RESUMO
INTRODUCTION: Two Jewish medical students who were forced to discontinue their study upon the raise of the Nazi regime, returned/ immigrated to Palestine and did their internship in Palestine. A third student, although faced with many procedural limitations, was able to continue most of his studies in Berlin including passing the MD examination. The first two students returned, after some years, to Berlin to sit for the Doctor examination which enabled them to gain a permanent medical license in Palestine. We describe the different backgrounds of the 3 students which enabled them to do the examination at Berlin's medical faculty during the Nazi regime. The follow up of the three, revealed glorious medical career during the British mandate and during the first years of the new state of Israel. The Dissertations were signed and supported by three leading Professors of the Berlin's Faculty. Two of them were found to have a National-Socialistic background.
Assuntos
Judeus , Socialismo Nacional , Estudantes de Medicina , Humanos , Árabes , Berlim , Educação Médica/história , Educação Médica/organização & administração , Internato e Residência , Israel , Licenciamento em Medicina/história , Socialismo Nacional/história , História do Século XXRESUMO
In the 1930s and 1940s, the medical profession reacted with hostility and erected formidable barriers to refugee physicians from Nazi-dominated Europe who sought to practice medicine in the United States. Yet, refugee physicians ultimately succeeded, with 77% of them working as doctors by 1945 and 98.6% by 1947. Although physician skills are readily transferable, and the United States had a genuine need for doctors after World War II drew 55 000 physicians into the military, refugee physicians' success can be attributed to the courageous physician leaders who lobbied on their behalf and the creation of the National Committee for the Resettlement of Foreign Physicians-an organization that helped immigrant physicians pass licensing examinations, identify locations for employment, and overcome barriers to integration into American society.
Assuntos
Médicos Graduados Estrangeiros/história , Judaísmo/história , Socialismo Nacional/história , Preconceito/história , Refugiados/história , Alemanha , História do Século XX , Humanos , Licenciamento em Medicina/história , Estados Unidos , II Guerra MundialRESUMO
This Invited Commentary is an independent opinion piece and companion to the Perspective by Carmody and Rajasekaran that appears in this issue of Academic Medicine. The National Board of Medical Examiners (NBME), a 501(c)(3) nonprofit, is a powerful gatekeeper to the medical profession in the United States. According to publicly available tax data, the NBME, which has increased its number of income-enhancing products, had revenues of $153.9 million (M) and net assets of $177.6M in 2017, earnings (revenue less expenses) of $39.7M in 2013-2017, and a highly compensated management team. Medical students are ultimately the source of nearly all the NBME's revenue, and the NBME has contributed to the growth of medical student debt. The NBME has operated as a monopoly since its agreement in the early 1990s with the Federation of State Medical Boards to cosponsor the United States Medical Licensing Examination (USMLE). Although the NBME has developed valuable products and is ostensibly governed by a capable board, the NBME has inherent financial conflicts of interest and may be benefiting from the current "Step 1 mania" undermining undergraduate medical education. Here, the author makes 4 recommendations to reestablish the trust of the U.S. medical education community in the NBME: (1) the NBME should recuse itself from current discussions and policy-making decisions related to changes in the score reporting of the USMLE Step 1 exam; (2) the NBME should disclose and be transparent about all aspects of its finances; (3) new NBME products, changes in pricing, and changes to pass thresholds should be approved by an oversight committee, independent of the NBME; and (4) the NBME (and USMLE) should not charge students or residents for retaking any of its licensing examinations.
Assuntos
Educação Médica , Avaliação Educacional/economia , Licenciamento em Medicina/economia , Avaliação Educacional/história , História do Século XX , História do Século XXI , Licenciamento em Medicina/história , Licenciamento em Medicina/normas , Estados UnidosRESUMO
Homeopathy arrived from the United States to Peruvian soil in the last decades of the nineteenth century, broadening the repertoire of existing medical knowledge, which included an emerging medical profession, Chinese herbalists, and indigenous practitioners. This article examines the circulation and use of homeopathic therapies and medicines in Lima from the time when the American homeopath George Deacon initiated his practice, in the 1880s, until his death, in 1915. Although homeopathy was not the most widely used medical therapy in the country, it nevertheless posed a threat to professional medicine and the School of Medicine's desired monopoly of the field of medicine.
