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There has been a rapid transition in medical education during the last twenty years. During this period, the number of medical schools has been reduced one half. In 1904 there were enrolled in our medical schools 28,142 students, while in 1922 there were 16,140. The increased cost of medical education and the years, unproductive financially, to be spent in internships and assistants' positions will tend to restrict students to the wealthier classes. The constantly increasing number of specialists has caused a diminution in the ranks of those who practice among the great and vitally important group of citizens living in rural districts. Inevitably, these citizens will succeed in demanding, through the legislatures, that they have physicians that come from medical schools and that are well trained, or failing in this, they must accept those that come from some source with inferior equipment. While it would not be fair to say
WITHERSPOON JA. MEDICAL EDUCATION, PAST AND PRESENT. JAMA. 1923;80(17):1191–1194. doi:10.1001/jama.1923.02640440005002
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