RESUMEN
In this analysis, we describe medical student interest in and knowledge of health systems science (HSS) during the launching of a new curriculum. We surveyed first year students (MS1s) before and after exposure to a new HSS curriculum. MS1s demonstrated a 16% increase in HSS knowledge post-curriculum. Interest in HSS was high in MS1s before (90%) and after (88%) the curriculum when compared to MS3s (72%). The implementation of a longitudinal HSS curriculum may increase knowledge and maintain interest in the subject.
Asunto(s)
Planificación en Salud Comunitaria/métodos , Curriculum/normas , Estudiantes de Medicina/psicología , Planificación en Salud Comunitaria/tendencias , Curriculum/tendencias , Educación de Pregrado en Medicina/métodos , Educación de Pregrado en Medicina/tendencias , Humanos , Mejoramiento de la Calidad , Estudiantes de Medicina/estadística & datos numéricosRESUMEN
BACKGROUND: The future direction of American health care has become increasingly controversial during the last decade. As healthcare costs, quality, and delivery have come under intense scrutiny, physicians play evolving roles as "advocates" for both their profession and patients via healthcare policy. Hospital-physician alignment is critical to the future success of advocacy among orthopaedic surgeons, as both hospitals and physicians are key stakeholders in health care and can work together to influence major health policy decisions. QUESTIONS/PURPOSES: We (1) define the role of advocacy in medicine, specifically within orthopaedic surgery; (2) explore the history of physician advocacy and its evolution; (3) examine the various avenues of involvement for orthopaedic surgeons interested in advocacy; and (4) reflect on the impact of such activities on the future of orthopaedic surgery as it relates to hospital-physician alignment. METHODS: We performed a comprehensive review of the literature through a bibliographic search of MEDLINE(®) and Google Scholar databases from January 2000 to December 2010 to identify articles related to advocacy and orthopaedic surgery. RESULTS: Advocacy among orthopaedic surgeons is critical in guiding the future of the American healthcare system. In today's world, advocacy necessitates a wider effort to improve healthcare access, quality, and delivery for patients on a larger scale. The nature of physician advocacy among orthopaedic surgeons is grounded in the desire to serve patients and alleviate their suffering. Participation in medical societies and political campaigns are two avenues of involvement. CONCLUSIONS: The increasing role of government in American health care will require a renewed commitment to advocacy efforts from orthopaedic surgeons. The role of advocacy is rapidly redefining the continuum of care to a trinity of clinical excellence, innovative research, and effective advocacy. Failure to recognize this growing role of advocacy limits the impact we can have for our patients.