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There can be little difference of opinion regarding the need for a higher and more uniform criterion of professional attainments than now exists, and few observant men, outside of medical college faculties, will deny the absurdity of allowing possibly incompetent teachers to examine and license the pupils whom they may have faultily or insufficiently instructed. But the search for a practicable method of reform must encounter many difficulties, general or local, inherent in our system of government. In countries where imperial control is exercised over medical education, the prescription of the subjects and sequence of the curriculum, the constant supervision of teaching, and the selection of the fittest to conduct the final examination, are theoretically feasible, and may be made to extend throughout the domain. In America, it is doubtful if national regulations could be legally established, even if there were agreement concerning their desirability, and the chance of improvement
STATE EXAMINATIONS AND SCHOOLS OF MEDICINE. JAMA. 1889;XIII(20):707–708. doi:10.1001/jama.1889.02401160021004
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