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Morimatsu Y, Takagi A, Mori M, Hoshiko M, Ishitake T. [The scope of application according to foreign skills trainee general insurance ~Two cases of Vietnamese minors, both proved with congenital diseases after entering Japan, were judged on their ability to work~]. Sangyo Eiseigaku Zasshi 2020; 62:83-85. [PMID: 31474690 DOI: 10.1539/sangyoeisei.2019-017-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- Yoshitaka Morimatsu
- Department of Environmental Medicine, Kurume University School of Medicine
- Division of Respirology, Neurology and Rheumatology, Department of Internal Medicine, Kurume University School of Medicine
| | - Akira Takagi
- Division of Internal Medicine, Yurinkai Kida Neurology, Respirology and Internal Hospital
| | - Mihoko Mori
- Department of Environmental Medicine, Kurume University School of Medicine
| | - Michiko Hoshiko
- Department of Environmental Medicine, Kurume University School of Medicine
| | - Tatsuya Ishitake
- Department of Environmental Medicine, Kurume University School of Medicine
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Carr LC, Leung P, Cheung M. Hot Topic: Title IV-E MSW Education and "Intent to Stay" in Public Child Welfare. Soc Work 2019; 64:41-51. [PMID: 30395336 DOI: 10.1093/sw/swy051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Accepted: 05/08/2018] [Indexed: 06/08/2023]
Abstract
The 2018 proposed Family First Prevention Services Act suggests a change in the funding formula of Title IV-E of the Social Security Act-from entitlement to block grants. This study aimed to support the continuation of entitlement support based on the evidence that Title IV-E educational programs are effective in improving retention after the workers have obtained an MSW degree. Using a multigroup, multiple regression approach, this study analyzed secondary data collected from an e-survey sent to public child welfare (PCW) workers in a southern state. Data from 1,025 workers compare "intent to stay" (ITS) factors between PCW workers who received and those who did not receive the Title IV-E MSW educational stipend. The main analysis was conducted using Mplus version 7.4, with R version 3.3.2 used for data screening. Findings indicate that Title IV-E-supported education moderates the strength of the following ITS factors: respect from coworkers, team cohesion, self-assessed skills in working with special needs clients, and holding an MSW degree. MSW holders expressed lower ITS levels unless they had received Title IV-E stipends. These results provide evidence that Title IV-E education could help retain MSW graduates in PCW.
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Affiliation(s)
- L Christian Carr
- L. Christian Carr, MA, is statistics consultant, Patrick Leung, PhD, is professor, and Monit Cheung, PhD, is professor, Graduate College of Social Work, University of Houston
| | - Patrick Leung
- L. Christian Carr, MA, is statistics consultant, Patrick Leung, PhD, is professor, and Monit Cheung, PhD, is professor, Graduate College of Social Work, University of Houston
| | - Monit Cheung
- L. Christian Carr, MA, is statistics consultant, Patrick Leung, PhD, is professor, and Monit Cheung, PhD, is professor, Graduate College of Social Work, University of Houston
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Rimmer A. Increase paediatric trainee numbers to meet workforce shortfall, says Royal College. BMJ 2017; 357:j2075. [PMID: 28450462 DOI: 10.1136/bmj.j2075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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4
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Office of Child Care (OCC), Administration for Children and Families (ACF), Department of Health and Human Services (HHS). Child Care and Development Fund (CCDF) Program. Final rule. Fed Regist 2016; 81:67438-595. [PMID: 27726322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This final rule makes regulatory changes to the Child Care and Development Fund (CCDF) based on the Child Care and Development Block Grant Act of 2014. These changes strengthen requirements to protect the health and safety of children in child care; help parents make informed consumer choices and access information to support child development; provide equal access to stable, high-quality child care for low-income children; and enhance the quality of child care and the early childhood workforce.
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Department of Veterans Affairs. Repayment by VA of Educational Loans for Certain Psychiatrists. Final rule. Fed Regist 2016; 81:66815-21. [PMID: 27726320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The Department of Veterans Affairs (VA) is adding to its medical regulations a program for the repayment of educational loans for certain psychiatrists who agree to a period of obligated service with VA. This program is intended to increase the pool of qualified VA psychiatrists and increase veterans' access to mental health care.
