New leaders at UT, A&M medical schools
Raymond S. Greenberg, MD, became the new executive vice chancellor for health affairs for The University of Texas Sys- tem in September. He succeeds Kenneth Shine, MD, who announced his retire- ment last year. Dr. Greenberg has been president of
the Medical University of South Caroli- na (MUSC) for the past 13 years. Before that, he served for five years as vice pres- ident for academic affairs and provost of MUSC, which comprises six colleges and multiple hospital facilities. Paul Ogden, MD, was named the new interim dean of the Texas A&M Univer- sity Health Science Center College of Medicine. Dr. Ogden previously was the college’s vice dean of academic affairs and regional chair of internal medicine for the medical school’s Bryan-College Station campus. He succeeds outgoing dean T. Sam-
uel Shomaker, MD, who will remain on staff as a special assistant to the interim president of the Texas A&M Health Sci- ence Center.
9,000 allopathic and 1,000 osteopathic — under one roof, the ACGME, and cre- ated a common pool of residency slots and competency expectations and uni- form standards for GME programs. Medical education leaders viewed the collaboration as an opportunity to im- prove the quality and efficiency of GME programs, although the threat of los- ing some residency programs and slots in such a merger was a concern. (See “Uniqueness in Unity: MDs, DOs Pursue Accreditation Merger,” January 2013 Texas Medicine, pages 43–47.) ACGME Chief Executive Officer
Thomas J. Nasca, MD, called the dis- agreement over the joint accreditation system “regrettable,” adding that “efforts to achieve that system were sincere and in furtherance of quality of health care for the public.” AOA and AACOM representatives said they “believe strongly that the health of the American public will benefit from a uniform path of preparation for the next generation of physicians,” but also “re- main strong in protecting the identity and distinctiveness of the osteopathic medical profession.” All three organizations indicated they remained open to continued discussions.
in 2012. In that survey, 57.9 percent of the physicians responding said they did not recommend medicine as a career for their children or other young people. Physicians are working fewer hours, see- ing fewer patients, and limiting access to their practices in light of significant changes to the medical practice environ- ment, according to the survey results Among the 3,400 physicians that Jackson Healthcare surveyed from vari- ous medical and surgical specialties across the country, 42 percent reported being dissatisfied with medical practice, and 17 percent of that group said they were very dissatisfied. Physicians young- er than 45 who never worked in private practice were more likely to be dissatis- fied with their careers. Dissatisfied physi- cians also were more likely to be:
• Practice owners, locum tenens phy- sicians, or employees of a single or multispecialty practice owned by a hospital/health system;
• Working 12 or more hours per day; • In a medical practice at its patient capacity;
• Not using advance practitioner support; or
• Practicing in internal medicine, pri- mary care, family medicine, emer- gency medicine, hospitalist/critical care, musculoskeletal specialties, or radiology.
Unified MD-DO plan fails
After nearly two years of negotiations, a venture by allopathic and osteopathic groups to merge their separate accredita- tion systems for graduate medical educa- tion (GME) into a joint system fell apart in July. The Accreditation Council for Graduate Medical Education (ACGME), the American Osteopathic Association (AOA), and the American Association of Colleges of Osteopathic Medicine (AA- COM) said they failed to agree on a plan for unification.
The move would have consolidated the nation’s 10,000 GME programs —
54 TEXAS MEDICINE October 2013
Study: Physicians don’t recommend the medical profession
Nearly 60 percent of physicians would not recommend young people enter the medical field as a career, according to a recent study by the Georgia-based health care staffing company Jackson Health- care, LLC. The top reasons physicians cited as
driving their discontent were mostly ad- ministrative, versus patient care-related, and included declining payments, in- creasing overhead costs, insurance has- sles, too much paperwork, and burnout from working too many hours. The findings are similar to those re- ported by The Physicians Foundation
Only 20 percent of physicians said
they were very satisfied with their jobs. They were more likely to be:
• Hospital employees or employees of a physician-owned practice with no ownership stake;
• Supported by nurse practitioners or physician assistants;
• Practicing concierge medicine; or • Working 11 or fewer hours per day.
Read the full survey online at
www.jacksonhealthcare.com/ media/191888/2013physiciantrends- void_ebk0513.pdf. n
Amy Lynn Sorrel is an associate editor of Texas Medicine. You can reach her by telephone at (800) 880-1300, ext. 1392, or (512) 370-1392; by fax at (512) 370-1629; or by email at
amy.sorrel@
texmed.org.
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