It is axiomatic that medical education should prepare students well
for the clinical problems they will face in their future practice. However,
that is not happening for the most prevalent problem in health care today:
The inadequacy of clinical education is a consequence of the failure
of health care and medical education to adapt to 2 related transformations
in the past 50 years that are central to good health care today. In the first,
chronic disease replaced acute disease as the dominant health problem. Chronic
disease is now the principal cause of disability and use of health services
and consumes 78% of health expenditures. In the second, chronic disease dramatically
transformed the role of the patient.
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