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Medical Mastermind Community

The Medical Mastermind Community presents an innovative pipeline program aimed at providing quality, affordable healthcare to geographically isolated and financially disadvantaged communities. This initiative focuses on medically underserved populations across the U.S. by examining physician distribution, the imbalances in care, and potential solutions for improvement. By fostering a diverse physician workforce through targeted recruitment and mentorship, we strive to create equitable healthcare access for all. Join us in this vital mission to shape the future of healthcare delivery.

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Medical Mastermind Community

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  1. Medical Mastermind Community The first ideal pipeline-like program for the geographically isolated and financially disadvantaged.

  2. Outline • Quality, affordable health care for all • Medically underserved populations • Physician supply and demand • Distribution of physicians around the US • Efforts to remedy the imbalance • Ideal vs. non-ideal pipeline programs • Grant solutions and future research www.Medical-Mastermind-Community.com

  3. Quality, Affordable Health Care For All http://www.amsa.org/about/ www.Medical-Mastermind-Community.com

  4. Quality, Affordable Health Care For All • This is: • AMSA’s motto • An important humanistic ideal • Professional and ethical obligation • This is NOT: • A debate on the funding the care www.Medical-Mastermind-Community.com

  5. Quality, Affordable Health Care For All • Physicians set their own ethical codes • Beurocrats didn’t tell US this is important • As a group, we need to come up with ways to meet the imbalances that exist. www.Medical-Mastermind-Community.com

  6. Examination of Medically Underserved • No universal definition exists… • Population densities • Financial income • Student Academic strength • Minority status • Family college background • Population’s general organization • Availability of exclusive privileges www.Medical-Mastermind-Community.com

  7. Examination of Medically Underserved • The characteristics of those with highest probability of becoming physicians: • Access to exclusive resources • Most organized • Closest proximity to concentrations of physicians, income, and population www.Medical-Mastermind-Community.com

  8. Distribution of Physicians in the US • 20% of US citizens live in rural areas • Only 9% of physicians are rural • That’s 60 million people in underserved areas! www.Medical-Mastermind-Community.com

  9. Distribution of Physicians in the US www.Medical-Mastermind-Community.com

  10. Distribution of Physicians in the US www.Medical-Mastermind-Community.com

  11. Distribution of Physicians in the US • It is a free country and physicians themselves decide their specialty and practice setting…so far. • Equality takes priority in an ever-changing legal landscape. • We must remedy the inequality in health care delivery ourselves or else we risk losing our autonomy. www.Medical-Mastermind-Community.com

  12. Logic for Selecting the Underserved • N = 20,112 (64% of graduates in 2003-2004 on an AAMC survey) www.Medical-Mastermind-Community.com

  13. Logic for Selecting the Underserved • Physicians serve people like themselves… www.Medical-Mastermind-Community.com

  14. Logic for Selecting the Underserved www.Medical-Mastermind-Community.com

  15. Logic for Selecting the Underserved • There is not a perfect proportion of applicants that represent the population. • For example, • Asians apply in proportionally high numbers. • Blacks apply slightly less • White women apply slightly less white men www.Medical-Mastermind-Community.com

  16. Logic for Selecting the Underserved

  17. Logic for Selecting the Underserved • Physicians serve people like themselves… • AND • Applicants don’t represent the population…(minority programs may change this in the future) www.Medical-Mastermind-Community.com

  18. Examination of Medically Underserved • That’s why there are underserved populations! • Complex Barriers exist: • Population densities • Financial income • Student Academic strength • Minority status • Family college background • Population’s general organization • Availability of exclusive privileges www.Medical-Mastermind-Community.com

  19. Take home point: • Underserved applicants serve underserved populations. • Since the 1960’s the name of the game has been get the underserved into the pipeline. …but at all costs?

  20. Take home point: • AAMC’s AspiringDocs.org

  21. Ideal vs. Non-Ideal Pipeline Programs • Merit-based competition in a free market • Increase matriculation of applicants with altruistic, humanitarian spirit • No discrimination of persons - abolishment of affirmative action • Equal distribution of quality, affordable care • Make exclusive resources and professional contacts/mentorship available for everyone: level the playing field: Academically, Geographically, and Financially. www.Medical-Mastermind-Community.com

  22. Efforts to Remedy the Imbalance • Many attempts to improve imbalances in physician distribution have been made. • We’re closer to ideal solutions than we’ve ever been before, thanks to prolific research in this area. www.Medical-Mastermind-Community.com

  23. Efforts to Remedy the Imbalance • The Legislative Branch: The Congress of the United States • The Judicial Branch: The Supreme Court and lower courts’ rulings • The schools themselves • The state legislatures • Accrediting Bodies: AAMC, AOA, and ACGME • Student Organizations: SNMA • Political Organizations: AMA and AMSA Let’s not wait for the Executive Branch! www.Medical-Mastermind-Community.com

