Anatomy of the Issue
The Physician Scholar: First Cut

By TPS Editors
Published: December / January 2008

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We came to medical school to learn the art and science of doctoring. Yet, it is dawning on us that in today's world becoming a competent physician will require much more. The challenges facing healthcare in our increasingly global community are vast, complex and interconnected.  Finding solutions to these myriad problems will require us to don many caps in addition to our white coats.  Moreover, the world of medicine is intersecting with so many extramedical disciplines such as government, law, business and the social and humane sciences that the days of the autonomous practitioner are history. The new paradigm for the 21st century is the physician as but one of many integral members of a multidisciplinary healthcare team consisting of a highly specialized network of diversely trained experts.

Denis Cortese MD, President and CEO of Mayo Clinic and Robert Smoldt MBA, Chief Operations Officer of Mayo Clinic, write, “As practicing physicians, we need additional skills to work with patients, families, nurses, physicians, administrators, regulators, insurance companies, and employers. In short, we must become team members. The team approach fosters an ongoing analysis of the outcomes and processes of care, a key step in any systematic approach to improving quality care.”


Cortese, Denis A. MD and Smoldt, Robert K. MBA.  “Healing America’s Ailing Healthcare System.” Mayo Clinic Proceedings (April 2006) 81(4): 492-496.

Therefore, it is our responsibility to be careful thinkers of the complex world within which we hope to practice medicine and effect change.  In response to the changing healthcare environment, medical students are redefining the role of the physician as not only a clinician but also a scholar. This trend is evidenced by the increasing numbers of formalized dual-degree programs offered by U.S. medical schools.   For example, the number of non-M.D./Ph.D. formalized dual degree tracks1 offered by U.S. medical schools is over 140.2  Furthermore, M.D./Ph.D. programs are no longer limited to the biomedical sciences but rather have expanded to include degrees in economics, history of medicine, engineering and other academic disciplines.   This trend represents a paradigm shift in medicine with physicians as multidisciplinary experts. Bruce E. Ellerin M.D., J.D., Ph.D., Assistant Professor of Radiation Oncology at NYU Medical Center, notes:

Medicine may be on the verge of becoming a more scholarly, more academic endeavor simply because of the very rapidity of the expansion of the scientific knowledge on which it is based and the legal, ethical, and commercial implications of this knowledge increasingly demand a commensurate expertise that can come only from specialized training in more than one field.3

Medical students must become efficient and effective communicators due to the increasing complexity and interdisciplinary nature of medicine.  In navigating the complex modern healthcare system, the future physician should be able to communicate and comprehend across disciplines.  As medical students we are responsible for preparing ourselves for this task by working with and learning from one another.  Thus, it is out of this spirit of effective communication, multidisciplinary experitization and interdisciplinary collaboration that The Physician Scholar (TPS) was born. 

Our four-fold aim with The Physician Scholar is to 1) provide a medium for medical students to share diverse interests with the undergraduate medical community; 2) encourage medical students to explore the interconnections between medicine and other healthcare-related disciplines; 3) help medical students improve their writing and communication skills and 4) foster collaborative efforts between medical students, physicians and other healthcare professionals.  The journal will appear online at www.physicianscholar.org in monthly installments. Each editorial will be accompanied with a feedback mechanism to stimulate peer reflection and dialogue among the readership. On a regular basis, selected pieces will be compiled into a print edition. The motto of The Physician Scholar is pro nobis, a nobis (For the medical student community, by the medical student community). As such, the agenda of The Physician Scholar is dictated by the diverse interests of medical students. Therefore, the journal will include but is not limited to writings, interviews, photo essays, original research articles, debates and lectures.

In this inaugural issue of The Physician Scholar, we bring to you a perspective on transparency in the objectives of medical education, a review of the State Children’s Health Insurance Program (SCHIP) in the political arena, a photo editorial challenging the concept of pharmacy by juxtaposition, an examination of the public health crisis that existed among the plebs urbana, Rome's urban poor, during the 2nd through 1st centuries BCE, a delineation of approaches to world doctoring and an in-depth interview with Mayo Clinic President and CEO Denis Cortese on American healthcare reform.  The diversity of topics within this first issue is but a glimpse of the burgeoning ideas and interests within the medical school community. 

Sincerely,
The Physician Scholar

REFERENCES:

1 Such as M.D./J.D., M.D./M.P.H, M.D./M.B.A., M.D./M.H.A, M.D./M.Ed.
2 AAMC website: http://services.aamc.org/currdir/section3/start.cfm. Accessed 26 November 2007.
3 Ellerin, Bruce E. MD, JD, PhD.  “Debt, Demographics, and Dual Degrees: American Medicine at the Crossroads.”  Journal of the American College of Radiology (2007) 4:537-546.
4 Cortese, Denis A. MD and Smoldt, Robert K. MBA.  “Healing America’s Ailing Healthcare System.” Mayo Clinic Proceedings (April 2006) 81(4): 492-496.

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