Symposium on Medical Education-NO 2
July 13, 1964

Pathophysiology and Diagnosis

Author Affiliations

Nashville, Tenn

Dr. Billings is associate clinical professor of medicine and dean of medical students of Vanderbilt University School of Medicine.

JAMA. 1964;189(2):116-117. doi:10.1001/jama.1964.03070020044009

IT SEEMS reasonable for me to be participating in the discussion of the town-gown syndrome and of the manifestations of morbidity which it presents. I am in a sense a split personality—I make my living looking after a private practice and I derive great pleasure from the position, Dean of Medical Students. The advantages of this double vision are obvious. I can assume an air of completely cool detachment collecting coldly calculated data, or with heated brow and obvious bias I can stand with either town or gown. It has thus been possible, as a hybrid, to observe and study the basic cellular structure of the pathophysiology of this disorder with the double standard, which the syndrome so richly deserves, of a scientist and a fishwife.

It might first be in order to give the town-gown syndrome a proper eponym. Every syndrome worthy of consideration needs an eponym. The town-gown

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