| Medical education: progress and retreat. | |
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MedLine Citation:
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PMID: 21073012 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In summary, there have been significant educational improvements, particularly during the first two years of medical school. Students today are more accomplished, more diverse, and there is now a focus on the highly relevant basic science of medical practice, including medical ethics and public health. The curriculum has been centralized and coordination between various departments has vastly improved as a result. The number of lectures has been reduced, replaced by more effective small-group, problem-solving seminars. Support services for students have made medical school a much more enjoyable experience. On the other hand, the dramatic shift in the nature of hospitalized patients has adversely affected traditional bedside teaching that was such an important part of clinical education in the past. Extensive diagnostic evaluations now take place in an ambulatory setting. Hospitals and medical schools have not yet found a satisfactory way to integrate trainees into these venues. Finally, there has been a marked decrease in the number of graduates seeking careers in primary care, a phenomenon influenced by huge educational debts, the attraction of being able to master a defined discipline, and the desire to combine a medical life with a reasonable life-style. On balance, although the overall education of our future doctors has definitely been improved in the past fifty years, the erosion in fundamental clinical skills has been a disappointment. |
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Authors:
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Robert H Gifford |
Publication Detail:
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Type: Historical Article; Journal Article; Portraits |
Journal Detail:
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Title: Connecticut medicine Volume: 74 ISSN: 0010-6178 ISO Abbreviation: Conn Med Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-11-15 Completed Date: 2010-12-07 Revised Date: 2011-02-18 |
Medline Journal Info:
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Nlm Unique ID: 0372745 Medline TA: Conn Med Country: United States |
Other Details:
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Languages: eng Pagination: 533-7 Citation Subset: IM |
Affiliation:
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Yale School of Medicine, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Career Choice Clinical Competence Clinical Medicine / history* Connecticut Curriculum Education, Medical / history*, methods, trends Faculty, Medical Female History, 20th Century History, 21st Century Humans Male Mentors Schools, Medical / history* Students, Medical / history* |
| Comments/Corrections | |
Comment In:
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Conn Med. 2011 Jan;75(1):60
[PMID:
21329298
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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