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Zimmermann GW. [Continuing education: starting in July higher advancement subsidies]. MMW Fortschr Med 2016; 158:28. [PMID: 27323969 DOI: 10.1007/s15006-016-8402-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Pearce W, Smith AL. The Politics of Debt. Md Med 2016; 17:13-14. [PMID: 27443121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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8
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The Student Loan Trap. J Appl Clin Med Phys 2015; 16:1-2. [PMID: 26699331 PMCID: PMC5690158 DOI: 10.1120/jacmp.v16i5.6007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Accepted: 08/19/2015] [Indexed: 11/23/2022] Open
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MESH Headings
- Education, Medical, Graduate/economics
- Education, Medical, Graduate/legislation & jurisprudence
- Financing, Government/legislation & jurisprudence
- Financing, Government/organization & administration
- Hospitals, Teaching/economics
- Internship and Residency/economics
- Medicaid/economics
- Medicare/economics
- National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division
- Research Report
- Training Support/legislation & jurisprudence
- Training Support/organization & administration
- United States
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Department of Veterans Affairs. Caregivers program. Final rule. Fed Regist 2015; 80:1357-78. [PMID: 25581943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The Department of Veterans Affairs (VA) adopts, with changes, the interim final rule concerning VA's Program of Comprehensive Assistance for Family Caregivers. VA administers this program to provide certain medical, travel, training, and financial benefits to caregivers of certain veterans and servicemembers who were seriously injured during service on or after September 11, 2001. Also addressed in this rulemaking is the Program of General Caregiver Support Services that provides support services to caregivers of veterans from all eras who are enrolled in the VA health care system. Specifically, changes in this final rule include a requirement that Veterans be notified in writing should a Family Caregiver request revocation (to no longer be a Family Caregiver), an extension of the application timeframe from 30 days to 45 days for a Family Caregiver, and a change in the stipend calculation to ensure that Primary Family Caregivers do not experience unexpected decreases in stipend amounts from year to year.
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Dispute brewing over plans to cut training funds. Nurs Stand 2014; 29:8. [PMID: 25182876 DOI: 10.7748/ns.29.1.8.s6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Health Education England's (HEE) plans to cut funding for nursing degree programmes would be illegal if imposed without the consent of universities, a legal expert has warned.
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AVMA pushes for enhancement act passage by year's end. J Am Vet Med Assoc 2014; 245:22. [PMID: 25174069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Fontenot SF. The Affordable Care Act, the FTC and the independent practice of nurses. Physician Exec 2014; 40:98-101. [PMID: 24964558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Gallegos A. Michigan brain drain: how many physicians are we losing from underfunded GME? Mich Med 2014; 113:8-12. [PMID: 25920129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Thorson D. MMA scores with MERC at Legislature. Minn Med 2013; 96:48. [PMID: 23862372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
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Plunkett L. Capitol roundup. N Y State Dent J 2012; 78:8-11. [PMID: 23082685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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Revising and improving previous work is theme for 2012. Minn Med 2012; 95:27-30. [PMID: 22866496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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Summers L. How the Health Care Reform Law affects APRNs. Okla Nurse 2011; 56:18. [PMID: 21473422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- Lisa Summers
- Department of Nursing Parctice and Policy, ANA, USA
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Abstract
This article compares the means that the United States, France, and Japan use to oversee pharmaceutical industry-physician financial relationships. These countries rely on professional and/or industry ethical codes, anti-kickback laws, and fair trade practice laws. They restrict kickbacks the most strictly, allow wide latitude on gifts, and generally permit drug firms to fund professional activities and associations. Consequently, to avoid legal liability, drug firms often replace kickbacks with gifts and grants. The paper concludes by proposing reforms that address problems that persist when firms replace kickbacks with gifts and grants based on the experience of the three countries.
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Summers L. How the health care reform law affects APRNs. Ky Nurse 2011; 59:4. [PMID: 21290955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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Summers L. How the health care reform law affects APRNs. Am Nurse 2010; 42:16. [PMID: 20617720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- Lisa Summers
- Department of Nursing Practice and Policy, ANA, USA
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Peck DC. Residency programs for new registered nurses. Imprint 2010; 57:18-19. [PMID: 20545237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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DoBias M. Yea or nay? Democrats optimistic reform will pass this week. Mod Healthc 2010; 40:8-9. [PMID: 20380039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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Steyer TE. We couldn't have done it without you! Fam Med 2010; 42:87-88. [PMID: 20135560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Affiliation(s)
- Terrence E Steyer
- Medical College of Georgia-University of Georgia Medical Partnership, 279 Williams Street, Athens, GA 30602-1777, USA.
