Council on Graduate Medical Education Second Report. The Financial Status ofTeaching Hospitals. The Underrepresentation of Minorities in Medicine

摘要

The Council on Graduate Medical Education (COGME) is charged by law to providerecommendations concerning the adequacy of the current and future supply and distribution of physicians in the United States; issues relating to foreign medical graduates; appropriate Federal policies with respect to changes in the financing of undergraduate and graduate medical education (GME) programs, and changes in the types of GME programs; appropriate efforts to be carried out by hospitals, schools of medicine, schools of osteopathy, and accfredting bodies with respect to physician supply adequacy and medical education programs; and deficiencies and needs for improvements in data bases concerning physician supply and distribution, and medical education programs in the United States. Clinical medical education and GME in the United States are centered in teaching hospitals which serve as a key resource for the nation. They provide leadership in biomedical training and research, access to health care for large minority and underserved populations in nearly all states, complex and intense care frequently not available elsewhere, and leadership in the quality of care provided to the American people. The financial status of teaching hospitals is a key factor in their ability to maintain the quality and thoroughness of training, the adequacy of the supply and distribution of physicians, high quality of care, and access to health carefor many citizens who are underserved or in need of the most advanced levels of medical care. In addition, minority health status and adequate access to health care are strongly related to and dependent upon an increased number of minorities in the medical profession. More minority physicians must be trained to assume increased roles in academic medicine, clinical research, and the practice of medicine.