http://www.medrants.com/archives/5016 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 http://www.medrants.com/archives/5016/comment-page-1#comment-529968 BKE Mon, 23 Nov 2009 03:55:07 +0000 http://www.medrants.com/?p=5016#comment-529968 Your comment regarding the students get what they are paying for is valid, but when I was still in academics the Medical school did not contribute a single dollar to the Clinicians salaries.  In fact it was the reverse, as they took their cut from every grant, etc.  Sadly, this contributes to the pressures on the attending to not meet their obligations to students and housestaff. Your comment regarding the students get what they are paying for is valid, but when I was still in academics the Medical school did not contribute a single dollar to the Clinicians salaries.  In fact it was the reverse, as they took their cut from every grant, etc. 
Sadly, this contributes to the pressures on the attending to not meet their obligations to students and housestaff.

]]> http://www.medrants.com/archives/5016/comment-page-1#comment-529924 Brian Loveless, DO Sun, 22 Nov 2009 22:20:33 +0000 http://www.medrants.com/?p=5016#comment-529924 I guess one of the bigger problems from the attending standpoint is do I get paid for teaching? As it stands at most community teaching programs as well as outpatient rotations there is little to no reimbursement from the schools to the physicians who agree to take their students for rotations. If the students are paying for their education, where is the money going in the 3rd and 4th years? Those of us who want to teach have to do it in between patients or at the end of the day, thus adding to an already overcrowded schedule. With some adequate compensation I'd be able to carve out a block of time as you do for teaching. I guess one of the bigger problems from the attending standpoint is do I get paid for teaching? As it stands at most community teaching programs as well as outpatient rotations there is little to no reimbursement from the schools to the physicians who agree to take their students for rotations. If the students are paying for their education, where is the money going in the 3rd and 4th years? Those of us who want to teach have to do it in between patients or at the end of the day, thus adding to an already overcrowded schedule. With some adequate compensation I'd be able to carve out a block of time as you do for teaching.

]]> http://www.medrants.com/archives/5016/comment-page-1#comment-529886 Richard Neill Sun, 22 Nov 2009 18:05:16 +0000 http://www.medrants.com/?p=5016#comment-529886 My response: "Please help me to help you by letting my know how you would fill in this sentence: 'I feel the 2 hour time commitment would be met when...' ". Is this a student looking for face time or to learn? If the former, what are the student's learning objectives and how is face time methodologically related to this objective? How would we both know that the student had learned? Answering these questions is daunting, even for me. Often I find myself wanting face time not for a content dump but for a culture dump. The latter is tough for students to fess up to, but is infinitely more valuable to me in the long run. What is the language, ritual, artifact, belief system you are holding out to me? Can I learn from this? Do I want to? How/where are the elements of your culture aggregated and passed on? My response: "Please help me to help you by letting my know how you would fill in this sentence: 'I feel the 2 hour time commitment would be met when…' ".
Is this a student looking for face time or to learn? If the former, what are the student's learning objectives and how is face time methodologically related to this objective? How would we both know that the student had learned?
Answering these questions is daunting, even for me. Often I find myself wanting face time not for a content dump but for a culture dump. The latter is tough for students to fess up to, but is infinitely more valuable to me in the long run. What is the language, ritual, artifact, belief system you are holding out to me? Can I learn from this? Do I want to? How/where are the elements of your culture aggregated and passed on?

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