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February 14, 1977

Medical Education and the State: The Changing Pattern in Ten Countries

JAMA. 1977;237(7):691. doi:10.1001/jama.1977.03270340077029

Written by a physician educated in Scotland, New York, Montreal, and Germany who became a professor of medicine in London and Montreal and finally dean at McGill University Medical School, this book gives a concise and sharp-eyed assessment of how substantial state financial support has shaped medical education and limited the autonomy of the medical schools. The product of visits to many countries, the report deals largely with the United States, Britain, and Canada, with short comments on medical education in Sweden and Australia.

Once dependent on federal money, the leaders of American medicine will march untiringly up the hills of research or down into the valleys of primary care in their quest for more money. Dr Christie is not optimistic about the future of the current primary care fad, despite current emphasis in the curriculum, simply because he believes that science has so widened the scope of medical knowledge