How to Fix the Global Physician Shortage - Change Medical Education | Dr. Peter Horneffer | TEDxHHL

How can we use modern tools for medical education? Dr. Peter Horneffer shares his journey on how he was able to bring a Paradigm Shift in medical education. Dr Horneffer has been working to advance medical education as a passion formany years. After attending Yale as an undergraduate and Johns Hopkins for medical school and residency, he practiced medicine as a cardiac surgeon in Maryland, USA. In mid-career, he was asked to help bring medical education to the underserved in the Pacific area. He accepted the position as Dean of a medical school, based in Western Samoa, which he led to be the first accredited in the world to use an entirely online-delivered didactic curriculum and educate students simultaneously on multiple continents. Today he is helping evolve medical education models and serves as Executive Dean for a small Jamaican school (AAIMS) to help improve its teaching and train physicians for an underserved part of Jamaica. At Lecturio, he serves as Director of Medical Education, helping shape its innovative offering which includes supporting development initiatives in Africa and Afghanistan. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at www.ted.com/tedx

[@ScienceMines]

I will give TEDx talk one day!!

[@pyschologygeek]

We need to improve medical education by different and advanced ways

[@EleanorJosefina]

Medical education does new to improve in quality and what they teach. Agreed!

[@sunceraysalazar1120]

I would give this a thousand thumbs up if it would let me. I gave up on all my dreams because I knew there was no money for me to go to collage.

[@OmarAbdulMalikDHEdMPASPACPAPro]

Me either. However, I used ALL of my savings, used some scholarships and took out loans. I'm a Hospitalist PA in Washington, D.C. with a Doctorate of Health Education.

[@zaheerlashari5342]

We should need to improve medical education in rural areas for better environment

[@aylbdrmadison1051]

We need to start by repairing the damage done to our public school systems in general, caused by those solely seeking to make a profit from them at the expense of everyone.

[@CataNavarro]

Bravo! Humanity need to move towards a life style, evidence based medicine which can cut the cost of healthcare, and health care training, to a fraction of how much cost today.

[@aylbdrmadison1051]

I don't know much about public education systems elsewhere in the world, but here in America we have lost more than half of what we had 40 years ago in our public schools. What we need is to stop destroying our public schools in an effort to create a school system bent on making the already wealthy even wealthier at the cost of actually educating our children. This has not just led to shortage of doctors, but a shortage of linguistic literacy in America overall. That lack of linguistic literacy has also lead to an increase in the division of our country, thereby allowing these problems to grow even more exponentially. When someone like me, a high school dropout, is more linguistically literate than some of the doctors I see, something is dreadfully wrong. Vote for education. Vote for those who promote repairing the damage to our public schools. Vote for those who put our welfare above their own profit margins and their unfounded biases.

[@angelikaskoroszyn8495]

Sadly it's an issue in many developed countries. In my we had recently a reform which addressed the least important parts of the system while completely ignoring what's truly important. Paying taxes, workers rights and responsibilities, reading statistics, how to live a healthy life... Apparently they are less important than additional history hours

[@matasuki]

You shouldn't need to do a full 4 year degree just to repeat it again while in med school. Medicine should be a skilled trade.

[@certifiedlover2748]

It should be an undergrad program/major like how nursing is.

[@Nick_Kol]

Good afternoon. Today I am studying in my 4th year in Russia, in Moscow, at one of our largest medical universities. And our programmes are different from yours. After 11 years of school, we go straight to medical university, without college. The training programme lasts 6 years - and that's the basic part, after which you have to do the equivalent of residency. Residency lasts basically 2 years, or 3 years for cardiovascular surgeons. After that, the person becomes a board certified physician and can work in a hospital. What you wrote is exactly what we have implemented, but compared to the American system, residency lasts a very small period of time. I, for example, am not satisfied with that. But, in general, medical education systems without colleges exist and function acceptably.

[@imortalones]

best ted talk in over a year

[@ScienceMines]

Loved the idea.. If this would have done earlier I would have been a doctor!!

