Hidden curriculum shapes how med students learn end-of-life care

The thinking goes, physicians who train at hospitals with better and more efficient care will be in better shape to become leaders in changing how health care is delivered. More intense care can translate into worse, and more expensive, care at the end of life. The nation's 23 top academic medical centers also vary quite a bit in what researchers say is the intensity of care they provide patients at the end of life, according to an analysis from the Dartmouth Atlas Project.