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  • Time to Heal: American medical education from the turn of the century to the era of managed care

    Time to Heal by Ludmerer, Kenneth M.;

    American medical education from the turn of the century to the era of managed care

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    17 152 Ft

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    Product details:

    • Edition number New ed
    • Publisher OUP USA
    • Date of Publication 10 February 2005

    • ISBN 9780195181364
    • Binding Paperback
    • No. of pages544 pages
    • Size 232x160x36 mm
    • Weight 739 g
    • Language English
    • Illustrations numerous tables and line drawings
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    Short description:

    Kenneth Ludmerer describes the evolution of American medical education from 1910, when a controversial 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, faculty, administrators, and patients, and he describes the effects of external social factors on academic centers as well. Most notably, the book explores the very real threats to medical education in the current environment of managed care, viewing these developments as a challenge to make many long overdue changes in medical education and practice.

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    Long description:

    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.

    Featured as an 'Essential Purchase' on Doody's Core Titles List for 2018

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    Table of Contents:

    Introduction
    Part 1: Fulfilling the social contract: medical education as a public trust and the capture of public confidence
    Creating the system
    The American medical school between the World Wars
    Undergraduate medical education
    The rise of graduate medical education
    Teaching hospitals
    Academic medical centres and the public
    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
    The ascendancy of research
    The expansion of clinical service
    The maturation of graduate medical education
    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
    Medicare, Medicaid, and medical education
    Medical education in an era of protest and civil rights
    Academic health centres under stress: external pressures
    Academic health centres under stress: internal dilemmas
    Internal malaise
    Medical education in an era of cost containment and managed care
    A second revolutionary period

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