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Harrison B, Rittenhouse DR, Phillips RL, Grumbach K, Bazemore AW, Dodoo MS. Title VII is critical to the community health center and National Health Service Corps workforce. Am Fam Physician 2010; 81:132. [PMID: 20082508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Abstract
To evaluate the competing claims on the impact of microfinance programs on multidimensional poverty, a village study in Bangladesh was conducted where three microfinance programs had been operating for more than five years. The study found that microfinance has resulted in a moderate reduction in the poverty of borrowers, as measured by a variety of socio-economic indicators, but has not reached many of the poorest in the village. To make microfinance a more effective means of poverty reduction other services such as skills training, technological support, education and health related strategies should be included with microfinance.
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Affiliation(s)
- Shah Nawaz
- Flinders University of South Australia, Australia
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Rollins G. ARRA and the HIM workforce. J AHIMA 2009; 80:26-32. [PMID: 19839434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
The success of health IT will hinge on how well it is planned and managed. Provisions in the stimulus bill that promote professional support and fund training offer exceptional opportunities to HIM programs, individuals, and the profession.
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Affiliation(s)
- Thomas Bodenheimer
- Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, School of Medicine, San Francisco, USA
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32
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Carlson J. Still lobbying. Nursing, doc advocates want money for training. Mod Healthc 2009; 39:14. [PMID: 19271630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Green AR, Betancourt JR, Park ER, Greer JA, Donahue EJ, Weissman JS. Providing culturally competent care: residents in HRSA Title VII funded residency programs feel better prepared. Acad Med 2008; 83:1071-9. [PMID: 18971660 DOI: 10.1097/acm.0b013e3181890b16] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
BACKGROUND The Health Resources and Services Administration (HRSA) funds primary care residency programs through its Title VII training grants, with a goal of ensuring a well-prepared, culturally competent physician workforce. The authors sought to determine whether primary care residents in Title VII-funded training programs feel better prepared than those in nonfunded programs to provide care to culturally diverse patients. METHOD The authors analyzed data from a national mailed survey of senior resident physicians conducted in 2003-2004. Of 1,467 randomly selected family medicine, internal medicine, and pediatrics residents, 866 responded--403 in Title VII-funded programs and 463 in nonfunded programs (response rate = 59%). The survey included 28 Likert-response questions about residents' preparedness and perceived skills to provide cross-cultural care, sociodemographics, and residency characteristics. RESULTS Residents in Title VII-funded programs were more likely than others to report being prepared to provide cross-cultural care across all 8 measures (odds ratio [OR] = 1.54-2.61, P < .01) and feeling more skilled in cross-cultural care for 6 of 10 measures (OR = 1.30-1.95, P < .05). Regression analyses showed that characteristics of the Title VII-funded residency training experience related to cross-cultural care (e.g., role models, cross-cultural training, and attitudes of attending physicians) accounted for many of the differences in self-reported preparedness and skills. CONCLUSIONS Senior residents in HRSA Title VII-funded primary care residency training programs feel better prepared than others to provide culturally competent care. This may be partially explained by better cross-cultural training experiences in HRSA Title VII-funded programs.This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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Affiliation(s)
- Alexander R Green
- The Disparities Solutions Center at The Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts, USA.
