Changing Landscape of Academic Women's Health Care in the United States

Since 2005, a dozen of the United States and more than 15 medical specialties havereported a physician shortage or anticipate one in the next few years. This anticipatedshortage and a worsening of physician distribution are compounded by aprojected increased demand for health care services. Health care of women of allages is particularly vulnerable. The obstetrician gynecologist workforce is agingand is among the least satisfied medical specialists. Primary care physicians suchas family physicians and general internists will be asked to care for more womenwho are elderly. Furthermore, fellowship training in women’s health care in internalmedicine and in maternal child health in...
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Changing Landscape of Academic Women’s Health Care in the United StatesChanging Landscape of Academic Women’s HealthCare in the United States INTERNATIONAL LIBRARY OF ETHICS, LAW, AND THE NEW MEDICINE Founding Editors DAVID C. THOMASMA† DAVID N. WEISSTUB, Université de Montréal, CanadaTHOMASINE KIMBROUGH KUSHNER, University of California, Berkeley, U.S.A. Editor DAVID N. WEISSTUB, Université de Montréal, Canada Editorial Board TERRY CARNEY, University of Sydney, Australia MARCUS DÜWELL, Utrecht University, Utrecht, the Netherlands SØREN HOLM, University of Manchester, United Kingdom GERRIT K. KIMSMA, Vrije Universiteit, Amsterdam, the Netherlands DAVID NOVAK, University of Toronto, CanadaEDMUND D. PELLEGRINO, Georgetown University, Washington D.C., U.S.A.DOM RENZO PEGORARO, Fondazione Lanza and University of Padua, Italy DANIEL P. SULMASY, The University of Chicago, U.S.A. VOLUME 48 For other titles published in this series, go to http://www.springer.com/series/6224William F. Rayburn · Jay SchulkinEditorsChanging Landscape ofAcademic Women’s HealthCare in the United States123Editors Jay SchulkinWilliam F. Rayburn Georgetown University Medical SchoolDepartment of Obstetrics and Gynecology The American College of ObstetriciansUniversity of New Mexico and GynecologistsCopper Rose St. NE., 6112 409 12th Street SW87111 Albuquerque, New Mexico 20024 Washington, DCUSA USAwrayburn@salud.unm.edu jschulkin@acog.orgISSN 1567-8008ISBN 978-94-007-0930-0 e-ISBN 978-94-007-0931-7DOI 10.1007/978-94-007-0931-7Springer Dordrecht Heidelberg London New YorkLibrary of Congress Control Number: 2011925158© Springer Science+Business Media B.V. 2011No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or byany means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without writtenpermission from the Publisher, with the exception of any material supplied specifically for the purposeof being entered and executed on a computer system, for exclusive use by the purchaser of the work.Printed on acid-free paperSpringer is part of Springer Science+Business Media (www.springer.com)ForewordOver the past two decades great advances have been made as women’s health issuescontinue to be recognized as more of a national priority. The result has been anincrease in programs and funding examining issues that encompass a woman’sunique biology as well as her sociocultural, economic and physical environment(NWHIC, 2000). These factors affect not only the duration but the quality of awoman’s life. Yet, against the background of advances, many impediments to comprehensivehealthcare for women persist. Academic medicine includes education and training,research, and clinical care and, as a result, has broad scope and influence on thehealth system. As we look to the future of significant healthcare reform, we mustaddress the projected demand for healthcare services, the paucity of primary carephysicians and sub-specialist in Women’s health as neglected components of healthprofessions. The material in the book attests to both the extraordinary sophistication of themedical system and the challenges we face as we focus on training the next gener-ation of academic clinicians and scientists. More than a century after Flexner wrotehis report for the Carnegie Foundation, physicians trained in women’s health willpractice in a health care delivery system that faces mounting pressures for costcontainment, quality improvement and public accountability. Health care providers must raise awareness of the importance of women’s health-care. The US Secretary of Health and Human Service, through the Council onGraduate Medical Education (COGME) as its advisory body, recommends physi-cians develop a broad understanding of health conditions specific to Women. In thisbook the authors have synthesized a wealth of information into an accessible for-mat, and have a host of practical recommendations that address the challenges ofthis changing landscape. The authors have succeeded admirably and I am grateful to them for all of theirefforts and I highly recommend this book. While this book ca ...