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Article
January 13, 1984

XIX. Medical Education: The Decade of Massive Change

Author Affiliations

From the Morris Fishbein Center, University of Chicago.

JAMA. 1984;251(2):219-224. doi:10.1001/jama.1984.03340260027021
Abstract

For 2,500 years medicine has had three mutually dependent aspects. First (and foremost) is practice. This, simply stated, means making sick people well and keeping well people from getting sick. It also included what the older physicians called hygiene and we call public health and preventive medicine. Second, we have science. I do not want to go into the meaning of this word but will refer only to the branches important for medicine—anatomy, physiology, pathology, chemistry, and the like. Third, we have education, the transmission of knowledge and skills to the young who will in turn become physicians.

These three components act one on the other. Improvement in science brings about changes in practice, which in turn lead to needed readjustments in education. Better education can then result in better science and better practice. Better practice, along with its other advantages, opens more opportunities for improved science. The circular interactions

References
1.
Frank Billings, " Medical Education in the United States ,"  JAMA 1903;40:1271-1276.
2.
Quoted in Lester S. King,  The Philosophy of Medicine: The Early Eighteenth Century , Cambridge, Mass, Harvard University Press, 1978, p 210.
3.
Lester S. King, " Medicine in the USA: VIII. Germ Theory and Its Influence ,"  JAMA 1983;249:794-798.Crossref
4.
Simon Flexner, James Thurber Flexner,  William Henry Welch and the Heroic Age of American Medicine , New York, Dover Publications, 1966 (reprint of 1941 edition), p 162.
5.
James E. Reeves,  A Hand-Book of Medical Microscopy , Philadelphia, Blakiston, 1894.
6.
Lester S. King, " Medicine in the USA: XII. Clinical Laboratories Become Important 1870-1900 ,"  JAMA 1983;249:3025-3029.Crossref
7.
James B. Herrick,  Memories of Eighty Years , University of Chicago Press, 1949, p 104.
8.
John H. Rauch,  Medical Education, Medical Colleges and the Regulation and Practice of Medicine in the United States and Canada, 1765-1891 , Springfield, Ill, H. W. Rokker, 1891.
9.
" The Medical Colleges of the United States and Canada ,"  JAMA 1894;23:523-549.
10.
W. J. Herdman, " The Newer Medical Education in the United States: II. As Shown in the Department of Medicine and Surgery of the University of Michigan ,"  Bull Am Acad Med 1893;1:233-238.
11.
Herdman, loc cit.
12.
Russell H. Chittenden,  The Development of Physiological Chemistry in the United States , New York, The Chemical Catalogue Co, 1930, pp 33-35
13.
Robert E. Kohler,  From Medicinal Chemistry to Biochemistry , Cambridge University Press, 1982, pp 97-101.
14.
Elbert Wing, " The Newer Medical Education in the United States: III. As Shown in the Chicago Schools ,"  Bull Am Acad Med 1893;1:239-246 (appendix, pp 244-246).
15.
Wing, op cit.
16.
" Association of American Medical Colleges: Report of the Committee on Syllabus ,"  JAMA 1896;26:769-775,827-832.
17.
George W. Corner,  Two Centuries of Medicine , Philadelphia, JP Lippincott Co, 1965, p 158.
18.
Leslie B. Arey,  Northwestern University Medical School, 1859-1959 , Chicago Northwestern University, 1959, p 177.
19.
George H. Weaver, " The Introduction of Bacteriology Into the Medical Curriculum in Chicago ,"  Bull Soc Med Hist Chicago 1937;5:1-2
20.
Ludvig Hektoen, " Notes on the History of Bacteriology in Chicago ,"  Bull Soc Med Hist Chicago 1937; 5:3-21.
21.
Joseph McFarland, " The Beginning of Bacteriology in Philadelphia ,"  Bull Hist Med 1937;5:149-198.
22.
Wing, op cit.
23.
W. A. Evans, " The Teaching of Pathologic Histology to Large Classes in Unendowed Institutions ,"  Bull Am Acad Med 1894;1:513-519.
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