Training physicians : the case of internal medicine
著者
書誌事項
Training physicians : the case of internal medicine
(Jossey-Bass health series)
Jossey-Bass Publishers, c1994
1st ed
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注記
Includes bibliographical references (p. 429-449) and index
内容説明・目次
内容説明
This comprehensive volume presents the findings of a five-year study of fifty years' worth of data that detail the scientific, economic, and social factors that influenced and altered the training of internal medicine physicians. The authors explore numerous factors that significantly changed internal medicine training programs. Based on extensive interviews with chairmen, program directors, practitioners, and faculty, the authors show how the economic, legislative, and regulative environment has dramatically changed the hospital environment, shortening hospital stays and shifting care to ambulatory settings. Hospitals no longer have the range of patients with the health care problems needed for residents to observe the range and evolution of diseases. Recognizing the growing commitment to meet this challenge, the authors describe plans and methods for teaching in ambulatory care settings that incorporate practicing physicians and community hospitals and make internal medicine attractive to students and residents. The authors also discuss a number of other vital issues confronting internal medicine, such as reevaluating the role of international medical school graduates who come from diverse educational backgrounds; reassessing how training for internal medicine should be funded; and redefining and expanding the role of the internist in this time of calls for health reform and for expanding primary care.
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