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The Expansion of Clinical Service

Kenneth M. Ludmerer

in Time to Heal: American medical education from the turn of the century to the era of managed care

Published in print:
2005
Published Online:
October 2011
ISBN:
9780195181364
eISBN:
9780199850167
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195181364.003.0009
Subject:
History, American History: 20th Century

The expansion of clinical service in the two decades following World War II created strains within academic medical centers, largely because of the distractions that patient care inevitably placed on ... More


Teaching Hospitals

Kenneth M. Ludmerer

in Time to Heal: American medical education from the turn of the century to the era of managed care

Published in print:
2005
Published Online:
October 2011
ISBN:
9780195181364
eISBN:
9780199850167
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195181364.003.0005
Subject:
History, American History: 20th Century

After World War I, teaching hospitals championed the same academic ideals as their affiliated medical schools, and the two institutions acted in concert in education, research, and patient care. The ... More


Academic Health Centers Under Stress: External Pressures

Kenneth M. Ludmerer

in Time to Heal: American medical education from the turn of the century to the era of managed care

Published in print:
2005
Published Online:
October 2011
ISBN:
9780195181364
eISBN:
9780199850167
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195181364.003.0014
Subject:
History, American History: 20th Century

Domestic tranquility returned quickly to the United States with the end of the Vietnam War. Nevertheless, in the 1970s and 1980s, academic health centers came under new external pressures. Other ... More


Academic Medical Centers and the Public

Kenneth M. Ludmerer

in Time to Heal: American medical education from the turn of the century to the era of managed care

Published in print:
2005
Published Online:
October 2011
ISBN:
9780195181364
eISBN:
9780199850167
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195181364.003.0006
Subject:
History, American History: 20th Century

Though medical schools and teaching hospitals were separate entities, they operated extremely closely, and their individual successes depended very much on their collaboration. In the late 1920s, the ... More


The Maturation of Graduate Medical Education

Kenneth M. Ludmerer

in Time to Heal: American medical education from the turn of the century to the era of managed care

Published in print:
2005
Published Online:
October 2011
ISBN:
9780195181364
eISBN:
9780199850167
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195181364.003.0010
Subject:
History, American History: 20th Century

The explosion of knowledge in all academic disciplines after World War II shattered traditional approaches toward scholarship. Fragmentation of disciplines and academic specialization occurred ... More


The Varieties of Hospital Experience

Muriel R. Gillick M.D.

in Old and Sick in America: The Journey through the Health Care System

Published in print:
2017
Published Online:
May 2018
ISBN:
9781469635248
eISBN:
9781469635255
Item type:
chapter
Publisher:
University of North Carolina Press
DOI:
10.5149/northcarolina/9781469635248.003.0006
Subject:
Palliative Care, Palliative Medicine and Older People

American hospitals come in a variety of flavors: teaching and non-teaching, for profit and not-for-profit, large and small, government and private, urban and rural. While the patient’s experience ... More


The Expansive 1960s

Antonio M. Gotto and Jennifer Moon

in Weill Cornell Medicine: A History of Cornell's Medical School

Published in print:
2016
Published Online:
August 2016
ISBN:
9781501702136
eISBN:
9781501703676
Item type:
chapter
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9781501702136.003.0006
Subject:
Education, Higher Education

This chapter studies how the passage of Medicare and Medicaid in 1965 brought new populations of poor and elderly patients to hospitals and clinics nationwide. Medical schools and teaching hospitals ... More


Internal Malaise

Kenneth M. Ludmerer

in Time to Heal: American medical education from the turn of the century to the era of managed care

Published in print:
2005
Published Online:
October 2011
ISBN:
9780195181364
eISBN:
9780199850167
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195181364.003.0016
Subject:
History, American History: 20th Century

In the 1970s and 1980s a distinct malaise pervaded many medical schools. As they increased their role in patient care, and as they grew ever larger in size, they struggled to maintain their ... More


HMO Penetration, Ownership Status, and the Rise of Hospital Advertising

Jason R. Barro and Michael Chu (eds)

in The Governance of Not-for-Profit Organizations

Published in print:
2003
Published Online:
February 2013
ISBN:
9780226297859
eISBN:
9780226297866
Item type:
chapter
Publisher:
University of Chicago Press
DOI:
10.7208/chicago/9780226297866.003.0004
Subject:
Economics and Finance, Financial Economics

This chapter examines the underlying cause of the rapid increase in hospital advertising in the United States. A critical component of the explanation is the rise of managed care across the country. ... More


Teaching Hospitals and the Urban Poor

Eli Ginzberg

Published in print:
2000
Published Online:
October 2013
ISBN:
9780300082326
eISBN:
9780300133011
Item type:
book
Publisher:
Yale University Press
DOI:
10.12987/yale/9780300082326.001.0001
Subject:
Sociology, Social Stratification, Inequality, and Mobility

Academic health centers (AHCs) have played a key role in propelling the United States to world leadership in technological advances in medicine. At the same time, however, many of these urban-based ... More


