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Biomedical subjects

M A Fruen

Publications and source records attributed to M A Fruen.

11 recordsLinked to original sources

Issues in graduate medical education financing.

An estimated $1.4 billion was spent for stipends and fringe benefits for residents and fellows in 1978--79. No data are available on costs for supervision by teaching faculty and residency support, so it is impossible to realistically estimate total graduate medical education costs. Currently, the major source of support is reimbursement for medical services. This article reviews alternative approaches to graduate medical education financing and finds no compelling reason to shift from the present system.

Costs and Cost Analysis↗

Effects of financial incentives on physicians' specialty and location decisions.

Available information is reviewed on the effects of financial incentives on physicians' specialty and location decisions. Income of physicians varies by specialty and geographic area, but evidence is limited on the effects of these differences on career decisions. Only two studies have been done on the relationship of oncome to specialty choice. These studies showed that the impact of income on specialty choice, if any, is weak. Studies on the relationship of both reimbursement levels and income to physician location choice generally concluded that there is a small, positive correlation between these financial factors and physician density. Thus, increasing physicians' income appears to be viable public policy for attracting physicians to underserved areas. Though rough estimates are calculated of the cost of attracting additional physicians, based on studies reviewed, conclusions on costs of incentive programs are premature.

Canada↗

Attrition from general practice: career patterns of Toronto medical school graduates.

Reported here are the results of a study of the degree to which medical careers in general practice versus specialization are pursued by graduates of the University of Toronto Faculty of Medicine in the first six years after the completion of their internships. The retention rates in general practice and residency are documented on an annual basis using the life table method. The annual rate of attrition from general practice dropped substantially after the first three years. Fifteen percent of the initial general practice group dropped out during the first year, 10 percent of the remainder in the second year, and 8 percent of the rest in the third year. In each of the subsequent three years, the attrition rate was 4 percent, 4 percent, and 2 percent, respectively.

Career Choice↗