Few will deny that medicine and science are being profoundly affected by the dizzying succession of changes which the current era is thrusting upon us. We are inevitably engrossed in attempts to assess the impact of these changes upon the various institutions, professions, and callings in which each of us has a particular interest and stake. As Socrates said, "The life which is unexamined is not worth living." Each branch of medicine and surgery must regularly examine its own life and accomplishments. And the mirror which we hold must reflect a true and undistorted image.
My intention, on the basis of what I hope is a reasonably broad background of experience in medicine and medical education, is to summarize some of the changes which are taking place, and to attempt to assay the effects which these are exerting upon clinical medicine in general, and the specialties of medicine in particular.
PILLSBURY DM. Specialism and the Changing World of Medicine. Arch Dermatol. 1962;86(1):16–26. doi:10.1001/archderm.1962.01590070022003
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