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Article
April 30, 1910

A PLEA FOR HOSPITAL REORGANIZATION

JAMA. 1910;LIV(18):1421-1422. doi:10.1001/jama.1910.92550440001001

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Abstract

Let us agree that we are all truly desirous of promoting scientific medicine. How is its development to be accomplished? It seems that the following propositions are axiomatic if the science of medicine is to be truly fostered.

1. The scientific physician or surgeon must have a continuous service in one hospital and in one only.

2. Appointment to the position of visiting physician or surgeon to a great hospital should be dependent on a reputation for accomplished work.

3. In the hospital, preferably on the other side of the hall opposite the hospital wards, there should be laboratories for careful scientific investigation and for carrying forward research regarding the causation and cure of disease.

4. There should be some endowment to pay for brains.

All have heard of these propositions, but how much serious concentrated attention has ever been given to them. To what extent has the system

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