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Student JAMA
May 5, 2004

The Flexner Report and the Standardization of American Medical Education

JAMA. 2004;291(17):2139-2140. doi:10.1001/jama.291.17.2139

If the sick are to reap the full benefit of recent progress in medicine, a more uniformly arduous and expensive medical education is demanded.—Abraham Flexner1

Medical education in the United States today is strikingly standardized and demanding. It was not always so. Prior to the widespread implementation of educational reforms, medical training was highly variable and frequently inadequate. It was not until the early decades of the 20th century that a "uniformly arduous and expensive" system of medical education was instituted nationally.