Kulesi sitolimende sochungechunge lwe-Equity Peartimity, funda ngokungalingani okungokomlando nokwamanje kwezemfundo yezokwelapha, ukuqashwa kanye namathuba obuholi.
Uchungechunge lwe-Equity Video Series luhlola ukuthi ukulingana ekunakekelweni kwezempilo kwakha kanjani ukunakekelwa ngesikhathi sobhubhane lwe-19 lwe-19.
Izinga lokunakekelwa alinqunywa ukuthi lihanjiswa kanjani, ngakho-ke izinsizakalo ze-telehealth kumele zibanjelwe ezindinganisweni ezifanayo nokunakekelwa komuntu.
Engqungqutheleni yeCengmedEded®️, uBrian George, MD, NS, uthole ushintsho olusheshayo lwe-2023 kuMklomelo Wezemfundo Yezokwelapha. Ukuze ufunde kabanzi.
Kwethulwa isayensi yezinhlelo zezempilo ezikoleni zezokwelapha kusho ukufinyelela ekhaya kuyo. Funda kabanzi kubafundisi bezokwelapha abakwenzile.
Izibuyekezo ze-AMA zimboza uhla lwezihloko zezempilo ezithinta izimpilo zodokotela neziguli. Thola ukuthi ungayithola kanjani imfihlo yohlelo lokuhlaselwa oluphumelelayo.
Izibuyekezo ze-AMA zimboza uhla lwezihloko zezempilo ezithinta izimpilo zodokotela neziguli. Thola ukuthi ungayithola kanjani imfihlo yohlelo lokuhlaselwa oluphumelelayo.
I-PAUSE PETION KWI-Student Loan Izinkokhelo isiphelile. Thola ukuthi kusho ukuthini lokhu kudokotela nokuthi yiziphi izinketho abanazo.
Umfundi wezokwelapha noma umhlali angadala kanjani isethulo esihle seposter? Lezi zeluleko ezine ziyisiqalo esihle.
Ama-AMA ku-CMS: Thatha isinyathelo ngokushesha ukuqinisekisa ukuthi odokotela abatholi ukulungiswa kwemali ekhokhwayo ngo-2024 ngokususelwa ekusebenzeni okungama-2022 kwe-mips neminye imininingwane ekhonjwe ekuvumeni kokukhokha kwakamuva kwe-Medicare Payment Reform.
Funda ukuthi i-CCB incoma kanjani izinguquko kumthethosisekelo we-AMA kanye ne-Bylaws futhi isiza ukubuyekeza imithetho, imithetho nezinqubo zezingxenye ezahlukahlukene ze-AMA.
Thola imininingwane nemininingwane yokubhalisa ye-Young Doctor Doctor isigaba (YPS) imihlangano nemicimbi.
Thola i-ajenda, amadokhumenti kanye nemininingwane eyengeziwe yomhlangano we-2023 YPS Midterm ngoNovemba 10 eGaylord National Resort Resourse naseMarland.
Ingqungquthela ye-Advocacy yeMedical Conference ye-2024 American Asserication Medical Student Conference (Mac) izobanjwa ngoMashi 7-8, 2024.
Izinto ezibalulekile ze-SEPSIS: I-webinar yokugcina ezikhungweni zokulawulwa kwezifo kanye nokuvimbela i-webInar (CDC) uchungechunge lwe-webInar uxoxa ngomthelela wemfundo ye-Sepsis ekuqashweni kwabasebenzi bezokunakekelwa kwempilo. Bhalisa.
Izibuyekezo ze-AMA zimboza uhla lwezihloko zezempilo ezithinta izimpilo zodokotela, izakhamizi, abafundi bezokwelapha kanye neziguli. Yizwa ngochwepheshe bezokwelapha, kusuka kubaholi abazimele nabaholi bezempilo kososayensi nasezikhulu zezempilo zomphakathi, kwi-Covid-19, ezemfundo yezokwelapha, ukumela, ukukhathala, imigomo nokuningi.
Ezikhathini zanamuhla ze-AMA, owayengumongameli we-AMA uGerald Harmoni, MD, ujoyina ingxoxo yokushoda kwabasebenzi bezokwelapha kanye nokubaluleka kodokotela asebekhulile. UDkt. Harmonion uhlanganyela imicabango yakhe ngeqhaza lakhe elisha njenge-dean yesikhashana ye-University of South Carolina School of Medicia, eSouth Carolina, nalokho okudingayo ukuzulazula insimu yezokwelapha. inkambu njengodokotela. Amathiphu wokuthi ungahlala kanjani usebenza. Odokotela abangaphezu kweminyaka engama-65 ubudala. Umgcini: Isikhulu Esibhekele Isikhulu se-AMA.
