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

This book provides an account of American medical education in the 20th century, concluding with a call for the reformation of a system currently handicapped by managed care and by narrow, self-centred professional interests. The book describes the evolution of American medical education from 1910, when a muck-raking report on medical diploma mills spurred the reform and expansion of medical schools, to the current era of managed care, when commercial interests once more have come to the fore, compromising the training of the nation's future doctors. The book portrays the experience of learning medicine from the perspective of students, house officers, faculty, administrators, and patients, and traces the immense impact on academic medical centres of outside factors such as World War II, the National Institutes of Health, private medical insurance, and Medicare and Medicaid. Most notably, the book explores the very real threats to medical education in the current environment of managed care, viewing these developments not as a catastrophe but as a challenge to make many long-overdue changes in medical education and medical practice.