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In Let Me Heal, prize-winning author Kenneth M. Ludmerer provides the first-ever account of the residency system for training doctors in the United States. He traces its development from its nineteenth-century roots through its present-day struggles to cope with new, bureaucratic work-hour regulations for house officers and, more important, to preserve excellence in medical training amid a highly commercialized health care system. Let Me Heal provides a highly engaging, richly contextualized account of the residency system in all its dimensions. It also brilliantly analyzes the mutual relationship between residency education and patient care in America. The book shows that the quality of residency training ultimately depends on the quality of patient care that residents observe, but that there is much that residency training can do to produce doctors who practice in a better, more affordable fashion. Let Me Heal is both a stunning work of scholarship and a highly engaging account of how one becomes a doctor in the United States. It is indispensable reading for those who wish to understand what it means to learn and practice medicine and what is needed to make medical education and patient care in America better. The definitive work on the subject, it is destined to become a classic that will be consulted by readers far into the future.
Named an Outstanding Academic Title for 2001 by Choice! Why turn to the past when attempting to build nursing's future?...To make good decisions in planning nursing's future in the context of our complex health care system, nurses must know the history of the actions being considered, the identities and points of view of the major players, and all the stakes that are at risk. These are the lessons of history." -- from the Introduction This book presents nursing history in the context of problems and issues that persist to this day. Issues such as professional autonomy, working conditions, relationships with other health professionals, appropriate knowledge for education and licensure, gender, class, and race are traced through the stories told in this volume. Each chapter provides a piece of the puzzle that is nursing. The editors, all noted nurse historians and educators, have carefully made selections from the best that has been published in the nursing and health care literature.
In the late nineteenth century, medical educators intent on transforming American physicians into scientifically trained, elite professionals recognized the value of medical school design for their reform efforts. Between 1893 and 1940, nearly every medical college in the country rebuilt or substantially renovated its facility. In Building Schools, Making Doctors, Katherine Carroll reveals how the schools constructed during this fifty-year period did more than passively house a remodeled system of medical training; they actively participated in defining and promoting an innovative pedagogy, modern science, and the new physician. Interdisciplinary and wide ranging, her study moves architecture from the periphery of medical education to the center, uncovering a network of medical educators, architects, and philanthropists who believed that the educational environment itself shaped how students learned and the type of physicians they became. Carroll offers the first comprehensive study of the science and pedagogy formulated by the buildings, the influence of the schools’ donors and architects, the impact of the structures on the urban landscape and the local community, and the facilities’ privileging of white men within the medical profession during this formative period for physicians and medical schools.