Time to Heal

Time to Heal : American Medical Education from the Turn of the Century to the Era of Managed Care

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Already the recipient of extraordinary critical acclaim, this magisterial book provides a landmark account of American medical education in the twentieth century, concluding with a call for the reformation of a system currently handicapped by managed care and by narrow, self-centered professional interests. Kenneth M. Ludmerer 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. Ludmerer portrays the experience of learning medicine from the perspective of students, house officers, faculty, administrators, and patients, and he traces the immense impact on academic medical centers 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. Panoramic in scope, meticulously researched, brilliantly argued, and engagingly written, Time to Heal is both a stunning work of scholarship and a courageous critique of modern medical education. The definitive book on the subject, it provides an indispensable framework for making informed choices about the future of medical education and health care in America.show more

Product details

  • Hardback | 540 pages
  • 162.1 x 242.8 x 42.4mm | 945.53g
  • Oxford University Press Inc
  • New York, United States
  • English
  • numerous figures and tables
  • 0195118375
  • 9780195118377

Review quote

"The changes [in academic medicine] during the second half of the 20th century have been nothing short of amazing. In Time to Heal and its predecessor, Ludmerer chronicles these changes brilliantly. We can confidently expect medical education to continue to evolve, and I hope we can look forward to Ludmerer's next volume for his comments on these future developments." -- Robert G. Petersdorf, Science"Ludmerer gives us a memorably thoughtful, complete, and deeply scholarly narrative, which is at the same time so lucid and attractively written that it is difficult to put down once begun. This perfectly glorious achievement is destined to be hailed as one of the most important works on medical history and education ever published. It stands shoulder to shoulder with Flexner's."--Sherwin B. Nuland, author of How We Die"Kenneth Ludmerer has created a masterpiece of great national importance."--Leighton E. Cluff, Past President, The Robert Wood Johnson Foundation"An exceptionally clear, meticulous dissection of the interactions between medical education, medical schools, academic hospitals, and the health care system. Unless his compelling admonitions about the travails of medical education as the century ends receive the attention of leaders, we endanger the quality of future physicians... Establishes Ludmerer as one of the great medical historians."--Jerome P. Kassirer, M.D., Editor-in-Chief, New England Journal of Medicine"Whle some of this thoroughly researched and well-documented work may be of interest only to academics, most of it concerns us all... With a wealth of factual details and insightful questions, this book is destined to have an impact on the future of medical education. Highly recommended."--Library Journal "The changes [in academic medicine] during the second half of the 20th century have been nothing short of amazing. In Time to Heal and its predecessor, Ludmerer chronicles these changes brilliantly. We can confidently expect medical education to continue to evolve, and I hope we can look forward to Ludmerer's next volume for his comments on these future developments." -- Robert G. Petersdorf, Science "Ludmerer gives us a memorably thoughtful, complete, and deeply scholarly narrative, which is at the same time so lucid and attractively written that it is difficult to put down once begun. This perfectly glorious achievement is destined to be hailed as one of the most important works on medical history and education ever published. It stands shoulder to shoulder with Flexner's."--Sherwin B. Nuland, author of How We Die "Kenneth Ludmerer has created a masterpiece of great national importance."--Leighton E. Cluff, Past President, The Robert Wood Johnson Foundation "An exceptionally clear, meticulous dissection of the interactions between medical education, medical schools, academic hospitals, and the health care system. Unless his compelling admonitions about the travails of medical education as the century ends receive the attention of leaders, we endanger the quality of future physicians... Establishes Ludmerer as one of the great medical historians."--Jerome P. Kassirer, M.D., Editor-in-Chief, New England Journal of Medicine "Whle some of this thoroughly researched and well-documented work may be of interest only to academics, most of it concerns us all... With a wealth of factual details and insightful questions, this book is destined to have an impact on the futureof medical education. Highly recommended."--Library Journal "The changes [in academic medicine] during the second half of the 20th century have been nothing short of amazing. In Time to Heal and its predecessor, Ludmerer chronicles these changes brilliantly. We can confidently expect medical education to continue to evolve, and I hope we can look forward to Ludmerer's next volume for his comments on these future developments." -- Robert G. Petersdorf, Science "Ludmerer gives us a memorably thoughtful, complete, and deeply scholarly narrative, which is at the same time so lucid and attractively written that it is difficult to put down once begun. This perfectly glorious achievement is destined to be hailed as one of the most important works on medical history and education ever published. It stands shoulder to shoulder with Flexner's."