Preparing Medical Students for the Continual Improvement of Health and Health Care: Abraham Flexner and the New "Public Interest"

AAMA publication by Berwick and Finkelstein.

need continual improvement of patient health and community health

need to learn scientific foundations of system performance

The physician is a social instrument

current quality of care is unacceptable, given the improvements that have been shown to be possible in some systems

physicians can lead and accelerate changes in care processes that are grounded in good data and sound theory

improvement of systems

Dartmouth Hitchcock Leadership Preventive Medicine residency program

Skills, knowledge and attitudes for improvement of care

a) personal excellence in clinical skills, reflective practie

b) mastering scientific foundations of system performance, psychology, conflict resolution, negotiation, group process, human motivation, cognitive and social psychology, creativity, epistemology (how to gain knowledge)

Case Western Reserve residency program

Then a whole bunch of stuff about how the education needs to change

pretty good article