The question of a standard of medical education which, in other nations, is simplified by the intervention of the national authority, either directly or indirectly, is in the United States rendered difficult of solution by the absence of such central authority. Yet it is a fact that the National Government is interested in this matter, in that it has in the permanent personnel of at least four of the great executive departments a large number of physicians. In three of them—the Department of War, the Navy and the Treasury, which latter embraces the Public Health and Marine-Hospital Service—a high, and as near as practicable a fixed standard has been made a prerequisite to admission to the permanent medical service.
In any serious movement looking to a national standard, the public medical services should be taken into consideration and their uplifting influence made of use and correlated to the requirements of
MEDICAL STANDARDS AND THE PUBLIC SERVICES.. JAMA. 1904;XLIII(7):471-472. doi:10.1001/jama.1904.02500070031009