Conill A M, Hillman A L
School of Medicine, University of Pennsylvania, Philadelphia 19104-4385, USA.
Am J Med Sci. 2000 May;319(5):306-13. doi: 10.1097/00000441-200005000-00007.
Medical school curricula for too long have ignored the obvious and important changes in the economics and delivery of health care in the United States. Medical students, who become the practicing physicians of the future, and their patients have suffered because of this academic malaise. Most new physicians are even more confused than their patients about how to navigate outpatient managed care, how to practice efficiently (after being taught that more is better), and how to uphold their sacred trust with their patients in the context of institutionally based medicine. After summarizing relevant historical events, we discuss how we hope to begin making up for lost time by tackling the issue of necessary curriculum change at the University of Pennsylvania Health System.
长期以来，医学院课程一直忽视了美国医疗保健经济和服务提供方面明显且重要的变化。未来将成为执业医师的医学生及其患者都因这种学术弊病而深受其害。大多数新医生在如何应对门诊管理式医疗、如何高效行医（此前一直被教导做得越多越好）以及如何在基于机构的医疗环境中维护对患者的神圣信任等方面，比他们的患者更加困惑。在总结相关历史事件后，我们将讨论我们希望如何通过解决宾夕法尼亚大学医疗系统必要的课程改革问题来开始弥补失去的时间。
