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Re: AAMC issues letter of support for resident cap legislationFrom: Harrison Sheld (hsheld@vwestm.net)Sun Mar 25 10:23:27 2007
Although some authorities suggest a future shortage of physicians, there are at least 2 studies which suggest otherwise. Additionally, there is a sea-change in the the deliverers of health care to which the public, thanks to managed care, are accepting in increasing numbers. It is apparent that physicians are not the only people capable of delivering satisfactory health care. The efforts of the AAMC, based upon perceived shortages, to push for increasing numbers of residents, is an open invitation for the intrusion of federal "guidelines" into the logistics of physician training and distribution. Hospital reimbursement for resident training could be contingent upon these guidelines, including further control on the location, number and kind of residency positions. No doubt the needs of underserved localities will be considered on a national basis as a determining factor on the composition of each resident class. Control of post-graduate medical education, currently enjoyed by medical academia, would pass to a federal bureaucracy. Completing the federalization of medical education, the awarding of the number of medical student loans could depend upon the ability of medical school training programs to fill federally mandated residency positions. The old adage, "be careful what you ask for, you might get it" applies.
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