--Sherwin B. Nuland, author of How We Die "Kenneth Ludmerer has created a masterpiece of great national importance."--Leighton E. Cluff, Past President, The Robert Wood Johnson Foundation "An exceptionally clear, meticulous dissection of the interactions between medical education, medical schools, academic hospitals, and the health care system. Unless his compelling admonitions about the travails of medical education as the century ends receive the attention of leaders, we endanger the quality of future physicians... Establishes Ludmerer as one of the great medical historians."--Jerome P. Kassirer, M.D., Editor-in-Chief, New England Journal of Medicine "Whle some of this thoroughly researched and well-documented work may be of interest only to academics, most of it concerns us all... With a wealth of factual details and insightful questions, this book is destined to have an impact on the future of medical education. Highly recommended."--Library Journal "The changes [in academic medicine] during the second half of the 20th century have been nothing short of amazing. In Time to Heal and its predecessor, Ludmerer chronicles these changes brilliantly. We can confidently expect medical education to continue to evolve, and I hope we can look forwardto Ludmerer's next volume for his comments on these future developments." -- Robert G. Petersdorf, Science"Ludmerer gives us a memorably thoughtful, complete, and deeply scholarly narrative, which is at the same time so lucid and attractively written that it is difficult to put down once begun. This perfectly glorious achievement is destined to be hailed as one of the most important works on medicalhistory and education ever published. It stands shoulder to shoulder with Flexner's."--Sherwin B. Nuland, author of How We Die"Kenneth Ludmerer has created a masterpiece of great national importance."--Leighton E. Cluff, Past President, The Robert Wood Johnson Foundation"An exceptionally clear, meticulous dissection of the interactions between medical education, medical schools, academic hospitals, and the health care system. Unless his compelling admonitions about the travails of medical education as the century ends receive the attention of leaders, we endangerthe quality of future physicians... Establishes Ludmerer as one of the great medical historians."--Jerome P. Kassirer, M.D., Editor-in-Chief, New England Journal of Medicine"Whle some of this thoroughly researched and well-documented work may be of interest only to academics, most of it concerns us all... With a wealth of factual details and insightful questions, this book is destined to have an impact on thefuture of medical education. Highly recommended."--LibraryJournal "The changes �in academic medicine� during the second half of the 20th century have been nothing short of amazing. In Time to Heal and its predecessor, Ludmerer chronicles these changes brilliantly. We can confidently expect medical education to continue to evolve, and I hope we can look forwardto Ludmerer's next volume for his comments on these future developments." -- Robert G. Petersdorf, Science"Ludmerer gives us a memorably thoughtful, complete, and deeply scholarly narrative, which is at the same time so lucid and attractively written that it is difficult to put down once begun. This perfectly glorious achievement is destined to be hailed as one of the most important works on medicalhistory and education ever published. It stands shoulder to shoulder with Flexner's."--Sherwin B. Nuland, author of How We Die"Kenneth Ludmerer has created a masterpiece of great national importance."--Leighton E. Cluff, Past President, The Robert Wood Johnson Foundation"An exceptionally clear, meticulous dissection of the interactions between medical education, medical schools, academic hospitals, and the health care system. Unless his compelling admonitions about the travails of medical education as the century ends receive the attention of leaders, we endangerthe quality of future physicians... Establishes Ludmerer as one of the great medical historians."--Jerome P. Kassirer, M.D., Editor-in-Chief, New England Journal of Medicine"Whle some of this thoroughly researched and well-documented work may be of interest only to academics, most of it concerns us all... With a wealth of factual details and insightful questions, this book is destined to have an impact on thefuture of medical education. Highly recommended."--LibraryJournalshow more

About Kenneth M. Ludmerer

Kenneth M. Ludmerer, M.D., is an eminent internist, historian of medicine, and medical educator. He is Professor of Medicine in the School of Medicine and Professor of History on the Faculty of Arts and Sciences at Washington University. He is the author of Learning to Heal: The Development of American Medical Education and Genetics and America Society: A Historical Appraisal. He lives in St. Louis, Missouri, with his wife and two daughters.show more

Rating details

23 ratings
3.78 out of 5 stars
5 30% (7)
4 26% (6)
3 35% (8)
2 9% (2)
1 0% (0)
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