Costs of Education in the Health Professions Report of a Study, Parts I, II & III. (1974) / Chapter Skim
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Pages 148-168
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From page 148... ...
TABLE 59 Incremental Parameters Used to Distribute Joint Activities of House Staff in Nine Sampled Medical Schools, 1972-73 No Teaching teaching responsibility responsibility Activities and roles Teaching | tearning Learning Patient care activity Observer . - 1.00 1.00 Under direct supervision 25 .10 ~25 Without direct supervision Activity repeated ~25 .05 »15 Activity reviewed ~25 .05 ~15 Without direct supervision or review 35 05 ~15 Work rounds and patient conferences Observer - 1.08 1.00 Under direct supervision 225 .
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From page 149... ...
TABLE 60 Summary of House Officer Activities in an Average Workweek for Nine Sampled Medical Schools, 1972-73 Average Patient School workweek 8/ [Instruction] care | Research Learning / |Administration 1 Hours _ -- _88 } 5 32 1 18 2 % 100% 9% 55% 2% 31% 3% 3 57 7 30 1 18 1 100% 12% 53% 2% 31% 2% 4 63 8 30 3 20 2 100% 13% 47% 5% 32% 3% 6 59 7 28 2 20 2 100% 12% 48% 3% 34% 3% 7 56 7 29 2 16 2 100% 12% 52% 4% 28% 4S 8 57 , 4 27 5 20 1 100% 7% 47% 9% 35% 2% 9 57 7 26 4 19 1 100% 13% 45% 6% 34% 2% 13 , 57 9 30 1 15 2 100% 16% 53% 2% 26% 3% 14 59 6 29 3 19 2 100% 10% 49% 5% 32% 4S Average 58 7 29 2 18 2 100% 12% 49% 4% 31% 4% a/Does not include stand-by time during which the house officer is not engaged in one of the 5 activity categories.
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From page 150... ...
TABLE 61 Distribution of Average House Staff Salaries in Nine Sampled Medical Schools, 1972-73 Instruction Total - average Medical Other | Patient School | salaries Totala/ studentsa/ students24 care &/ Research? / 1 $9,545 $1,195 $ 774 $ 421 $7,968 $ 382 100% 13% 8% 5% 83% 4% 3 $9,906 $1,621 $ 926 $ 695 $7,946 $ 333 100% 16% 9% 7% 80% 4% 4 $ 8,840 $1,741 $1,308 $ 433 $6,256 $ 843 100% 20% 15% 5% 71% 9% 6 $11,530 $1,956 $1,232 $ 724 $8,798 $ 776 100% 17% 11% 6% 76% 7% 7 $11,180 $2,294 $1,406 $ 888 $8,203 $ 683 100% 21% 13% 8% 73% 6% 8 $14,590 $1,737 $ 957 $ 780 $10,469 $2,384 100% 12% 7% 5% 72% 16% 9 $10,690 $2,069 $1,180 $ 889 $7,441 $1,180 100% 19% 11% 8% 70% 11% 13 $11,365 $2,601 $1,398 $1,203 $8,527 $ 237 100% 23% 12% 11% 75% 2% 14 $9,175 $1,285 $ 642 $ 643 $7,248 $$ 642 100% 14% 7% 7% 79% 7% Average $10,751 $1,833 $1,091 $ 742 $8,095 §$ 829 100% 17% 10% 7% 75% 8% an a/ The dollar amounts were calculated using rounded total average house staff salaries.
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From page 151... ...
time each week. House officers provide 40 percent of the contact that medical students have with their instructors, if all house officers, full-time faculty, and part-time faculty are included.
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TABLE 62 a Major Components of House Officer Costs per Medical Student in Nine Sampled Medical Schools, 1972-73 Costs of house officer Salaries for the Average Average percent of instruction of house |Ratio of medical | house officer time medical students officer students per in medical student School (per M.D. student)
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Attachment to Chapter 5 HOUSE OFFICER BIBLIOGRAPHY Brown, Robert S "House Staff Attitudes Toward Teaching." Journal of Medical Education 45 (March, 1970)
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Chapter 6 OSTEOPATHY Osteopathic medicine is concerned with the prevention, diagno- sis, and treatment of human diseases. The Doctor of Osteopathic Medicine (D.0.)
