Medical Education for the Future Identity, Power and Location

The purpose of medical education is to benefit patients by improving the work of doctors. Patient centeredness is a centuries old concept in medicine, but there is still a long way to go before medical education can truly be said to be patient centered. E

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Advances in Medical Education Volume 1

Series Editor Stanley J. Hamstra

Members of International Advisory Board   1.  Ara Tekian – University of Illinois at Chicago, USA   2. John R. (Jack) Boulet – Foundation for the Advancement of International Medical Education and Research (FAIMER), Philadelphia, USA   3.  Niall Byrne – University of Toronto, Canada   4.  Roger L. Kneebone – Imperial College, London, UK   5.  Kirsti Lonka – University of Helsinki, Finland   6.  Ayelet Kuper – University of Toronto, Canada   7.  Kevin Eva – University of British Columbia, Canada   8.  Larry D. Gruppen – University of Michigan, USA   9.  Louise E. Arnold – University of Missouri at KC, USA 10.  Geoff Norman – McMaster University, Canada 11.  David A. Cook – Mayo Clinic, USA 12.  David M. Irby – University of California at San Francisco, USA 13.  Glenn Regehr – University of British Columbia, Canada 14.  Delese Wear – Northeastern Ohio University College of Medicine, USA 15.  Elizabeth A. Farmer – University of Wollongong, Australia

For further volumes: http://www.springer.com/series/8405

Alan Bleakley • John Bligh • Julie Browne

Medical Education for the Future Identity, Power and Location

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Professor Alan Bleakley Peninsula College of Medicine and Dentistry Universities of Plymouth and Exeter Plymouth PL4 8AA United Kingdom [email protected] Professor John Bligh School of Medicine Cardiff University University Hospital of Wales Heath Park Cardiff CF14 4XN United Kingdom [email protected]

Julie Browne School of Postgraduate Medical and Dental Education Cardiff University Neuadd Meirionydd Heath Park Cardiff CF14 4YS United Kingdom [email protected]

ISBN 978-90-481-9691-3     e-ISBN 978-90-481-9692-0 DOI 10.1007/978-90-481-9692-0 Springer Dordrecht Heidelberg London New York © Springer Science+Business Media B.V. 2011 No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Cover design: eStudio Calamar S.L. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com).

Foreword

Medical education is at a crossroads. The health-care and education systems it intertwines are changing dramatically, the roles played by health-care professionals are shifting and the expectations of governments, institutions and the public have evolved. Some observers have looked out over this unstable terrain and declared, pessimistically, that disaster is at hand: they see a damaging confluence of lost professional status, eroding values, marginalization of patients and a rise of production-oriented health care and education. Bleakley, Bligh and Browne envision a different landscape—one that is radically altered but decidedly hopeful. Med