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With the growth of the curriculum in our medical schools, the urgent necessity has arisen of either lengthening the number of years of medical study from four to five, or of so adapting ourselves to the needs of the medicai student that some way must be found out of the difficulty.
This increase in the number of subjects of study has arisen in two ways: 1. The development of the various laboratory subjects (and by this I include anatomy, physiology, histology, chemistry and pathology) has necessitated the devotion of practically the entire first two, to so-called theoretical branches, leaving the practical branch to the last two years. 2. The rapid development of the special branches of both medicine and surgery (gynecology is included in the latter), has taxed the number of hours in the school year to the utmost. An effort has been made in some schools to correct this
EISENDRATH DN. THE ELECTIVE SYSTEM IN MEDICAL SCHOOLS.. JAMA. 1904;XLIII(7):451-452. doi:10.1001/jama.1904.92500070001c