January 10, 1994

Changes in Undergraduate Medical Education-Reply

Author Affiliations

Honolulu, Hawaii

Arch Intern Med. 1994;154(1):109. doi:10.1001/archinte.1994.00420010142020

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The clinical clerkship is the crucial experience in medical student education. To be learned effectively, bioethics, decision analysis, demographics, medical sociology, and many other important topics must be attached to a patient-centered problem; separate lectures and seminars are insufficient. This was part of the message of my article, and Fretscher supports it with his personal experience. He also suggests that non—patient-centered pedagogic efforts sometimes may be counterproductive and, in his experience, generate negative sentiments.

The challenge to medical educators is to incorporate these vital issues into the student-patient clinical encounter.

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