Assuntos
Homeopatia/história , Governo Federal/história , Regulamentação Governamental/história , História do Século XIX , História do Século XX , Homeopatia/legislação & jurisprudência , Humanos , Licenciamento em Medicina/história , Peru , Faculdades de Medicina/história , Estados UnidosRESUMO
As doctors sought state support to regulate professional training and practice after Independence, Mexicans also developed different attitudes toward foreign ideas, influences, and professionals. Leveraging the allure of the foreign among Mexicans, homeopaths strategically used work, products, and organizations from abroad to establish their practices and fight changing professional policies in the country that threatened homeopathic institutions. Homeopaths inhabited the blurry and shifting boundary between professional and lay medical practice during the early Republican period, the Porfiriato, and the post-revolutionary era, and used the ambivalent feelings about medical licensing, and foreign influence in Mexican society to consolidate their position.
Assuntos
Regulamentação Governamental/história , Homeopatia/história , Licenciamento em Medicina/história , Profissionalismo/história , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , História do Século XIX , História do Século XX , Homeopatia/legislação & jurisprudência , Humanos , Internacionalidade/história , Licenciamento em Medicina/legislação & jurisprudência , México , Médicos/históriaRESUMO
This article analyzes the practice and professional status of Colombian homeopaths in the twentieth century, based on applications for licenses in the "Teguas" series in the Archivo General de la Nación. Within the historical context of the practice of medicine in Colombia, it studies homeopathic practice within the framework of the debate between licensed and permitted medicine. In that context, the field of homeopathy was subordinate to university medicine and homeopaths were a group of practitioners who were neither homogeneous nor organized, but characterized by their shared struggle to become "entitled" to practice, and their advocacy of professional status through constant litigation against official reprimands.
El artículo analiza la práctica y el estatuto profesional de los homeópatas colombianos en el siglo XX, según las solicitudes de licencia de la serie "Teguas" del Archivo General de la Nación. Desde el contexto histórico del ejercicio de la medicina en Colombia, se estudia la práctica homeopática en su inserción en el debate entre medicina diplomada y medicina permitida. Ahí aparece la homeopatía como un campo subordinado a la medicina universitaria y los homeópatas como conjunto de practicantes no homogéneo ni organizado, pero caracterizado por compartir la lucha por el "derecho adquirido" a ejercer y por la defensa de un estatuto profesional mediante la judicialización constante de la reprobación oficial.
Assuntos
Homeopatia/história , Licenciamento em Medicina/história , Colômbia , História do Século XX , Homeopatia/educação , Homeopatia/legislação & jurisprudência , Humanos , Licenciamento em Medicina/legislação & jurisprudência , Profissionalismo/históriaRESUMO
Resumen El artículo analiza la práctica y el estatuto profesional de los homeópatas colombianos en el siglo XX, según las solicitudes de licencia de la serie "Teguas" del Archivo General de la Nación. Desde el contexto histórico del ejercicio de la medicina en Colombia, se estudia la práctica homeopática en su inserción en el debate entre medicina diplomada y medicina permitida. Ahí aparece la homeopatía como un campo subordinado a la medicina universitaria y los homeópatas como conjunto de practicantes no homogéneo ni organizado, pero caracterizado por compartir la lucha por el "derecho adquirido" a ejercer y por la defensa de un estatuto profesional mediante la judicialización constante de la reprobación oficial.
Abstract This article analyzes the practice and professional status of Colombian homeopaths in the twentieth century, based on applications for licenses in the "Teguas" series in the Archivo General de la Nación. Within the historical context of the practice of medicine in Colombia, it studies homeopathic practice within the framework of the debate between licensed and permitted medicine. In that context, the field of homeopathy was subordinate to university medicine and homeopaths were a group of practitioners who were neither homogeneous nor organized, but characterized by their shared struggle to become "entitled" to practice, and their advocacy of professional status through constant litigation against official reprimands.
Assuntos
Humanos , História do Século XX , Homeopatia/história , Licenciamento em Medicina/história , Colômbia , Profissionalismo/história , Homeopatia/educação , Homeopatia/legislação & jurisprudência , Licenciamento em Medicina/legislação & jurisprudênciaRESUMO
Abstract Homeopathy arrived from the United States to Peruvian soil in the last decades of the nineteenth century, broadening the repertoire of existing medical knowledge, which included an emerging medical profession, Chinese herbalists, and indigenous practitioners. This article examines the circulation and use of homeopathic therapies and medicines in Lima from the time when the American homeopath George Deacon initiated his practice, in the 1880s, until his death, in 1915. Although homeopathy was not the most widely used medical therapy in the country, it nevertheless posed a threat to professional medicine and the School of Medicine's desired monopoly of the field of medicine.
