Do Kenny, Do Jenifer, Kawana Eric, Zhang Ren
Kirk Kerkorian School of Medicine at UNLV (University of Nevada, Las Vegas), University of Nevada, Las Vegas, Las Vegas, USA.
School of Life Sciences, University of Nevada, Las Vegas, Las Vegas, USA.
Cureus. 2023 Jul 11;15(7):e41700. doi: 10.7759/cureus.41700. eCollection 2023 Jul.
The state of Nevada is home to millions of people and a prominent entertainment industry. However, the state ranks among the lowest in terms of available primary care doctors and general surgeons per capita, resulting in limited access to essential healthcare services and an increased reliance on emergency departments and hospitals. Nevada also faces the challenges posed by an aging physician workforce and a significant proportion of inactive providers. The scarcity of residency positions in Nevada's medical schools drives many graduates to seek residency training opportunities elsewhere, leading to a reduced likelihood of their return to practice within the state. We propose potential solutions, including increased funding for residency positions, prioritizing the retention of medical school graduates through local residency training, and the establishment of interdisciplinary comprehensive academic health centers. These measures are essential to meet the escalating healthcare demands of Nevada's rapidly growing population and to ultimately enhance patient outcomes.
内华达州是数百万人的家园，拥有著名的娱乐产业。然而，该州在人均初级保健医生和普通外科医生数量方面排名靠后，导致基本医疗服务的可及性有限，对急诊科和医院的依赖增加。内华达州还面临着医生队伍老龄化以及很大比例的非在职医疗人员带来的挑战。内华达州医学院住院医师培训名额的稀缺促使许多毕业生到其他地方寻求住院医师培训机会，从而降低了他们回到该州行医的可能性。我们提出了一些潜在的解决方案，包括增加住院医师培训名额的资金投入、通过当地住院医师培训优先留住医学院毕业生，以及建立跨学科的综合学术健康中心。这些措施对于满足内华达州快速增长的人口不断增加的医疗需求并最终改善患者治疗效果至关重要。
