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November 18, 1944

Medical Education in the United States Before the Civil War

JAMA. 1944;126(12):799. doi:10.1001/jama.1944.02850470063030

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Here is a true historical survey of medical education as it was in the United States before the Civil War. It is in no sense of the word a story of early American achievement but rather a well documented account of what happened in the pioneer period. The approach to the subject is geographic, the medical schools of each section being given consideration individually. The final section of the book is entitled "Evolution of the American System of Medical Education." This too concerns only the early period. The account emphasizes the evils done by proprietorship in medical education and the early tendency toward recognizing the necessity for university affiliation. It is fine to have a historian conclude this approach with the following paragraph:

The most significant event in the latter part of the period was the establishment of the American Medical Association in 1847. Conceived by its founders as an

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