Lawmakers address docs-in-training

Advocate staff photo by TRAVIS SPRADLING --  LSU Health Sciences Center Shreveport Chancellor Dr. Robert. Barish, left, leans forward to answer a question as the Joint Legislative Committee on the Budget continued hearings Thursday on financial problems facing state agencies. LSU System President William Jenkins, center, background,  and LSU HSC Shreveport Vice Chancellor Dr. Hugh Mighty, right, listen. Show caption
Advocate staff photo by TRAVIS SPRADLING -- LSU Health Sciences Center Shreveport Chancellor Dr. Robert. Barish, left, leans forward to answer a question as the Joint Legislative Committee on the Budget continued hearings Thursday on financial problems facing state agencies. LSU System President William Jenkins, center, background, and LSU HSC Shreveport Vice Chancellor Dr. Hugh Mighty, right, listen.

Legislators sought assurances Thursday that downsizing of LSU hospitals and their medical offerings would not negatively affect medical school enrollment, physician training programs and their accreditation.

Members of the Joint Legislative Committee on the Budget said they had heard from worried constituents whose children are deciding about medical school and whether to stay in Louisiana for medical training.

Among the budget woes and uncertainty, legislators said they are getting a lot of questions and have concerns of their own because 70 percent of those physicians who train in Louisiana stay here.

State Sen. Sherri Buffington, R-Keithville, said the numbers declined last time there was a “significant budget crisis,” thereby aggravating a Louisiana physician shortage.

“If there’s anything that drives up (health care) costs, it’s a workforce shortage,” she said.

State Rep. Roy Burrell, D-Shreveport, said his son is finishing his residency at LSU Health Science Center in Shreveport with one more year to go.

He wondered if his son would be able to complete the training program there “before anything unravels.”

LSU Health Science Center Shreveport Chancellor Dr. Robert Barish tried to reassure legislators, noting that all of the residency programs under his oversight are fully accredited.

He said whether there would be an impact on those interested in doing their training through LSU would not be seen until March.

Any move of residency programs outside LSU hospitals would require approval of the Accreditation Council for Graduate Medical Education to ensure that standards are being met, Barish said.

Barish said he has not seen any change so far in medical school students opting to transfer to other institutions.

Barish oversees LSU hospitals and medical education programs in Shreveport, Monroe and Pineville.

The budget panel has yet to hear from LSU system Executive Vice President Dr. Frank Opelka, who is overseeing changes being made in the seven south Louisiana hospitals that are under the umbrella of the Health Care Services Division.

Budget committee members also pressed for details on the system’s new health care model, which relies more on private hospitals for traditional public hospital care for the poor and medical education training.


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Comments (3)


1) Comment by Maui09 - 16/11/2012

Good Points Tommy Rucker. I do feel that the problem is that the poor planning by little Bobby and the legislature caused the need for this Rapid change to a new system of health care delivery. These people in government, many long term politicians going from the house to the senate and then back again -so as not to lose power, decided a long time ago that their favorite projects would not be cut but health care and education could be cut. Smart-right? Well, it is The Rapid change that is the problem in our state, not the change itself. I do feel there will be a few years where the residents will not get the best of training as those in other states because the outlying hospital docs will need a learning curve to get up to par in this new educational environment of teaching residents. Some staff doctors from the "charity" system will be hired to help this education process, but some will not. As I understand it, the other states do have what they call university hospitals which are associated with the medical schools and the cost is subsidized by the county where the hospitals are located. So the residents in that county pay taxes to help pay for their indigent. Somebody has to pay , right? If you live in Baton Rouge parish then you may have more property taxes to help this situation. As I see it , it is just a transfer of burden-- to you Tommy Rucker and to me. I am ok with that. It is expensive to keep all these hospitals up and running. I just think it should have been gradual and should have started years ago.

2) Comment by TommyRucker - 16/11/2012

I think it is a very poor argument and very self serving that someone's son or daughter may have some sort of bump in THEIR medical education if the state implements a plan to actually save money and create a better system for the medical care of our people. It is supposed to be about medical care of patients and NOT temporary bump along the wrong regarding education of doctors. 49 of 50 states DO NOT use the medical education model that Louisiana uses and they are educating their doctors very well. It is interesting that these law makers are saying their doctor relatives are going to move to other states to get educated, to other states that have the model that Louisiana is moving to??? Doctors are not doing themselves any favors with this argument as it does not stand the 'what is best for the greater good test' as it seems to be more what is good for doctors and employees of the charity system rather than the patients and taxpayers of Louisiana. Doctors would be better trying to help make this a easier change for the residents, patients, employees, etc. rather than getting into some sort of weak political strategy which does not hold water.

3) Comment by TommyRucker - 16/11/2012

I don't get it. I don't get the argument as 49 of 50 states do NOT have a charity hospital system and doctors get excellent educations and training in the other states so why can't Louisiana follow the model that the other states follow. There may be a problem in the process of leaving the charity system but that can be worked out and out with cooperation and it won't get that long to move into the same model the rest of the country uses. It seems to me that there is another agenda at work her and the threat that Louisiana will not have educated doctors is BOGUS. The real problem is going to be a lot more work by the present doctors who do NOT treat charity patients as they are going to have to absorb those people in their offices, clinics, hospitals, etc. as that is what is done in the other 49 states. I think the argument that medical education in this state is gong to be hurt is being exaggerated and being used to achieve other goals and serve other agenda. This is unfortunate because it is doing NOTHING to help solve the problem which is WE DO NOT HAVE THE MONEY TO RUN A CHARITY HOSPITAL SYSTEM. There is a better way to care for without or with little medical insurance as the charity system is a poor system and it is getting worse. It is a poor value for EVERYONE (the patients and the taxpayers) but apparently not for those who benefit financially from the continuation of the system. The people are being misled on this issue as they are being told medical education is going to be harmed. If that is the case, then how is it done and done at least as well if not better in ALL the other states in America as they DO NOT FOLLOW a CHARITY HOSPITAL SYSTEM MODEL. If there is a problem, it is that we did not plan to exit the charity system sooner and have failed to come up with a plan that can be implemented with minimal disturbance but change is always going to have some disturbance.