AAMC Testifies
on Medical Education for Consequences of Weapons of Mass Destruction
AAMC President Jordan J. Cohen, M.D., testified
Nov. 14 before the House Veterans Affairs Subcommittee on Oversight
and Investigations on the role of the Department of Veterans Affairs
(VA) in the education of medical students and residents to diagnose
and treat casualties when weapons of mass destruction are used. Dr.
Cohen's statement outlined the AAMC's "First
Contact, First Response" plan to ensure the nation's physicians
are ready to respond to incidents of biological, chemical or radiological
terrorism.
Specifically, Dr. Cohen noted the AAMC's three-level responsibility
in the education of physicians - a primary responsibility in medical
school; a partnership during residency and fellowship periods; and in
collaboration with other health education, medicine, public health and
science associations for practicing physicians. These responsibilities
will be highlighted at a Nov. 28 event hosted by the AAMC with other
health education associations to identify and develop educational and
informational resources to aid physicians, residents, and students.
Dr. Cohen also focused on the essential role of the VA in both undergraduate
and graduate medical education and stressed the value of the VA in the
"First Contact, First Response" efforts.
The purpose of the hearing
was for Subcommittee Chairman Steve Buyer (R-Ind.) to receive expert
advice as he pushes legislation (H.R. 3254) aimed at establishing a
joint education program for medical students and other health professionals
between the VA and the Department of Defense based on the existing programs
at the F. Edward Hebert School of Medicine of the Uniformed Services
University of the Health Sciences (USUHS). Full Committee Chairman Chris
Smith (R-N.J.) also attended the hearing to garner input for his legislation
(H.R. 3253) to establish centers of emergency medical preparedness within
the VA.
Testifying on behalf of the VA, Deputy Under Secretary for Health Frances
Murphy, M.D., MPH, outlined VA's activities related to the education
of physicians in this area, including an upcoming conference on weapons
of mass destruction, collaborative satellite broadcasts of medical issues
related to biological and chemical warfare with the Department of Defense,
and dissemination of pocket cards on chemical and biological agents.
Dr. Murphy testified that the VA is prepared to be part of a trans-agency
effort to formulate an appropriate response. Val Hemming, M.D., dean
of USUHS also testified, calling for incorporation of nationally-mandated
education and skill objectives in the Liaison Committee for Medical
Education (LCME) and Accreditation Council on Graduate Medical Education
(ACGME) standards.
J. Edward Hill, M.D., chair-elect of the American Medical Association
(AMA) Board of Trustees, summarized the AMA's activities and policies
related to education of physicians for disaster preparedness and recommended
re-establishing the Medical Education for National Defense program and
adding education and training to the National Disaster Medical System.
Martin J. Blaser, M.D., professor and chairman, Department of Medicine,
NYU School of Medicine, rounded out the witness panels and testified
on the roles NYU and the NY Harbor VA Medical Center are prepared play
in the event of future bioterrorism-related events. Dr. Blaser highlighted
the creation of the VA-NYU Joint Center for Bioterrorism Research and
the school's new Center for Health Information and Preparedness (CHIP).
During the question and answer period, Drs. Cohen, Hill, and Blaser
all concurred with the opinion of Chairman Buyer that mandatory curricula
and credentialing is not the appropriate solution to this problem.
Information: Jonathan Fishburn,
AAMC Office of Governmental Relations, 202-828-0525.