| Reforming medical education: a review and synthesis of five critiques of medical practice. | |
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MedLine Citation:
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PMID: 20359806 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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For physicians to provide appropriate healthcare at a reasonable cost, health reform may not be enough. This essay discusses the scope of educational reform needed in the U.S. to train tomorrow's physicians to practice effectively in an increasingly complicated health care arena. We undertook a review and synthesis of five critiques of medical practice in the U.S.: of quality, evidence-based medicine, population medicine, health policy and heuristics. Our findings suggest that physicians are inadequately trained to function in the complex organizational and social systems that characterize modern practice. Successful health care reform in the U.S. will require physicians who are trained not only in bio-medicine, but also in the social sciences. Other developed countries, which have both greater government control of health care and a culture less oriented to individualism, may have less need for specific efforts to train physicians in the social sciences but could still benefit from considering an expanded curriculum. Effective educational reform must address the medical admissions process, academic and intellectual preparation, and professional and clinical training. |
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Authors:
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Christopher S Sales; Anthony L Schlaff |
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Publication Detail:
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Type: Journal Article; Review Date: 2010-03-10 |
Journal Detail:
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Title: Social science & medicine (1982) Volume: 70 ISSN: 1873-5347 ISO Abbreviation: Soc Sci Med Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-03 Completed Date: 2010-06-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8303205 Medline TA: Soc Sci Med Country: England |
Other Details:
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Languages: eng Pagination: 1665-8 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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Tufts University School of Medicine, Public Health & Community Medicine, 136 Harrison Avenue, Boston, MA 02111, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence* Curriculum* Education, Medical / methods*, standards Humans Social Sciences / education* United States |
| Comments/Corrections | |
Comment In:
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Soc Sci Med. 2010 Jun;70(11):1677-9; discussion 1680-1
[PMID:
20381936
]
Soc Sci Med. 2010 Jun;70(11):1672-6; discussion 1680-1 [PMID: 20359804 ] Soc Sci Med. 2010 Jun;70(11):1669-71; discussion 1680-1 [PMID: 20362378 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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