Ngemuva kokulwela odokotela ngesikhathi sobhubhane, i-American Medical Association ithatha inselelo yayo elandelayo engajwayelekile: Ukuqinisekisa ukuzibophezela kwesizwe kodokotela.
Ukungathandeki: Sawubona futhi wamukelekile kuvidiyo yevidiyo ye-AMA ne-Podcast evuselelwe. Namuhla sikhuluma ngokushoda kwabasebenzi kanye nokubaluleka kodokotela asebekhulile ekuxazululeni le nkinga. Le ndaba ixoxwa ngayo lapha ngoDkt Gerald Harmoni, i-Dean ye-University of South Carolina School of Medicia, eSouth Carolina, nakumagama akhe e-AMA, " Ngingu-Todd Unger, Omkhulu besipiliyoni esikhulu se-Ama Chicago. UDkt Harmoni, kuhle ukukubona. Unjani?
UDkt Harmoni: Todd, lowo ngumbuzo othokozisayo. Ngaphezu kwendima yami njengoSihlalo wokutakula we-AMA, ngithole indima entsha. Ngale nyanga nje, ngaqala indima entsha emsebenzini wami njengososayensi wesayensi yezempilo kanye ne-dean yesikole sezokwelapha e-University of Cololia eColumbia, eSouth Carolina.
UDkt. Harmoni: Well izindaba ezinkulu. Kwakuwukushintshwa komsebenzi okungalindelekile kimi. Omunye wangithinta ngeziqu zabo kanye nokulindelwe. Ngizizwa ngami ukuthi lokhu kungumdlalo owenziwe ezulwini, uma kungenjalo umdlalo owenziwe ezulwini akunazo okungenani phakathi kwezinkanyezi.
Ukungathandeki: Yebo, ngiyaqiniseka lapho bebheka ukuqhubeka kwakho, bahlabeka umxhwele ngezinye zezenzile zakho. Ube ngudokotela womndeni owenza umsebenzi we-35, umsizi weSurleon General of the United States Air Force, uSurgeon General of the National Guard, futhi, muva nje, uMongameli we-AMA. Lokho akuyona ngisho ingxenye yempi. Uthole ilungelo lokuthatha umhlalaphansi, kepha uqala isahluko esisha. Yini ebangela lokhu?
UDkt. Harmoni: Ngicabanga ukuthi bekungukuthi ngabona ukuthi ngisenethuba lokuhlanganyela nabanye okuhlangenwe nakho kwempilo yami nabanye. Igama elithi "udokotela" livela ngesiLatini futhi lisho "ukuthwala noma ukufundisa." Nginomuzwa ngokweqiniso ukuthi ngisakwazi ukufundisa, wabelane ngemfundo yami yokuphila, futhi nginikeze imfundo nokuholwa (uma kungenjalo ukuholwa) esizukulwaneni sabodokotela ekuqeqesheni nasekusebenzeni kodokotela. Ngakho-ke kwakukuhle kakhulu ukuba kube yiqiniso ukuthi athathe indima yosizo lokucwaninga ngenkathi egcina amakhono ami okufundisa emtholampilo. Ngakho-ke empeleni angikwazanga ukwenqaba leli thuba.
UDkt Harmoni: Well, iqhaza le-Provest yinto engingakaze ngiyibone ngaphambili. Bengiwuprofesa wasekolishi futhi ngifundise amakilasi (ngokoqobo) mathupha kumuntu kunokuba nginikeze amabanga kanye nokuhlolwa okubhaliwe kubafundi, izakhamizi, nabanye ochwepheshe bezokunakekelwa kwempilo (abahlengikazi, abasizi bemisebe, abasizi be-sonographs). Eminyakeni eminingi eminyaka engama-35- 40 yokuzijwayeza, nganginguthisha, uthisha osebenzayo. Ngakho-ke le ndima akuyona nje umfokazi.
Isikhalazo se-Academia asinakubukelwa phansi. Ngiyafunda - ngisebenzisa lo mfanekiso hhayi nge-hose yomlilo, kodwa ngebhakede brigades. Ngicela abantu ukuthi bangifundise ingxenye eyodwa yolwazi ngasikhathi. Ngakho-ke umnyango owodwa uletha ibhakede labo, omunye umnyango uletha ibhakede labo, umphathi uletha ibhakede labo. Ngemuva kwalokho ngathatha ibhakede esikhundleni sokugcwala i-hose yomlilo futhi ngiminza. Ngakho-ke ngikwazi ukulawula amaphuzu amaphuzu kancane. Sizozama enye ibhakede ngesonto elizayo.
