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Zusatztext [a] meticulous new book. Informationen zum Autor Kenneth M. Ludmerer is Professor of Medicine, Professor of History, and the Mabel Dorn Reeder Distinguished Professor of the History of Medicine, Washington University, St. Louis, Missouri. Klappentext 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 regulations for house officers and, more important, to preserve excellence in medical training amid a highly commercialized health care system. Let Me Heal provides a highly engaging, richly contextualized account of the residency system in all its dimensions. It also brilliantly analyzes the mutual relationship between residency education and patient care in America. The book shows that the quality of residency training ultimately depends on the quality of patient care that residents observe, but that there is much that residency training can do to produce doctors who practice in a better, more affordable fashion. Let Me Heal is both a stunning work of scholarship and a highly engaging account of how one becomes a doctor in the United States. It is indispensable reading for those who wish to understand what it means to learn and practice medicine and what is needed to make medical education and patient care in America better. The definitive work on the subject, it is destined to become a classic that will be consulted by readers far into the future. Zusammenfassung This insightful,engaging the history of US graduate medical education explores the social and moral value of physician training to society as a whole and how improving excellence in GME can stimulate and guide meaningful health care reform. Inhaltsverzeichnis 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 Principles The 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 Practice The 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 Life 12. THE ERA OF ACCOUNTABILITY, PATIENT SAFETY, AND WORK-HOURS REGULATION Work Hours Restriction Perpetual Dilemmas 13. PRESERVING EXCELLENCE IN RESIDE...
