The public hospital in American medical education

Marc Gourevitch, Dolores Malaspina, Michael Weitzman, Lewis R. Goldfrank

Research output: Contribution to journalArticle

Abstract

The importance of the public hospital system to medical education is often absent from the debate about its value. Best known as a core provider of services to the underserved, the safety net hospital system also plays a critical role in the education of future physicians. Particular strengths include its ability to imbue physicians in training with core professional values, to reveal through the enormous range of clinical experience provided many of the social forces shaping health, and to foster interest in and commitment to advancing population health. Faculty teaching in the public hospital system has unusual opportunities to reveal to learners the broader meanings of their diverse and rich experiences. Now, as an alarming array of pressures bearing down on the safety net system threaten its stability, the potential negative impact on medical education, were it to shrink or be forced to change its essential mission, must be considered. As advocates of the safety net system marshal forces to rationalize its funding and support, its tremendous contribution to the training of physicians and other health care professionals must be clearly set forth to ensure that support for the public hospital system's health is appropriately broad based.

Original languageEnglish (US)
Pages (from-to)779-786
Number of pages8
JournalJournal of Urban Health
Volume85
Issue number5
DOIs
StatePublished - Sep 2008

Fingerprint

hospital system
Public Hospitals
Medical Education
Physicians
physician
Health
Safety-net Providers
Safety
education
health
Teaching
Delivery of Health Care
Education
Pressure
Values
experience
funding
commitment
health care
Population

Keywords

  • Medical education
  • Public hospitals
  • Residency training
  • Safety net

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

The public hospital in American medical education. / Gourevitch, Marc; Malaspina, Dolores; Weitzman, Michael; Goldfrank, Lewis R.

In: Journal of Urban Health, Vol. 85, No. 5, 09.2008, p. 779-786.

Research output: Contribution to journalArticle

Gourevitch, Marc ; Malaspina, Dolores ; Weitzman, Michael ; Goldfrank, Lewis R. / The public hospital in American medical education. In: Journal of Urban Health. 2008 ; Vol. 85, No. 5. pp. 779-786.
@article{c79259ba91284afea230f7d3ea184eeb,
title = "The public hospital in American medical education",
abstract = "The importance of the public hospital system to medical education is often absent from the debate about its value. Best known as a core provider of services to the underserved, the safety net hospital system also plays a critical role in the education of future physicians. Particular strengths include its ability to imbue physicians in training with core professional values, to reveal through the enormous range of clinical experience provided many of the social forces shaping health, and to foster interest in and commitment to advancing population health. Faculty teaching in the public hospital system has unusual opportunities to reveal to learners the broader meanings of their diverse and rich experiences. Now, as an alarming array of pressures bearing down on the safety net system threaten its stability, the potential negative impact on medical education, were it to shrink or be forced to change its essential mission, must be considered. As advocates of the safety net system marshal forces to rationalize its funding and support, its tremendous contribution to the training of physicians and other health care professionals must be clearly set forth to ensure that support for the public hospital system's health is appropriately broad based.",
keywords = "Medical education, Public hospitals, Residency training, Safety net",
author = "Marc Gourevitch and Dolores Malaspina and Michael Weitzman and Goldfrank, {Lewis R.}",
year = "2008",
month = "9",
doi = "10.1007/s11524-008-9297-4",
language = "English (US)",
volume = "85",
pages = "779--786",
journal = "Journal of Urban Health",
issn = "1099-3460",
publisher = "Springer Science and Business Media Deutschland GmbH",
number = "5",

}

TY - JOUR

T1 - The public hospital in American medical education

AU - Gourevitch, Marc

AU - Malaspina, Dolores

AU - Weitzman, Michael

AU - Goldfrank, Lewis R.

PY - 2008/9

Y1 - 2008/9

N2 - The importance of the public hospital system to medical education is often absent from the debate about its value. Best known as a core provider of services to the underserved, the safety net hospital system also plays a critical role in the education of future physicians. Particular strengths include its ability to imbue physicians in training with core professional values, to reveal through the enormous range of clinical experience provided many of the social forces shaping health, and to foster interest in and commitment to advancing population health. Faculty teaching in the public hospital system has unusual opportunities to reveal to learners the broader meanings of their diverse and rich experiences. Now, as an alarming array of pressures bearing down on the safety net system threaten its stability, the potential negative impact on medical education, were it to shrink or be forced to change its essential mission, must be considered. As advocates of the safety net system marshal forces to rationalize its funding and support, its tremendous contribution to the training of physicians and other health care professionals must be clearly set forth to ensure that support for the public hospital system's health is appropriately broad based.

AB - The importance of the public hospital system to medical education is often absent from the debate about its value. Best known as a core provider of services to the underserved, the safety net hospital system also plays a critical role in the education of future physicians. Particular strengths include its ability to imbue physicians in training with core professional values, to reveal through the enormous range of clinical experience provided many of the social forces shaping health, and to foster interest in and commitment to advancing population health. Faculty teaching in the public hospital system has unusual opportunities to reveal to learners the broader meanings of their diverse and rich experiences. Now, as an alarming array of pressures bearing down on the safety net system threaten its stability, the potential negative impact on medical education, were it to shrink or be forced to change its essential mission, must be considered. As advocates of the safety net system marshal forces to rationalize its funding and support, its tremendous contribution to the training of physicians and other health care professionals must be clearly set forth to ensure that support for the public hospital system's health is appropriately broad based.

KW - Medical education

KW - Public hospitals

KW - Residency training

KW - Safety net

UR - http://www.scopus.com/inward/record.url?scp=56149089014&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=56149089014&partnerID=8YFLogxK

U2 - 10.1007/s11524-008-9297-4

DO - 10.1007/s11524-008-9297-4

M3 - Article

C2 - 18575982

AN - SCOPUS:56149089014

VL - 85

SP - 779

EP - 786

JO - Journal of Urban Health

JF - Journal of Urban Health

SN - 1099-3460

IS - 5

ER -