Medical schools have ethical obligation to accept undocumented immigrants

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PUBLIC RELEASE DATE:

3-Dec-2014

Contact: Jim Ritter jritter@lumc.edu 708-216-2445 Loyola University Health System @LoyolaHealth

MAYWOOD, Il. - Medical schools have an ethical obligation to change admission policies in order to accept applications from undocumented immigrants known as Dreamers, according to an article in the December, 2014 issue of the journal Academic Medicine.

Not allowing Dreamers to apply to medical school "represents a kind of unjustified discrimination and violates the basic ethical principle of the equality of human beings," write co-authors Mark G. Kuczewski, PhD and Linda Brubaker, MD, MS of Loyola University Chicago Stritch of Medicine. Academic Medicine is the journal of the Association of American Medical Colleges.

In 2012, Loyola became the first medical school in the United States to amend its admissions policies to include qualified students who have received Deferred Action for Childhood Arrivals (DACA) status and are legally recognized as U.S. residents. In August, 2014, Loyola welcomed seven Dreamers to the class of 2018.

The students are known as Dreamers after a proposed federal law called the DREAM Act (Development, Relief and Education of Alien Minors). Although the DREAM Act has yet to become law, the DACA program makes medical training, licensure and medical practice feasible, Drs. Kuczewski and Brubaker write.

The authors write that three main ethical principles and policy considerations support Dreamers' eligibility:

"First, a belief in equality, perhaps the fundamental value in contemporary democratic society, means that these potential applicants must be considered - just like others - on their merits. Second, the medical profession's duty of beneficence, the obligation to help patients, means that medical schools cannot turn away a significant pool of diverse talent in developing the physician workforce. Third, and related to beneficence, the value of social justice requires that medical schools seek to produce a physician workforce that better serves those communities that have been traditionally underserved, such as ethnic minorities and recent immigrants."

Social justice means enabling the participation of all - Dreamers, recent immigrants, minorities, U.S. citizens - in the life and opportunities of the community to the extent possible. "Enabling qualified Dreamers to become physicians is therefore an ethical obligation of the medical education community."

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Medical schools have ethical obligation to accept undocumented immigrants

USF trustees set to vote on downtown medical school option

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TAMPA The University of South Florida is set to make a big decision Thursday.

The board of trustees is scheduled to vote at a 9 a.m. meeting on whether the university should build its new medical school in downtown, a move that would mean big changes for both USF and Tampa.

The university has two new developments in mind: replacing the Morsani College of Medicine and building a new venture called the USF Heart Health Institute. But plans to build both on the main campus were put on hold weeks ago after Tampa Bay Lightning owner Jeff Vinik offered to donate some of his property around the Amalie Arena so that USF could build an urban medical campus in downtown.

Vinik hopes to incorporate the medical school into his plans to redevelop the 24 barren acres he owns around the home arena of his hockey team and his latest acquisition, the Tampa Marriott Waterside Hotel & Marina.

A downtown medical campus would be the kind of high-end and high-paying development that Vinik wants to add his plans to revive the southern end of downtown Tampa with new apartments, condos, hotels, restaurants and shops.

The move could also raise the profile of USF's medical school, making it more attractive to students and faculty who want to live in an urban area. It would also move the school closer to its teaching hospital, Tampa General Hospital.

USF President Judy Genshaft has said that Vinik's donation is crucial to the project. That's because while Genshaft supports the downtown medical school option, she said the university would not pay for downtown land to make it happen.

The downtown medical school proposal also has the support of major university donors, Mayor Bob Buckhorn and, since October, a key group of trustees.

That's when the eight trustees who oversee USF Health's medical and educational programs voted to endorse the urban medical school option. But during Thursday's meeting of the board of trustees, all 13 of them must approve the proposal.

The project calls for the university to build a 12-story building at the corner of Channelside Drive and S Meridian Avenue that would house the new Morsani College of Medicine and the USF Heart Health Institute.

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USF trustees set to vote on downtown medical school option

Medical Schools Have Ethical Obligation to Accept Applications from Undocumented Immigrants

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Newswise MAYWOOD, Il. Medical schools have an ethical obligation to change admission policies in order to accept applications from undocumented immigrants known as Dreamers, according to an article in the December, 2014 issue of the journal Academic Medicine.

Not allowing Dreamers to apply to medical school represents a kind of unjustified discrimination and violates the basic ethical principle of the equality of human beings, write co-authors Mark G. Kuczewski, PhD and Linda Brubaker, MD, MS of Loyola University Chicago Stritch of Medicine. Academic Medicine is the journal of the Association of American Medical Colleges.

In 2012, Loyola became the first medical school in the United States to amend its admissions policies to include qualified students who have received Deferred Action for Childhood Arrivals (DACA) status and are legally recognized as U.S. residents. In August, 2014, Loyola welcomed seven Dreamers to the class of 2018.

The students are known as Dreamers after a proposed federal law called the DREAM Act (Development, Relief and Education of Alien Minors). Although the DREAM Act has yet to become law, the DACA program makes medical training, licensure and medical practice feasible, Drs. Kuczewski and Brubaker write.

The authors write that three main ethical principles and policy considerations support Dreamers eligibility:

First, a belief in equality, perhaps the fundamental value in contemporary democratic society, means that these potential applicants must be considered just like others on their merits. Second, the medical professions duty of beneficence, the obligation to help patients, means that medical schools cannot turn away a significant pool of diverse talent in developing the physician workforce. Third, and related to beneficence, the value of social justice requires that medical schools seek to produce a physician workforce that better serves those communities that have been traditionally underserved, such as ethnic minorities and recent immigrants.