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Davis AK, Reynolds PP, Kahn NB, Sherwood RA, Pascoe JM, Goroll AH, Wilson MEH, DeWitt TG, Rich EC. Title VII and the development and promotion of national initiatives in training primary care clinicians in the United States. Acad Med 2008; 83:1021-9. [PMID: 18971652 DOI: 10.1097/acm.0b013e31818906c9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
The Title VII, Section 747 (Title VII) legislation, which authorizes the Training in Primary Care Medicine and Dentistry grant program, provides statutory authority to the Health Resources and Services Administration (HRSA) to award contracts and cooperative agreements aimed at enhancing the quality of primary care training in the United States.More than 35 contracts and cooperative agreements have been issued by HRSA with Title VII federal funds, most often to national organizations promoting the training of physician assistants and medical students and representing the primary care disciplines of family medicine, general internal medicine, and general pediatrics. These activities have influenced generalist medicine through three mechanisms: (1) building collaboration among the primary care disciplines and between primary care and specialty medicine, (2) strengthening primary care generally through national initiatives designed to develop and implement new models of primary care training, and (3) enhancing the quality of primary care training in specific disease areas determined to be of national importance.The most significant outcomes of the Title VII contracts awarded to national primary care organizations are increased collaboration and enhanced innovation in ambulatory training for students, residents, and faculty. Overall, generalist competencies and education in new content areas have been the distinguishing features of these initiatives. This effort has enhanced not only generalist training but also the general medical education of all students, including future specialists, because so much of the generalist competency agenda is germane to the general medical education mission.This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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MESH Headings
- Academic Medical Centers/economics
- Curriculum
- Education, Medical, Graduate/economics
- Education, Medical, Graduate/history
- Education, Medical, Undergraduate/economics
- Education, Medical, Undergraduate/history
- Family Practice/economics
- Family Practice/education
- Financing, Government/history
- Financing, Government/legislation & jurisprudence
- History, 20th Century
- History, 21st Century
- Humans
- Internal Medicine/economics
- Internal Medicine/education
- Physicians, Family/education
- Training Support/history
- Training Support/legislation & jurisprudence
- United States
- United States Health Resources and Services Administration/economics
- United States Health Resources and Services Administration/legislation & jurisprudence
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Affiliation(s)
- Ardis K Davis
- Department of Family Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
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Abstract
The American Medical Student Association (AMSA) Foundation is the programming arm of AMSA. The AMSA Foundation has administered several Title VII contracts designed to enhance the primary care education, leadership development, and cultural competence of the next generation of physicians, dentists, and other graduate-level health professionals. The authors discuss several AMSA programs developed with Title VII funding: Generalist Physicians in Training; Promoting, Reinforcing, and Improving Medical Education; National Primary Care Week; Leadership Seminar Series; and Achieving Diversity in Dentistry and Medicine. This article summarizes the work of these programs and discusses the impact that decreased funding has had on the training of our nation's future health professionals.This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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Affiliation(s)
- Joan Hedgecock
- American Medical Student Association Foundation, Reston, Virginia 20191, USA.
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Abstract
The authors describe the impact of the Title VII, Section 747 Training in Primary Care Medicine and Dentistry (Title VII) grant program on the development, growth, and expansion of general and pediatric dentistry residency programs in the United States. They first briefly review the legislative history of the Title VII program as it pertains to dental education, followed by a historical overview of dental education in the United States, including a description of the differences between dental and medical education and the routes to professional practice. The authors then present an extensive assessment of the role of the Title VII grant program in building general and pediatric dental training capacity, diversifying the dental workforce, providing outreach and service to underserved and vulnerable populations, stimulating innovations in dental education, and engaging collaborative and interdisciplinary training with medicine. Finally, the authors call for broadening the scope of the Title VII program to allow for predoctoral training (dental student education) and faculty development in general and pediatric dentistry. In doing so, the Title VII program can more effectively address current and future challenges in dental education, dentist workforce, and disparities in oral health and access to care.This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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MESH Headings
- Curriculum
- Education, Dental/economics
- Education, Dental/history
- Education, Dental, Graduate/economics
- Education, Dental, Graduate/history
- Financing, Government/history
- Financing, Government/legislation & jurisprudence
- General Practice, Dental/economics
- General Practice, Dental/education
- Health Services Accessibility/economics
- History, 20th Century
- History, 21st Century
- Humans
- Pediatric Dentistry/economics
- Pediatric Dentistry/education
- Training Support/history
- Training Support/legislation & jurisprudence
- United States
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Affiliation(s)
- Man Wai Ng
- Department of Dentistry, Children's Hospital Boston, Boston, Massachusetts 02115, USA.