Resumo A homeopatia originária dos EUA adentrou solo peruano nas últimas décadas do século XIX, ampliando o repertório de conhecimento médico existente até então, o qual incluía uma profissão médica em ascensão, herbolários chineses e médicos locais. Este artigo analisa a circulação e o uso de tratamentos e medicamentos homeopáticos em Lima desde o período em que o homeopata norte-americano George Deacon iniciou sua prática, nos anos 1880, até sua morte, em 1915. Embora a homeopatia não fosse o tratamento médico mais disseminada no país, ela representou uma ameaça à medicina profissional e ao monopólio do campo da medicina almejado pela escola tradicional.
Assuntos
Humanos , História do Século XIX , História do Século XX , Homeopatia/história , Peru , Faculdades de Medicina/história , Estados Unidos , Governo Federal/história , Regulamentação Governamental/história , Homeopatia/legislação & jurisprudência , Licenciamento em Medicina/históriaRESUMO
Abstract As doctors sought state support to regulate professional training and practice after Independence, Mexicans also developed different attitudes toward foreign ideas, influences, and professionals. Leveraging the allure of the foreign among Mexicans, homeopaths strategically used work, products, and organizations from abroad to establish their practices and fight changing professional policies in the country that threatened homeopathic institutions. Homeopaths inhabited the blurry and shifting boundary between professional and lay medical practice during the early Republican period, the Porfiriato, and the post-revolutionary era, and used the ambivalent feelings about medical licensing, and foreign influence in Mexican society to consolidate their position.
Resumo Após a independência do país, enquanto os médicos buscavam apoio do Estado para regulamentar o treinamento e a prática profissionais, os mexicanos desenvolveram atitudes diferentes em relação a ideias, influências e profissionais estrangeiros. Aproveitando o encanto dos mexicanos com o estrangeiro, os homeopatas usaram estrategicamente o trabalho, os produtos e as organizações de fora do país para implantar suas práticas e combater as políticas que ameaçavam as instituições ligadas à homeopatia. Os homeopatas ocuparam a barreira nebulosa entre as práticas médicas profissional e leiga no início do período republicano, no Porfiriato e na era pós-revolucionária, usando sentimentos ambivalentes sobre licenciamento médico e influência estrangeira para consolidar sua posição.
Assuntos
Humanos , História do Século XIX , História do Século XX , Regulamentação Governamental/história , Profissionalismo/história , Homeopatia/história , Licenciamento em Medicina/história , Médicos/história , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Internacionalidade/história , Homeopatia/legislação & jurisprudência , Licenciamento em Medicina/legislação & jurisprudência , MéxicoRESUMO
The medical field often requires radiologic technologists to make complex decisions that affect patients, employers, and colleagues. Technologists must consider practice standards when making choices, and also must act ethically to protect patients' safety and respect their autonomy. To make the most informed and ethical decisions, technologists should know the history of medical ethics, as well as be familiar with philosophical tools and ethical codes that can guide them in their daily practice.
Assuntos
Códigos de Ética , Tomada de Decisões/ética , Ética Médica , Direitos do Paciente/ética , Papel Profissional , Tecnologia Radiológica/ética , Códigos de Ética/história , Ética Médica/história , História do Século XV , História do Século XVI , História do Século XVII , História do Século XVIII , História do Século XIX , História do Século XX , História do Século XXI , História Antiga , História Medieval , Humanos , Licenciamento em Medicina/história , Direitos do Paciente/história , Papel Profissional/história , Tecnologia Radiológica/históriaAssuntos
Licenciamento em Medicina/história , Conselhos de Especialidade Profissional/história , Educação Médica/história , Avaliação Educacional/história , História do Século XVII , História do Século XVIII , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Objetivos Organizacionais , Estados UnidosRESUMO
Western literature has focused on medical plurality but also on the pervasive existence of quacks who managed to survive from at least the eighteenth to the twentieth century. Focal points of their practices have been their efforts at enrichment and their extensive advertising. In Greece, empirical, untrained healers in the first half of the twentieth century do not fit in with this picture. They did not ask for payment, although they did accept 'gifts'; they did not advertise their practice; and they had fixed places of residence. Licensed physicians did not undertake a concerted attack against them, as happened in the West against the quacks, and neither did the state. In this paper, it is argued that both the protection offered by their localities to resident popular healers and the healers' lack of demand for monetary payment were jointly responsible for the lack of prosecutions of popular healers. Moreover, the linking of popular medicine with ancient traditions, as put forward by influential folklore studies, also reduced the likelihood of an aggressive discourse against the popular healers. Although the Greek situation in the early twentieth century contrasts with the historiography on quacks, it is much more in line with that on wise women and cunning-folk. It is thus the identification of these groups of healers in Greece and elsewhere, mostly through the use of oral histories but also through folklore studies, that reveals a different story from that of the aggressive discourse of medical men against quacks.
