In: Alcohol and alcoholism: the international journal of the Medical Council on Alcoholism (MCA) and the journal of the European Society for Biomedical Research on Alcoholism (ESBRA)
The guest in this episode of The Health Leader Forge is Brigadier General Jeffrey J. Johnson, the commanding general of Brooke Army Medical Center in San Antonio, Texas. Brooke Army Medical Center (BAMC) serves as the largest and most robust military healthcare organization within the Department of Defense (DOD). Both inpatient and outpatient services are provided by approximately 8,500 staff members, including active duty military personnel from each of the uniformed services, federal civilian employees and contractors. Brooke is a Level I Trauma center, and includes a forty bed burn center. It is also a hub for graduate medical education, with more than 30 graduate medical education programs. General Johnson is a board certified family medicine physician and has served in and commanded a wide range of units, from traditional clinics and hospitals to Special Forces units and the legendary 82nd Airborne, and has deployed in support of the Army's missions around the world.
Have you ever asked a tailor to stitch clothes without telling the age, height, weight, and other measurements? Yes, the whole idea sounds absurd. How can one stitch clothes for someone without knowing the basic measurements? The same holds when governments formulate and implement their plans without an updated census. Pakistan has been living with this absurdity since 2008. Without knowing the number, age, geographical distribution, ethnic, religious, and gender composition, educational level, income level, employment level and other key indicators of its population, successive governments have been planning and executing policies, ranging from economic, social, political, foreign, environmental to defence.
The purpose of this study was to identify the number of medical graduates registered with the General Medical Council (GMC) between 1990 and 2005, whose initial training was in Eastern Europe and who came from universities which have subsequently developed an "English Parallel" course and are now within the European Union (EU). A similar exercise was undertaken with graduates registered with the Medical Council, Ireland.
Testimony issued by the General Accounting Office with an abstract that begins "Federal research and preparedness activities related to bioterrorism center on detecting of such agents; developing new or improved vaccines, antibiotics, and antivirals; and developing performance standards for emergency response equipment. Preparedness activities include: (1) increasing federal, state, and local response capabilities; (2) developing response teams; (3) increasing the availability of medical treatments; (4) participating in and sponsoring exercises; (5) aiding victims; and (6) providing support at special events, such as presidential inaugurations and Olympic games. To coordinate their activities, federal agencies are developing interagency response plans, participating in various interagency work groups, and entering into formal agreements with each other to share resources and capabilities. However, GAO found that coordination of federal terrorism research, preparedness, and response programs is fragmented, raising concerns about the ability of states and localities to respond to a bioterrorist attack. These concerns include poor state and local planning and the lack of hospital participation in training on terrorism and emergency response planning. This report summarized a September 2001 report (GAO-01-915)."
Medical services which are better suited to the needs of the community are increasingly demanded, for example by national governments, and depend to a great extent on education of the new generations of doctors. Problem-based learning in general practice at the community level represents a method of providing appropriate education. This paper describes some of the experiences of undergraduate and continuing medical education at the Faculty of Health Sciences, Linköping University, Sweden, which since 1986 have been entirely problem-based. General practice forms the backbone of the curriculum and is its largest subject. Problem-based learning in general practice and quality assurance have much in common. This applies over the spectrum of lifelong education, from the undergraduate curriculum through vocational training to later stages of continuing medical education. Involvement and understanding, a feeling of purpose, sharing and cooperation and a wish for self-improvement are all stimulated by the problem-based method. This approach has helped in the creation of a curriculum with general practice as the largest contributor, with early contact with patients in the community, and with ordinary general practitioners as teachers, tutors and examiners in spite of a relatively poorly developed primary care organization.