Time to Heal: American Medical Education from the Turn of the Century to the Era of Managed Care
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.
What people are saying - Write a review
Time to heal: American medical education from the turn of the century to the era of managed careUser Review - Not Available - Book Verdict
Ludmerer (Learning To Heal; medicine, Washington Univ.) reviews American medical education from World War I to the present, examining its exponential growth and response to social trends. While some ... Read full review
Other editions - View all
Abraham Flexner academic health centers academic medical centers academic medicine agenda American Medical Colleges American medical education Association of American became began century clinical departments Committee country’s curriculum dean disease doctors educa education and research England Journal faculty members faculty practice federal Flexner Folder full-time graduate medical education Harvard Medical School HMOs Hospital–Cornell Medical Center house officers house staff ical important increased instance institutions Internal Medicine internship Johns Hopkins Hospital Journal of Medicine laboratory managed managed care Massachusetts General Hospital Medicaid Medical Archives Medical Board medical faculties medical practice medical research medical students Medicare Meeting ment National percent physicians Presbyterian Hospital private patients problems professional programs residency responsibility salaries School of Medicine scientific social specialty students and house surgery teaching hospitals Thomas Jefferson University tion University Medical University Press University School World World War II York Hospital–Cornell Medical