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Irwin J. Schatz, MD
Honolulu, Hawaii

Arch Intern Med. 1994;154(1):109.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The clinical clerkship is the crucial experience in medical student education. To be learned effectively, bioethics, decision analysis, demographics, medical sociology, and many other important topics must be attached to a patient-centered problem; separate lectures and seminars are insufficient. This was part of the message of my article, and Fretscher supports it with his personal experience. He also suggests that non—patient-centered pedagogic efforts sometimes may be counterproductive and, in his experience, generate negative sentiments.

The challenge to medical educators is to incorporate these vital issues into the student-patient clinical encounter. . . . [Full Text PDF of this Article]

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