For decades, educators, historians, and social commentators accorded major responsibility for the reform of medical education in the United States to the Flexner Report of 1910. More recently, historians have begun to challenge the impact of the Report and the desirability of the changes attributed to it. This volume takes the themes articulated in the Report and traces their development. With each theme being discussed by a specialist in the subject area, the book provides a comprehensive review of medical education in the twentieth century.

These themes, many of which have...

The financing of graduate medical education is likely to change significantly in the near future as third party payers are already pressuring hospitals to discontinue paying for graduate medical education through patient care. The Medicare System of Prospective Payment Implications for Medical Education and Practice isolates significant implications of prospective payment systems, and deals with each one in detail. Besides providing a theoretical base, it identifies various alternatives and provides guidelines for dealing with them.

"Innovation Processes in Medical Education" is the first empirical study to investigate the barriers to successful educational change. Using a qualitative case study approach, it examines the factors that have either supported or impeded change in four medical schools: Case Western Reserve, University of Illinois, McMaster University, and Michigan State University. Following an overview of the historical forces that led to the current structure of the medical school curriculum; the authors discuss their research methodology and data, and analyze their attempts at innovation in each of the...