CHAPTER 34Pamela J. Trent H. Keith H. Brodie
¶ IntroductionMEDICAL EDUCATION in the United
States has not faced such careful
scrutiny since Abraham Flexner
published his report in 1910.
9 Whereas that
report disclosed the need to organize medical education, present studies of the issues
reflect the overwhelming complexity of that
organization. The recent report, The Organization and Governance of Academic Health
Centers14,24 makes this abundantly clear. Academic health centers (AHCs), direct descendants of post-Flexnerian efforts to improve medical schooling, are now complex
and diverse institutions "consisting of a medical school, at least one other health school,
and a teaching hospital (owned or affiliated)."14 Note the historical factors leading
to this complexity, as delineated in the report :
|1. ||There has been an overwhelming increase in
the operating and capital budgets for programs, staff, students, and faculty.|
|2. ||There has been a tremendous growth of
new medical knowledge in the past forty
|3. ||There has been a large and steady increase
in federal support for health care, medical
education, and medical research since 1945,
adding to the administrative complexity.|
|4. ||Since the 1960s, there has been pressure to
provide more and better health care to all
members of society.|
|5. ||There has been a major increase in external
regulation from all levels of government.|
|6. ||There has been increasing competition from
nonphysician professionals who seek to improve their status, capabilities, and credibility in health-care delivery.|
Questia, a part of Gale, Cengage Learning. www.questia.com
Book title: Advances and New Directions.
Contributors: Silvano Arieti - Editor, H. Keith H. Brodie - Editor.
Publisher: Basic Books.
Place of publication: New York.
Publication year: 1981.
Page number: *.
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