Let me heal :: the opportunity to preserve excellence in American medicine /
"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 reg...
Gespeichert in:
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| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Oxford ; New York, NY :
Oxford University Press,
[2015]
|
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Zusammenfassung: | "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 |
| Beschreibung: | 1 online resource (xvii, 431 pages) |
| Bibliographie: | Includes bibliographical references (pages 335-409) and index. |
| ISBN: | 9780199392162 0199392161 |
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| 100 | 1 | |a Ludmerer, Kenneth M., |e author. |0 http://id.loc.gov/authorities/names/n85074625 | |
| 245 | 1 | 0 | |a Let me heal : |b the opportunity to preserve excellence in American medicine / |c Kenneth M. Ludmerer. |
| 264 | 1 | |a Oxford ; |a New York, NY : |b Oxford University Press, |c [2015] | |
| 264 | 4 | |c ©2015 | |
| 300 | |a 1 online resource (xvii, 431 pages) | ||
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| 504 | |a Includes bibliographical references (pages 335-409) and index. | ||
| 588 | 0 | |a Online resource; title from digital title page (ProQuest Ebook Central, viewed February 8, 2019). | |
| 520 | |a "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 | ||
| 505 | 0 | |a 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. | |
| 505 | 0 | |a 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. | |
| 505 | 8 | |a 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. | |
| 505 | 8 | |a 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. | |
| 505 | 8 | |a 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. | |
| 650 | 0 | |a Medicine |x Study and teaching (Residency) |z United States. | |
| 650 | 0 | |a Medical care |z United States. |0 http://id.loc.gov/authorities/subjects/sh85082887 | |
| 650 | 0 | |a Internship programs |z United States. | |
| 650 | 1 | 2 | |a Internship and Residency |x history |0 https://id.nlm.nih.gov/mesh/D007396Q000266 |
| 650 | 2 | 2 | |a Education, Medical, Graduate |x standards |0 https://id.nlm.nih.gov/mesh/D004503Q000592 |
| 650 | 2 | 2 | |a Quality of Health Care |0 https://id.nlm.nih.gov/mesh/D011787 |
| 651 | 2 | |a United States |0 https://id.nlm.nih.gov/mesh/D014481 | |
| 650 | 6 | |a Médecine |x Étude et enseignement (Résidence) |z États-Unis. | |
| 650 | 6 | |a Stages |z États-Unis. | |
| 650 | 7 | |a POLITICAL SCIENCE |x Public Policy |x Social Security. |2 bisacsh | |
| 650 | 7 | |a POLITICAL SCIENCE |x Public Policy |x Social Services & Welfare. |2 bisacsh | |
| 650 | 7 | |a Internship programs |2 fast | |
| 650 | 7 | |a Medical care |2 fast | |
| 650 | 7 | |a Medicine |x Study and teaching (Residency) |2 fast | |
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| 655 | 4 | |a Electronic book. | |
| 758 | |i has work: |a Let me heal (Text) |1 https://id.oclc.org/worldcat/entity/E39PCGX7FYdy9vQJgfTmBJrXMK |4 https://id.oclc.org/worldcat/ontology/hasWork | ||
| 776 | 0 | 8 | |i Print version: |a Ludmerer, Kenneth M. |t Let me heal. |d Oxford ; New York : Oxford University Press, [2015] |z 9780199744541 |w (DLC) 2014004264 |w (OCoLC)870085114 |
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Datensatz im Suchindex
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| _version_ | 1816882284802867200 |
| adam_text | |
| any_adam_object | |
| author | Ludmerer, Kenneth M. |
| author_GND | http://id.loc.gov/authorities/names/n85074625 |
| author_facet | Ludmerer, Kenneth M. |
| author_role | aut |
| author_sort | Ludmerer, Kenneth M. |
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| building | Verbundindex |
| bvnumber | localFWS |
| callnumber-first | R - Medicine |
| callnumber-label | R840 |
| callnumber-raw | R840 .L83 2015e RA395.A3 .L836 2015eb |
| callnumber-search | R840 .L83 2015e RA395.A3 .L836 2015eb |
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| callnumber-subject | R - General Medicine |
| collection | ZDB-4-EBA |
| 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. |
| ctrlnum | (OCoLC)889313459 |
| dewey-full | 362.10973 |
| dewey-hundreds | 300 - Social sciences |
| dewey-ones | 362 - Social problems and services to groups |
| dewey-raw | 362.10973 |
| dewey-search | 362.10973 |
| dewey-sort | 3362.10973 |
| dewey-tens | 360 - Social problems and services; associations |
| discipline | Soziologie |
| format | Electronic eBook |
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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.</subfield></datafield><datafield tag="505" ind1="8" ind2=" "><subfield code="a">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. 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| genre | Electronic book. |
| genre_facet | Electronic book. |
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| geographic_facet | United States |
| id | ZDB-4-EBA-ocn889313459 |
| illustrated | Not Illustrated |
| indexdate | 2024-11-27T13:26:10Z |
| institution | BVB |
| isbn | 9780199392162 0199392161 |
| language | English |
| oclc_num | 889313459 |
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| publishDate | 2015 |
