Today's health care delivery system and the educational process that produces health care providers are not the systems of 15 years ago, nor are they the systems that we will see in 10 or 15 years. With 40 years' experience as a physician, innovator, and developer of managed health care systems, Dr. Robert Gumbiner discusses the problems with the existing educational system for physicians. He outlines reasons behind suggested changes that would better equip health care providers in the future and he makes recommendations for improving the quality of medical school curriculum and the physicians produced by the system. Gumbiner heads FHP, a managed care organization that serves 2.5 million people, employs 11,000, and contracts with more than 3,000 individual practice physicians and 200 hospitals.
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