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The Professional Schools Seven colleges of osteopathic medicine presently are accredited by the AOA to award the degree of D.O. They are listed in Table 63.
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TABLE 63 Ownership and Institutional Setting of Colleges of Osteopathic Medicine, 1972-73 School Ownership Institutional setting Chicago College of Osteopathic Medicine, Chicago College of Osteopathic Medicine and Surgery, Des Moines, Iowa Kansas City College of Osteopathic Medicine, Kansas City, Missouri Kirksville College of Osteopathic Medicine, Kirksville, Missouri Michigan State University College of Osteopathic Medicine, Lansing, Michigan Philadelphia College of Osteopathic Medicine, Philadelphia Texas College of Osteopathic Medicine, Fort Worth, Texas Private Private Private Private Public Private Private Freestanding Freestanding Freestanding Freestanding University Freestanding Freestanding -lll
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Programs leading to a Master of Science degree also are offered by some of the colleges, and all colleges of osteopathic medicine sponsor programs of continuing education. For the seven colleges, sponsored research expenditures totaled $366,344 in Fiscal Year (FY)
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TABLE 64 Comparison of Schools in the Sample to Total Number of Osteopathy Schools, 1972-73 Key variables Sampled schools ! Total Organizational relationship Public 0 1 Private 3 6 Institutional setting Freestanding | 3 6 University or health science center - 0 1 Size of D.O.
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From page 161... ...
recorded during one week in the spring of 1973. A distribution of the full-time faculty hours by activity for the three sampled schools appears in Table 66.
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From page 162... ...
TABLE 66 Average Hours per Week of Full-Time Faculty, by Activity, in Sampled Osteopathy Schools, 1972-73 school school School Activity Average 1 2 2 Total a/ 4S yy sl 40 Teaching activities Teaching 5 5 5 4 Preparation 10 11 10 8 Curriculum development 3 3 4 3 Joint activities Joint teaching and patient care 12 8 18 11 Joint research and teaching b/ 1 b/ b/ Research activities Independent research 2 2 2 1 Patient care activities Patient care 3 3 4 2 Hospital/clinic administration 1 1 1 b/ Service activities Service 1 2 1 b/ General support activities Administration \ 3 3 6 Professional development 4 5 3 3 Writing b/ 1 b/ b/ a/Numbers may not add to totals due to rounding of camponent numbers to the nearest hour. b/Less than 30 minutes.
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* queored ¢°0 u e , sse]
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of faculty compensation* and in the instructional faculty/student ratio,*
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TABLE 68 Variation in Range of Instruction Costs per Osteopathy Student Due to Differences in Faculty Costs, 1972-73 Source of change Range Percent reduction Range of the sampled schools $3,352 NA Range computed by substituting average faculty salary of $21,445 a/ 2,003 40 Range computed by substituting average instructional faculty/ student ratio of one faculty for every 13 students b/ 2,576 23 Range camputed by substituting average faculty salary and average instructional faculty/ 1,332 60 student ratio a/Actual range in faculty salaries is $14,908 to $30,670. b/Instructional faculty/student ratios range from one faculty member for every 10 students to one for every 14 students.
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From page 166... ...
Thus faculty costs are an important source of variation in instruction costs per student, and differences in faculty compensa- tion are the major reason for cost variation in the three schools of osteopathy. The difference in average faculty salaries is most pronounced in the clinical sciences.
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From page 167... ...
TABLE 69 Variation in Range of Instruction Costs per Osteopathy Student Due to Differences in Non-Faculty Costs, 1972-73 Source of change Range Percent reduction Range of sampled schools $3 5352 NA Range computed by substituting average amount of other direct costs of $1,175 a/ 2 5583 23 Range computed by substituting average amount of indirect costs of $2,484 b/ 3,210 4 a/Actual range in other direct costs is $693 to $1,793. b/Actual range in indirect costs is $2,343 to $2,626.
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From page 168... ...
Net Education Expenditures Net education expenditures show the balance of education costs after each school's sponsored research and clinic revenues are sub- tracted. Net education expenditures, then, represent the net unfund- ed portion of education costs.
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