The Landscape of Physician Residency Training in the Indian Health System.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES
Matthew Tobey, Michael Toedt, Emily Hawes, Terry Maresca, Maria Teachout, Vincent Lin, Loretta Christensen, Natasha Bray, Dan Waldman, Jason Hill, Lance Whitehair, Vijay Kannan, Mary Owen
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引用次数: 0

Abstract

The Indian Health System, which includes the Indian Health Service, Tribal health systems, and the Urban Indian Health Program, trains fewer resident physicians than would be expected based on its user population. Investment in equitable graduate medical education could address the Indian Health System's shortage of physicians, which could in turn strengthen health operations and improve health outcomes. Several federal and grassroots initiatives offer opportunities for residency program development and implementation, but substantial barriers limit widespread growth of residencies. To inform leaders and educators, the authors review the relevant context of the Indian Health System, outline the key facilitators of the physician residencies currently based there, and describe the considerations relevant to future expansion.

医师住院医师培训在印度卫生系统的景观。
印第安人卫生系统,包括印第安人卫生服务、部落卫生系统和城市印第安人卫生计划,培训的住院医师比基于其用户人口的预期要少。投资于公平的研究生医学教育可以解决印度卫生系统医生短缺的问题,这反过来可以加强卫生运作并改善健康结果。一些联邦和基层倡议为住院医师计划的发展和实施提供了机会,但实质性的障碍限制了住院医师计划的广泛发展。为了告知领导和教育工作者,作者回顾了印度卫生系统的相关背景,概述了目前在那里的医师住院医师的主要促进因素,并描述了与未来扩展相关的考虑因素。
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来源期刊
CiteScore
2.00
自引率
7.10%
发文量
154
期刊介绍: The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
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