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Lipkin M, Zabar SR, Kalet AL, Laponis R, Kachur E, Anderson M, Gillespie CC. Two decades of Title VII support of a primary care residency: process and outcomes. Acad Med 2008; 83:1064-1070. [PMID: 18971659 DOI: 10.1097/acm.0b013e31818928ab] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
PURPOSE To assess 23 years of Health Resources and Services Administration (HRSA) Title VII Training in Primary Care Medicine and Dentistry funding to the New York University School of Medicine/Bellevue Primary Care Internal Medicine Residency Program. The program, begun in 1983 within a traditional, inner-city, subspecialty-oriented internal medicine program, evolved into a crucible of systematic innovation, catalyzed and made feasible by initiatives funded by the HRSA. The curriculum stressed three pillars of generalism: psychosocial medicine, clinical epidemiology, and health policy. It developed tight, objectives-driven, effective, nonmedical specialty blocks and five weekly primary care activities that created a paradigm-driven, community-based, role-modeling matrix. Innovation was built in. Every block and activity was evaluated immediately and in an annual, program-wide retreat. Evaluation evolved from behavioral checklists of taped interviews to performance-based, systematic, annual objective structured clinical examinations. METHOD The authors reviewed eight grant proposals, project reports, and curriculum and program evaluations. They also quantitatively and qualitatively surveyed the 122 reachable graduates from the first 20 graduating classes of the program. RESULTS Analysis of program documents revealed recurring emphases on the use of proven educational models, strategic innovation, and assessment and evaluation to design and refine the program. There were 104 respondents (85%) to the survey. A total of 87% of the graduates practice as primary care physicians, 83% teach, and 90% work with the underserved; 54% do research, 36% actively advocate on health issues for their patients, programs, and other constituencies, and 30% publish. Graduates cited work in the community and faculty excitement and energy as essential elements of the program's impact; overall, graduates reported high personal and career satisfaction and low burnout. CONCLUSIONS With HRSA support, a focused, innovative program evolved which has already met each of the six recommendations for future innovation of the Alliance for Academic Internal Medicine Education Redesign Task Force. This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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Affiliation(s)
- Mack Lipkin
- Primary Care Internal Medicine Residency Education Program, Division of General Internal Medicine, Department of Medicine, New York University School of Medicine, New York, New York 10016, USA.
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Rich EC, Mullan F. Commentary: evaluating Title VII investments in primary care training: drop in the ocean, or levee against the flood? Acad Med 2008; 83:1002-1003. [PMID: 18971649 DOI: 10.1097/acm.0b013e31818900e0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The Title VII primary care programs have been in place for over thirty years to improve Americans' access to primary care clinicians, especially physicians, through community based, primary care-focused education of students and residents, and preparation of faculty. Despite the long investment in these programs, however, U.S. medical students' interest in primary care has reached new lows. So it might seem obvious why the president's Office of Management and Budget (OMB) declared the Title VII primary care programs "ineffective;" But the OMB analysis aggregates these into an overall assessment of 40 separate Health Resources and Services Administration health professions programs. Furthermore the OMB evaluation of the Title VII primary care programs did not consider the outcomes most readily affected by these grants-those on the individual students, residents, faculty, and institutions. Accordingly, it does not reflect the important role of Title VII in building and sustaining primary care teaching over the years, an impact extensively documented in the accompanying articles. The Title VII primary care programs have struggled with diminishing levels of funding even as sources of support for specialized education have flooded into medical schools and teaching hospitals. What is most impressive about the successes of the Title VII primary care programs documented in the accompanying articles is not just the impressive record of accomplishment but that it occurred despite the powerful forces driving subspecialty care. Hopefully, the next generation of policy makers will use this important history to recommit to a national investment in primary care education.This commentary is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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Affiliation(s)
- Eugene C Rich
- Creighton University School of Medicine, Omaha, Nebraska 68131, USA.
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Weber M. [Training support in nursing: considering the appropriate figure with consideration for the budget]. Pflege Z 2008; 61:636-637. [PMID: 19013930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- Martina Weber
- Recht in der Gesundheits- und Krankenpflegeausbildung.
