American Medical Schools and the Practice of Medicine: A by William G. Rothstein

By William G. Rothstein

During this largely researched heritage of clinical colleges, William Rothstein, a number one historian of yank drugs, lines the formation of the scientific college from its beginning as a resource of scientific lectures to its present prestige as a middle of undergraduate and graduate clinical schooling, biomedical learn, and really good sufferer care. utilizing a number of ancient and sociological strategies, Rothstein competently describes tools of clinical schooling from one iteration of medical professionals to the subsequent, illustrating the altering profession paths in drugs. while, this examine considers scientific faculties in the context of the country of scientific perform, associations of treatment, and basic larger schooling. the main entire and thorough common heritage of clinical schooling within the usa ever written, this paintings focuses either at the old improvement of scientific colleges and their present prestige.

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No other parties interested in medical education were willing or able to influence the medical schools. The medical profession was poorly organized. State and local governments frequently subsidized medical education directly or indirectly, but they supported the policies of the faculty. 72 By the second quarter of the nineteenth century, enrollments in medical schools had increased so much that student fees provided rich rewards for faculty members. Many new medical schools were established, leading to competition for students and a corresponding increase in student influence over the content of medical education.

Information on 9,883 patients treated at the Philadelphia Dispensary from December, 1786, to November, 1792, showed that 65 percent of all diagnoses were infectious diseases. 11 The Providers of Medical Care The sick of the period, like those today, had access to many kinds of medical treatment. Self-medication was the first line of defense in cases of illness. Drug recipes were printed in newspapers, almanacs, and books on domestic medicine, and many were passed down in family records from generation to generation.

An article in the Pennsylvania Gazette in 1751 that promoted the founding of the Pennsylvania Hospital in Philadelphia claimed: [In a hospital a patient] will be treated according to the best rules of art, by men of experience and known abilities in their profession. His lodgings will be commodious, clean and neat, in a healthy and open situation, his diet will be well chosen, and properly administered. . 24 Several types of patients were singled out as particular beneficiaries of hospital care.

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