Without question, any attempt at Real Health Reform, must include all aspects of physician education and training as well a total revamp of the antiquated, century or more old system of medical licensing for trained professionals.  We need to be sure that young physicians understand the integration of “information therapy” into the clinical equation.  That is the use of the internet to access and collate large volumes of relevant data to assist in making correct judgements during the diagnostic and therapeutic process.  Additionally, at some point, we need to face the need for national licensing of physicians and surgeons, with uniform standards and an ability for professionals to move freely and practice at all levels in all 50 states . . . and this includes forms of e-medicine based in the internet now in evolution . . . obi jo

Medical education training needs to move into the 21st century by focusing more on clinical outcomes and other quality measures along with information technology adoption, representatives from the academic medical community told the Medicare Payment Advisory Commission.” According to Thomas Nasca, chief executive officer of the Accreditation Council for Graduate Medical Education, “The current system rates a ‘C’ in terms of its proficiency in training physicians.” Nasca also noted that “standards on accreditation for these programs have primarily been driven by what happens in the field first,” with residents “accumulating medical knowledge instead of specific skills.” He added that he hopes “over the next five years, accredited residency and fellowship programs will move toward a more proactive, innovative approach, where curricula will be driven by clinical outcomes measures.” . . . for links to more info on this topic go to: 

https://home.modernhealthcare.com

http://www.cq.com/login.

http://www.medpac.gov/documents/20080916_Sen%20Fin_testimony%20final.pdf