By Marilyn Little (auth.), Marilyn Little PhD, John E. Midtling MD (eds.)

Drawing at the services of a nationally well-known workforce of relatives perform educators affiliated with the collage of California, Drs. Little and Midtling may be able to current many particular examples on assembly the demanding situations of turning into a relations surgeon. additionally incorporated are chapters that draw out the diversities among inpatient and outpatient carrier, speak about the educating of perform administration, and contact at the effect of experts in ethics and pass cultural verbal exchange on relatives perform groups. The concluding chapters study how relations physicians have survived within the "medical community", and look at the way forward for relations practice.

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From 1977 to 1987 the federal government contributed over $250 million to family practice residency programs. 3 This enormous growth in funding has changed the structure of medical institutions and profoundly altered medical education. Since most research funds went to the basic sciences in the 1950s and 1960s, these departments became powerful entrepreneurial units whose continued success depended on their ability to attract outside income. 4 Two major consequences of this support for biomedical research were (1) a shift from a clinical to a research focus within medical education and (2) a fragmentation within medical schools as departments became more dependent on outside agencies and less dependent on their own university.

8. Funkenstein DH: Medical Students, Medical Schools and Society during Five Eras. , Ballinger, 1978. 9. Zimet CN, Held ML: The development of views of specialties during four years of medical school. J Med Educ 50: 157-166, 1975. 10. Funkenstein DH: Factors affecting career choices of medical students, 19581976. In Shapiro EC, Lowenstein LM (Editors), Becoming a Physician. , Ballinger, 1979, pp. 53-79. 11. Tardiff K, Cella D, Seiferth C, et al: Selection and change of specialties by medical school graduates.

Consequently, residents and faculty at Santa Rosa worked in an intensive hospital environment. Clearly in such an environment, the more training in high-tech and intensive care medicine the better. This placed its own strain on residents increasingly unable to serve mUltiple masters concurrently. " The ropes consisted of steering between conflicting simultaneous demands by each of the subspecialties, each with its clear (and unintegrated) view of its importance in residents' training. The difficulty was manifested in part by the amount of training offered in surgery, medicine, and obstetrics.

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