Assuntos
COVID-19 , Humanos , Saúde Pública , SARS-CoV-2 , Surtos de Doenças , Pacientes , Serviço Hospitalar de EmergênciaRESUMO
Women comprise more than one third of the active physician workforce, an estimated 46% of all physicians-in-training, and more than half of all medical students in the United States. Although progress has been made toward gender diversity in the physician workforce, disparities in compensation exist and inequities have contributed to a disproportionately low number of female physicians achieving academic advancement and serving in leadership positions. Women in medicine face other challenges, including a lack of mentors, discrimination, gender bias, cultural environment of the workplace, imposter syndrome, and the need for better work-life integration. In this position paper, the American College of Physicians summarizes the unique challenges female physicians face over the course of their careers and provides recommendations to improve gender equity and ensure that the full potential of female physicians is realized.
Assuntos
Mobilidade Ocupacional , Médicas/economia , Salários e Benefícios , Sexismo , Sucesso Acadêmico , Feminino , Humanos , Liderança , Masculino , Mentores , Cultura Organizacional , Médicas/estatística & dados numéricos , Estudantes de Medicina/estatística & dados numéricos , Estados Unidos , Equilíbrio Trabalho-VidaAssuntos
Vacinas contra COVID-19/imunologia , Vacinas contra COVID-19/provisão & distribuição , COVID-19/prevenção & controle , Pneumonia Viral/prevenção & controle , COVID-19/epidemiologia , COVID-19/imunologia , Centers for Disease Control and Prevention, U.S. , Humanos , Pandemias/prevenção & controle , Seleção de Pacientes , Pneumonia Viral/imunologia , Pneumonia Viral/virologia , SARS-CoV-2/imunologia , Estados Unidos/epidemiologia , United States Food and Drug AdministrationRESUMO
In this position paper, the Alliance for Academic Internal Medicine and the American College of Physicians examine the state of graduate medical education (GME) financing in the United States and recent proposals to reform GME funding. They make a series of recommendations to reform the current funding system to better align GME with the needs of the nation's health care workforce. These recommendations include using Medicare GME funds to meet policy goals and to ensure an adequate supply of physicians, a proper specialty mix, and appropriate training sites; spreading the costs of financing GME across the health care system; evaluating the true cost of training a resident and establishing a single per-resident amount; increasing transparency and innovation; and ensuring that primary care residents receive training in well-functioning ambulatory settings that are financially supported for their training roles.