Gaps in Residency Training Should be Addressed to Better Prepare Doctors for a Twenty-First-Century Delivery System
Many observers have been concerned about a mismatch between the knowledge, skills and professional values of newly trained physicians and the requirements of current and future medical practice.
The researchers surveyed and interviewed Kaiser Permanente’s clinical department chiefs for internal medicine, pediatrics, general surgery and obstetrics/gynecology to ascertain their views of the perceived gaps in the readiness of newly trained physicians. Nearly half of those surveyed reported deficiencies among new physicians in managing routine conditions or performing simple procedures often encountered in office-based practice. A third of the chiefs noted deficiencies in coordinating care for patients.
Filling these and other training gaps will require changes at many levels—from residency programs to Medicare reimbursement policies—to better prepare new physicians for the challenges of working in a health care system evolving to emphasize accountability, quality outcomes, cost control and information technology.
This study was not funded by the Robert Wood Johnson Foundation, but is being made available as an additional resource on this topic.
- 1. How the Health and Community Development Sectors are Combining Forces to Improve Health and Well-Being
- 2. Building the Scaffold to Improve Health Care to Advance Americans' Health
- 3. Partnerships Among Community Development, Public Health, and Health Care Could Improve the Well-Being of Low-Income People
- 4. Despite Obstacles, Considerable Potential Exists for More Robust Federal Policy on Community Development and Health
- 5. Bringing Researchers and Community Developers Together to Revitalize a Public Housing Project and Improve Health
- 6. Community Health Centers and Community Development Financial Institutions
- 7. Training New Community Health, Food Service, and Environmental Protection Workers Could Boost Health, Jobs, and Growth
- 8. The PROMETHEUS Bundled Payment Experiment
- 9. Mayo Clinic Employees Responded to New Requirements for Cost Sharing by Reducing PossiblyUnneeded Health Services Use
- 10. Gaps in Residency Training Should be Addressed to Better Prepare Doctors for a Twenty-First-Century Delivery System
- 11. How the National Prevention Council Can Overcome Key Challenges and Improve Americans' Health
- 12. Evolving Brand-Name and Generic Drug Competition May Warrant a Revisionof the Hatch-Waxman Act
- 13. Strengthening Children's Oral Health