Flexner Report In 1910 Summary

1. The Flexner Report in 1910 gave 3 new curriculum requirements for medical schools. What where they?

The Flexner report has been the most important event in the medical world in America and Canada, causing serval medical schools to close down, and the remaining had to reform to the flexnerian model also using the 3 new curriculum: to be a part of a university, to have at least four years of training, and to have the first two years of that training concentrate on basic laboratory science.

2. What is the NMA? Why was it formed? What is the real reason why and how Hospitals became integrated?

NMA is the national medical association, which is the nation’s oldest and largest organization that was formed to represent African American

physicians and health professional in the United States in 1895. Although there membership passed in the 1950’s, the hospitals remained segregated until the 1960’s when congress passed both landmark civil rights legislation, creating Medicare and Medicaid, which became a major source for funding hospitals and those who choose to use these programs could no longer be segregated or they would be ineligible for funding for those programs. Which hospitals can’t not survive without federal funding.

3. What are the four levels of care in the U.S. Health Care System? Please explain them fully.

The four levels of care in the U.S.

are: 1) Primary care: care provided by physician’s office and clinics, who also provided the first stage of treatment for a disease and provide continuing, comprehensive, coordinated medical care that is not differentiated by gender, disease, or organ system. 2) Secondary care: care obtained from specialist and in hospitals, which are separated between primary care and specialist that treat only certain type of patients. 3) Tertiary care: care obtained at regional referral centers that serve the needs of many hospitals and communities such as neonatal intensive care units, burn center, and transplant surgery centers. 4) Quaternary care: care obtained at national referral centers for certain disease and often-experimental

procedures.

4. What are the reasons why medical students choose to be specialists rather than primary care physicians? What do you think the health care system could do to change this around?

Medical students choose to be a specialist over a primary care physicians because of the higher income specialist are expected to make which plays a major role, as well as the latest technology medical students want to use for their practices and to perform challenging surgeries. To change this around health care system could have more requirements to be a specialists, and maybe even provide primary care with the latest technology.

5. What is the role of the mid-level practitioner in health care delivery?

A mid-level practitioners perform both routines and complicated medical services for hospitals and medical practices around the country, and also a full time partner with physicians.

They also work in emergency departments, inpatient and outpatient surgical facilities, does special practice for cardiology and oncology for patients who are receiving long term treatment. They also can monitor diabetes and cancer patients too.

6. What are the four core components of the “patient-Centered Medical Hame (PCMH) Movement?

The four components of the patient-centered medical hame, which is a joint statement issued by a consortium of primary care professional organization are the fundamental tenets of primary care: 1) Contact access, comprehensive, integration, coordination, and relationships involving sustained partnership. 2) New ways of organizing practice. 3) Development of practices internal capabilities. 4) Related health care system and reimbursement changes.

7. What did you learn in this chapter that you didn’t know before?

After reading this chapter I learned the difference between a primary care and specialist, and that a specialist makes more money than a primary care physician. I also learned the history behind Medicare and Medicaid, and how they made a huge impact in the segregated world. Also learning the levels that our health care system is divided into, was something I didn’t know before reading this

chapter.