Accreditation, Association, and Acceptance Issues
Accreditation Issues Pew Health Professions http://futurehealth.ucsf.edu/pdf_files/Accred.PDF
LCME -
Accreditation and Demands of Rural PracticeAAMC - Barriers in Associations AAMC and Rural
RRC/ACGME - current movement to extinguish accelerated programs by the chair of ACGME, moratorium by ABFP
RRC Limitations:
| Problems with 2 month limit | hypocrisy of continuity practice requirements since true continuity takes years, rural rotations of 3 or 4 months have added value for learning, for preceptors, and for communities in need of physicians | far too rigid |
| size of home hospital/specialists | a | some flexibility allowed |
| clinic restrictions - defined space for FP clinic | shared clinic space can mean better interactions between physicians and mental health providers, etc. Costs of revisions becoming a big issue, particularly for small programs, | some flexibility now allowed |
| number of residents together | the question is who is the best influence, other residents, or working with other practicing role model family physicians | |
| equality with home program (RTT) | sites have different resources, strengths, and weaknesses |
AOA - Graduate training curricula, acceptance of trainees
AAFP - Linkage with Rural Committee, coordination of efforts, political support at national and state levels
ABFP - Moratorium on accelerated programs vs need for Accelerated Rural Training Program models for rural and underserved areas
State Issues -
Federal Issues
National Institutes of Health distortions of mission and admissions - pushes to intellectual instead of service
Rural program funding
Documents to Review and Use:
Accreditation Issues Pew Health Professions http://futurehealth.ucsf.edu/pdf_files/Accred.PDF