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Time to heal: American medical education from the turn of the century to the era of managed care
Kenneth M Ludmerer
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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.
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Frontmatter
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Preface (page xi)
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Acknowledgments (page xv)
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Introduction (page xix)
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Part I Fulfilling the Social Contract: Medical Education as a Public Trust and the Capture of Public Confidence
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1. Creating the System (page 3)
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2. The American Medical School Between the World Wars (page 26)
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3. Undergraduate Medical Education (page 59)
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4. The Rise of Graduate Medical Education (page 79)
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5. Teaching Hospitals (page 102)
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6. Academic Medical Centers and the Public (page 114)
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7. World War II and Medical Education (page 125)
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Part II Medical Education in the Era of the Multiversity: The Growth of Research and Service in a Period of Abundance
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8. The Ascendancy of Research (page 139)
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9. The Expansion of Clinical Service (page 162)
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10. The Maturation of Graduate Medical Education (page 180)
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11. The Forgotten Medical Student (page 196)
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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
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12. Medicare, Medicaid, and Medical Education (page 221)
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13. Medical Education in an Era of Protest and Civil Rights (page 237)
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14. Academic Health Centers Under Stress: External Pressures (page 260)
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15. Academic Health Centers Under Stress: Internal Dilemmas (page 288)
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16. Internal Malaise (page 327)
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17. Medical Education in an Era of Cost Containment and Managed Care (page 349)
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18. A Second Revolutionary Period (page 370)
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Notes (page 401)
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Index (page 495)
Journal Abbreviation | Label | URL |
---|---|---|
SC | 291.5512 (Mar. 2001): 2321-2322 | http://www.jstor.org/stable/3082656 |
ISIS | 91.4 (Dec. 2000): 815 | http://www.jstor.org/stable/236880 |
HEQ | 41.1 (Spring 2001): 116-118 | http://www.jstor.org/stable/369491 |
JAH | 88.2 (Sep. 2001): 734-735 | http://www.jstor.org/stable/2675245 |
HAH | 3.1 (2001):124-127 | http://www.jstor.org/stable/40111396 |
RAH | 29.1 (Mar. 2001): 158-164 | http://www.jstor.org/stable/30031042 |
BHM | 74.2 (Summer 2000): 404-406 | http://muse.jhu.edu/journals/bulletin_of_the_history_of_medicine/v074/74.2rothstein.html |
JHMAS | 57.4 (Oct. 2002): 514-515 | http://muse.jhu.edu/journals/journal_of_the_history_of_medicine_and_allied_sciences/v057/57.4humphreys.html |
PBM | 43.2 (Winter 2000) 301-303 | http://muse.jhu.edu/journals/perspectives_in_biology_and_medicine/v043/43.2tuteur.html |
Citable Link
Published: 1999
Publisher: Oxford University Press
- 9780195118377 (hardcover)
- 9780195353419 (ebook)
- 9780195181364 (paper)