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January 22, 1973

Fate of Two-Year Medical Schools

JAMA. 1973;223(4):439-440. doi:10.1001/jama.1973.03220040053019

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To the Editor.—  In response to Dr. Glen R. Leymaster's excellent article, "Difficult Choices for Two-Year Medical Schools," which appeared in the Nov 20, 1972, issue of The Journal, I submit the following comments. I concur with the author that freestanding, two-year medical schools are in serious trouble. They face the dilemma of converting to MD-degree-granting programs, withering away, or seeking other acceptable ways to remain viable.What are the alternatives available to two-year medical schools? Are they acceptable to the institutions, their governing boards, and their supporters? The most obvious solution is to convert to an MD-degree-granting program. This would require an increase in institutional support from state or private sources, or both. The development of a traditional medical school with a university hospital is very expensive. However, it is possible to develop a "school without walls" by utilizing existing hospitals and resources for training medical students. With the