Fitzhugh Mullan Institute for Health Workforce Equity’s Post

Fitzhugh Mullan Institute for Health Workforce Equity reposted this

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What's the "best" medical school? Is it one that scores the highest on peer evaluation or has the most money, or are the best schools committed to their community and to developing well-rounded doctors? It can be hard to know what factors to evaluate, which is why we made the Social Mission Metrics. Starting development in 2016 with support from the Robert Wood Johnson Foundation, this assessment delves deep into health professions training. For the first time in 5 years, US medical schools can take the assessment to help move them towards being the "best." Learn more: https://bit.ly/3WOJJQW

I spent years on such ratings using instate primary care production and other markers. There was little point. After Mercer moved from one of the top schools to the 30th percentile in about 6 years - the ratings lost relevance. I did numerous rural medical education studies and published on FM residency program rural efforts. These are valid research, but cannot resolve deficits. The only way to address distribution where needed is to change designs and designers. Primary care and basic health access in MD DO NP and PA are being destroyed by meaningless destructive team member consuming innovations for over 3 decades and by 1. Cost cutting involving sources of revenue 41 yrs 2. Lower payments (RBRVS) 32 yrs 3. Lower payments as levels of workforce go lower (Medicare 2011) with 15% lower payments impacting primary care serving 40 - 50% of the population (always) 4. 30 states shape/tolerate the worst quality, lowest paying health plans 5. Concentrations of elderly, poor, disabled (public plans) that impact the entire community 6. Concentrations of weaker employers with worst paychecks, worst benefits, worst health insurance plans

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