Educating physicians for population-based clinical practice.
Debates about changing the current paradigm of medical education and medical practice have become fairly common in recent years. Based on my experience as a research director of a prepaid group practice program and as chair of a medical school department of public health and preventive medicine, I contend that the traditional one-to-one physician-patient role obligations should be expanded to include a set of "one-to-n" physician-population obligations. The latter include at least three components: (1) a resource allocation component, (2) a component focusing on the epidemiologic nature of clinical practice, and (3) a component focusing on members of the population who are not regularly attended to within the normal context of physician care. Discussing these in turn, I argue for a population-based clinical practice model of medical education that preserves the Hippocratic tradition while better preparing physicians for the complex practice and insurance realities of the 21st century.
Greenlick
M R
MR
Kaiser Permanente Center for Health Research, Portland, OR 97227-1098.
D003154:Community Medicine / Q000458:organization & administration; D003479:Curriculum; D004501:Education, Medical; D004812:Epidemiologic Methods; D006125:Group Practice, Prepaid; D015276:Health Care Rationing; D006301:Health Services Needs and Demand; D008962:Models, Theoretical; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000458:organization & administration; D012962:Sociology, Medical; D014481:United States