DPC News

Book Recommendation, “Let Me Heal: The Opportunity to Preserve Excellence in American Medicine”

A resident may read extensively about endocarditis (an infection of a heart valve) in a textbook, but this cannot replace the experience of watching an attending physician make this diagnosis by discovering the subtle physical signs of small infected clots and inflammatory deposits throughout the body—called “Osler’s nodes” when they appear in the hands and feet.

Training Young Doctors: The Current Crisis

In the 1890s, Sir William Osler, now regarded as something of a demigod in American medicine, created at the Johns Hopkins Hospital a novel system for training physicians after graduation from medical school. It required young physicians to reside in the hospital full-time without pay, sometimes for years, to learn how to care for patients under the close supervision of senior physicians.

This was the first residency program. Despite the monastic existence, the long hours, and the rigid hierarchy, Osler’s residents apparently loved it. They felt exalted to be able to learn the practice of medicine under the tutelage of great physicians who based their teachings on science, inquiry, and argument, not tradition. And far from bridling at being at the bottom of the pyramid, they virtually worshiped their teachers, who in turn generally lavished great attention and affection on their charges. Osler’s innovation spread rapidly, and the residency system is still the essential feature of teaching hospitals throughout the country.

READ FULL ARTICLE …

SOURCE: https://www.nybooks.com/articles/2015/06/04/training-young-doctors-current-crisis/

Advertisements

Categories: DPC News

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s