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It’s hard to argue that IUH provides very solid specialty care, as one would expect from a hospital system that is associated with a medical school as good & as large as IUSM. But IUH does not provide a great product to those who seek general care, and this is largely because they do not pay competitive rates for labor & instead overly rely on travel contracts. Hopefully the cost savings of the new hospital are rolled into higher wages.
Part of the problem appears to be that IUH relies on IU to supplement the high labor costs of specialists who both practice and research. This works out fine for compensating specialists well, but the strategy doesn’t work at all for hiring general medicine doctors or nurses.
The smoke and mirrors of IU Health and IU School of Medicine hides the glaring problem of the serious physician shortage in our State which is getting worse by the year. It also hides the shortage of both allopathic and osteopathic medical schools in our State. It also hides the fact that IU School is no where near top of any research medical school even in our surrounding States. I have been preaching for years that Purdue and Notre Dame need to have their own research medical schools. IU Health and IU school of Medicine have done a great PR job of glossing over the terrible status of healthcare in our State. It does not take long for examining national statistics to see Indiana health problems compared to other States.
Phillip D. Toth, MD, FACP
Well, for one, IUSM and IUH are separate entities. They essentially only work together when it comes to student clinicians, resident appointments, and hiring specialty docs who get a lot of research finding.
Most of the problems with IUH are the fault of IUH and IUH alone. They have serious retention problems because of bad working conditions and poor pay. Only specialists w/ research funding get good compensation, but they typically get paid through IUSM. It might be fair to say that IUH probably leeches off IUSM – I doubt that IUH would pay specialists high salaries on their own.
Anyway, Indiana is the 17th most populous state and has the 21st most med students. So there is a Delta there, but it’s only 4 positions.
IUSM is the biggest medical school in the US and it ranks well in many categories. Top-40ish in research, top 15 in NIH funding for public schools, top 20 for primary care education. It’s definitely not the best med school in the Midwest, but it’s up there & it’s competitive. And it’s a huge plus that they have campuses across the entire state.
Then there’s Marian, which has a sizable class of DO students as well. I don’t remember how big their class sizes are, but it’s bigger than I expected.
I don’t think there’s really demand for another MD school. If there was, Notre Dame and Purdue would’ve found a way to cash in. Instead, they strategically collaborate with IUSM. I could see the case for another DO school, though.
Spoken like true Hoosier. The smoke and mirrors have added a few flavors of KoolAid. All of the “great numbers” of IU only give a superficial understanding of the problems that we are facing in our State.
The reality is that Indiana has huge health problems and a serious health care provider shortage of ALL types.
see: https://www.indystar.com/story/news/health/2024/03/20/indiana-national-findings-report-2024-states-health-housing-education/73030786007/
In my opinion, IU, with all of its entities, has not done enough or is enough for our State.
Look at the State of Georgia. It is ranked 40 per capita for physicians and already is starting another medical school. This will be the sixth medical school for the State.
https://www.beckershospitalreview.com/hospital-physician-relationships/university-of-georgia-to-start-a-medical-school.html?utm_medium=email&utm_content=newsletter
It is unfortunate that there has not been enough coverage of the broader trends of health and research beyond the narrow boundaries of Indiana
All of the “great numbers” of IU only give a superficial understanding of the problems that we are facing in our State. The reality is that Indiana has huge health problems and a serious health care provider shortage of ALL types. See: https://www.indystar.com/story/news/health/2024/03/20/indiana-national-findings-report-2024-states-health-housing-education/73030786007/ In my opinion, IU, with all of its entities, has not done enough or is enough for our State. Look at the State of Georgia. It is ranked 40 per capita for physicians and already is starting another medical school. This will be the sixth medical school for the State. https://www.beckershospitalreview.com/hospital-physician-relationships/university-of-georgia-to-start-a-medical-school.html?utm_medium=email&utm_content=newsletter. It is unfortunate that there has not been enough coverage of the broader trends of health and research beyond the narrow boundaries of Indiana