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Needed: A New Way to Train Doctors

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New Directions for Medical Education

Part of the book series: Frontiers of Primary Care ((PRIMARY))

Abstract

In May 1983, at its final meeting of the year, the Harvard Faculty of Medicine gave its approval to the dean and a group of professors to create an experimental curriculum. Limited at first to 25 students per year, this program has now been incorporated in the core curriculum. The initiative may well be Harvard’s most impressive innovation of the 1980s. Instead of merely tinkering with course requirements or shifting hours of instruction from one subject to another, the authors of the program have begun by making a fresh appraisal of the knowledge, skills, and attitudes that physicians today and tomorrow need to possess. On this foundation will be built an entirely new curriculum. Not only does it seek to alter what students learn; it plans sweeping innovations in the methods by which they are taught.

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References

  1. Friedman CP, Purcell EF (eds): The New Biology and Medical Education: Merging the Biological, Information, and Cognitive Sciences. New York, Josiah Macy Jr. Foundation, 1983.

    Google Scholar 

  2. Institute of Medicine: Medical Education and Societal Needs: A Planning Report for the Health Professions. Publication No. IOM-83-02, July 1983.

    Google Scholar 

  3. Starr P: The Social Transformation of American Medicine. New York, Basic Books, 1982.

    Google Scholar 

  4. Thomas L: The Youngest Science: Notes of a Medicine-Watcher. New York, Viking Press, 1983, pp 13, 29

    Google Scholar 

  5. Richmond J, Kotelchuk M: The effect of the political process on the delivery of health services. Unpublished paper, 1982, p 18.

    Google Scholar 

  6. Wills J, Garrison L, Jacoby I: Modeling, Research, and Data Technical Panel. Report of the Graduate Medical Education National Advisory Committee to the Secretary, Department of Health and Human Services, Vol. 2, 1980.

    Google Scholar 

  7. Institute of Medicine: A Manpower Policy for Primary Health Care: Report of a Study. Publication No. IOM-78-02, 1978.

    Google Scholar 

  8. Sierles F, Hendrickx I, Circle S: Cheating in medical school. J Med Educ 1980; 55: 124–125. [The study involved a survey of 400 students at the Stritch School of Medicine, Loyola University in Chicago, and the University of Health Sciences at Chicago Medical School.]

    Google Scholar 

  9. Roethlisberger FJ: The Elusive Phenomena: An Autobiographical Account of My Work in the Field of Organizational Behavior at the Harvard Business School. Boston, Division of Research, Harvard Graduate School of Business Administration, 1977.

    Google Scholar 

  10. Seldon D. Quoted by Filner B, Weisfeld V, Parron D: Infusion of new fields into medical education, Medical Education and Societal Needs. Washington, DC, National Academy Press, 1983, p 148.

    Google Scholar 

  11. Singer J, et al: Physician attitudes toward applications of computer data base systems. JAMA 1983; 249: 1610.

    Article  PubMed  CAS  Google Scholar 

  12. Berwick DM, Fineberg HV, Weinstein MC: When doctors meet numbers. Am J Med 1981; 71: 991.

    Article  PubMed  CAS  Google Scholar 

  13. Cohen-Cole SA: On teaching and the new (and old) psychobiology, in: Friedman CP, Purcell EF (eds): The New Biology and Medical Education: Merging the Biological, Information, and Cognitive Sciences. New York, Josiah Macy Jr. Foundation, 1983, pp 133–134.

    Google Scholar 

  14. DiMatteo MR, Friedman HF: Social Psychology and Medicine. Cambridge, MA: Oelgeschlager, Gunn & Hain, 1982, p 106.

    Google Scholar 

  15. Medalie JH, Goldbourt U: Angina pectoris among 10,000 men. Am J. Med 1976; 60: 910.

    Article  PubMed  CAS  Google Scholar 

  16. Bartrop RW, et al: Depressed lymphocyte function after bereavement. Lancet 1977; 1: 834.

    Article  PubMed  CAS  Google Scholar 

  17. Langer EJ, Janis IL, Wolfer JA: Reduction of psychological stress in surgical patients. J Exp Social Psychol 1975; 11: 155.

    Article  Google Scholar 

  18. Hulka BS, et al: Communication, compliance, and concordance between physicians and patients with prescribed medications. Am J Public Health 1976; 66: 847.

    Article  PubMed  CAS  Google Scholar 

  19. DiMatteo MR, Friedman HF: Social Psychology and Medicine. Cambridge, MA, Oelgeschlager, Gunn & Hain, 1982, pp 40, 48–49, 82.

    Google Scholar 

  20. Lewin: Group decision and social change. In Maccoby, Newcomb, Hartley (eds): Readings in Social Psychology. 1958.

    Google Scholar 

  21. Bass Wilson F: The pediatrician’s influence in private practice, measured by a controlled seat belt study. Pediatrics 1964; 33: 700.

    Google Scholar 

  22. Bursztajn H, et al: Medical Choices, Medical Chances: How Patients, Families, and Physicians Can Cope with Uncertainty. New York, Delacorte Press, 1981.

    Google Scholar 

  23. Goldman L, et al: The value of the autopsy in three medical eras. N Engl J Med 1983; 308: 1000.

    Article  PubMed  CAS  Google Scholar 

  24. Goetzl EJ, et al: Quality of diagnostic examinations in a university hospital outpatient clinic. Ann Intern Med 1983; 78: 481, 487.

    Google Scholar 

  25. Skipper JK, et al: Physicians’ knowledge of cost: the case of diagnostic tests. Inquiry 1976; 13: 194.

    PubMed  Google Scholar 

  26. Schroeder SA, et al: Use of laboratory tests and pharmaceuticals—variation among physicians and effect of cost audit on subsequent use. JAMA 1973; 225: 969.

    Article  PubMed  CAS  Google Scholar 

  27. Lawrence RS: The role of physician education in cost containment. J Med Educ 1979; 54: 841.

    PubMed  CAS  Google Scholar 

  28. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research: Securing Access to Health Care: A Report on the Ethical Implications of Differences in the Availability of Health Services, 1983, pp 1986–1988.

    Google Scholar 

  29. Thomas LT: How to fix the premedical curriculum. N Engl J Med 1978; 290: 1180.

    Article  Google Scholar 

  30. Neuhauser: Don’t teach preventive medicine: a contrary view. Public Health Rep 1982; 97: 220.

    PubMed  CAS  Google Scholar 

  31. Larkin JH: Learning and using large amounts of knowledge: the role of basic science. In Friedman CP, Purcell EF (eds): The New Biology and Medical Education: Merging the Biological, Information, and Cognitive Sciences. New York, Josiah Macy Jr Foundation, 1983, pp 185, 188.

    Google Scholar 

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© 1989 Springer-Verlag New York Inc.

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Bok, D. (1989). Needed: A New Way to Train Doctors. In: Schmidt, H.G., Lipkin, M., de Vries, M.W., Greep, J.M. (eds) New Directions for Medical Education. Frontiers of Primary Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3472-2_2

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  • DOI: https://doi.org/10.1007/978-1-4612-3472-2_2

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-8114-6

  • Online ISBN: 978-1-4612-3472-2

  • eBook Packages: Springer Book Archive

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