The old-fashioned hospital, especially the hospital which did no teaching, but simply cared for patients as they happened to be brought in, was a comparatively simple affair having medical and surgical services only. In rare instances an obstetric service was added, but as a rule the services were the two mentioned.
The advent of specialties resulted in considerable complication, and the claims of the different specialties have ever since been more or less urgent, depending largely on the personal equation of the specialist. If he proved to be a man of genius with a talent for organization, and filled a large place in the public eye, he generally found much difficulty in securing adequate recognition for the claims of his specialty. For this reason the original specialists deemed it necessary to establish special hospitals. Thus, for example, the eye and ear hospitals were originally established by surgeons who
HURD HM. THE PROPER DIVISION OF THE SERVICES OF THE HOSPITAL. JAMA. 1912;LIX(19):1677-1679. doi:10.1001/jama.1912.04270110091006