Ukungathandeki: UDkt. Harmoni, amagama lapho uvula khona isahluko esisha lapha ayathakazelisa. Ngasikhathi sinye, siyazi ukuthi odokotela abaningi bakhetha ukuthatha umhlalaphansi ngaphambi kwesikhathi noma ukusheshisa ngenxa yobhubhane. Uke wabona noma wezwa lokhu kwenzeke phakathi kozakwenu?
UDkt. Harmoni: Ngiyibone ngeledlule, uTodd, yebo. Sinedatha yaphakathi ne-mail-pandemic, mhlawumbe inhlolovo yedatha ye-AMA engama-2021-2022, ekhombisa ukuthi u-20%, noma oyedwa kwabahlanu odokotela, uthe bazothatha umhlalaphansi. Bazothatha umhlalaphansi ezinyangeni ezingama-24 ezizayo. Sibona lokhu phakathi kwabanye ochwepheshe bezempilo, ikakhulukazi abahlengikazi. Amaphesenti angama-40 abahlengikazi (ababili kwezihlanu) bathi ngizobe ngishiya indima yami yabahlengikazi emtholampilo kungakapheli iminyaka emibili ezayo.
Ngakho-ke, njengoba ngishilo, ngabona le ngesonto eledlule. Ngaba nodokotela osezingeni eliphakathi nendawo owamemezela umhlalaphansi wakhe. Ungudokotela ohlinzayo, uneminyaka engama-60. Uthe: Ngishiya umkhuba osebenzayo. Lo bhubhane ungifundise ukuthatha izinto ngokungathi sína ukwedlula umkhuba wami. Ngisesimweni esihle sezezimali. Ekhaya elingaphambili, udinga ukuchitha isikhathi esithe xaxa nomndeni wakhe. Ngakho-ke wanquma ukuthatha umhlalaphansi ngokuphelele.
Nginomunye uzakwethu omuhle emthini womndeni. Eqinisweni, umkakhe weza kimi ezinyangeni ezimbalwa ezedlule wathi, "Uyazi, lo bhubhane ubeke ingcindezi enkulu emndenini wethu." Ngibuze uDkt X, umyeni wakhe, nozakwabo emzamweni wami ukwehlisa umthamo. Ngoba uchitha isikhathi esengeziwe ehhovisi. Lapho ebuyela ekhaya, wahlala ekhompyutheni futhi wenza yonke ikhompyutha ukuthi wayengenaso isikhathi sawo. Wayematasa ebona inani elikhulu leziguli. Ngakho-ke uyabuya. Wayecindezelwe emndenini wakhe. Unezingane ezinhlanu.
Konke lokhu kubangela ukucindezelwa okuningi kodokotela abaningi asebekhulile, kepha abasemisebenzini ephakathi kweminyaka, ubudala, abadala abangama-50 nangaphezulu, basengozini enkulu yokuxineka, ezizukulwaneni zethu ezincane.
Ukungathandeki: okungenani kuhlanganisa isimo sokushoda udokotela esivele sikubona. Eqinisweni, isifundo esenziwa yinhlangano yamaKholeji aseMelika E-Medical sisebenzisa ukushoda udokotela ukuba sibe ngu-124,000 ngonyaka ka-2034, okubandakanya ukuhlanganiswa kwezinto esisanda kuxoxa ngazo, abantu abasegugile kanye nokusebenza kodokotela asebekhulile.
Njengomndeni wangaphambilini umuthi udokotela osebenzela inani elikhulu lasemakhaya, yini imicabango yakho kulokhu?
UDkt Harmoni: Todd, uqinisile. Ukushoda kukadokotela kuya kuba kubi kakhulu, noma okungenani i-logarithmically, hhayi ngokungeza nokukhipha. Odokotela bayaguga. Sikhuluma ngeqiniso lokuthi eminyakeni eyishumi ezayo, iziguli ezise-US zizoba neminyaka engama-65 noma ngaphezulu, futhi ama-34% awo manje azodinga ukunakekelwa kwezokwelapha. Eminyakeni eyishumi elandelayo, ama-42% abe ngu-45% abantu azodinga ukunakekelwa kwezokwelashwa. Badinga ukunakekelwa okwengeziwe. Uveze ukushoda kodokotela. Lezi ziguli ezindala zidinga izinga eliphakeme lokunakekelwa, futhi abaningi bahlala ezindaweni zasemakhaya ezinabantu abaningi.
