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United Campus Ministry papers, 1970-1972
1971-10-30 Summary Report from Roger Simpson Page 1
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From: Roger Simpson Re: SUMMARY REPORT Meetings Attended, Issues Noted ASSOCIATION OF AMERICAN MEDICAL COLLEGES (Annual Mt[[?]]) SOCIETY FOR HEALTH AND HUMAN VALUES (ANNUAL MTNG.) Washington, D.C., Oct. 30 - Nov. 1, 1971 I. Identification: This was the 82nd Annual Meeting of the Assn. for American Medical Colleges. Society for Health and Human Values, (an association of persons professionally involved with health issues and values) held its annual meeting at the same place and time. The "Ministers in Medical Education", of which I am a member, are a sub-section. (Profiles of 36 such Ministers in Medical Education are compiled by the Society and the 3rd edition is being sent to Deans of all Colleges of Medicine). II. Themes: AAMC, "Interrelationships of Government and the Academic Medical Centers in Meeting Society's Needs for Health Care." SOC. for HEALTH & HUMAN VALUES, "Humanities and Social Perspectives in Medical Education." III. AGENDA AAMC (the list of meetings, speakers, conferences, exhibits, etc. make up a small booklet but here is a summary) A) William G. Anlyan, M.D., Chmn. of AAMC (Vice-President, Health Affairs, Duke University Med. Center address: "1985", 12 Recommendations for future of Medical Education. - social evolution of health care in process: for all US citizens. - to ten years ago, Medical Education was "ivory tower" - today: social expectations up; research advances; more $$; more public scrutiny; more community out-reach; ore service oriented 1. Academic Med. Centers must accept responsibility for total content of medical education and assume new roles tailored to health care of society. 2. Elements: universal & non-voluntary; combine private and public systems; look to VA as-mini-socialized system; more pre-payments; teams for geographical areas; do away with separate compartments. 3. Time schedule: define as emergency system - to extend care. 0-5 minutes: self & buddy care (Sesame St. approach, elementary, school teaching ) 15-30 minutes: emergency squads (non-med: no $$ for total mobile units) 60 minutes: non-emergency health care: nurse, etc. 60 minutes. plus: primary medical care for all 2 hours: primary and specialty health care 2-5 hours: sub-specialty health care 4. Develop specialists and generalists: need both and more of each Broaden perimeter of labs to area colleges. Also clinics. 5. Increase number of health professionals: up enrollments '71: 11,360; by '76: 15,000; by '85: 25,000 (AAM figures: "conservative") 6. Med Education: options for multiple careers: College and Basic Med. Sc: 2-5 years. Clinic rotation: 1 year. "Bury interships". Residency: 3 years. Lifetime of continuing education. Flexible med. ed. with total institution responsible (not just Chiefs of Service) 7. Cont. Med. Ed. & "re-certification": peer reviews via records, etc., at 5 year intervals. Regional National retrieval systems. 8. Keep research efforts: '85 will be different from '71 9. Health Centers must improve cost control of med. care: use MD time better; share facilities; more cooperation; share re. materials, etc. 10: Better ADMINISTRATION & MANAGERIAL STAFF: lack manager-research & training programs. Don't have sophisticated management information. NEED NEW MODELS OF HEALTH CARE MANAGEMENT. 11. Re-organize administration of Health sciences; examine titles & job descriptions. Need academic med. center programmed for evolutionary change. 12. National leadership: there is grass-roots complacency. Too much waiting for memos. Federal Govern.: Stress "H" of HEW. Need Section of Health. Need Fed. Health Council (like Economic Council, etc.) (CONT. OVERLEAF)
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From: Roger Simpson Re: SUMMARY REPORT Meetings Attended, Issues Noted ASSOCIATION OF AMERICAN MEDICAL COLLEGES (Annual Mt[[?]]) SOCIETY FOR HEALTH AND HUMAN VALUES (ANNUAL MTNG.) Washington, D.C., Oct. 30 - Nov. 1, 1971 I. Identification: This was the 82nd Annual Meeting of the Assn. for American Medical Colleges. Society for Health and Human Values, (an association of persons professionally involved with health issues and values) held its annual meeting at the same place and time. The "Ministers in Medical Education", of which I am a member, are a sub-section. (Profiles of 36 such Ministers in Medical Education are compiled by the Society and the 3rd edition is being sent to Deans of all Colleges of Medicine). II. Themes: AAMC, "Interrelationships of Government and the Academic Medical Centers in Meeting Society's Needs for Health Care." SOC. for HEALTH & HUMAN VALUES, "Humanities and Social Perspectives in Medical Education." III. AGENDA AAMC (the list of meetings, speakers, conferences, exhibits, etc. make up a small booklet but here is a summary) A) William G. Anlyan, M.D., Chmn. of AAMC (Vice-President, Health Affairs, Duke University Med. Center address: "1985", 12 Recommendations for future of Medical Education. - social evolution of health care in process: for all US citizens. - to ten years ago, Medical Education was "ivory tower" - today: social expectations up; research advances; more $$; more public scrutiny; more community out-reach; ore service oriented 1. Academic Med. Centers must accept responsibility for total content of medical education and assume new roles tailored to health care of society. 2. Elements: universal & non-voluntary; combine private and public systems; look to VA as-mini-socialized system; more pre-payments; teams for geographical areas; do away with separate compartments. 3. Time schedule: define as emergency system - to extend care. 0-5 minutes: self & buddy care (Sesame St. approach, elementary, school teaching ) 15-30 minutes: emergency squads (non-med: no $$ for total mobile units) 60 minutes: non-emergency health care: nurse, etc. 60 minutes. plus: primary medical care for all 2 hours: primary and specialty health care 2-5 hours: sub-specialty health care 4. Develop specialists and generalists: need both and more of each Broaden perimeter of labs to area colleges. Also clinics. 5. Increase number of health professionals: up enrollments '71: 11,360; by '76: 15,000; by '85: 25,000 (AAM figures: "conservative") 6. Med Education: options for multiple careers: College and Basic Med. Sc: 2-5 years. Clinic rotation: 1 year. "Bury interships". Residency: 3 years. Lifetime of continuing education. Flexible med. ed. with total institution responsible (not just Chiefs of Service) 7. Cont. Med. Ed. & "re-certification": peer reviews via records, etc., at 5 year intervals. Regional National retrieval systems. 8. Keep research efforts: '85 will be different from '71 9. Health Centers must improve cost control of med. care: use MD time better; share facilities; more cooperation; share re. materials, etc. 10: Better ADMINISTRATION & MANAGERIAL STAFF: lack manager-research & training programs. Don't have sophisticated management information. NEED NEW MODELS OF HEALTH CARE MANAGEMENT. 11. Re-organize administration of Health sciences; examine titles & job descriptions. Need academic med. center programmed for evolutionary change. 12. National leadership: there is grass-roots complacency. Too much waiting for memos. Federal Govern.: Stress "H" of HEW. Need Section of Health. Need Fed. Health Council (like Economic Council, etc.) (CONT. OVERLEAF)
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