical evidence to support it or guide regulation practices at an international level. In recent years, international and cross-border accreditation systems have gained prominence, often linked to migratory opportunities for graduating physicians. Given the high-stakes nature of regulation in medical education, there is a pressing need for research in this area, including the development of a framework to guide how to prioritise the different areas of scholarly inquiry that need to be addressed to best inform and elevate accreditation practices.MethodsThis article reports a nominal group technique consensus exercise on global medical education regulation conducted in August 2023 in London, UK. Participants were invited based on their research and leadership roles in medical education regulation around the world. Working in three groups using the nominal group technique, participants examined issues associated with medical education regulation globally that required research and evaluation.Results18 participants from 11 countries took part. There was remarkable consistency across the three groups. Each group identified over 15 areas of inquiry summarised in seven overall research domains: Purpose, Quality and Sustainability, Economics, Governance, Colonialism, Process and Outcomes.DiscussionRegulation is ubiquitous in medical education, and a panel of international scholars and leaders identified a pressing set of global issues that require exploration to inform future practices. This research agenda can help policymakers and researchers understand and embrace the complexity that underlies this topic and use it to prioritise research efforts in the years ahead.
Journal Article
For-Profit Medical Schools — Concerns about Quality and Oversight
The nonprofit-governance requirement for medical schools was a core component of U.S. medical care’s transformation. But recently, several for-profit schools have been provisionally or fully accredited.
Journal Article