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Table 3 Observations and Knowledge Related to Financing of Medical Education

From: Policy issues related to educating the future Israeli medical workforce: an international perspective

• The government of Israel supports higher education, including medical education and other health professions education, through a separate entity called VATAT.
• Funding goes directly to universities and colleges. Even though it is based upon the educational programs of those institutions, the distribution of it within the institutions is a local responsibility.
• In the first decade of the 21st century there was a cutback in funding
o In the second decade, there has been restoration of some of the funds.
o Each medical school expressed concern about the number of faculty positions for which it had funding, particularly basic science faculty.
• Three Israeli medical schools have four-year English language programs for non-Israelis with prior baccalaureate degrees that have high tuitions.
o These programs share faculty with the Hebrew language programs.
o English-language programs produce significant revenue for the university.
• Schools have understandable concerns that development of ambulatory medical education will require significant financial resources that do not currently exist.
• Promotions for clinical faculty are generally based on research criteria (see Table 2).
o The majority of clinical teachers do not have any university appointment.
• Academic promotions to senior faculty positions in Israeli universities carry financial benefits including supported sabbatical time and supported meeting travel.
o Most clinical teachers work for the health system.
o Universities are expected to fund the benefits associated with academic promotions.
• Students reported needing to work while in medical school to gain necessary income to support family obligations or the high cost of living in some areas.
• The support for the PhD component of MD-PhD programs tends to be short (2–4 years).
o It is difficult to take on an important and challenging research project when supported research time is short.