As a means of addressing the 预计未来十年美国将出现bet8网站备用短缺，医疗行业将掀起一股热潮 学校扩张的形式是增加现有校园的入学人数， 建立新的医学学校(SOMs)，以及区域医学的发展 medical campuses (rmc). rmc have evolved beyond simply serving as a vehicle for 对扩大招生有兴趣并可能提供战略优势的机构 to SOMs and health systems looking to establish or deepen a partnership. 鉴于 这些组织面临着学术和临床领域的竞争， 医学院和bet8网站备用将受益于分析这一模型并确定 if it is right for them.
This blog post explores rmc, 包括它们的特点和类型、som的基本原理和健康 追求这种模式的系统，以及必须探索的关键考虑因素 by organizations interested in RMC development.
RMC Background
rmc, historically referred to as branch campuses, first appeared in the US after World War II, in conjunction with a wave of medical school expansion. This growth was driven by various factors, including:
- 认识到bet8网站备用队伍不足以满足不断增长的人口.
- GI Bill that fueled college enrollment.
- Growth of science stimulated by the National Institutes of Health.
- Shift toward specialized practice.[1]
RMC development was gradual in the decades that followed. But since the mid‑2000s, 当时美国医学院协会(AAMC)呼吁医学院增加一年级招生，以解决预计的美国bet8网站备用短缺问题, the number of rmc has grown rapidly. Today in the US, 大约有130家rmc为学生提供部分或全部医学院课程.
医学教育联络委员会及骨科学院评审委员会, 美国医学教育项目的两个认证机构授予医学博士和医学博士学位, 分别, offer unique but similar definitions of an RMC, as highlighted in table 1.
| 定义 | An instructional site that is distinct from the central/administrative campus of the medical school and at which some students spend one or more complete curricular years | A site that is geographically apart from the COM and is:
|
| Accreditation | Included in the accreditation process for the parent institution, from 的LCME | Included in the accreditation process for the parent institution, from 可口 |
| Number of Medical Schools with at Least One RMC | ||
| Total Number of rmc |
The AAMC classification of rmc encompasses four models, based on medical student class years on campus and a description of the type of 教育. Each model is highlighted in figure 1.
The most popular of these models is the clinical model, with approximately 60% of rmc having adopted this approach, followed by the combined model offering all four years of instruction, representing approximately 15% of the total, including all existing osteopathic rmc.
The Case for RMC Development
在索姆
In response to the calls for more medical school matriculants, 许多管理学院选择在现有校园和附近设施内扩大班级规模. 然而, 物理空间和其他能力和/或资源的限制限制了一些国家的发展能力. In such cases, RMC为机构提供了以有效和成本效益的方式进行扩展的能力.
Various constraints to expansion in place notwithstanding, 许多管理学院将管理学院视为为学习者提供独特体验的机会. While the traditional medical school is anchored by the AMC framework, most of the care in the US is delivered in community settings. 像这样, 许多rmc的结构侧重于在各种患者护理环境和环境中开展基于社区的临床教育. 此外，农村和纵向项目是许多校园的重点领域. These aspects, 再加上与主校区相比，班级规模通常更小, which may allow for a more personalized 教育al experience, 对一些人有吸引力，并可能成为SOM的显著区别.
RMC发展的另一个结果是扩大了地理存在和对SOM的认可. 医学院和教学医院通常拥有较高的好感度[4] with the general public; expanding brand recognition across a wider region through an RMC may benefit the SOM as a whole.
For Health Systems
While most RMC development is driven by SOM expansion efforts, 许多医院和bet8网站备用已经认识到rmc所代表的机会，并探索了这一选择. For many provider organizations, 最初对独立SOM或RMC开发的兴趣主要集中在确保或加强其bet8网站备用队伍. RMC为更紧密的住院医师/研究员管道打开了大门, 他们中的许多人最终可能会加入该组织的bet8网站备用队伍，并且已经适应了bet8网站备用的文化和流程.
rmc can also have a beneficial impact on a health system’s culture. 医学生和住院医师/研究员的存在可以促进探究的环境, 学习, and mentorship. 并行, 这加强了一个循环，即对学术感兴趣的提供者被招募和保留. 随之而来的是临床创新的潜力，以及由于更多地参与教育和研究而改善的健康结果.
As discussed previously, 医学院和教学医院受到公众的青睐. 许多人认识到在教学医院接受治疗的附加价值. By partnering with an SOM to create an RMC, bet8网站备用可以战略性地利用学术品牌，同时建立成为教学医院所需的基础设施. This may serve as a means of differentiating the system in its market. 另外, 它为加强与高级管理学院相关的慈善和其他资助机会提供了可能性.
How to Determine Whether RMC Development Is Appropriate
虽然联合开发RMC对som和bet8网站备用都有明显和切实的好处, such a decision requires a great deal of deliberation. 医学院和bet8网站备用需要进行几项关键的规划活动，以确定创建RMC是否是正确的想法:
- 评估当前和预期的医学生在校生在国家, along with existing local and state provider supply, to understand the market need for an RMC.
- 阐明机构开发RMC的原因，以及它如何与组织的使命和愿景相一致.
- Assess the institution’s current position, 能力, and readiness relative to various considerations (summarized in figure 2).
rmc represent a possible solution for both SOMs and health 系统寻求解决跨学术和临床任务的关键需求. 对于确定RMC开发有意义的组织来说，伙伴关系 可以降低风险和财政和其他资源需求的医疗 school and health system that pursue such an endeavor. SOMs and health systems should proceed in a thoughtful manner to decide whether an RMC is the best path forward and identify the right partner.
脚注
- 1.
L. 美国的新医学院:过去和现在的变革力量(Trans Am Clin Climatol Assoc., 120;2009; 227–238).
- 2.
Annual LCME Medical School Questionnaire Part II, 2011–2012 through 2019–2020, http://www.aamc.org/data-reports/curriculum-reports/interactive-data/regional-campuses-us-medical-schools.
- 3.
COCA, “Accreditation of Colleges of 整骨疗法的 Medicine: COM New & Developing Accreditation Standards,” http://osteopathic.org/accreditation/standards.
- 4.
AAMC, “Public Opinion Research: What Americans Are Saying about Medical Schools and Teaching 医院,” http://www.aamc.org/data-reports/faculty-institutions/report/public-opinion-research.
Published August 18, 2021