New models of health care delivery are developing so quickly that medical school and residency programs haven’t been able to keep up with implementing these new models as learning tools. But that doesn’t mean physicians of the future won’t be equipped to understand them.
“There are certainly elements that have changed, but because there’s so much that they still need to learn about the delivery of care, we still need to think about how we’re going to add on the next layer of the changes that are happening,” explains Emme Deland, Senior Vice President of New York–Presbyterian Hospital. But students can still get an “inkling” of the changes, she says. If you’re studying orthopedics or have Medicare patients in an accountable care organization, for example, you’ll encounter bundled payments.
Vanderbilt University Medical Center’s President and CEO, Jeffrey Balser, agrees. “We’re at the front edge of adapting the training models, both in medical school and in residency training, to the future,” he says. Medical students and residents are more comfortable with electronic health tools than older generations, and “many times they’re actually helping us use those tools,” he says. Additionally, ACGME programs often require quality and safety training in residency. But, “we’re not yet where we need to be in making that front and center in training, and we’ve got a ways to go.”
From the NEJM Catalyst event New Risk, New Business Models held in Boston, October 6, 2016.