Assuntos
Educação Médica/tendências , Programas de Assistência Gerenciada/tendências , Médicos/provisão & distribuição , Educação Médica/estatística & dados numéricos , Educação de Pós-Graduação em Medicina/estatística & dados numéricos , Educação de Pós-Graduação em Medicina/tendências , Estudos de Avaliação como Assunto , Pesquisa sobre Serviços de Saúde , Mão de Obra em Saúde/estatística & dados numéricos , Mão de Obra em Saúde/tendências , Programas de Assistência Gerenciada/estatística & dados numéricos , Atenção Primária à Saúde , Setor Privado , Setor Público , Especialização , Estados UnidosAssuntos
Medicina Nuclear , Coleta de Dados , Medicina , Especialização , Estados Unidos , Recursos HumanosRESUMO
The number of foreign medical graduates (FMGs) as reported by the American Medical Association (AMA) has registered increases in recent years far exceeding the Department of Health and Human Services' (DHHS) published forecasts. The DHHS projections of new entrants have been derived from the number of postgraduate year-one positions filled by FMGs. Apparently, the FMG supply is augmented by physicians who enter by other paths. By using AMA data, this study takes the first step in attempting to shed light on the characteristics of these recent FMG additions. It then uses the DHHS model to forecast FMG supply based on a short-run continuation of the AMA-reported changes. The paper also forecasts FMG supply assuming that no new foreign national FMGs (FNFMGs) will enter the pool. The analysis suggests that some FNFMGs may be entering this country with visas granted to family members of United States citizens or permanent immigrants and then establishing practices without exiting directly from graduate medical education (GME). Further restrictions on GME participation for FMGs likely are not going to severely curtail FMG entrance into the medical care delivery system. Rather, they will likely restrict their entrance by way of the most traditional route.
Assuntos
Médicos Graduados Estrangeiros/provisão & distribuição , Educação de Pós-Graduação em Medicina , Emigração e Imigração , Previsões , Mão de Obra em Saúde , Internato e Residência , Licenciamento em Medicina , Modelos Teóricos , Política Pública , Especialização , Estados UnidosRESUMO
The Graduate Medical Education National Advisory Committee (GMENAC) adjusted needs-based model for determining physician requirements was applied to the specialties of anesthesiology, neurology, nuclear medicine, pathology, physical medicine and rehabilitation, and radiology, which had not been completed at the time of the original GMENAC final report. Physical medicine and rehabilitation continues to be projected as a shortage specialty; anesthesiology is in near balance. Neurology and pathology are no longer projected to be specialties of oversupply, but rather to be in near balance. Diagnostic radiology continues to be projected as a specialty of oversupply; therapeutic radiology is projected to be in near balance, as is nuclear medicine. The GMENAC aggregate-requirements estimates are thus revised upward from 466,000 to 473,000 full-time equivalent physicians for 1990, reducing the projected surplus from 15.0% to 13.3%.
Assuntos
Mão de Obra em Saúde , Médicos/provisão & distribuição , Especialização , Anestesiologia , Técnica Delphi , Educação de Pós-Graduação em Medicina , Planejamento em Saúde , Neurologia , Medicina Nuclear , Patologia , Medicina Física e Reabilitação , Radiologia , Estados UnidosRESUMO
Prescriptions in an outpatient setting were kept on file for immediate recall by computer terminals. Drugs with abuse potential were found to make up 33.6 percent of all prescriptions, and 12.4 percent of these prescriptions were for excessive quantities. An additional 2.6 percent of these prescriptions represented irrationally large quantities of drugs dispensed by multiple prescriptions. The physician was cooperative and willing to correct this situation when it was brought to his attention by the pharmacist.
