Since the establishment of the first medical school in America, there has been a tacit understanding that the patients in public institutions should be placed at the disposal of medical colleges for clinical instruction. While this understanding has been more or less indeterminate and has been, in fact, frequently set aside by public or private action, there has been in the main an admission of the right of medical education in this particular.
This right has not infrequently been subject to revision or abrogation by officials temporarily in power; in some cases the exercise of the right has been attended with difficulties, complex in character, and in other cases the right was established or implied by statute. For instance, as far back as 1876, the St. Louis city charter, adopted that year, specifically gave to the medical schools of the city the authority to conduct clinical instruction in the city
LOEB HW. THE MUNICIPAL HOSPITAL AS A FACTOR IN CLINICAL TEACHING. JAMA. 1916;LXVI(22):1670–1672. doi:10.1001/jama.1916.02580480004002
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