Kenneth M. Ludmerer
- Published in print:
- 2005
- Published Online:
- October 2011
- ISBN:
- 9780195181364
- eISBN:
- 9780199850167
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195181364.003.0015
- Subject:
- History, American History: 20th Century
Throughout its history, the American medical school, like the rest of the country's system of higher education, had been shaped by social, economic, and political developments in the larger society. ...
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Throughout its history, the American medical school, like the rest of the country's system of higher education, had been shaped by social, economic, and political developments in the larger society. Thus, it was hardly a surprise that many of the pressures experienced by academic health centers in the 1970s and 1980s arose from outside events. Yet, academic health centers encountered additional dilemmas that could not so clearly be related to external pressures. A number of traditional challenges to medical education grew more intense: the problem of teaching bedside medicine as biomedical research became increasingly molecular, the perpetual difficulty of achieving a suitable institutional balance between teaching and research, and the ongoing dilemmas of residency and fellowship training. These frustrating problems arose mainly from the evolution of medical knowledge and the institutional development of academic health centers rather than from the challenges imposed by a hostile external environment.Less
Throughout its history, the American medical school, like the rest of the country's system of higher education, had been shaped by social, economic, and political developments in the larger society. Thus, it was hardly a surprise that many of the pressures experienced by academic health centers in the 1970s and 1980s arose from outside events. Yet, academic health centers encountered additional dilemmas that could not so clearly be related to external pressures. A number of traditional challenges to medical education grew more intense: the problem of teaching bedside medicine as biomedical research became increasingly molecular, the perpetual difficulty of achieving a suitable institutional balance between teaching and research, and the ongoing dilemmas of residency and fellowship training. These frustrating problems arose mainly from the evolution of medical knowledge and the institutional development of academic health centers rather than from the challenges imposed by a hostile external environment.
Sujata Mukherjee
- Published in print:
- 2017
- Published Online:
- January 2017
- ISBN:
- 9780199468225
- eISBN:
- 9780199087426
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199468225.003.0001
- Subject:
- History, Indian History, Cultural History
This chapter shows how in the context of the growth of a new paradigm of medical knowledge based on anatomical dissection hospital medicine became more important than bedside medicine in colonial ...
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This chapter shows how in the context of the growth of a new paradigm of medical knowledge based on anatomical dissection hospital medicine became more important than bedside medicine in colonial India and female (as also the male) patients were subjected to an institutionally validated gaze. The earliest institutions devoted to women’s health were lock hospitals, which treated prostitutes suspected to be suffering from venereal diseases. The Contagious Diseases Act of 1868 required the prostitutes to register who were subjected to different kinds of crude and obnoxious medical examinations and were kept under filthy conditions in lock hospitals. Lying-in hospitals also treated female patients belonging to different communities. Throughout the nineteenth century, however, the number of female patients attending hospitals remained very low—a fact which strengthened the view in different circles that Indian women were averse to treatment by male physicians.Less
This chapter shows how in the context of the growth of a new paradigm of medical knowledge based on anatomical dissection hospital medicine became more important than bedside medicine in colonial India and female (as also the male) patients were subjected to an institutionally validated gaze. The earliest institutions devoted to women’s health were lock hospitals, which treated prostitutes suspected to be suffering from venereal diseases. The Contagious Diseases Act of 1868 required the prostitutes to register who were subjected to different kinds of crude and obnoxious medical examinations and were kept under filthy conditions in lock hospitals. Lying-in hospitals also treated female patients belonging to different communities. Throughout the nineteenth century, however, the number of female patients attending hospitals remained very low—a fact which strengthened the view in different circles that Indian women were averse to treatment by male physicians.
