作为解决未来十年美国预期医师短缺的一种手段, 医学院的扩张以增加现有校区的招生人数的形式出现, the creation of new schools of medicine (SOMs), and the development of regional medical campuses (rmc). rmmc已经不仅仅是作为对扩大招生感兴趣的机构的工具,而且可能为寻求建立或深化伙伴关系的som和bet8网站备用提供战略优势. Given the competitive academic and clinical landscapes these organizations face, 医学院和bet8网站备用将从分析这种模式并确定它是否适合他们中受益.
This blog post explores rmc, including their characteristics and types, the rationale for SOMs and health systems to pursue such models, 以及对RMC开发感兴趣的组织必须探索的关键考虑因素.
RMC的背景
rmc, historically referred to as branch campuses, first appeared in the US after World War II, in conjunction with a wave of medical school expansion. This growth was driven by various factors, including:
- Recognition that the physician workforce was inadequate for the growing population.
- GI Bill that fueled college enrollment.
- Growth of science stimulated by the National Institutes of Health.
- Shift toward specialized practice.[1]
RMC development was gradual in the decades that followed. But since the mid‑2000s, 当时美国医学院协会(对象为)呼吁医学院增加一年级招生,以解决预计的美国bet8网站备用短缺问题, the number of rmc has grown rapidly. 今天在美国, 大约有130家rmc为学生提供部分或全部医学院课程.
医学教育联络委员会及骨科学院评审委员会, 美国医学教育项目的两个认证机构授予医学博士和医学博士学位, 分别, offer unique but similar definitions of an RMC, as highlighted in table 1.
定义 | 一种不同于医学院中心/行政校区的教学场所,一些学生在这里完成一年或一年以上的课程 | A site that is geographically apart from the COM and is:
|
认证 | Included in the accreditation process for the parent institution, from the LCME | Included in the accreditation process for the parent institution, from the COCA |
Number of Medical Schools with at Least One RMC | ||
Total Number of rmc |
The 对象为 classification of rmc encompasses four models, 基于医学生在校园的年级和教育类型的描述. Each model is highlighted in figure 1.
The most popular of these models is the clinical model, with approximately 60% of rmc having adopted this approach, followed by the combined model offering all four years of instruction, representing approximately 15% of the total, including all existing osteopathic rmc.
The Case for RMC Development
在索姆
In response to the calls for more medical school matriculants, 许多管理学院选择在现有校园和附近设施内扩大班级规模. 然而, 物理空间和其他能力和/或资源的限制限制了一些国家的发展能力. 在这种情况下, RMC为机构提供了以有效和成本效益的方式进行扩展的能力.
Various constraints to expansion in place notwithstanding, 许多管理学院将管理学院视为为学习者提供独特体验的机会. While the traditional medical school is anchored by the AMC framework, most of the care in the US is delivered in community settings. 像这样, 许多rmc的结构侧重于在各种患者护理环境和环境中开展基于社区的临床教育. 此外,农村和纵向项目是许多校园的重点领域. 这些方面, 再加上与主校区相比,班级规模通常更小, which may allow for a more personalized educational experience, are attractive to some and may serve as a notable differentiator for the SOM.
RMC发展的另一个结果是扩大了地理存在和对SOM的认可. Medical schools and teaching hospitals typically hold a high favor能力 rating[4] with the general public; expanding brand recognition across a wider region through an RMC may benefit the SOM as a whole.
For bet8网站备用
While most RMC development is driven by SOM expansion efforts, 许多医院和bet8网站备用已经认识到rmc所代表的机会,并探索了这一选择. For many provider organizations, 最初对独立SOM或RMC开发的兴趣主要集中在确保或加强其bet8网站备用队伍. An RMC opens the door to a more closely aligned pipeline of residents/fellows, 他们中的许多人最终可能会加入该组织的bet8网站备用队伍,并且已经适应了bet8网站备用的文化和流程.
rmc can also have a beneficial impact on a health system’s culture. 医学生和住院医师/研究员的存在可以促进探究的环境, 学习, 和指导. 并行, 这加强了一个循环,即对学术感兴趣的提供者被招募和保留. 随之而来的是临床创新的潜力,以及由于更多地参与教育和研究而改善的健康结果.
As discussed previously, 医学院和教学医院受到公众的青睐. Many individuals recognize added value in receiving care from a teaching hospital. By partnering with an SOM to create an RMC, bet8网站备用可以战略性地利用学术品牌,同时建立成为教学医院所需的基础设施. This may serve as a means of differentiating the system in its market. 另外, 它为加强与高级管理学院相关的慈善和其他资助机会提供了可能性.
How to Determine Whether RMC Development Is Appropriate
虽然联合开发RMC对som和bet8网站备用都有明显和切实的好处, such a decision requires a great deal of deliberation. 医学院和bet8网站备用需要进行几项关键的规划活动,以确定创建RMC是否是正确的想法:
- Evaluate current and anticipated medical student enrollees within the state, along with existing local and state provider supply, to understand the market need for an RMC.
- 阐明机构开发RMC的原因,以及它如何与组织的使命和愿景相一致.
- Assess the institution’s current position, 能力, and readiness relative to various considerations (summarized in figure 2).
rmc代表了som和bet8网站备用寻求解决跨学术和临床任务的关键需求的可能解决方案. For organizations that determine that RMC development makes sense, 合作伙伴关系可以降低医学院和bet8网站备用追求这种努力的风险、财务和其他资源需求. SOMs和bet8网站备用应该以深思熟虑的方式来决定RMC是否是前进的最佳途径,并确定合适的合作伙伴.
A contemporary AMC needs a modern financial arrangement.
Learn more about developing an arrangement for your AMC, and why you need it.
了解更多脚注
- 1.
L. 美国的新医学院:过去和现在的变革力量(Trans Am Clin Climatol Assoc., 120;2009; 227–238).
- 2.
Annual LCME Medical School Questionnaire Part II, 2011–2012 through 2019–2020, http://www.AAMC.org/data-reports/curriculum-reports/interactive-data/regional-campuses-us-medical-schools.
- 3.
COCA, “认证 of Colleges of 整骨疗法的 Medicine: COM New & Developing 认证 Standards,” http://osteopathic.org/accreditation/standards.
- 4.
对象为, 《民意调查:美国人对医学院和教学医院的看法,” http://www.AAMC.org/data-reports/faculty-institutions/report/public-opinion-research.
Published August 18, 2021