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Alignment With Market Forces: The "Re-Whithering" of Infectious Diseases. | LitMetric

AI Article Synopsis

  • Infectious Disease (ID) is facing challenges in attracting new medical students and trainees despite the constant emergence of new infectious threats and significant public health concerns.
  • The ID Fellowship programs are struggling to fill positions and remain one of the lowest-paid specialties, prompting experts to rethink strategies to improve the field's appeal.
  • Recommended actions include implementing restrictions on ID diagnostics and antibiotic use, establishing pay-for-performance measures for prescribing, and advocating for healthcare reform to shift away from the fee-for-service model, in order to align with current market forces for better outcomes.

Article Abstract

Given constant emergence of new infectious threats, infectious diseases (ID) should be one of the most attractive medical specialties to students and trainees. Yet, ID Fellowship programs continue to not fill in the match, and ID remains among the lowest paid specialties. Approximately 35 years after Dr. Petersdorf first asked the question, we find ourselves once again wondering, "Whither Infectious Diseases?" To answer this question, and align with predominant US market forces, ID experts should push for the following: (1) restrictions regarding utilization of ID diagnostics and antimicrobial agents; (2) pay-for-performance measures regarding antimicrobial prescribing rates; and (3) healthcare reform as called for by the American College of Physicians to move away from fee-for-service medicine. Einstein said, "Continuing to do the same thing over and over and expecting a different result is the definition of insanity." We must move towards alignment with market forces, to benefit our patients, society, and our colleagues.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7397831PMC
http://dx.doi.org/10.1093/ofid/ofaa245DOI Listing

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