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When the patient cannot afford the care

New York Times, February 5, 2010

In her column published in the New York Times, Pauline M. Chen, MD, says that in the busy day-to-day pursuit of becoming a good doctor, she had "telescoped in on the clinical details" and neglected to embrace the social and economic aspects of healthcare. She cites a 2009 report showing 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 healthcare systems and practice, which includes subjects like medical economics, managed care, practice management, and medical record-keeping.