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Time to HealAmerican medical education from the turn of the century to the era of managed care$
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Kenneth M. Ludmerer

Print publication date: 2005

Print ISBN-13: 9780195181364

Published to Oxford Scholarship Online: October 2011

DOI: 10.1093/acprof:oso/9780195181364.001.0001

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The Expansion of Clinical Service

The Expansion of Clinical Service

Chapter:
(p.162) 9 The Expansion of Clinical Service
Source:
Time to Heal
Author(s):

Kenneth M. Ludmerer

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195181364.003.0009

The expansion of clinical service in the two decades following World War II created strains within academic medical centers, largely because of the distractions that patient care inevitably placed on teaching and research. Nevertheless, few academic medical centers lost sight—at least for long—of their unique role as educators of future physicians, and as producers of new medical knowledge and technologies. They worked hard to preserve the learning environment of the teaching hospital, even as that environment came under pressure from changing social, economic, and demographic circumstances. After the war, the strength of American medicine continued to reside in its academic medical centers—the collaborations of medical schools and teaching hospitals that generated knowledge, produced doctors, served as the ultimate arbiters in complicated clinical cases, and defined the standards of excellence in patient care.

Keywords:   academic medical centers, medical care, medical education, teaching hospital, medical schools, patient care

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