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, andhe describes the effects of external social factors on academic centers as well. Most notably, the book explores the very real…mehr
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, andhe 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 andpractice.
Kenneth M. Ludmerer is a recipient of the Abraham Flexner Award for Distinguished Service to Medical Education of the Association of American Medical Colleges, the William Welch Medal of the American Association for the History of Medicine, and the Distinguished Alumnus Award of The Johns Hopkins University. He was also the winner of the 2004 William Welch Medal of the American Association for the History of Medicine for this book.
Inhaltsangabe
* 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
* 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
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