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Reynolds PP. Title VII innovations in American medical and dental education: responding to 21st century priorities for the health of the American public. Acad Med 2008; 83:1015-1020. [PMID: 18971651 DOI: 10.1097/acm.0b013e3181892966] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The Title VII Training in Primary Care Medicine and Dentistry grant program has been an engine for innovation by providing funds to develop and implement new curricula, new models of care delivery, and new methods of fellowship and faculty development. During period one, 1963-1975, the disciplines of family medicine and physicians assistants (PAs) first received funding to establish residency programs in family medicine and student training for PAs. Other innovations included interdisciplinary training and curricula in substance abuse and nutrition. During period two, 1976-1991, Title VII funds supported implementation of general dental residency programs. In family medicine, general internal medicine, and general pediatrics, ambulatory care training was expanded with a focus on community-oriented primary care and preventive medicine, as well as curricula in ethics, distance learning, behavioral health, and what is now called evidence-based medicine. During period two, Title VII also helped build the infrastructure of primary care through funding to recruit faculty, to expand training sites into community settings, and to incorporate topics relevant to primary care. During period three, 1992-present, innovations shifted to areas of clinical relevance or national priority, training in the care of vulnerable populations, and design of educational strategies to eliminate health disparities, often through collaborative partnerships between medicine, dentistry, and public health. This article focuses on three areas that reflect much of the current work of Title VII grantees: clinical skills and practice improvement, interdisciplinary models of training and patient care, and care of vulnerable and underserved populations.This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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Affiliation(s)
- P Preston Reynolds
- Division of General Medicine, Geriatrics and Palliative Care, Department of Medicine, University of Virginia Center for Biomedical Ethics and Humanities, Charlottesville, Virginia, USA.
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Reynolds PP. A legislative history of federal assistance for health professions training in primary care medicine and dentistry in the United States, 1963-2008. Acad Med 2008; 83:1004-14. [PMID: 18971650 DOI: 10.1097/acm.0b013e318189278c] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
This article reviews the legislative history of Title VII of the United States Public Health Service Act. It describes three periods of federal support for health professions training in medicine and dentistry. During the first era, 1963 to 1975, federal support led to an increase in the overall production of physicians and dentists, primarily through grants for construction, renovation, and expansion of schools. The second period, 1976 to 1991, witnessed a shift in federal support to train physicians, dentists, and physician assistants in the fields of primary care defined as family medicine, general internal medicine, and general pediatrics. During this era, divisions of general internal medicine and general pediatrics, and departments of family medicine, were established in nearly every medical and osteopathic medical school. All three disciplines conducted primary care residencies, medical student clerkships, and faculty development programs. The third period, 1992 to present, emphasized the policy goals of caring for vulnerable populations, greater diversity in the health professions, and curricula innovations to prepare trainees for the future practice of medicine and dentistry. Again, Title VII grantees met these policy goals by designing curricula and creating clinical experiences to teach care of the homeless, persons with HIV, the elderly, and other vulnerable populations. Many grantees recruited underrepresented minorities into their programs as trainees and as faculty, and all of them designed and implemented new curricula to address emerging health priorities.This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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MESH Headings
- Academic Medical Centers/economics
- Education, Medical, Graduate/economics
- Education, Medical, Graduate/history
- Education, Medical, Graduate/trends
- Education, Medical, Undergraduate/economics
- Education, Medical, Undergraduate/history
- Education, Medical, Undergraduate/trends
- Family Practice/economics
- Family Practice/education
- Financing, Government/history
- Financing, Government/legislation & jurisprudence
- General Practice, Dental/economics
- General Practice, Dental/education
- History, 20th Century
- History, 21st Century
- Humans
- Physicians, Family/education
- Training Support/history
- Training Support/legislation & jurisprudence
- United States
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Affiliation(s)
- P Preston Reynolds
- Division of General Medicine, Geriatrics, and Palliative Care, Department of Medicine, Center for Biomedical Ethics and Humanities, University of Virginia, Charlottesville, Virginia, USA.
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Abstract
Federal support through Title VII, Section 747 has played an important role in promoting the use of physician assistants (PAs) in primary care and in the growth and institutionalization of PA educational programs in the United States. Federal workforce policy approaches include PAs in strategies to (1) increase the supply of generalist providers, (2) better balance the distribution of providers to rural and medically underserved areas, and (3) improve the diversity of the health workforce. Evidence from several decades shows that, likely because of Title VII program incentives, PAs have met expectations in terms of practicing in primary care specialties and serving in rural and medically underserved areas. Yet, increasingly, market forces and decreasing federal support for Title VII are affecting these trends, with PAs, like physicians, being drawn to specialty practices.There is considerable use of PAs in all practice settings in U.S. medicine. For several decades, PA training programs have demonstrated that they are efficient means of preparing clinicians who provide considerable benefit to society in return for a modest public investment. At the present time, when the climate seems not to favor public subsidy of health professions education, it may be wise for policy makers to consider strategies that address the long-term needs of the health care workforce and the public for primary care clinicians.This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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Affiliation(s)
- James F Cawley
- PA/MPH Program, Department of Prevention and Community Health, School of Public Health and Health Services, The George Washington University, Washington, DC 20037, USA.
