Medical Education in the United States And Canada; a Report to the Carnegie Foundation for the Advancement of Teaching

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Thus far none of these has achieved either executive or scientific intimacy. A certain degree of executive unity may per- haps be secured through a dean freely circulating between the two parts, though if he is attached as professor to one end of the department, the other is apt to resent intmsion. Scientific unity seems in any case unattainable. The clinical men at Omaha or San Francisco simply cannot be at home in the laboratories of Lincoln or Berkeley.
Laboratories must be duplicated at the
... clinical site if the clinicians are to be in touch with them : in which case the divided type of school tends to turn into the whole re- mote type illustrated by the medical depai"tments of the universities of Texas at Galveston, Indiana at Indianapolis, and of Cornell at New York. The truth is that an efficient medical school is a compact whole, in which geographic unity of labora- tories and hospital is essential to scientific and educational integrity. The wilted condition of the clinical ends of the divided schools is a warning that Michigan, now contemplating the removal to Detroit of the final year in medicine, may well weigh.

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