International Medical Graduates (IMGs) study five to eight years in their country to become physicians. When they come to the Unites States, graduates often struggle with a new language and standardized tests. Numerous foreign doctors like myself, explore alternative pathways into a healthcare career. Even if a foreign medical graduate speaks the language and passes the test, the disadvantage exists. Foreign medical graduates have a 50% chance they cannot advance their careers compared to the 94% of Seniors in US medical schools (Bailey, 2016). Both international medical graduates and US medical graduates learn the same conceptual information. However, when IMGs are learning practical clinical skills, US graduates are receiving the resources to pass the licensing exam, prep resumes and learn the systems. Therefore, the issue is not who knows …show more content…
There are positives and negative feedback loops in life (Meadows, 1999). The positive serves as an uncontrollable source of growth if not managed; the negative loop serves as an intervention that reduces the self-multiplying power (Meadows, 1999). Like with medical graduates, there are countless positive feedback loops in society reward the winners with the resources for bigger winning next time (Meadows, 1999). However, the opportunity for change exists when understanding the archetypes and relaying the message of thinking as a system. Communication is primordial when individuals, teams, departments, and organizations increase communication capabilities that promote systems perspectives. Systems archetypes provide the language to explain habitual patterns of behavior (Senge, 2006). Mastering systems archetypes promotes the practice of systems perspectives (Senge, 2006). The purpose of systems archetypes is to recondition perceptions, to be abler to observe structures at play and to distinguish the leverage in those structures (Senge,
The road to gaining admission to medical school and becoming a physician is long, difficult, and intensely competitive. Once admitted, however, medical students spend the first two years primarily in laboratories and classrooms learning basic medical sciences. They also learn how to take medical histories, perform complete physical examinations, and recognize symptoms of diseases. During their third and fourth years, the medical students work under supervision at teaching hospitals and clinics. Following medical school, new physicians must complete a year of internship that emphasizes either general medical practice or one specific specialty and provides clinical experience in various hospital services. Physicians then continue in residency training, which lasts an additional three to six years, depending on the specialty. Immediately after residency, they are eligible to take an examination to earn board certification in their chosen specialty. Most traditional specialties include the following: anesthesiologist, cardiologist, dermatologist, family practitioner, gastroenterologist, internist, neurologist, oncologist, pathologist, psychiatrist, pulmonologist, and urologist
Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved , 117-123.
...lve some of the effects of the physician shortage. However, by increasing the number of foreign residents-in-training would decrease the number of residency seats that could be held by American students. Like this, it can be said that there are solutions that could rectify the situation, but these solutions may affect another trend or factor in a detrimental way.
Over the years, the need for cultural competence has grown in the field of medicine, with the increase of different types and races of people in the U.S. As a result of this, courses and practices meant to create and nurture cultural competence among medical students have been introduced in their school curricula, but as stated in the above article, medicine students seldom take them as seriously as they do those other courses, that are supposed to give them “real” knowledge. Why is this? Well, according to the article, this is because “cultural” knowledge and “real” knowledge are two very different things, which obviously begs the question, is one more important than the other?
People from other continents tend to immigrate to the United States for more opportunity and freedom. It is the responsibility of the healthcare providers to learn about different cultures to better accomplish treatment for these cultures. A better understanding of all the different cultures will help with miscommunication within the medical field of practice with their cultural diverse patients.
So, I didn’t actually die, however, my dream of becoming a practicing physician was taken off life support this past March 18th. The process of becoming a practicing physician in the US is a long, arduous road fraught with tremendous mental, physical, emotional and financial hurdles. I am here, writing this to help you, the reader, help you understand that process and the various entities involved in becoming a physician, as well as make a point regarding the looming physician shortage crisis.... ... middle of paper ... ...
Most of us have always looked up to primary care physicians for almost all of our healthcare needs. They intimately know our medical history and have a general concern for our wellbeing. This field of practice is mostly dominated by people who finished internal medicine, family medicine, and general practice. After eight years of schooling, coupled with six figure student loans, some of these tireless workers are facing a thankless job.
