But I was wrong, on two counts. It was possible to learn about the economic and social aspects of health care while immersed in the details of biology, physiology and pharmacology. And it was impossible to become a good clinician without doing so.
Last fall the journal Academic Medicine reported that the vast majority of students felt they had received adequate clinical training during their four years of schooling. But fewer than half felt they had had adequate exposure to health care systems and practice, an area of study that extends to subjects like medical economics, managed care, practice management and medical record-keeping.

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