Headship and organization of clinical departments of first-class medical schools

SJ Meltzer - Science, 1914 - science.org
SJ Meltzer
Science, 1914science.org
2 Amer. Medicine, 1902, Vol. 4, p. 146. 3 The Journal of the Almerican Medical Association,
LXIII., 1914, 86. cording to which the full-time professors" may doprivate practise, but that
fees from that practise are to be turned into the university treasury and not into their own
pockets," as grotesque. The report lays stress upon the fact that this plan was proposed by
non-medical men (that is, the General Education Board) who" do not have the medical point
of view and do not undlerstand the complex functions demanded of the clinical teacher." It …
2 Amer. Medicine, 1902, Vol. 4, p. 146. 3 The Journal of the Almerican Medical Association, LXIII., 1914, 86. cording to which the full-time professors" may doprivate practise, but that fees from that practise are to be turned into the university treasury and not into their own pockets," as grotesque. The report lays stress upon the fact that this plan was proposed by non-medical men (that is, the General Education Board) who" do not have the medical point of view and do not undlerstand the complex functions demanded of the clinical teacher." It may be said here in parenthesis that the term" non-medical men" is in this case not entirely correct, as the plan was surely sug-gested, advocated and accepted by important members of the Mtedical School, for instance the professors of pathology, physiology, anatomy, etc. However, this designation remains true to the extent that some of themedical men who advocated these radical changes in the department of medicine have practical knowledge only in the sciences closely associated with medicine, but not in the domains of clinical medicine itself. The report, however, acknowledges the fact that at present the placing of the clinical departments inthe medical school on a satisfactory basis is one of the most pressing needs.
With this in view the council of Medical Edu-cation has appointed a strong committee of ten clinicians, who have had great experience in teaching and who are regarded as authorities in their special department and in medical educa-tion, to study this subject and to report to the next conference on medical education... The medical school very properly demands that their clinical teachers be men who are recognized as authorities in their special fields both by the pro-fession and by thecommunity.. whatever plan is adopted must make it possible for the clinical teachers to remain the great authorities in their special fields both in the eyes of the profession and in the eyes of the public. The report of the council does not state directly that the present status of teaching'in the clinical departments in the medical schools of this country is very unsatisfactory. It admits it, however, tentatively, when it states that the placing of this teaching on a very satisfactory basis is one of the most pressing needs. We have seen that the Johns
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