Social justice means enabling the participation of all Dreamers, recent immigrants, minorities, U.S. citizens in the life and opportunities of the community to the extent possible. Enabling qualified Dreamers to become physicians is therefore an ethical obligation of the medical education community.

To be eligible for DACA status, an applicant must be between the ages of 16 and 31; must have arrived in the United States before age 16; have resided continuously in the U.S. for at least five years; be currently enrolled in school, have completed high school or earned a GED; have no serious criminal involvement; and be able to prove he or she was in the U.S. on June 15, 2012.

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Medical Schools Have Ethical Obligation to Accept Applications from Undocumented Immigrants

Gonzaga Announces Community-Focused Exploration of Medical Education & Research Partnership with U. of Washington in …

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Newswise SPOKANE, Washington Gonzaga University has announced its intention to engage in a community-focused exploration of a medical education and research partnership with the University of Washington School of Medicine in Spokane. This announcement follows an invitation, made to Gonzaga by the University of Washington, to consider forming a new partnership to sustain and potentially expand UW Spokanes medical school and create opportunities to grow biomedical research in Spokane.

We at Gonzaga, together with many other community members, have actively supported expansion of WWAMI medical education and the promise of economic growth stimulated by research in Spokane since the original proposal to bring the four-year medical school to the University District launched, Gonzaga President Thayne McCulloh said Monday. Given the reality that expanding medical education has always been considered in view of the opportunities for Spokane and the benefits to Eastern Washington, we feel it is important to get community input on the role and value of a UW-GU partnership.

The UW has proposed development of a public-private partnership in the context of the University of Washington School of Medicines WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) program a five-state, community-based medical education enterprise that is recognized as the top primary care, family medicine and rural medicine program in the nation.

A key strength of the University of Washington School of Medicine has always been strong and dynamic partnerships with higher education partners and healthcare professionals in communities across our region. Gonzaga not only has a national reputation for academic excellence, but also a deep commitment to the economic and social well-being of the Spokane community and the region, said UW President Michael Young. We are excited about the opportunities this public-private partnership could create for students, faculty, and for greater research and economic development activity in Spokane.

A 2009 Tripp Umbach report, commissioned by Greater Spokane Inc., estimated that a comprehensive academic health sciences and research campus anchored by the four-year WWAMI medical school would have a $1.6 billion economic impact and create more than 9,000 jobs over a 20-year period.

The goals of the UW-GU partnership, as envisioned, would be to sustain the excellence of the UW School of Medicines top-ranked medical school, accelerate the expansion of medical education and biomedical research in Spokane, and build on Gonzagas strengths in undergraduate and graduate health science education and applied scientific research. As one of Spokane County's 10 largest private employers, Gonzaga has a significant economic presence in the community and is well-positioned to assist in achieving the economic benefits imagined in the 2009 report.

McCulloh added that Gonzagas commitment to healthy and positive collaboration between regional colleges and universities remains a priority as Washington State University pursues independent accreditation for its proposed medical school. The higher education institutions in Spokane have a long history of supporting one another. We believe expansion of healthcare education to meet the critical need for additional doctors and healthcare professionals throughout the state and region will require the invested efforts of all of Spokane higher education, he said.

The proposed partnership would be the first WWAMI collaboration involving an independent, Catholic and Jesuit university. There is precedent for such partnerships, which have been successfully created and operated across the nation, McCulloh said. The mission and values of WWAMIs single curriculum are compatible with Gonzagas mission and values, as is the focus on community welfare. Physician shortages are demanding innovative solutions, and we believe that public-private partnerships will play an important role in the future of medicine.

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NSU doubling medical school grads training here

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Nova Southeastern University has doubled its number of osteopathic medical graduates training in South Florida in the last 10 years, helping to ease a shortage of physicians at a time when demand for medical care is increasing.

The university's Davie-based College of Osteopathic Medicine now has about 250 graduates in residency training programs in Broward, Palm Beach and Miami-Dade counties, said Fred Lippman, NSU chancellor of the Health Professions Division.

Partners, such as Fort Lauderdale's Broward Health Medical Center, have stepped up to train more residents who have graduated from NSU's College of Osteopathic Medicine, Lippman said. Physicians have to go through a residency before being allowed to practice medicine.

Broward Health now trains 105 osteopathic physicians as residents a reason why the Florida Agency for Healthcare Administration last month designated it a statutory teaching hospital, the first in Broward and the 10th in the state.

In fact, Broward Health has nearly doubled its training of osteopathic medical residents in just four years.

This ensures "we're meeting the evolving health care needs of our population," said Dr. Natasha N. Bray, the public health care system's vice president/designated institutional officer and director of graduate medical education.

Both osteopathic physicians and the better known medical doctors, or MDs, undergo four years of medical school and once licensed can treat patients, prescribe medicine and perform surgery.

According to the American Osteopathic Association, osteopathic physcians practice a "whole person" approach to medicine. They are taught that structural abnormalities can compromise a person's overall health. To help restore the body's proper function, DOs are trained to use their hands in osteopathic manipulative treatment, or OMT.

Florida has two osteopathic medical schools: NSU's and the Lake Erie College of Osteopathic Medicine in Bradenton.

Osteopathic medical schools emphasize training students to become primary care physicians, which is South Florida's greatest need. There aren't enough primary care physicians to see patients with an undiagnosed health problem, from colds to diabetes, Bray said. The Affordable Care Act has provided health insurance to thousands of South Floridians, many of whom are now seeking medical help, she said.

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NSU doubling medical school grads training here

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