Oates R Kim, Goulston Kerry J
Sydney Medical School, University of Sydney, Sydney, Australia.
Aust Health Rev. 2013 May;37(2):185-8. doi: 10.1071/AH12151.
To examine the hidden cost of medical education at the Sydney Medical School, for which the University of Sydney does not pay.
All face-to-face teaching provided for students in the Sydney University Postgraduate Medical Program was listed under two headings: teaching by university employed staff; and teaching by other health providers not paid by the university. All teaching hours in 2010 were extracted from detailed timetables and categorised under these headings. Time spent in lecture preparation and exam marking was included. Students were sampled to obtain information about additional teaching that was not timetabled.
Teaching by university paid staff accounted for 59 and 61% of face-to-face teaching costs in years 1 and 2 of the 4-year Graduate Program, but only 8% in the final 2 years. The cost of medical education provided by the university, including infrastructure costs was $56250 per student per year in 2010. An additional $34326 worth of teaching per student per year was provided by teachers not paid by the university.
The true cost of medical education is the cost of education met by the university plus the value of teaching currently provided by government funded health providers and honorary teachers. In 2010, 38% of the medical education cost at Sydney University was provided at no cost to the University. As government health departments seek to trim rising health expenditure, there is no guarantee that they will continue to contribute to medical education without passing this cost on to universities. WHAT IS KNOWN ABOUT THIS TOPIC? Some medical student teaching is provided by teachers who may be employed by a government health provider or who are honorary teachers. There is no cost to the university for this teaching. WHAT DOES THIS PAPER ADD? An estimate of the total value of teaching provided to students at Sydney Medical School, for which the university does not pay, is approximately $34000 per student per year, compared with the total cost of approximately $56000 per student per year incurred by the university. WHAT ARE THE IMPLICATIONS? Medical education is a partnership between the university, the government health sector and honorary teachers. Without contributions by non-university paid staff, the cost of medical education would be unsustainable.
研究悉尼医学院医学教育的隐性成本，悉尼大学无需为此支付费用。
悉尼大学研究生医学项目中为学生提供的所有面对面教学被归为两类：大学聘用员工的教学；以及由大学未支付报酬的其他医疗服务提供者的教学。从详细的课程表中提取2010年的所有教学时长，并按上述类别进行分类。备课和批改考试试卷所花费的时间也包括在内。抽取学生样本以获取有关未列入课程表的额外教学的信息。
在为期4年的研究生项目的第1年和第2年，大学支付薪酬的员工的教学占面对面教学成本的59%和61%，但在最后两年仅占8%。2010年，大学提供的医学教育成本，包括基础设施成本，为每名学生每年56250美元。大学未支付报酬的教师每年为每名学生额外提供价值34326美元的教学。
医学教育的真正成本是大学承担的教育成本加上目前由政府资助的医疗服务提供者和名誉教师提供的教学价值。2010年，悉尼大学38%的医学教育成本是由大学无需支付费用的方式提供的。随着政府卫生部门寻求削减不断上升的卫生支出，无法保证他们会继续为医学教育做出贡献而不将这笔成本转嫁给大学。关于该主题已知的情况是什么？一些医学生教学由可能受雇于政府医疗服务提供者的教师或名誉教师提供。大学无需为这种教学支付费用。本文补充了什么？对悉尼医学院向学生提供但大学无需支付费用的教学总价值的估计约为每名学生每年34000美元，而大学每年每名学生产生的总成本约为56000美元。有什么影响？医学教育是大学、政府卫生部门和名誉教师之间的合作。没有非大学支付薪酬的员工的贡献，医学教育成本将难以为继。