Diagnosis, Diagnosis, Diagnosis

James Kelly

in Where Night Is Day: The World of the ICU

Published in print:
2013
Published Online:
August 2016
ISBN:
9780801451683
eISBN:
9780801467653
Item type:
chapter
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801451683.003.0002
Subject:
Sociology, Occupations, Professions, and Work

In this chapter, the author reflects on the importance of diagnosis in medicine. He first describes almshouses that functioned like hospitals in America before citing one thing that makes the ... More


The Voyage into the Sea of Critical Illness

James Kelly

in Where Night Is Day: The World of the ICU

Published in print:
2013
Published Online:
August 2016
ISBN:
9780801451683
eISBN:
9780801467653
Item type:
chapter
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801451683.003.0001
Subject:
Sociology, Occupations, Professions, and Work

In this chapter, the author reflects on the daily and hourly activities of the doctors and nurses in the intensive care unit (ICU) where he works. He describes the ICU as pure medicine and a nursing ... More


Where Night Is Day: The World of the ICU

James Kelly

Published in print:
2013
Published Online:
August 2016
ISBN:
9780801451683
eISBN:
9780801467653
Item type:
book
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801451683.001.0001
Subject:
Sociology, Occupations, Professions, and Work

This book is a nonfiction narrative grounded in the day-by-day, hour-by-hour rhythms of an intensive care unit (ICU) in a teaching hospital in the heart of New Mexico. It takes place over a ... More


Nursing: What It Is and What It Is Not

James Kelly

in Where Night Is Day: The World of the ICU

Published in print:
2013
Published Online:
August 2016
ISBN:
9780801451683
eISBN:
9780801467653
Item type:
chapter
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801451683.003.0006
Subject:
Sociology, Occupations, Professions, and Work

In this chapter, the author talks about what nursing is and what it is not. He begins by citing Florence Nightingale's 1859 book Notes on Nursing, subtitled What It Is and What It Is Not. It was ... More


Introduction

Eli Ginzberg

in Teaching Hospitals and the Urban Poor

Published in print:
2000
Published Online:
October 2013
ISBN:
9780300082326
eISBN:
9780300133011
Item type:
chapter
Publisher:
Yale University Press
DOI:
10.12987/yale/9780300082326.003.0001
Subject:
Sociology, Social Stratification, Inequality, and Mobility

An academic health center (AHC) consists of a medical school and one or more health professional schools. These schools are joined to one or more affiliated teaching hospitals that are under common ... More


Epilogue

James Kelly

in Where Night Is Day: The World of the ICU

Published in print:
2013
Published Online:
August 2016
ISBN:
9780801451683
eISBN:
9780801467653
Item type:
chapter
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801451683.003.0015
Subject:
Sociology, Occupations, Professions, and Work

In this epilogue, the author recalls his conversation with some residents with whom he worked in the intensive care unit (ICU) in the New Mexico teaching hospital and now were leaving because it was ... More


Changes in the Physician Supply

Eli Ginzberg

in Teaching Hospitals and the Urban Poor

Published in print:
2000
Published Online:
October 2013
ISBN:
9780300082326
eISBN:
9780300133011
Item type:
chapter
Publisher:
Yale University Press
DOI:
10.12987/yale/9780300082326.003.0004
Subject:
Sociology, Social Stratification, Inequality, and Mobility

This chapter discusses the importance of physician supply issues in the evolution of U.S. health care policy. It first looks at the consequences resulting from the 1963 initiatives to provide ... More


Can They Hear?

James Kelly

in Where Night Is Day: The World of the ICU

Published in print:
2013
Published Online:
August 2016
ISBN:
9780801451683
eISBN:
9780801467653
Item type:
chapter
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801451683.003.0012
Subject:
Sociology, Occupations, Professions, and Work

This chapter considers one question that a family of the patient in the intensive care unit (ICU) wants to ask: whether the doctor can hear. It first discusses Michel de Certeau's claim that people ... More


The Horizon

James Kelly

in Where Night Is Day: The World of the ICU

Published in print:
2013
Published Online:
August 2016
ISBN:
9780801451683
eISBN:
9780801467653
Item type:
chapter
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801451683.003.0014
Subject:
Sociology, Occupations, Professions, and Work

This chapter reflects on the ability of nurses to see the “horizon.” It first considers how James Agee conveys the lives of the tenant farmers by description. Agee experiences beauty, dignity, ... More


The Making of a Physician: 1766–1795

Melvyn C. Usselman

in Pure Intelligence: The Life of William Hyde Wollaston

Published in print:
2015
Published Online:
January 2016
ISBN:
9780226245737
eISBN:
9780226245874
Item type:
chapter
Publisher:
University of Chicago Press
DOI:
10.7208/chicago/9780226245874.003.0001
Subject:
History, History of Science, Technology, and Medicine

This chapter describes the life and education of W. H. Wollaston from his birth in 1766 to his years as a country physician the 1790s. Growing up in a large family steeped in religion and natural ... More


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