It is indeed a bold spirit who would attempt to prophesy the final objective in graduate medical instruction. There are, however, certain evidences of trends or tendencies that may be evaluated at this time. One given to divination is seldom chagrined by his mistaken predictions, and it is reasonably certain that few now here will be present when the final formula is evolved.
In the first decade of the century the majority of men seeking graduate medical instruction were well on into mature life and were seeking to fill the gaps in their medical knowledge. Many were graduates of the hundred medical schools that have ceased to function and the doctor was conscious of two fundamental defects in his training: (a) the lack of preliminary educational qualifications and (b) the inadequacy of his medical training. To his everlasting credit he had the inspirational value of ambition and the desire to
HEYD CG. TRENDS IN GRADUATE TEACHING. JAMA. 1935;104(13):1061–1064. doi:10.1001/jama.1935.02760130011003