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For decades, educators, historians, and social commentators accorded major responsibility for the reform of medical education in the United States to the Flexner Report of 1910. More recently, historians have begun to challenge the impact of the Report and the desirability of the changes attributed to it. This volume takes the themes articulated in the Report and traces their development. With each theme being discussed by a specialist in the subject area, the book provides a comprehensive review of medical education in the twentieth century.
These themes, many of which have not been discussed in other books, include the basic sciences, the clinical curriculum, women in medicine, black medical education, and sectarian medical education. In addition, the volume includes chapters on the evolution of the health care delivery system, trends in financing medical education, the use of outpatient settings for clinical education, the current status of the medical curriculum and needed changes, and health manpower needs. The work concludes with a chapter discussing the current proposals for change and how they relate to the problems and reforms of the Flexner era. The work will be of interest to medical school administrators, policy makers, and faculty members as well as to practicing physicians.
List of contents
Introduction
Abraham Flexner in Historical Perspective by Robert P. Hudson
The Growth and Divergence of the Basic Sciences by Barbara Barzansky
Clinical Education Since Flexner or Whatever Became of William Osler? by Edward C. Atwater
Women in Medicine Since Flexner by Mary Roth Walsh
Abraham Flexner and the Black Medical Schools by Todd L. Savitt
The Fate of Sectarian Medical Education by Norman Gevitz
American Health Services Since the "Flexner Report" by Odin W. Anderson
Trends in the Financing of Undergraduate Medical Education by Janet D. Perloff
Trends in the Use of Outpatient Settings for Medical Education by Barbara Barzansky and Janet D. Perloff
The Medical Curriculum: Developments and Directions by DeWitt C. Baldwin, Jr.
Will the Supply and Distribution of Physicians be Appropriate for National Needs in the Year 2000? by David A. Kindig and Hormoz Movassaghi
Abraham Flexner: Lessons from the Past with Applications for the Future by Barbara Barzansky
Selected Bibliography
Index
About the author
Barbara M. Barzansky, Norman Gevitz