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EBOOK
Author Ludmerer, Kenneth M.,
Title Let me heal : the opportunity to preserve excellence in American medicine / Kenneth M. Ludmerer.
Imprint Oxford ; New York, NY : Oxford University Press, [2015]
©2015.

Author Ludmerer, Kenneth M.,
Subject Medicine -- Study and teaching (Residency) -- United States.
Medical care -- United States.
Internship programs -- United States.
Internship and Residency -- history.
United States.
Description 1 online resource (xvii, 431 pages)
Bibliography Note Includes bibliographical references (pages 335-409) and index.
Summary "In Let Me Heal, prize-winning author Kenneth M. Ludmerer provides the first-ever account of the residency system for training doctors in the United States. He traces its development from its nineteenth-century roots through its present-day struggles to cope with new, bureaucratic work-hour regulations for house officers and, more important, to preserve excellence in medical training amid a highly commercialized health care system. In the making of a doctor, the residency system represents the dominant formative influence. It is during the three to nine years that medical graduates spend as residents and clinical fellows that doctors come of professional age - acquiring the knowledge and skills of their specialty or subspecialty, forming a professional identity, and developing habits, behaviors, attitudes, and values that last a professional lifetime. Let Me Heal provides a richly contextualized account of the residency system in all its dimensions: its historical evolution, educational principles, moral underpinnings, financing and administration, and relationship to the broader culture. It focuses on the experience of being a resident, on how that experience has changed over time, and on how well the residency system is fulfilling its obligation doctors. Most important, it brilliantly analyzes the mutual relationship between residency education and patient care in America. The book shows that the quality of residency training ultimately depends on the quality of patient care that residents observe, but that there is much that residency training can do to produce doctors who practice in a better, more affordable fashion."--Provided by publisher.
Contents Antecedents -- Johns Hopkins and the creation of the residency -- The growth of graduate medical education -- The American residency -- The life of a pre-World War II House Officer -- Consolidating the system -- The expansion of the residency in an era of abundance -- The evolving learning environment -- The life of a post-World War II House Officer -- The weakening of the educational community -- The era of high throughput -- The era of accountability, patient safety, and work-hour regulation -- Preserving excellence in residency training and medical care.
1. Antecedents; The Search for Clinical Experience; The Quest for Specialty Training; The Passion for Discovery and the Birth of Clinical Science; 2. Johns Hopkins and the Creation of the Residency; Graduate Medical Education Enters the University; The Scientific Practitioner and the Promise for the Nation; Work as Play; Diaspora; 3. The Growth of Graduate Medical Education; Completing the Infrastructure; The Maturation of the Internship; The Spread of the Residency; In Search of a System; 4. The American Residency.
Educational PrinciplesThe Moral Dimension of Graduate Medical Education; The Learning Environment; Cultural Influences; 5. The Life of a Pre-World War II House Officer; Obtaining a Residency; Experiencing the Residency; Education and Service; 6. Consolidating the System; The Second Reform of Medical Education; The Rise of the Specialty Boards and the Triumph of Residency; Graduate Medical Education and the Public Good; 7. The Expansion of the Residency in an Era of Abundance; From Privilege to Right; The Maturation of Clinical Science and the Creation of Subspecialty Fellowships.
The Ascendance of Specialty PracticeThe Propagation of Wastefulness; 8. The Evolving Learning Environment; The Decline of the Ward Service; The Preservation of Educational Quality; Maintaining the Moral Mission; 9. The Life of a Post-World War II House Officer; Changes and Continuities; Quality, Safety, and Supervision; Education and Service, Again; 10. The Weakening of the Educational Community; The Marginalization of House Officers; House Staff Activism; The Discovery of Burnout; 11. The Era of High Throughput; The New Learning Environment; The Subversion of the Moral Mission.
Changing Attitudes toward Work and Life12. The Era of Accountability, Patient Safety, and Work-Hour Regulation; Work-Hour Restrictions; Perpetual Dilemmas; 13. Preserving Excellence in Residency Training and Medical Care; Challenges, New and Old; Aligning Education and Patient Care.
Note Online resource; title from digital title page (ProQuest Ebook Central, viewed February 8, 2019).
ISBN 9780199392162 (electronic bk.)
0199392161 (electronic bk.)
9780199744541 (hbk. ; acid-free paper)
0199744548 (hbk. ; acid-free paper)
OCLC # 889313459
Additional Format Print version: Ludmerer, Kenneth M. Let me heal. Oxford ; New York : Oxford University Press, [2015] 9780199744541 (DLC) 2014004264 (OCoLC)870085114.


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