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

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Description

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-centred 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 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. 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

  • Paperback | 540 pages
  • 154.9 x 223.5 x 38.1mm | 657.72g
  • Oxford University Press Inc
  • New York, United States
  • English
  • Revised ed.
  • numerous tables and line drawings
  • 0195181360
  • 9780195181364
  • 1,691,122

Review quote

Kenneth Ludmerer gives us a much-needed perspective on medical education in America. * Bulletin of the Medical Library Association * This important critique of U.S. medical education from WWI to the present makes painfully clear that the training of the nation's doctors could be vital to your health. * Publishers Weekly * Ludmerer looks at the future of medicine in America and reveals some very disturbing trends in managed care, education, and research funding. 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 for all libraries. * Library Journal * All of us, both within and beyond the professions directly involved in defending the nation's health, can find excellent directions to take in Time to Heal. It should be read by all who believe that the health of our people is of paramount importance in a civilized, productive nation. * Academic Medicine * Mandatory reading for anyone even peripherally involved in medical education... We must not let the future (of medicine) happen, we must make it happen. Ludmerer's extraordinary book provides the foundation, and inspiration, for doing this. * New England Journal of Medicine * This book is a massive accomplishment, and my prediction is that it will stand as the major reference on the subject forever. * Paul B. Beeson, Former Chair of the Departments of Medicine of Emory, Yale, and Oxford * This brilliant historical account... is more than a work of breathtaking scholarship. It is also a work of great social and moral stature... The message of the book is not that medical education and the health care system are beyond redemption. Quite the contrary, it is a challenge for their redemption. * Renee C. Fox, Social Sciences, University of Pennsylvania * A magisterial book, bound to attract more than the scholarly attention... this book will make Ludmerer the most eminent historian of American medicine of his time and a notable figure in the medical profession into the bargain. * Donald Fleming, History Department, Harvard University * 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. * New England Journal of Medicine * In his much-anticipated Time to Heal, 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. * Sherwin B. Nuland, author of How We Die *show more

About Kenneth M. Ludmerer

Kenneth M. Ludmerer is a recipient of the Abraham Flexner Award for Distinguished Service to Medical Education of the Association of American Medical Colleges, the William Welch Medal of the American Association for the History of Medicine, and the Distinguished Alumnus Award of The Johns Hopkins University. He was also the winner of the 2004 William Welch Medal of the American Association for the History of Medicine for this book.show more

Table of contents

PART 1: FULFILLING THE SOCIAL CONTRACT: MEDICAL EDUCATION AS A PUBLIC TRUST AND THE CAPTURE OF PUBLIC CONFIDENCE; PART 2: MEDICAL EDUCATION IN THE ERA OF MULTIVERSITY: THE GROWTH OF RESEARCH AND SERVICE IN A PERIOD OF ABUNDANCE; PART 3: BREAKING THE SOCIAL CONTRACT: THE EROSION OF UNIVERSITY VALUES, THE DECLINE OF PUBLIC-SPIRITEDNESS, AND THE BEGINNING OF THE SECOND REVOLUTION IN MEDICAL EDUCATIONshow 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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