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May 19, 1900


JAMA. 1900;XXXIV(20):1266-1267. doi:10.1001/jama.1900.02460200052009

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The necessity of uniformity and reciprocity in medical standards and state qualifications for practice is daily becoming more and more evident. Medical reform is in the air, but it progresses everywhere, largely on distinct lines, and the results are therefore in some regards not all that could be wished. One state does not recognize the qualifications of another, and vice versa, and the outcome is discord and a reflection on the medical standards and the general status of American medicine. If we discredit each other individually, outsiders will discredit us collectively. Aside from this there are still more obvious disadvantages in this lack of reciprocity, not the least of which is the need of re-examination on change of residence, and the manifold inconveniences it involves. Everybody must admit that a uniformly high standard is the ideal and that even the suspicion that we fall short of this reflects discredit

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