[@sunceraysalazar1120]

Me too

[@TheOnlyGBeast]

the passion in this man is practically oozing out of him

[@chrischuongnguyen2319]

Well done Dr. Horneffer!

[@shannonlove]

💜🙏🏾well said

[@ms.c.j.]

I'm 55 years old, was diagnosed with Marfan Syndrome when I was just 10 years old and have been hands on learning about the system ever since, while also learning about Marfan. If you're going to really change the medical education system you're also going to need to change how people are hired, and how employers think about varying ways that students earn their degree. Right now many hospitals brag about how their doctor of this, specialist in that, are graduates of (insert name of prestigious university here) all the time. Will hospitals be as happy to have doctors who have graduated from another school that isn't one of the top 10? Currently, I doubt it.

[@divineserendipity1196]

Amazing!!! Totally agree 🙏🏻👏🏼👏🏼👏🏼

[@shibliziadeh8950]

Not in America. My nephew is $580,000 by the time he was done and not to mention the long 12-14 years.

[@OmarAbdulMalikDHEdMPASPACPAPro]

Oceania College of Medicine (in Samoa) is "last ditch choice" for those desiring an M.D.. However, if one is motivated enough and has the time and funds, I think this is a viable option. Dr.Menderatta was a PA classmate of mine. I think he set a GREAT example of how PAs can become M.D.s through this program (if they want to).

[@drmonalangham6500]

Brilliant!

[@antheablackmore5838]

Brilliant idea !

[@forisma]

Love this idea!

[@themoonnews7688]

Where are the medical students

[@GabrielRSotero]

Muito bom!!!

[@nitinmahendru92]

Awesome

[@Masoudy91]

I thought its was a monopoly, same as apples, you tend to keep the supply low to keep the prices high. Solutions is to admit all high grades, qualified attendees. Not to accept only the top 10.

[@blackculturebridge.4977]

Africa has educated a lot of doctors but retained none due to low pay. The brain drain has seen Majority have taken to the USA, Australia and Canada coz they're better paid there. If only our governments would integrate AI with ordinary learning.

[@themoonnews7688]

Love from India

[@jjo5375]

WOW! This is a quantum leap into the future...but seen: NOW! Why has it taken so long? Allowing folks to live longer and longer 'requires' more physicians to handle the increased numbers. This needs to be implemented ASAP! The prototype WORKS, so go for it ! : )

[@Mr.E.Shoppa]

A "National School of Medicine," with two branches, one on the East Coast and West Coast, but not in ultra-high-cost urban areas. The government finances the entire school. Only the highest rated and most desirable students are accepted with full scholarships and some living expenses. After graduation, rather than having a huge student debt, the young MDs are obligated to several years of civil service in the appropriate medical field. Any top level student with a strong desire to be a doctor would be admitted. Enrollment could be 120,000 at each campus graduating over 20,000 new physicians each year, doubling the current graduation rate. To staff the schools, top notch professors would be hired at competitive salaries as needed.

[@stellebelle8443]

I would be willing to be a doctor. I don’t have the money to go to school. I’m very compassionate. Where do I start?

[@stellebelle8443]

We need medical technologists. A group of people to come together. Let’s save the world!!!!

[@AM-fh7ek]

@@stellebelle8443 agreed

[@magicallyyours641]

By replacing them by artificial intelligence that connects all machinery that detects problems in human body like x ray and MRI and all system of machinery connected with the super computer that can make assessment of situation and work more quickly without any hesitation with help of all surgical procedure and save patient life

[@bryand2452]

You're trying to address the shortage of medical help people receive, yet conveniently avoiding a key solution. We have a significant amount of nurse practitioners, more than qualified to do the majority of a physicians work. However, the AMA furiously shoots down any attempts by nurse practitioners to take on more work. Is anyone surprised that the AANP has significantly less money to lobby than the AMA. Guess who wins here? Doctors Guess who loses here? Those seeking health care.