  24. Efforts to Remedy the Imbalance • Congress: • $7 billion is spent annually by Medicare to controls physician supply by changing the number of medical residency positions. www.Medical-Mastermind-Community.com

  25. Efforts to Remedy the Imbalance • The Supreme Court’s ruling on affirmative action: • Grutter vs. Bollinger, 2003 • narrow use • temporary • need to develop race neutral solutions • Gratz vs. Bollinger, 2003 • Automatic point system illegal www.Medical-Mastermind-Community.com

  26. Efforts to Remedy the Imbalance www.Medical-Mastermind-Community.com

  27. Efforts to Remedy the Imbalance www.Medical-Mastermind-Community.com

  28. Efforts to Remedy the Imbalance www.Medical-Mastermind-Community.com

  29. Efforts to Remedy the Imbalance • The Schools • Debakey High School for Health Prof. • Preps “minorities” • Better because students compete in the free market for med school, and do well. • Have to be geographically available to participate. www.Medical-Mastermind-Community.com

  30. Efforts to Remedy the Imbalance • Origin of Magnet Schools like Debakey: www.Medical-Mastermind-Community.com

  31. Efforts to Remedy the Imbalance • The Schools • Texas A&M Medical School is already race neutral. • Argue that minorities serve the underserved in increased proportions so less of them are needed - it washes out in the end. • No data support the outcome that we’re on the right track, but they refuse to violate the constitution. www.Medical-Mastermind-Community.com

  32. To be fair and balanced: www.Medical-Mastermind-Community.com

  33. Efforts to Remedy the Imbalance • The Schools • Baylor’s Premedical Honors College • Pipeline of minorities enrolled in high school • Condition acceptance to Baylor (72 since 1994) • Could be found noncompliant with Gantz vs. Bollinger, but Texas State Legislature said the program should be replicated. www.Medical-Mastermind-Community.com

  34. Efforts to Remedy the Imbalance • Texas State Legislature • Acknowledged Baylor’s Premedical Honors College • Recommended replicating the program, hopefully simply because it helps the outcome - “Quality, affordable health care for all.” www.Medical-Mastermind-Community.com

  35. Efforts to Remedy the Imbalance • GPA 3.25, MCAT 23 www.Medical-Mastermind-Community.com

  36. Efforts to Remedy the Imbalance • Accrediting Bodies: • AAMC - • certifies medical schools that grant MD degrees • Manage medical school application service • Administer the MCAT • AOA - certifies DO schools • ACGME - certifies residency programs www.Medical-Mastermind-Community.com

  37. Efforts to Remedy the Imbalance • AAMC: • Summer Medical and Dental Program • AspiringDocs.org • Health Professions Partnership Initiative - grant money to fund underrepresented minorities in Georgia • K-12, Communities, & Undergraduates. www.Medical-Mastermind-Community.com

  38. Efforts to Remedy the Imbalance www.Medical-Mastermind-Community.com

  39. Efforts to Remedy the Imbalance www.Medical-Mastermind-Community.com

  40. Efforts to Remedy the Imbalance • Interjection of efficacy: • 5 UC premedical programs • Control group n= 396 , test cohort n=265 • Students competed in free market • Statistically significant increase in admission www.Medical-Mastermind-Community.com

  41. Efforts to Remedy the Imbalance • AAMC’s HPPI program: www.Medical-Mastermind-Community.com

  42. Efforts to Remedy the Imbalance • HPPI: levels the playing field • Good because applicants still compete in the free market • Limited to Georgia and you have to be physically present to participate. www.Medical-Mastermind-Community.com

  43. Efforts to Remedy the Imbalance • AOA • What are you doing? • Go Dr. Bowman! www.Medical-Mastermind-Community.com

  44. Efforts to Remedy the Imbalance • ACGME: • Have nothing to do with such issues. • Perhaps the most ideal entity of all. • They focus on 7 core competencies of physicians and all research has shown that residency graduates perform equally well regardless of their individual background. www.Medical-Mastermind-Community.com

  45. Efforts to Remedy the Imbalance • Student Organizations • Student National Medical Association • Good because they are web-based and community organization, therefore they reach a broader audience. • Only serve people “of color”. www.Medical-Mastermind-Community.com

  46. Efforts to Remedy the Imbalance • Student Organizations • Student National Medical Association • Good because they are web-based and community organization, therefore they reach a broader audience. • Only serve people “of color”. Not ideal www.Medical-Mastermind-Community.com

  47. Efforts to Remedy the Imbalance • Are we part of the solution here? • What about Gantz vs. Bollinger? Not ideal www.Medical-Mastermind-Community.com

  48. Efforts to Remedy the Imbalance • Great program, but white people drink over there… www.Medical-Mastermind-Community.com

  49. Efforts to Remedy the Imbalance • AMA • Funds scholarships • Health Care Reform lobbying www.Medical-Mastermind-Community.com

  50. Efforts to Remedy the Imbalance • AMSA • Health Care Reform lobbying • Diversity Education • AMSA Foundation funds programs www.Medical-Mastermind-Community.com

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