Word: physicians
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Dates: during 1990-1999
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Rather than forcing students to memorize large quantities of medical facts and spend hours each day in lecture, the "New Pathway" emphasizes problem-oriented learning, small group discussions, increased emphasis on patient-physician relationships and self-directed study...
Tutorials are a key element of a student's schedule. In their first two years, students participate in a tutorial and lab on alternate days, in addition to lectures, electives and a weekly "patient/doctor" class. The patient/doctor courses introduce students to patient-physician relationships and clinical medicine...
...students' performance and make recommendations to Congress on whether the program should be expanded for general use. The initiative was proposed by Senator Daniel Inouye of Hawaii, whose administrative assistant, Patrick DeLeon, is an American Psychological Association board member. Ostensibly, the study aims to explore ways to deal with physician shortages in the armed services. But several state legislatures are watching the experiment to determine whether psychologists in their regions should have the right to prescribe...
Such an expansion of privileges would not be without precedent. Dentists and podiatrists have always prescribed some medications. And other non-M.D.s, including pharmacists, physician's assistants and nurse practitioners (registered nurses with some advanced training) have been granted at least limited privileges -- either for a restricted number of drugs or under close supervision by physicians -- in many states. Nurse practitioners can now prescribe in 34 states, up from 28 last year...
...what stands in the way? There's still the American Medical Association, of course, which has yet to catch up to its physician constituency. But the interest group that arguably has the most to lose is the health-insurance industry, which spends more than $1 million a year to forestall any thoroughgoing government action. And why not? The insurance industry already enjoys a richly rewarding, gruesomely parasitic relationship to the public health domain. In broad schematic outline, it goes like this...