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JAMA 100 Years Ago
May 16, 2001


JAMA. 2001;285(19):2423. doi:10.1001/jama.285.19.2423

Although the didactic lecture must ever hold a distinct place in the medical curriculum, it has already been in considerable degree superseded by clinical instruction. While applied knowledge is what the student must ultimately have, it will be more useful and more productive to himself and to others for being based upon a sound comprehension and a clear perception of the underlying principles and from an appreciation of its relations to other subjects. In the evolution of medicine into its various subdivisions it has been found that there are certain disorders that fall at one time or another into the field of more than one of the many specialties that have resulted from the division of labor, and it may be that medicine has thereby lost in profundity what it has gained in extent. The process of disseveration having gone so far, the time now seems ripe for some attempt at a more intimate integration of the various branches of medicine. This necessity seems already to have been appreciated, and it has been given expression to by the establishment within recent years of publications devoted to subjects that may be looked upon as occupying what has been designated the border-line between one and another of the departments of medicine. In line with the same thought, combined demonstration in two subjects, for instance medicine and surgery, has occasionally been undertaken.

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