Ngakho-ke, njengoba odokotela beneminyaka, abathatha umhlalaphansi abashiyi izikhukhula zodokotela nabasebenzi bezempilo abafuna ukuya ezindaweni zasemakhaya, abafuna ukuya ezindaweni ezivele zingenasici. Ngakho-ke, isimo ezindaweni zasemakhaya siyobe sikhungatheke impela. Kunjengokungathi iziguli ezisendaweni ukuguga futhi inani labantu basemakhaya alikhuli. Asiboni futhi ukwanda kwesibalo sezisebenzi zezempilo ezithuthela kulezi zindawo zasemakhaya.
Ngakho-ke kufanele size nobuchwepheshe obusha, imibono emisha, i-telemedicia, ukunakekelwa kweqembu ukusiza ukufeza izidingo ze-America yaseMpumalanga Engagxiliwe.
Ukungathandeki: Inani labantu likhula noma ukuguga, futhi odokotela nabo baguga. Lokhu kwakha igebe elibalulekile. Ungabheka nje idatha eluhlaza ukuthi igebe libukeka kanjani?
UDkt Harmoni: Ake sithi isisekelo sedokotela esikhona njengamanje sisebenza iziguli ezingama-280,000. Njengoba inani labantu baseMelika, lingama-34% manje no-42% laya ku-45% eminyakeni eyishumi, ngakho-ke njengoba ubonisile, ngicabanga ukuthi lezo zinombolo zingababantu abacishe babe ngu-400,000. Ngakho-ke leli yigebe elikhulu. Ngaphezu kwesidingo esicatshangelwe odokotela abaningi, uzodinga nodokotela abaningi ukuze bakhonze inani labantu abasegulile.
Ake ngikutshele. Hhayi odokotela nje kuphela. Lona yi-radiologist, lo ngumhlengikazi, ukungasho ukuthi abahlengi bathathe umhlalaphansi kanjani. Izinhlelo zethu zesibhedlela ezise-RURAL AMERIAM zikhungathekile: Awekho ama-sonographs anele, ama-radiologists, kanye nochwepheshe belebhu. Lonke uhlelo lokunakekelwa kwezempilo e-United States seluvele lweluliwe ngokushoda kwabasebenzi bezempilo bazo zonke izinhlobo.
Ukungathandeki: Ukulungisa noma ukuxazulula inkinga yokushoda kodokotela manje kudinga kahle isixazululo se-multilateral. Kepha ake sixoxe ngokuqondile. Ngabe ucabanga ukuthi odokotela abadala balingana nalesi sixazululo? Kungani kufaneleka ngokunakekela inani labantu asebekhulile?
UDkt Harmoni: Kuyathakazelisa. Ngicabanga ukuthi akunakungatshazwa ukuthi okungenani ngeke bazwelane, uma kungamzwela, neziguli eza. Njengoba nje sikhuluma ngabantu baseMelika abangama-65 kanti abantu abadala benza abantu abangama-42%, le mali baphinde baboniswe kubasebenzi bodokotela: 42-45% wodokotela nabo baneminyaka engama-65. Ngakho-ke bayoba nokuhlangenwe nakho okufanayo kwempilo. Bazokwazi ukuqonda ukuthi ngabe kungumkhawulo ohlanganyelwe we-musculoskeletal, ukwehla okuqondayo noma okuqondayo, noma ukuzwa nokuzwa nokucabanga, noma mhlawumbe ngisho nokukhunjulwa esikuthola njengoba sikhula, isifo senhliziyo. isifo sikashukela. .
Sikhulume ngokuthi i-podcast engiyibonise kanjani ukuthi abantu baseMelika abangaba yizigidi ezingama-90 banamaphesenti angama-85 kuye kwangama-90 angazi ukuthi banesifo sikashukela. Ngenxa yalokho, inani labantu baseMelika asebekhulile linamthwalo wezifo ezingamahlalakhona. Lapho singena ezinhlwini zodokotela, uzothola ukuthi zinozwela, kepha futhi zinazo isipiliyoni sempilo. Banesethi yekhono. Bayakwazi ukwenza ukuxilongwa.
Kwesinye isikhathi ngithanda ukucabanga ukuthi odokotela abaneminyaka yami futhi ngicabanga futhi ngiphinde ngibe nokuxilonga ngaphandle kobuchwepheshe obuthile. Akudingeki sicabange ngeqiniso lokuthi uma lo muntu enenkinga encane ngalokhu noma leso simiso sesitho, ngeke ngingenzi i-MRI noma i-Pet Scan noma noma yikuphi ukuhlolwa kwelebhu noma yiluphi uvivinyo lwelebhu. Ngiyakwazi ukusho lokhu kuqhuma kuyi-shingles. Lokhu akuyona into yokuxhumana dermatitis. Kepha kungenxa yokuthi bengibona iminyaka engama-35 noma engama-40 enginenkomba yezengqondo engisiza ukuthi ngisebenzise lokho engikubiza ngokuthi ubuhlakani bangempela, hhayi ubuhlakani bokufakelwa.
