"John, this is Dolly, the vice president of the American Medical Association? Mr. Hunt. Pen | fun | pavilion www. ｂｉｑｕｇｅ。 ｉｎｆｏ”

When John walked into Professor Osler's office, the gray-haired old professor immediately introduced him to today's guest, a tall white man of about fifty years of age.

"Good afternoon, Mr. Huntelaar."

After politely waiting for Osler's introduction, the Mr. Hunt immediately took two steps forward and respectfully stretched out his right hand: "It is a great honor for me to meet you!" And I am commissioned by the American Medical Association to salute you for your great contributions to the field of medicine! ”

"Hehe, thank you."

After gently shaking the other party's hand, John smiled politely: "I have also admired the American Medical Association for a long time, and I hope to join it at the right time." ”

Speaking of the American Medical Association, John is quite familiar with it, after all, he can't remember when the largest academic organization in the United States began to send him invitations. Once a year, he was invited to attend the annual meeting of the American Medical Association, hoping that he would become an important figure in the American Medical Association.

It's just that John has always refused such invitations.

John wasn't uninterested in the American Medical Association, after all, such the most authoritative medical organization in the United States was very helpful for him to promote his ideas. But what he also knows is that the current American medical profession is too chaotic, there are contradictions between the West Coast and the East Coast, and the internal medicine doctors can't accept the fact that the surgeons are on an equal footing with them, so he doesn't want to join in so early, even if John's prestige can definitely easily occupy a high position.

In contrast, John prefers the New York Society of Surgeons, who are in charge of their own affairs.

Of course, in the end, John will definitely join the American Medical Association, and he will have the ambition to reach the top, but certainly not now......

The vice president of the American Medical Association is also a big man.

In fact, after the pleasantries, John also understood that this Mr. Hunt was indeed quite famous among internal medicine physicians, and had been practicing medicine in Philadelphia since returning from studying in France, and was also a professor of internal medicine at the University of Pennsylvania. Today, not only is he the vice president of the American Medical Association, but he also holds the position of president of the Medical Education Council, which is considered a high position of authority - if it were a hundred years later, but in 1906......

After learning the identity of the other party, John raised his eyebrows and chuckled: "Mr. Hunter, I don't know what you are doing when you come to New York this time?" ”

"Well, there's a very important thing!"

After nodding vigorously, Hunter began to carefully talk about his intentions: "You know, two years ago, the American Medical Association established the Medical Education Council, and at its first annual meeting, it put forward two reform proposals, one is to implement the standardization of medical education enrollment in the United States, and the other is to implement the ideal medical curriculum across the country, including two years of laboratory science training and two years of clinical rotation in teaching hospitals......"

While enjoying Professor Osler's coffee, John listened intently to what the other party had to say.

At the end of the 19th century and the beginning of the 20th century, the center of world medicine shifted to Germany. The rigorous Germans gave modern medicine wings, they established the world's most advanced laboratories, and at the same time set up the most advanced physician training system, thus allowing German medicine to soar into the sky and begin the road to world hegemony for decades.

At the same time, the medical community, including medical education, remains in turmoil in the United States.

In addition to the Huntelaar School of Medicine and John? Outside of the Hopkins School of Medicine, including Columbia, Pennsylvania, and Harvard Medical School, which studied them, it is still not a modern medical education.

In fact, there were three medical education systems in the United States at this time. The first is the apprenticeship system, although it is relatively rare, but the practitioners' hand-in-hand apprenticeship is still widely existing in small cities and villages; the second is a private training school, where a few doctors open their own small schools and directly begin to recruit students; The third is the university system, where students attend lectures in classrooms and receive clinical training in hospitals. The vast majority of schools are private, each teaching a variety of medical courses, after two years of study, you can get a doctorate in medicine, the family conditions will go to Europe, such as Britain, France and Germany and other countries for further study, the poor family directly carry the medicine box to start treating people, and then personally create one after another unjust souls......

Even those universities are often unsatisfactory.

Only a handful of schools require students to have two years of college study before enrolling, and only Huntelaar Medical College and Hopkins require a bachelor's degree. In other medical schools, the testing of students admitted to the school is extremely simple, and some students even allow students with a very low level of education to enroll in the school - the fact that the little girl received multiple admission letters back then was not a joke!

And the education of medical schools is even more unbearable.

Due to the limitations of faculty and hardware, the experimental conditions of most medical schools are so poor that there is not even a microscope in the whole school - this was the case with Harvard 20 years ago. In addition, teachers use too much lecture methods in their teaching methods, and students have few or no opportunities for practical work, and in some schools, students do not even come into contact with patients once before they graduate. In general, most medical schools rely on advertising for admissions all year round, and as long as they pay for it, they dare to give you an MD certificate......

"So we insist that the time has come for change."

After moistening his parched throat, Mr. Hunter said in a deep voice: "So the American Medical Association and the Council on Medical Education have decided to conduct a survey of the state of medical education in the United States and eliminate those institutions that cannot operate according to our standards...... Of course, with the strength of the Board of Governors and the American Medical Association, we certainly couldn't do this work on our own, so we recently turned to the Carnegie Foundation for the Advancement of Education and got a grant from them......"

"I'll go!"

When he heard this, John was already stunned.

American Medical Association, Council on Medical Education, Carnegie Foundation for the Advancement of Education, Survey of Medical Schools Nationwide......

When all the conditions came into John's mind, a concept began to form.

"But...... Sir, the Carnegie Foundation for the Advancement of Education has made a request! ”

After a slight pause without noticing the change in John's expression, Mr. Hunt then smiled wryly, "They demand that this investigation must be carried out by you, John?" Mr. Huntelaar, or by someone you appoint to do it, otherwise do not agree to fund this investigation, so ......"

John was no longer interested in Hunter's later words, because at this time, all that was left in his mind was the one that was a significant milestone in the history of American medical education, in the true sense of the word!

Flexner Report! (To be continued.) )