| publishDateSearch | 2015 |
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| publisher | Oxford University Press, |
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| spelling | Ludmerer, Kenneth M., author. http://id.loc.gov/authorities/names/n85074625 Let me heal : the opportunity to preserve excellence in American medicine / Kenneth M. Ludmerer. Oxford ; New York, NY : Oxford University Press, [2015] ©2015 1 online resource (xvii, 431 pages) text txt rdacontent computer c rdamedia online resource cr rdacarrier Includes bibliographical references (pages 335-409) and index. Online resource; title from digital title page (ProQuest Ebook Central, viewed February 8, 2019). "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 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. Medicine Study and teaching (Residency) United States. Medical care United States. http://id.loc.gov/authorities/subjects/sh85082887 Internship programs United States. Internship and Residency history https://id.nlm.nih.gov/mesh/D007396Q000266 Education, Medical, Graduate standards https://id.nlm.nih.gov/mesh/D004503Q000592 Quality of Health Care https://id.nlm.nih.gov/mesh/D011787 United States https://id.nlm.nih.gov/mesh/D014481 Médecine Étude et enseignement (Résidence) États-Unis. Stages États-Unis. POLITICAL SCIENCE Public Policy Social Security. bisacsh POLITICAL SCIENCE Public Policy Social Services & Welfare. bisacsh Internship programs fast Medical care fast Medicine Study and teaching (Residency) fast United States fast https://id.oclc.org/worldcat/entity/E39PBJtxgQXMWqmjMjjwXRHgrq Electronic book. has work: Let me heal (Text) https://id.oclc.org/worldcat/entity/E39PCGX7FYdy9vQJgfTmBJrXMK https://id.oclc.org/worldcat/ontology/hasWork Print version: Ludmerer, Kenneth M. Let me heal. Oxford ; New York : Oxford University Press, [2015] 9780199744541 (DLC) 2014004264 (OCoLC)870085114 FWS01 ZDB-4-EBA FWS_PDA_EBA https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=818696 Volltext |
| spellingShingle | Ludmerer, Kenneth M. Let me heal : the opportunity to preserve excellence in American medicine / 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. Medicine Study and teaching (Residency) United States. Medical care United States. http://id.loc.gov/authorities/subjects/sh85082887 Internship programs United States. Internship and Residency history https://id.nlm.nih.gov/mesh/D007396Q000266 Education, Medical, Graduate standards https://id.nlm.nih.gov/mesh/D004503Q000592 Quality of Health Care https://id.nlm.nih.gov/mesh/D011787 Médecine Étude et enseignement (Résidence) États-Unis. Stages États-Unis. POLITICAL SCIENCE Public Policy Social Security. bisacsh POLITICAL SCIENCE Public Policy Social Services & Welfare. bisacsh Internship programs fast Medical care fast Medicine Study and teaching (Residency) fast |
| subject_GND | http://id.loc.gov/authorities/subjects/sh85082887 https://id.nlm.nih.gov/mesh/D007396Q000266 https://id.nlm.nih.gov/mesh/D004503Q000592 https://id.nlm.nih.gov/mesh/D011787 https://id.nlm.nih.gov/mesh/D014481 |
| title | Let me heal : the opportunity to preserve excellence in American medicine / |
| title_auth | Let me heal : the opportunity to preserve excellence in American medicine / |
| title_exact_search | Let me heal : the opportunity to preserve excellence in American medicine / |
| title_full | Let me heal : the opportunity to preserve excellence in American medicine / Kenneth M. Ludmerer. |
| title_fullStr | Let me heal : the opportunity to preserve excellence in American medicine / Kenneth M. Ludmerer. |
| title_full_unstemmed | Let me heal : the opportunity to preserve excellence in American medicine / Kenneth M. Ludmerer. |
| title_short | Let me heal : |
| title_sort | let me heal the opportunity to preserve excellence in american medicine |
| title_sub | the opportunity to preserve excellence in American medicine / |
| topic | Medicine Study and teaching (Residency) United States. Medical care United States. http://id.loc.gov/authorities/subjects/sh85082887 Internship programs United States. Internship and Residency history https://id.nlm.nih.gov/mesh/D007396Q000266 Education, Medical, Graduate standards https://id.nlm.nih.gov/mesh/D004503Q000592 Quality of Health Care https://id.nlm.nih.gov/mesh/D011787 Médecine Étude et enseignement (Résidence) États-Unis. Stages États-Unis. POLITICAL SCIENCE Public Policy Social Security. bisacsh POLITICAL SCIENCE Public Policy Social Services & Welfare. bisacsh Internship programs fast Medical care fast Medicine Study and teaching (Residency) fast |
| topic_facet | Medicine Study and teaching (Residency) United States. Medical care United States. Internship programs United States. Internship and Residency history Education, Medical, Graduate standards Quality of Health Care United States Médecine Étude et enseignement (Résidence) États-Unis. Stages États-Unis. POLITICAL SCIENCE Public Policy Social Security. POLITICAL SCIENCE Public Policy Social Services & Welfare. Internship programs Medical care Medicine Study and teaching (Residency) Electronic book. |
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