Buch, Englisch, 544 Seiten, Format (B × H): 156 mm x 234 mm, Gewicht: 816 g
American Medical Education from the Turn of the Century to the Era of Managed Care
Buch, Englisch, 544 Seiten, Format (B × H): 156 mm x 234 mm, Gewicht: 816 g
ISBN: 978-0-19-518136-4
Verlag: Oxford University Press
The recipient of extraordinary critical acclaim, this magisterial book provides a landmark account of American medical education in the twentieth century, concluding with a call for the reformation of a system currently handicapped by managed care and by narrow, self-centred professional interests.
Kenneth M. Ludmerer describes the evolution of American medical education from 1910, when a muck-raking report on medical diploma mills spurred the reform and expansion of medical schools, to the current era of managed care, when commercial interests once more have come to the fore, compromising the training of the nation's future doctors. Ludmerer portrays the experience of learning medicine from the perspective of students, house officers, faculty, administrators, and patients, and he traces the immense impact on academic medical centres of outside factors such as World War II, the National Institutes of Health, private medical insurance, and Medicare and Medicaid. Most notably, the book explores the very real threats to medical education in the current environment of managed care, viewing these developments not as a catastrophe but as a challenge to make many long overdue changes in medical education and medical practice.
Panoramic in scope, meticulously researched, brilliantly argued, and engagingly written, Time to Heal is both a stunning work of scholarship and a courageous critique of modern medical education. The definitive book on the subject, it provides an indispensable framework for making informed choices about the future of medical education and health care in America.
Autoren/Hrsg.
Fachgebiete
Weitere Infos & Material
- Introduction
- Part 1: Fulfilling the social contract: medical education as a public trust and the capture of public confidence
- 1: Creating the system
- 2: The American medical school between the World Wars
- 3: Undergraduate medical education
- 4: The rise of graduate medical education
- 5: Teaching hospitals
- 6: Academic medical centres and the public
- 7: World War II and medical education
- Part 2: Medical education in the era of multiversity: the growth of research and service in a period of abundance
- 8: The ascendancy of research
- 9: The expansion of clinical service
- 10: The maturation of graduate medical education
- 11: The forgotten medical student
- Part 3: Breaking the social contract: the erosion of university values, the decline of public-spiritedness, and the beginning of the second revolution in medical education
- 12: Medicare, Medicaid, and medical education
- 13: Medical education in an era of protest and civil rights
- 14: Academic health centres under stress: external pressures
- 15: Academic health centres under stress: internal dilemmas
- 16: Internal malaise
- 17: Medical education in an era of cost containment and managed care
- 18: A second revolutionary period
