Downward Spiral of Medical Education

Downward Spiral of Medical Education: A Critical Analysis of Systemic Dysfunction in Contemporary Medical Training examines how commercialization and market logic are reshaping — and undermining — the education of physicians.

Across four parts, Dr. Nasser A. N. Alzerwi traces the crisis from its theoretical roots (standards erosion, commercial influence mechanisms) through distortions of pedagogy and assessment (market-driven curricula, student-centrism, problem-based learning) to its human consequences for faculty and students — before turning to reform and reconstitution.

Essential reading for medical educators, academic leaders, health-policy scholars, and clinicians concerned with the future of professional formation.

Nasser A. N. Alzerwi, Department of Surgery, College of Medicine, Majmaah University, Riyadh, Saudi Arabia. NeucitePress, 2026. ISBN 979-8-9914886-5-5 (paperback).