Medical school started as a terrifying and seemingly never-ending journey. It was my first time back to the country where I was born, yet I felt like a foreigner. Adjustment was difficult, as
Systems ideas is referring to three different types of systems, each created in a different era; general systems theory, ecosystem perspectives and complex systems theory (Healy, 2005). Systems Ideas in social work originated with general systems theory in the 1940’s and 1950’s, formulated by Ludwig Von Bertalanffy in the 1970’s (Payne, 2005). Systems Ideas are very relevant to human related professions such as; doctors, social workers and other institutions. The systems Ideas theory aids social workers to find an individual’s “fit” and “adapt” to the current society (Payne, 2005). There are many people involved in an individual’s social system, from friends and family to institutions such as schools and doctors. These can also be put into further categories formal and informal theories. Formal theories consist of systems such as institutions like social worker and doctors but informal theories include friends, family and community. In complex situations, systems ideas and theory is more appropriate to use than other more casual models of practice.
“When technology is seen as a combination of devices, skills, and organizational structures, it becomes natural to think of it as a system.”
Systems thinking: helps build the framework for the individuals to gain knowledge and the tools to visualize the “big picture”
Physicians in today’s world are so much more than what some people encompass a doctor to be. Physicians not only help treat ill people they also help keep people, as well as families, informed on certain factors that could impact their lives. Physicians do more than just save lives, they extend it, they help benefit it, they put time into helping researchers find out how to create vaccines for some illnesses (Russell, 2016). I want to become a physician because in my world I have seen many people affected by the results of rising healthcare. I want to be able to say that I have tried my best and help as many people as possible even if they cannot always afford it.
Studying abroad can be one of the most rewarding experiences in a college’s students career. For many colleges, having their students can mean an increase in tuition, higher application rates, and overall better reviews by their students. According to the Indianapolis Business Journal, by Scott Olsen, “The Wall Street Journal reported last month that several small colleges are requiring students to pay full tuition even if the programs cost less, setting caps on the amount of financial aid sent abroad, and limiting how many students can participate”(5). Also, Olsen tells us “In the 2003-2004 school year, 7,208 students from Indiana universities went on study-abroad programs, according to the most recent statistics available from the Institute
Throughout my life, I have worked towards one goal which is to become a doctor. Medicine offers the opportunity for me to integrate different scopes of science while trying to improve human life. Medicine has intrigued me throughout all my life because it??s a never ending mystery and every answer has questions, and vice versa. Upon entering my career, I had assumed that professional and financial success would surely bring personal fulfillment. This realization triggered a process of self-searching that led me to medicine. The commitment to provide others with healthcare is a serious decision for anyone. As I examined my interests and goals, however, I underwent a process of personal growth that has propelled me towards a career as a physician. A career in medicine will allow me to integrate thoroughly my passion for science into a public-service framework. Since childhood, I have loved acquiring scientific knowledge, particularly involving biological processes. During my undergraduate studies, I displayed my ability to juggle competing demands while still maintaining my academic focus; I have succeeded at school while volunteering part time, spending time with family and friends, and working part-time. To better serve my expected patient population, I worked over my English and Korean language skills. I have come to discover that a job and even a good income, without another significant purpose, will not bring satisfaction. I planed to utilize my assets, namely my problem- solving affinity, strong work ethic, and interpersonal commitment, to craft a stimulating, personally rewarding career in medicine. I have taken stock of myself, considering my skills, experiences, and goals. I have looked to family and friends, some of whom are doctors, for advice. Because of this self-examination, I have decided to pursue a career in health care. The process has been difficult at times but always illuminating. Throughout it all, I have never lost confidence - the confidence that I will actively absorb all available medical knowledge, forge friendships with fellow students, and emerge from my training as a skilful and caring physician.
A system has been described a set of linked components and interacting together to fulfill a common purpose. Although not all parts of a system may be working well, they can be engineered to work as desired through various interventions. Systems thinking can be applied to create sustainable solutions. Building a common purpose is a social process done by people for people which start by building shared mental models probably through accelerated learning. Learning how people thinks is very important so that appropriate learning process can be developed to suit them (Covington, 1998, p.2). Traditional approaches to problem solving are no longer valid. As such, this has called for new approaches. People...