0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Commentary |

Where Have All the Flowers Gone: Where Is the Joy in Medicine?

Joseph S. Alpert, MD
Arch Intern Med. 1998;158(7):693. doi:10.1001/archinte.158.7.693.
Text Size: A A A
Published online

Extract

THE 20- AND 30-somethings in our profession have already given up on this essay. "Another one of those what-it-was-like-in-the-golden-days-of-medicine articles." I can hear them saying it now. Hopefully, they will read a bit further, because although this essay contains some nostalgia, its message has nothing to do with the "good old days."

The structures that built American medicine to its current preeminence are crumbling; many have already turned to dust. The National Institutes of Health's "pay-line" hovers below 20%; clinical revenues have crashed thanks to the brokers of managed care; subspecialty medicine—the bastion of medical advances for the past 35 years—cannot convince US-born residents to join its ranks; and department chairs are dying, retiring, or taking lucrative positions in industry. On all sides one hears sobs, moans, and cynical remarks. Where indeed have all the flowers gone; where is the joy that used to inspire our profession?

Topics

happiness

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 7

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();