Prescott John E, Fresne Julie A, Youngclaus James A
J.E. Prescott is chief academic officer, Association of American Medical Colleges, Washington, DC. J.A. Fresne is director, Student Financial Services, Association of American Medical Colleges, Washington, DC. J.A. Youngclaus is senior education analyst, Association of American Medical Colleges, Washington, DC.
Acad Med. 2017 Jul;92(7):912-913. doi: 10.1097/ACM.0000000000001573.
The authors reflect on the article in this issue entitled "Borrow or Serve? An Economic Analysis of Options for Financing a Medical School Education" by Marcu and colleagues, which makes a compelling case that a medical school education is a good investment, no matter what financing option students use, from federal service programs to federal loans. The lead author of this Commentary shares lessons learned from his own medical school education, which was funded by an Armed Forces Health Professions Scholarship, and from his current position interacting with medical students across the United States.Regardless of the financing path they choose, all students should understand basic financial concepts and the details of the various pathways that are available to pay for their medical school education, as well as how each could potentially impact their own future and that of their families. One underappreciated aspect of financing a medical school education is that federal repayment scenarios can link loan payments to income, rather than debt levels, which means that all physicians are able to afford their loan payments no matter what specialty they practice, what they are paid, or where they live.Medical education, while expensive, remains the good investment. An MD degree can lead to a lifetime of personal fulfillment and societal contributions. Everyone, with rare exceptions, accepted to a U.S. medical school will be able to finance their medical education via a path that aligns with their personal values and priorities.
作者们对本期中马尔库及其同事所撰写的题为《借贷还是服务?医学院校教育融资选择的经济分析》的文章进行了反思。该文章有力地证明了,无论学生采用何种融资方式,从联邦服务项目到联邦贷款,医学院校教育都是一项明智的投资。本评论文章的第一作者分享了他从自己的医学院校教育中所学到的经验教训,他的医学院校教育由武装部队卫生专业奖学金资助,同时也分享了他目前在美国与医学生互动交流的工作经历。
无论选择何种融资途径,所有学生都应该了解基本的金融概念以及各种可供支付医学院校教育费用的途径的细节,以及每种途径可能如何潜在地影响他们自己和家人的未来。资助医学院校教育一个未得到充分重视的方面是,联邦还款方案可以将贷款还款与收入而非债务水平挂钩,这意味着所有医生无论从事何种专业、收入如何或居住在哪里,都有能力支付他们的贷款还款。
医学教育虽然昂贵,但仍然是一项明智的投资。医学博士学位可以带来一生的个人成就感和对社会的贡献。几乎毫无例外,每一个被美国医学院校录取的人都将能够通过一条符合其个人价值观和优先事项的途径来资助他们的医学教育。