Ngakho-ke akudingeki ngenze zonke lezi zivivinyo. Ngingakubona ngempumelelo, ngiphathe futhi ngiqinisekise inani labantu bokuguga.
Ukungathandeki: Lokhu kulandelwa okuhle. Ngifuna ukukhuluma nawe ngalolu daba oluphathelene nobuchwepheshe. UnguLungu okhuthele weSigaba Sodokotela Ophezulu, ukuveza imibono nokwenza izincomo ezindabeni ezithinta odokotela abaphezulu. Enye yezinto ezakha okuningi kamuva nje (eqinisweni, bengikhuluma kakhulu ngobuhlakani bokufakelwa emasontweni ambalwa edlule) umbuzo wokuthi odokotela abadala bazokwazi kanjani ukuzivumelanisa nobuchwepheshe obusha. Yikuphi ukusikisela onakho mayelana nalokhu? I-AMA ingasiza kanjani?
UDkt Harmoni: Well, ungibonile ngaphambili - ngikhulume esidlangalaleni ezimisweni nasezinzweni - kudingeka simukele lobu buchwepheshe obusha. Ngeke kuhambe. Esikubona kubuhlakani bokufakelwa (i-AMA isebenzisa leli gama futhi ngivumelana okuningi ngayo) kungubuhlakani obungathandeki. Ngoba akusoze kwathatha indawo ngokuphelele le khompyutha lapha. Sinesahlulelo esithile sokwahlulela namakhono okwenza izinqumo ngokuthi imishini emihle kakhulu ayikwazi ukufunda.
Kepha sidinga ukukwazi lobu buchwepheshe. Asidingi ukubambezela inqubekela phambili yakhe. Asidingi ukubambezela ukuyisebenzisa. Asidingi ukubeka okunye okuqoshiwe kagesi esikhuluma ngokungcolisa. Lobu ubuchwepheshe obusha. Ngeke kuhambe. Lokhu kuzothuthukisa ukuhlinzekwa kwezinsizakalo zokunakekelwa. Lokhu kuzothuthukisa ukuphepha, ukunciphisa amaphutha futhi, ngicabanga, ukuthuthukisa ukunemba kokuxilonga.
Ngakho-ke odokotela badinga ukukwamukela lokhu futhi bakuqaphe. Kuyithuluzi, njenganoma yini enye. Kufana nokusebenzisa i-stethoscope, usebenzisa amehlo akho, ethinta futhi ubheke abantu. Kuyisithuthukisi kumakhono akho, hhayi isithiyo.
Ukungathandeki: UDkt. Harmoni, umbuzo wokugcina. Iziphi ezinye izindlela odokotela abanganquma ngazo yini abasakwazi ukunakekela iziguli zihlala zisebenza emisebenzini yazo? Kungani kunenzuzo kodokotela kanye nalomsebenzi ukuze ulondoloze ukuxhumana okuqinile okunjalo?
UDkt Harmoni: UTodd, wonke umuntu wenza izinqumo zabo endaweni yonke basebenzisa idatha yabo. Ngakho-ke, ngenkathi udokotela engaba nemibuzo mayelana nekhono lakhe, ukuphepha kwakhe, noma ngabe kuse egumbini elisebenzayo noma ekuhlelweni okungaphandle lapho wenza khona ukuxilongwa noma ukuhlinzwa. Kukhona ukuguquguquka okujwayelekile. Sonke kudingeka sikhathazeke ngalokhu.
Okokuqala, uma ukhathalela ngempela, uma ungabaza amakhono akho, uyaqonda noma ngokomzimba, khuluma nomuntu osebenza naye. Ungabi namahloni. Sinenkinga efanayo nempilo yokuziphatha. Lapho ngixoxa namaqembu odokotela, ngiyazi ukuthi sikhuluma ngokushiswa ngudokotela. Sixoxa ngezinkinga zabasebenzi nokuthi sikhungatheke kanjani. Imininingwane yethu ikhombisa ukuthi bangaphezu kuka-40% odokotela ababecabanga ngezinketho zabo zomsebenzi - kusho ukuthi, leyo nombolo eyethusayo.
Isikhathi sePosi: Oct-13-2023