(Ebook) Time to Heal American Medical Education from the Turn of the Century to the Era of Managed Care 1st Edition by Kenneth M Ludmerer ISBN 0195118375 9780195118377

(Ebook) Time to Heal American Medical Education from the Turn of the Century to the Era of Managed Care 1st Edition by Kenneth M Ludmerer ISBN 0195118375 9780195118377

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ISBN 10: 0195118375 
ISBN 13: 9780195118377
Author: Kenneth M Ludmerer

Already 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-centered 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 centers 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.

(Ebook) Time to Heal American Medical Education from the Turn of the Century to the Era of Managed Care 1st Table of contents:

Part I Fulfilling the Social Contract: Medical Education as a Public Trust and the Capture of Public Confidence
1. Creating the System
Progressive Medical Education Fund-Raising
Medicine and the University
The Emergence of the Teaching Hospital
Establishing the Social Contract
2. The American Medical School Between the World Wars
Education
Research
Patient Care
Faculty Culture
Diversity and Development
The Rise of Harvard Medical School
3. Undergraduate Medical Education
Admissions
Training for Uncertainty
The Hidden Curriculum
Student Life
The Limits of Education
4. The Rise of Graduate Medical Education
The Creation of Internship and Residency
From Supervision to Responsibility
Selecting House Officers
Stresses and Support
Graduate Medical Education and the Public Interest
5. Teaching Hospitals
Joining the University
The Presence of Time
The Ward Service
6. Academic Medical Centers and the Public
Town and Gown
The Care of the Poor
Medical Education and the Nation’s Health
7. World War II and Medical Education
Mobilization for War
The War Against Disease
The Apotheosis of Medical Optimism
Part II Medical Education in the Era of the Multiversity: The Growth of Research and Service in a Period of Abundance
8. The Ascendancy of Research
The Age of Federal Beneficence
Changing Intellectual Directions
The Decline of Academic Gentility
9. The Expansion of Clinical Service
Academic Medical Centers and the Rising Demand for Medical Care
The Persistence of Academic Values
The Preservation of the Learning Environment
10. The Maturation of Graduate Medical Education
The Democratization of Residency
The Rise of Subspecialty Training
The Changing Life of the House Officer
11. The Forgotten Medical Student
The Evolving Curriculum
The Changing Medical Student
Producing More Doctors
The Devaluation of Teaching
Part III 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
The Escalation of Faculty Practice
Toward a One-Class System of Care
The Inversion of University Ideals
13. Medical Education in an Era of Protest and Civil Rights
Student Activism
House Staff Militancy
Minorities
Women
14. Academic Health Centers Under Stress: External Pressures
The Decline of the Cities
Competition for Patients
The New Adversarial Relationship with Government
The Dawn of the Age of Limits
15. Academic Health Centers Under Stress: Internal Dilemmas
Molecular Medicine and the Disappearance of Teachers
Reform Without Change
The Dilemmas of Graduate Medical Education
16. Internal Malaise
Rudderless Ships
The Decline of Academic Health Centers as Public Trusts
17. Medical Education in an Era of Cost Containment and Managed Care
Vassals of the Marketplace
The Loss of Time and the Erosion of the Learning Environment
Proactive Words; Reactive Behavior
18. A Second Revolutionary Period
The Reemergence of a Proprietary System
The Declining Relevance of Medical Education
Restoring the Social Contract

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Tags: Kenneth M Ludmerer, Heal, Medical