Time to Heal: American medical education from the turn of the century to the era of managed care

doi:10.1056/NEJM199912163412517

Volume 341:1939-1940		December 16, 1999		Number 25

Time to Heal: American medical education from the turn of the century to the era of managed care

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By Kenneth M. Ludmerer. 514 pp. New York, Oxford University Press, 1999. $29.95. ISBN 0-19-511837-5.

Each year, thousands of bright, energetic, highly motivatedstudents are admitted to medical school. I have often ponderedhow much formal teaching such bright students really need tobecome excellent doctors. How much does the curriculum matter?How critical is the environment? I asked myself these questionsagain after reading the last several chapters of Ludmerer'sbook. They deal with the profound influences of our currentsystem of health care delivery on medical faculty and on theteaching and learning environment of our major medical institutions.Ludmerer skillfully describes how we got into our current educationalturmoil. His account cries . . . [Full Text of this Article]