The similarity and frequency of proposals to reform US medical education: constant concerns

Article Abstract:

Proposals to reform U.S. medical education over the past 80 years have contained several similar objectives. Researchers studied 19 reports published from 1910 to 1993 concerning undergraduate medical education that contain recommendations. Two important objectives appear to be the promotion of professional values and self-regulation of the profession, although these are not directly related to reform. Four core reform objectives are: to discuss physician workforce needs; to serve the public interest; to deal with the growing body of medical knowledge; and to increase the generalist emphasis in medical education. Other objectives included were: to improve the quality of medical education; to use new teaching methods; and to assess the burden that illness places on society.

Analysis, Medical education

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Complexities in prognostication in advanced cancer: "to help them live their lives the way they want to"

Article Abstract:

Doctors should continue to research the different prognoses of different terminal diseases so they can give their patients some idea of how long they may live. Although this is often difficult, it will allow patients to do whatever they want or need to do in the remaining time they have. To illustrate this, the case of an 83-year-old woman with metastatic cancer who lived almost three years longer than her doctor had predicted is included.

Methods, Physician and patient, Physician-patient relations, Health counseling, Health counselling

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Factors Considered Important at the End of Life by Patients, Family, Physicians, and Other Care Providers

Article Abstract:

Many dying patients may place a different value on certain aspects of terminal care than doctors and other health care providers. In a survey of 340 dying patients and 790 doctors and other health care providers, 26 quality of life issues were rated as important by everyone, but 18 others were rated differently by patients and health care professionals.

Evaluation, Terminally ill persons, Terminally ill, Medical personnel, Beliefs, opinions and attitudes

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