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Abstract
The current renaissance of interest in primary care could benefit from reviewing the history of federal investment in academic family medicine. The authors review 30 years of experience with the Title VII, Section 747 Training in Primary Care Medicine and Dentistry (Title VII) grant program, addressing three questions: (1) What Title VII grant programs were available to family medicine, and what were their goals? (2) How did Title VII change the discipline? and (3) What impact did Title VII family medicine programs have outside the discipline?Title VII grant programs evolved from broad support for the new discipline of family medicine to a sharper focus on specific national workforce objectives such as improving care for underserved and vulnerable populations and increasing diversity in the health professions. Grant programs were instrumental in establishing family medicine in nearly all medical schools and in supporting the educational underpinnings of the field. Title VII grants helped enhance the social capital of the discipline. Outside family medicine, Title VII fostered the development of innovative ambulatory education, institutional initiatives focusing on underserved and vulnerable populations, and primary care research capacity. Adverse effects include relative inattention to clinical and research missions in family medicine academic units and, institutionally, the development of medical education initiatives without core institutional support, which has put innovation and extension of education to communities at risk as grant funding has decreased. Reinvestment in academic family medicine can yield substantial benefits for family medicine and help reorient academic health centers. This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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MESH Headings
- Academic Medical Centers/economics
- Academic Medical Centers/history
- Curriculum
- Education, Medical, Graduate/economics
- Education, Medical, Graduate/history
- Education, Medical, Undergraduate/economics
- Education, Medical, Undergraduate/history
- Family Practice/education
- Financing, Government/history
- Financing, Government/legislation & jurisprudence
- History, 20th Century
- History, 21st Century
- Humans
- Physicians, Family/education
- Training Support/history
- Training Support/legislation & jurisprudence
- United States
- United States Health Resources and Services Administration/economics
- United States Health Resources and Services Administration/legislation & jurisprudence
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Affiliation(s)
- Warren Newton
- Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7595, USA.
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Abstract
Title VII funding played an important role in the development of the University of New England College of Osteopathic Medicine (UNECOM). These funds enabled the 90% tuition-funded school to implement a primary-care-based curriculum in its formative years and played a crucial role in the 1995-2005 period of curriculum revision. UNECOM successfully competed for Title VII program funding in Physician Faculty Development in Primary Care, Academic Units in Primary Care, Predoctoral Training in Primary Care, and Residency Training in Primary Care. This funding helped the institution refine its vision and mission as a result of the federal imperatives surrounding primary health care. Securing these funds enabled the institution to jump-start programs with start-up federal funding, expand faculty, access educational innovation by networking with other grantees across the nation, and expand faculty grant-making knowledge and skills via federal technical assistance and grant review processes. Subsequent institutionalization of the resulting innovations may have played a role in UNECOM maintaining its production of primary care physicians, as evidenced by 71% of its 1996-2002 graduates practicing in primary care specialties. The impact of Title VII funding at UNECOM provides an example of how new and existing medical schools whose missions align with federal priorities can use these programs to develop curriculum and resources congruent with their missions.This article is part of a theme issue of Academic Medicine on the Title VII health professions training programs.
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Affiliation(s)
- Stephen C Shannon
- American Association of Colleges of Osteopathic Medicine, Chevy Chase, Maryland 20815, USA.
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Financial. Dismissal reversed for discharge of HIV-positive student's loans. AIDS Policy Law 2008; 23:8. [PMID: 18814366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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Kansas State Nurses Association. Legislative report. Kans Nurse 2008; 83:16-9. [PMID: 19946989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Brody H. A reply to Thomas Stossel on the AMA-CEJA draft report. Medscape J Med 2008; 10:154. [PMID: 18769695 PMCID: PMC2525469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Affiliation(s)
- Howard Brody
- Institute for the Medical Humanities, University of Texas, Galveston, Texas, USA.
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Stossel TP. Response to AMA's Council on Ethical and Judicial Affairs draft report on "Ethical guidance for physicians and the profession with respect to industry support for professional education in medicine". Medscape J Med 2008; 10:137. [PMID: 18679553 PMCID: PMC2491684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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Blumenreich GA. Liquidated damages. AANA J 2008; 76:85-88. [PMID: 18478810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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