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July 21, 1900


JAMA. 1900;XXXV(3):166. doi:10.1001/jama.1900.02460290036008

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Not a few of our state universities have more or less prosperous departments of medicine, as for instance, the Universities of Michigan, Minnesota and Iowa. The number of medical students in these and other institutions of similar character is large; in some cases undoubtedly larger than the facilities for proper clinical instruction warrant, so that actual overcrowding has resulted. Difficulties in securing sufficient material for adequate clinical teaching of the large classes have arisen from time to time. Gradually these shortcomings are being more or less satisfactorily met by the erection of state or university hospitals under the management of the medical faculties.

Undoubtedly, one potent reason for the large number of students in many medical schools of this character is the relatively small fees demanded. Presumably on the theory that the state should furnish its citizens with opportunities to secure medical education at as reasonable cost as possible, the

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