[@tanveerfaridi5715]

Human life matters & values , World Health organization make a realistic & calculated work plan

[@MLe509]

Not in Australia. So many people want to be a doctor. Also overseas doctors want to here.

[@marthacain1468]

A medical education for our Mavis, a PA degree~!? Oh Serpensliber...God is so good~!

[@eduardovillarrealarellaro2554]

POR FAVOR QUIEN ME AYUDA PARA CAMBIAR LA TRADUCCIÓN DE CARACTERES A ESPAÑOL... GRACIAS, GRACIAS, GRACIAS...

[@user-he8uk8jb2j]

He addresses the global physician shortage and offers a potential solution: changing medical education. Horneffer begins by acknowledging the severity of the shortage and the implications it has for global health, particularly in low-resource settings. He argues that the traditional model of medical education, which focuses heavily on didactic instruction and memorization, is not well-suited to preparing physicians for the challenges of modern healthcare. Instead, Horneffer advocates for a more innovative and collaborative approach to medical education, one that emphasizes experiential learning, teamwork, and interdisciplinary training. Horneffer suggests that this approach could not only better prepare physicians for the complex realities of healthcare, but also help to address some of the underlying causes of the physician shortage. By empowering medical students to take an active role in shaping their education and encouraging them to work across disciplines and cultures, Horneffer believes that we can create a new generation of physicians who are better equipped to address the global health challenges of the 21st century. It's clear that the physician shortage is a complex and multifaceted issue, one that will require innovative and collaborative solutions. By reimagining medical education and empowering future physicians to think outside the box, we can help to ensure that all individuals have access to the high-quality healthcare they need and deserve. Dr. Horneffer's talk highlights the global physician shortage and how medical education needs to change to address it. He notes that the traditional model of medical education, which focuses on didactic lectures and memorization, is not sufficient to prepare physicians for the complex and evolving healthcare landscape. One solution Dr. Horneffer proposes is a shift towards competency-based medical education, which emphasizes the development of specific skills and knowledge rather than simply accumulating hours of training. This approach would allow medical students to gain practical experience in clinical settings and develop the skills needed to provide quality care. Another important point Dr. Horneffer makes is the need to expand medical education beyond the traditional academic centers to reach underserved areas. By partnering with local communities and leveraging technology, medical education can be made more accessible and relevant to the healthcare needs of different regions. In reflecting on Dr. Horneffer's talk, it is clear that medical education is critical in addressing the physician shortage and improving healthcare outcomes globally. By embracing new models of education that prioritize competency and practical experience, we can ensure that physicians are well-equipped to provide quality care to patients. Additionally, by expanding access to medical education, we can help to address health disparities and ensure that all communities have access to the healthcare resources they need.

[@higreentj]

Everyone will be sequenced so computers would be able to diagnose any problems and prescribe treatments. I think Andrew Yang would automate medicine.

[@AR-ly3it]

This is a good Ted talk, but before looking at these micro factors we should look into the root of cause. The neoliberal framework continues to commodify healthcare. The government should spend more money, instead of seeing healthcare as a commodity as healthcare is a basic human right. It's as simple as more state spending as this will create more jobs for physicians, instead of cutting back on welfare needs; the healthier the population, hence less hospital visits and ultimately cutting down the cost. It has been proven that it will actually save the state more money if they spend more on healthcare. There will always be a shortage of doctors if the state stops to see healthcare as a commodity and a way to make profits. This has to be addressed before looking into the problems of medical schools. Using the Nordic system as an example and making healthcare a basic human is the first step.

[@themoonnews7688]

Where is my Indian family...

[@cowboycalicojakk9685]

How to stop every healthcare professional shortage . Stop making so many people

[@seasong7655]

We need to employ AI on a larger scale. This way we can save doctors a lot of time.

[@chickpeainspace]

more doctors does not mean more health automaticly

[@yayabeauchamp4864]

Really?

[@buntafujiwara7698]

Yeah it takes 7 y e a r s and like half a million in debt

[@Max-po8vz]

15 mins ago

[@rallycsx]

Stop socializing healthcare...That was easy :D