Assuntos
Licenciamento em Medicina/história , Medicina Tradicional/história , Honorários e Preços/história , Folclore/história , Grécia , História do Século XIX , História do Século XX , Humanos , Entrevistas como Assunto , Licenciamento em Medicina/legislação & jurisprudência , Medicina Tradicional/economia , Charlatanismo/históriaRESUMO
The health and welfare of the Japanese people were of a lower standard compared to other developed countries at the end of the World War II in 1945. Crawford F. Sams, Chief, the Public Health and Welfare Section of the Supreme Commander for the Allied Powers thought that medical care in a wartom country could be improved not by building new hospitals and providing more medical equipment, but through professional education and training. He founded the Council on Medical Education to reform the Japanese medical education. The Council shaped Japanese medical education by establishing the standards for medical school education and initiating internship and a national medical licensure examination. In the early 1950s, the Unitarian Service Committee Medical Mission was invited to teach to medical school professors and students American medicine. This medical mission was also a contribution of the Public Health and Welfare Section to Japanese medical education. This article explores how Public Health and Welfare Section played vital roles in transforming Japanese medical education and postgraduate training during the occupation.
Assuntos
Educação Médica/história , Licenciamento em Medicina/história , Educação Médica/normas , História do Século XX , Internato e Residência/história , Japão , Licenciamento em Medicina/normas , Saúde Pública/história , II Guerra MundialAssuntos
Guerra Civil Norte-Americana , Medicina/normas , Medicina Militar/história , Museus/história , Cirurgia Geral/história , Cirurgia Geral/normas , História da Medicina , História do Século XIX , História do Século XX , Humanos , Licenciamento em Medicina/história , Licenciamento em Medicina/normas , Medicina/tendências , Medicina Militar/normas , Estados UnidosRESUMO
The educational opportunities and qualifications, corporate structures and regulation that had become accepted features of the Irish medical profession in the era of Charles Lucas were the fruits of a slow process of professionalization initiated by a handful of Irish medics who, from the 1620s, began tackling poor standards of medical practice in an era of medical pluralism. This paper begins by reviewing the standard of practice in early seventeenth-century Ireland. Through the examples of Thomas Arthur, M.D. and John Clavell, a self-styled medic, differences in the approaches adopted by university-trained physicians and unorthodox practitioners are highlighted. The succession of significant steps taken in this professionalization process are traced, with particular emphasis on the failed attempt to establish a Royal College of Physicians in Dublin during the mid-1620s and the importance of the influx of English physicians in the 1650s for the creation of permanent corporate structures and regulation.
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Medicina , Médicos/história , Prática Profissional/história , Catolicismo/história , Educação Médica/história , História do Século XVII , História do Século XVIII , Humanos , Irlanda , Licenciamento em Medicina/história , Protestantismo/história , Charlatanismo/históriaRESUMO
The American Board of Vascular Medicine (ABVM) was conceived through the Society for Vascular Medicine and this year will complete 10 years of certifying physicians who practice vascular medicine and endovascular medicine. The value of certification to our physicians, patients, and field cannot be understated. This paper reviews the highlights of the test development process, quality assurance measures, and management of these high stakes examinations.
Assuntos
Cardiologia/normas , Competência Clínica/normas , Procedimentos Endovasculares/normas , Licenciamento em Medicina/normas , Conselhos de Especialidade Profissional/normas , Procedimentos Cirúrgicos Vasculares/normas , Cardiologia/história , Avaliação Educacional , Procedimentos Endovasculares/história , História do Século XXI , Humanos , Licenciamento em Medicina/história , Garantia da Qualidade dos Cuidados de Saúde/normas , Indicadores de Qualidade em Assistência à Saúde/normas , Conselhos de Especialidade Profissional/história , Estados Unidos , Procedimentos Cirúrgicos Vasculares/históriaRESUMO
During his life, Dr James E Reeves was a national figure in the US. His work included multiple professional publications, civic and professional leadership positions, and the drafting of a landmark law that confirmed the right of states to regulate the medical profession. While much of Reeves' work supported the successful struggle of 19th century regular physicians to gain control of the practice of medicine, he challenged his colleagues when their self-interests conflicted with his perception of the public good. He was frequently lauded for this work by physicians and the public but he also made professional enemies. Perhaps for this reason, his considerable accomplishments were forgotten after his death. His story reminds us of the difficult contradiction that exists within the regulation of medicine, guarding the public's welfare while protecting the interests of medical professionals. It also reminds us that history may temporarily overlook those who fight our difficult battles.