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July 11, 1903


JAMA. 1903;XLI(2):106. doi:10.1001/jama.1903.04470040034016

In his address as chairman of the Section on Practice of Medicine at the New Orleans meeting of the Association,1 Dr. Thayer refers to some of the evident short-comings of the majority of our public and semi-public hospitals. He says that the most serious hindrance to advance in clinical study and teaching is the prevalent custom of rotation of hospital services.

Probably no competent, thoughtful medical man can question the force of this criticism. The first requisite for systematic clinical teaching and study is continuous, permanent service. Nothing but perfunctory, routine work can be expected when the chief of a service changes every three to six months. In business undertakings of all kinds, in schools and other institutions such rotation of service does not obtain. It exists in so many of our hospitals on account of the fact that physicians give their time and service to the hospitals without

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