Changing Landscape of Academic Women's Health Care in the United States
Since 2005 a dozen states and more than 15 specialties have reported a physician shortage or anticipate one in the next few years. This anticipated shortage and a worsening of physician distribution are compounded by a projected increased demand for women
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INTERNATIONAL LIBRARY OF ETHICS, LAW, AND THE NEW MEDICINE Founding Editors DAVID C. THOMASMA† DAVID N. WEISSTUB, Université de Montréal, Canada THOMASINE KIMBROUGH KUSHNER, University of California, Berkeley, U.S.A.
Editor DAVID N. WEISSTUB, Université de Montréal, Canada
Editorial Board TERRY CARNEY, University of Sydney, Australia MARCUS DÜWELL, Utrecht University, Utrecht, the Netherlands SØREN HOLM, University of Manchester, United Kingdom GERRIT K. KIMSMA, Vrije Universiteit, Amsterdam, the Netherlands DAVID NOVAK, University of Toronto, Canada EDMUND D. PELLEGRINO, Georgetown University, Washington D.C., U.S.A. DOM RENZO PEGORARO, Fondazione Lanza and University of Padua, Italy DANIEL P. SULMASY, The University of Chicago, U.S.A.
VOLUME 48 For other titles published in this series, go to http://www.springer.com/series/6224
William F. Rayburn · Jay Schulkin Editors
Changing Landscape of Academic Women’s Health Care in the United States
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Editors William F. Rayburn Department of Obstetrics and Gynecology University of New Mexico Copper Rose St. NE., 6112 87111 Albuquerque, New Mexico USA [email protected]
Jay Schulkin Georgetown University Medical School The American College of Obstetricians and Gynecologists 409 12th Street SW 20024 Washington, DC USA [email protected]
ISSN 1567-8008 ISBN 978-94-007-0930-0 e-ISBN 978-94-007-0931-7 DOI 10.1007/978-94-007-0931-7 Springer Dordrecht Heidelberg London New York Library of Congress Control Number: 2011925158 © Springer Science+Business Media B.V. 2011 No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Foreword
Over the past two decades great advances have been made as women’s health issues continue to be recognized as more of a national priority. The result has been an increase in programs and funding examining issues that encompass a woman’s unique biology as well as her sociocultural, economic and physical environment (NWHIC, 2000). These factors affect not only the duration but the quality of a woman’s life. Yet, against the background of advances, many impediments to comprehensive healthcare for women persist. Academic medicine includes education and training, research, and clinical care and, as a result, has broad scope and influence on the health system. As we look to the future of significant healthcare reform, we must address the projected demand for healthcare services, the paucity of primary care physicians and sub-specialist in Women’s health as neglected components of health professions. The material in the book attests to both the extraordinary sophistication of the medical system and
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