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November 7, 1936

Tendances de la médecine contemporaine: La médecine à la croisée des chemins

JAMA. 1936;107(19):1586. doi:10.1001/jama.1936.02770450070031

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This book is devoted to a philosophic and critical discussion in general terms of tendencies in medicine, current and developing. As indicated by the title, medicine is believed to be at the crossroads, a phrase first used by Cushing. In spite of its great achievements, contemporary medicine now suffers, according to Delore, from certain unfavorable tendencies such as lack of genuine clinical spirit, early and excessive specialization, undue reliance on laboratory tests, failure to consider the patient in relation to his surroundings, and the useless overproduction of medical publications. In the further evolution of medicine, however, the author recognizes certain favorable trends; e. g., increased emphasis on physiology and psychology, on constitution and heredity, on the relation of disease to social environment, on a more broad and synthetic conception of disease, on efforts to detect disease in its earliest and preclinical stages, and on the prevention of disease. The style

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