Transforming the future of education. NBC News covers our game-changing $1 billion gift to The Johns Hopkins University. Starting this fall, most medical students will benefit from full tuition coverage, with expanded financial aid for nursing, public health, and other graduate students. This bold move opens doors for lower-income students to enroll, graduate, and work in communities that need them most, ensuring future professionals reflect the diversity of their patients and drive better health outcomes. https://lnkd.in/efh6pa7W
Robert Bowman
1mo
AMA Masterfile data from the 2005 and 2013 versions Coded for birth origins for 900,000 physicians Layered in type of medical school by MCAT scores from most to least exclusive Looked over an important period of time with the collapse of primary care evident in the 1980s, and then the managed care panic (threat of Kaiser model) pushing medical students away from hospital based and many more chose FM, then further decline by financial design late 1990s and continuing. Origins layer out with most exclusive (most urban or highest income county birth lowest in FM choice (also highest in admission probability) Exclusive scores and schools contribute as well Exclusive policies in the 1980s and since the late 1990s take out FM Elite school foreign born with 4% FM choice and slightly higher for Most urban origin elite school Bottom quartile county by income or pop density had highest proportion of FM with lowest MCAT score schools
Robert Bowman
1mo
Most important to understand about primary care workforce for most Americans most behind - is that no training intervention can overcome the 1.4 trillion a year that CMS votes in favor of most lines of revenue, highest payments, and most fellowships 40% of Americans with concentrations of poor, elderly, disabled and their public health insurance plans are located in 2621 counties weakest in employers with concentrations of worst employer based plans no training intervention can overcome this design Primary care spending is less than 50 billion or less than 20% of spending in the 2621 counties with half enough despite 40% of the population and 45% of complexity. Needless to say 25% of each basic health access workforce is blown away by design I wasted 25 years on rural pipelines, falling prey to the deception that training designs could resolve deficits. Even worse, the research is valid and demonstrates 10 -12 times odds ratios of success from pipeline grads. But the reality is in the tracking since the 70 Nebraska counties of need had little change in workforce despite 20 years of successful best pipelines Teaching CHCs look good for underserved locations, but the training cannot overcome 50% of CHC patients with Medicaid
Robert Bowman
1mo
If you want a game changing design - Community Based is the ticket There are 2621 counties forever lowest in health care workforce, outcomes, insurance plans, and more. The academic and financial designs totally fail them. The design best for them is about teens and young adults established in their county who do health, education, COPC, asset based, child development and literacy development projects in homes, groups... Those demonstrating the right serving human infrastructure stuff who demonstrate change agent abilities are selected and trained entirely locally moving from projects to team member roles to supervisory teacher, social worker, NP PA physician public health roles. They owe back an obligation, but they have a small army working with them in the community to really make a difference early and often, where changes of the population can best occur. This is of course the opposite of the US health care design which is too little, too late, at highest cost, for little change in outcomes - and draining our treasuries of the ability to invest in people, human infrastructure, and physical infrastructure for a more efficient and effective nation Native tribes would be a good place to start.
Robert Bowman
1mo
The top 20 MCAT schools have always been a poor choice for primary care or distribution since at best they had about 3 for IM primary care per 100 out of about 36 entering IM and 3 for peds primary care per hundred out of 14 entering pediatrics and 1 for FM primary care out of 2, and they often backed in to FM after the match 7% - 10% primary care schools are good for non-primary care and their small proportions in primary care are falling You can bet that the most elite students in the nation know about all of these free medical schools - but the information will never make it to those who might most benefit
shahram Olaie
1mo
Inspiring https://lnkd.in/efh6pa7W
M C.
1mo
Wonderful way to make an impact.
Bobby White
1mo
This is wonderful. America needs more doctors who don’t owe 1 million dollars after they finish their internship work at hospitals.
Aftab Anwar
1mo
Hello! There, I am Aftab from Next Olive Technologies. With 12+ years and 2000+ projects, we excel in software and app development. Let's connect on LinkedIn to discuss collaboration and drive growth. Best Regards, Aftab sales@nextolive.com +91 884 015 0392
This is beautiful and if there where enough donors to do this at every University, College, and trade school imagine what we could accomplish.
Self-employed-Trainer
1moDoes "covered" mean passed on to someone else?