Verby JE, Baird MA, Wolff T, Beatty PG A New York initiative in medical education New York State Journal of Medicine November 1989 p 618-620
First lines:
"The medical schools of our country need to take a closer look at the format of medical education that was promulgated following the Flexner report over 7 decades ago. Recent reports have focused on the impact of the malpractice insurance crisis on family physicians in New York State. Physicians nationwide, out of economic necessity, have reluctantly refused to accept new Medicaid patients. Trust between patient and physician is diminishing, and physicians are limiting their practices, ordering more diagnostic tests, and consulting more frequently. The attrition of family physicians from death, retirement, disability, and dissatisfaction with unfavorable malpractice insurance costs and the current legal climate is extremely serious." sound familiar?
Suggested adaptation for urban also a part of the article
"Medical schools in West Virginia, Arkansas, the Dakotas, and others are asking for more information in implementing the RPAP model. The massive transition in clinical undergraduate, graduate, and postgraduate medical education as proposed here would help to cut medical education costs and upgrade medical care and education throughout the state. It will produce a more humanistic physician with a broader knowledge base and steeped in primary care and family medicine experience, as recommended by the New York State Commission on GME and the AAMC. The hostile polarization of people towards hospitals and physicians will be reduced, eventually helping to alleviate the current malpractice crisis and producing more of the right physicians for the right place."