Let me heal : the opportunity to preserve excellence in American medicine /
"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. He traces its development from its nineteenth-century roots through its present-day struggles to cope with new, bureaucratic work-hour reg...
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Full text (MCPHS users only) |
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| Format: | Electronic eBook |
| Language: | English |
| Published: |
Oxford ; New York, NY :
Oxford University Press,
2015
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| Subjects: | |
| Local Note: | ProQuest Ebook Central |
Table of Contents:
- Antecedents
- Johns Hopkins and the creation of the residency
- The growth of graduate medical education
- The American residency
- The life of a pre-World War II House Officer
- Consolidating the system
- The expansion of the residency in an era of abundance
- The evolving learning environment
- The life of a post-World War II House Officer
- The weakening of the educational community
- The era of high throughput
- The era of accountability, patient safety, and work-hour regulation
- Preserving excellence in residency training and medical care.
- 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 PrinciplesThe 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 PracticeThe 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 Life12. The Era of Accountability, Patient Safety, and Work-Hour Regulation; Work-Hour Restrictions; Perpetual Dilemmas; 13. Preserving Excellence in Residency Training and Medical Care; Challenges, New and Old; Aligning Education and Patient Care.
