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Ellen Belcher is the Dayton Daily News opinion pages editor. She writes about state government, education, the environment, higher education and all things Dayton.
Martin Gottlieb is an editorial writer and columnist for the Dayton Daily News opinion pages. He focuses on the political process itself and does such national issues as war, the economy, taxes and Social Security, as well as a hodge-podge of local and state issues.Home > Blogs > A Matter of Opinion > Archives > 2010 > June > 18 > Entry
Editorial: Dayton needs to keep med school grads
If Wright State University didn’t look good in a study that ranks medical schools for turning out family practice doctors, that would be a problem.
That was the big justification for creating another medical school in Ohio back in 1974. But some people — including then-Gov. John Gilligan — didn’t think the state needed more public medical schools. They’re immensely expensive, and though students pay through the nose (often graduating with $150,000 in debt), their tuition doesn’t nearly cover the cost of their educations.
At the time of Wright State’s creation, the pitch was that, yes, med schools are expensive, but Wright State would focus on teaching people to be great family doctors, of which there was a shortage.
A new study published in the Annals of Internal Medicine says that Wright State ranks among the top schools in the country on the authors’ “social mission” score. It takes into account three measurements: the number of grads who choose to be family practice doctors; the number who work in poor urban or poor rural areas; and the number who are minorities.
Wright State came in fourth out of 141 schools nationally.
The study has shortcomings, which the authors acknowledge. It is, for instance, based on old data, from 1999-2001. (Researchers used the dated information because they wanted to see where grads really landed after completing their residencies.)
Wright State can take a bow, but it had advantages going into this analysis. It’s not associated with a research hospital, which turn out the most specialists. Of course, a place like Johns Hopkins University, which came in last and is ticked at the results, is going to send more doctors into labs or highly specialized practices.
The country obviously needs both kinds of places — medical schools that encourage specialists and researchers, as well as schools dedicated to preparing students to diagnose minor ailments to life-threatening diseases.
The trouble, of course, is that pulling down major research grants is sexy business and the money can fund important research and treatment. As important, students themselves are increasingly choosing to specialize because specialists typically make twice as much if not more as a family practitioner.
In recent years, though not this year, local family practice residencies have actually gone unfilled. That’s an amazing thing considering how difficult it is to get into medical school.
Wright State has moved away from an almost exclusively primary care focus; it doesn’t want students to think that if they come to the school, they won’t be taken seriously if they want to become cardiologists or brain surgeons. Whether that’s good or bad for the community can be debated.
Many Wright State grads end up staying in the community and state, and Dayton is having a hard time attracting medical specialists, even as it also needs family practice doctors. Which is needed more depends on whom you ask.
But the community’s needs on both fronts are only going to grow. Under the new health care law, tens of thousands more Ohioans are going to have health insurance. They’re all going to need primary care doctors and specialists.
Compounding that situation is the fact that nearly 40 percent of doctors are 55 or older, according to the Center for Workforce Studies of the Association of American Medical Colleges.
Then there’s also the fact that the population is getting older, which means more patients trying to get appointments.
Doctors shortages seem to have always been with us. What’s indisputable is that the demographics of Ohio and federal health care policy are conspiring to ensure that problem doesn’t go away.
Wright State can be one force making sure that the region fares better than other places that aren’t lucky enough to have a medical school.
Permalink | Comments (8) | Post your comment | Categories: Editorials, Education, Ellen Belcher, Health Care
Comments
By Max
June 18, 2010 6:19 PM | Link to this
I think you made a critical ommission of credit to WSU’s Med School success; the great hospitals in the region where the students intern. You’re very welcome.
By Max
June 18, 2010 6:20 PM | Link to this
I think you made a critical ommission of credit to WSU’s Med School success; the great hospitals in the region where the students intern. You’re very welcome.
By Sub Saharan Nubian
June 18, 2010 9:16 PM | Link to this
Dr. Kildare’s comments were valid. Why did the DDN “Obensfuhrer” sensor remove them? Yes…truth to a Progressive is like water thrown on The Wicked Witch of the West…
By Bill
June 19, 2010 7:30 AM | Link to this
Sub Saharan Nubian: Your Fox News Definition of Progressive is showing…Reality has more Progressives in our country than conservatives, thankfully
By Max
June 19, 2010 2:16 PM | Link to this
Bill, is it just me or does Fox have a template for female blondes who couldn’t connect two sentences without an earpiece directing them when to cross their legs on the conservative couch?
By Max
June 19, 2010 2:20 PM | Link to this
“Compounding that situation is the fact that nearly 40 percent of doctors are 55 or older, according to the Center for Workforce Studies of the Association of American Medical Colleges.”——-Age doesn’t seem to stop Dr. Kevorkian.
By null
June 23, 2010 9:20 AM | Link to this
As a WSU SOM alum (no B), I am saddened that they did not stand up to Premier when only primary care specialties were cut in Dayton. It just shows the current status of WSU’s mission.
By This is why we can't have nice things
June 25, 2010 8:41 AM | Link to this
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