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Article
May 16, 1959

WORKSHOP CONFERENCE ON SPECIALISM IN MEDICINE: 4. THE HOSPITAL

Author Affiliations

New York; Boston

Director, New York Hospital—Cornell Medical Center (Dr. Hinsey), and Medical Director, Boston City Hospital (Dr. Conlin).

JAMA. 1959;170(3):319-322. doi:10.1001/jama.1959.03010030063018
Abstract

"What are the objectives of the hospital administration and the medical staff in establishing or maintaining graduate clinical training programs?"

It was felt that, in essence, graduate clinical training programs were an upward extension of medical education from the medical schools into the hospitals. About one-third of all internships and less than half the total number of residencies offered are located in hospitals making available outstanding educational experiences. Despite continued and concentrated effort, many hospital administrators, trustees, and hospital staff members have continued to place emphasis on the "service" aspects of house staff training.

It is admittedly difficult to render a precise definition of service. However, it was strongly felt that overemphasis of "service to institutions" or "service to staff" with considerably less emphasis on the basic requirement of furnishing an educational experience to the house staff members is undesirable. It was brought out that in many instances a busy

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