Oxford University Press's
Academic Insights for the Thinking World

  • Author: J. Donald Boudreau

WANTED: An alternative to Competency-Based Medical Education

Nicaragua (1984): In a hospital—or at least what was labelled as a hospital—a physician receives an elderly woman in a hypertensive crises. He administers the only anti-hypertensive medication available—Reserpine—a drug that is now rarely used because of its side effects. To his profound dismay the patient suffers a stroke and dies a few hours later. There are no morgues in such rural hospitals. There are no ‘funeral parlours’ in the villages. Families take their departed loved ones home for burial.

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