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Book Reviews and Other Media
March 2001

Time to Heal: American Medical Education From the Turn of the Century to the Era of Managed Care

Author Affiliations



by Kenneth M. Ludmerer, 514 pp, $29.95, ISBN 0-19-511837-5, New York, NY, Oxford University Press, 1999.


Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Pediatr Adolesc Med. 2001;155(3):424. doi:10.1001/archpedi.155.3.424

Time to Heal is a massive tome, 399 pages of text divided into 3 sections and 18 chapters and supplemented by nearly 100 additional pages of notes. Exhaustive is the word that comes to mind. The author clearly explains his thesis in the introduction: the century-long contract between society and the teaching hospital/academic medical center—massive financial support in return for well-trained physicians and socially relevant research—has been bilaterally broken.

Ludmerer establishes his credibility by a well-researched exposition of the metamorphosis of the pre-Flexnerian proprietary medical schools into the academic medical centers of today. Almost devoid of anecdote and curiously dispassionate, the book ticks off the stages of the development of the modern medical center. One can almost hear the chalk scratching on the blackboard.

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