Medical Education and Managed Care

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Abstract
Students, residents, faculty members, and deans at medical schools in the United States don't like managed care. In this issue of the Journal, 1 Simon et al. report the results of a 1997 telephone survey of a national sample of medical students, residents, department chairs, directors of residency training, and deans to determine their views of managed care. Fee-for-service medicine was rated better than managed care in terms of the access of patients to care, minimizing ethical conflicts, the quality of the doctor–patient relationship, the continuity of care, care at the end of life, and care for patients with chronic illness. . . .