Abstract

Effective health delivery should be influenced by two key factors; patients and teaching, but is frequently adversely affected when politicians make health care reforms, forgetting that patients are at the centre. Yes, cost and resources are important, but patient-centred services and care must be the guiding light. The most important duty of physicians is to put patients first and ensuring that there is a future generation of doctors trained to take over their roles, remembering that they have failed as medical teachers if the new generation are not better doctors than they have been.

Highlights

  • Effective health delivery should be influenced by two key factors; patients and teaching, but is frequently adversely affected when politicians make health care reforms, forgetting that patients are at the centre

  • In 1961 a survey of 219 USA physicians stated that 90% did not tell cancer patients the truth regarding their diagnosis [2]

  • In 1908, the president of the Carnegie Foundation, Henry Pritchett, selected Abraham Flexner, a school teacher with skills in educational theory, to visit and review the 155 medical schools in the USA [6]. This was prompted by the American Medical Association (AMA) forming the Council on Medical Education (CME) in 1904

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Summary

Introduction

Effective health delivery should be influenced by two key factors; patients and teaching, but is frequently adversely affected when politicians make health care reforms, forgetting that patients are at the centre. The most important duty of physicians is to put patients first and ensuring that there is a future generation of doctors trained to take over their roles, remembering that they have failed as medical teachers if the new generation are not better doctors than they have been.

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Conclusion

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