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  • Let Me Heal: The Opportunity to Preserve Excellence in American Medicine

    Let Me Heal by Ludmerer, Kenneth M.;

    The Opportunity to Preserve Excellence in American Medicine

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        19 582 Ft (18 650 Ft + 5% áfa)
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    19 582 Ft

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    Beszerezhetőség

    Megrendelésre a kiadó utánnyomja a könyvet. Rendelhető, de a szokásosnál kicsit lassabban érkezik meg.

    Why don't you give exact delivery time?

    A beszerzés időigényét az eddigi tapasztalatokra alapozva adjuk meg. Azért becsült, mert a terméket külföldről hozzuk be, így a kiadó kiszolgálásának pillanatnyi gyorsaságától is függ. A megadottnál gyorsabb és lassabb szállítás is elképzelhető, de mindent megteszünk, hogy Ön a lehető leghamarabb jusson hozzá a termékhez.

    A termék adatai:

    • Kiadó OUP USA
    • Megjelenés dátuma 2014. október 23.

    • ISBN 9780199744541
    • Kötéstípus Keménykötés
    • Terjedelem456 oldal
    • Méret 152x236x43 mm
    • Súly 726 g
    • Nyelv angol
    • 0

    Kategóriák

    Rövid leírás:

    This insightful,engaging the history of US graduate medical education explores the social and moral value of physician training to society as a whole and how improving excellence in GME can stimulate and guide meaningful health care reform.

    Több

    Hosszú leírás:

    In Let Me Heal, prize-winning author Kenneth M.Ludmerer provides the first-ever account of the residency system for training doctors in the United States and, by tracing its evolution, explores how the residency system is of fundamental importance to the health of the nation.

    In the making of a doctor, the residency system represents the dominant formative influence. It is during the three to nine years spent in residency that doctors come of professional age, acquiring the knowledge and skills of their specialty or subspecialty, forming a professional identify, and developing habitts, behaviors, attitudes, and values that last a professional lifetime. Let Me Heal examines all dimensions of the residency system: historical evolution, educational principles, moral underpinnings, financing and administration, and cultural components. It focuses on the experience of being a resident, on how that experience has changed over time, and on how well the residency system is fulfilling its obligation to produce outstanding doctors. Most importantly, it analyzes the mutual relationship beetween residency education and patient care in America. The book shows that the quality of residency training ultimately depends on the quality of patient care that residents observe, but that there is much that residency training can do to produce doctors who practice in a better, more affordable fashion.

    This thoughtful scholarly treatise on the residency, the most influential learning period for young physicians, is a major contribution to our understanding of how America produces its physician workforce. It notes the educational, scientific, economic, social, legal, ethical, and political influences which produce tensions and conflicts in the training experience. Dr. Ludmerer provides a platform for examining these influences and he proposes ways for the learning environment to be more flexible, while maintaining high standards and the professionalism we all want to retain in our nation's physicians. I heartily recommend this superb book to all who are interested in our nation's healthcare system.

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    Tartalomjegyzék:

    1. ANTECEDENTS
    The Search for Clinical Experience
    The Quest for Specialty Training
    The Passion for Discovery and the Birth of Clinical Science
    2. JOHNS HOPKINS AND THE CREATION OF THE RESIDENCY
    Graduate Medical Education Enters the University
    The Scientific Practitioner and the Promise for the Nation
    Work as Play
    Diaspora
    3. THE GROWTH OF GRADUATE MEDICAL EDUCATION
    Completing the Infrastructure
    The Maturation of the Internship
    The Spread of the Residency
    In Search of a System
    4. THE AMERICAN RESIDENCY
    Educational Principles
    The Moral Dimension of Graduate Medical Education
    The Learning Environment
    Cultural Influences
    5. THE LIFE OF A PRE-WORLD WAR II HOUSE OFFICER
    Obtaining a Residency
    Experiencing the Residency
    Education and Service
    6. CONSOLIDATING THE SYSTEM
    The Second Reform of Medical Education
    The Rise of the Specialty Boards and the Triumph of Residency
    Graduate Medical Education and the Public Good
    7. THE EXPANSION OF THE RESIDENCY IN AN ERA OF ABUNDANCE
    From Privilege to Right
    The Maturation of Clinical Science and the Creation of Subspecialty Fellowships
    The Ascendance of Specialty Practice
    The Propagation of Wastefulness
    8. THE EVOLVING LEARNING ENVIRONMENT
    The Decline of the Ward Service
    The Preservation of Educational Quality
    Maintaining the Moral Mission
    9. THE LIFE OF A POST-WORLD WAR II HOUSE OFFICER
    Changes and Continuities
    Quality, Safety, and Supervision
    Education and Service, Again
    10. THE WEAKENING OF THE EDUCATIONAL COMMUNITY
    The Marginalization of House Officers
    House Staff Activism
    The Discovery of Burnout
    11. THE ERA OF HIGH THROUGHPUT
    The New Learning Environment
    The Subversion of the Moral Mission
    Changing Attitudes toward Work and Life
    12. THE ERA OF ACCOUNTABILITY, PATIENT SAFETY, AND WORK-HOURS REGULATION
    Work Hours Restriction
    Perpetual Dilemmas
    13. PRESERVING EXCELLENCE IN RESIDENCY TRAINING AND MEDICAL CARE
    Challenges, New and Old
    Aligning Education and Patient Care

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