Planning Considerations for Incorporating Medical Students and Residents into a Hospital

As a result of the Association of American Medical College’s (AAMC) call to increase medical school enrollment, hospital administrators have incorporated third and fourth year medical students and residents into their hospitals to assist with medical school expansion and physician retention. Collaborating with sponsoring institutions—such as medical schools— senior hospital leaders define the roles of both parties in providing education, determine medical staff support and buy-in, and consider costs, infrastructure, and the impact of students and residents on hospital operations and staff. While administrators note that physicians are often eager to participate in student education, some fear that becoming a teaching institution may change the culture of the hospital. The following brief profiles planning processes and key considerations used by four administrators at hospitals that have recently incorporated or are in the process of incorporating medical students or residents.

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