Abraham Flexner and His Views on Learning in Higher Education
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The Flexner Report ― 100 Years Later
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by PubMed Central YAlE JOuRNAl OF BiOlOGY AND MEDiCiNE 84 (2011), pp.269-276. Copyright © 2011. HiSTORiCAl PERSPECTivES iN MEDiCAl EDuCATiON The Flexner Report ― 100 Years Later Thomas P. Duffy, MD Yale School of Medicine, New Haven, Connecticut The Flexner Report of 1910 transformed the nature and process of medical education in America with a resulting elimination of proprietary schools and the establishment of the bio - medical model as the gold standard of medical training. This transformation occurred in the aftermath of the report, which embraced scientific knowledge and its advancement as the defining ethos of a modern physician. Such an orientation had its origins in the enchant - ment with German medical education that was spurred by the exposure of American edu - cators and physicians at the turn of the century to the university medical schools of Europe. American medicine profited immeasurably from the scientific advances that this system al - lowed, but the hyper-rational system of German science created an imbalance in the art and science of medicine. A catching-up is under way to realign the professional commit - ment of the physician with a revision of medical education to achieve that purpose. In the middle of the 17th century, an cathedrals resonated with Willis’s delin - extraordinary group of scientists and natu - eation of the structure and function of the ral philosophers coalesced as the Oxford brain [1]. Circle and created a scientific revolution in the study and understanding of the brain THE HOPKINS CIRCLE and consciousness. -
Newsletteralumni News of the Newyork-Presbyterian Hospital/Columbia University Department of Surgery Volume 12, Number 2 Winter 2009
NEWSLETTERAlumni News of the NewYork-Presbyterian Hospital/Columbia University Department of Surgery Volume 12, Number 2 Winter 2009 Virginia Kneeland Frantz and 20th Century Surgical Pathology at Columbia University’s College of Physicians & Surgeons and the Presbyterian Hospital in the City of New York Marianne Wolff and James G. Chandler Virginia Kneeland was born on November 13, 1896 into a at the North East corner of East 70th Street and Madison Avenue. family residing in the Murray Hill district of Manhattan who also Miss Kneeland would receive her primary and secondary education owned and operated a dairy farm in Vermont.1 Her father, Yale at private schools on Manhattan’s East Side and enter Bryn Mawr Kneeland, was very successful in the grain business. Her mother, College in 1914, just 3 months after the Serbian assassination of Aus- Anna Ball Kneeland, would one day become a member of the Board tro-Hungarian, Archduke Franz Ferdinand, which ignited the Great of Managers of the Presbyterian Hospital, which, at the time of her War in Europe. daughter’s birth, had been caring for the sick and injured for 24 years In November of 1896, the College of Physicians and Surgeons graduated second in their class behind Marjorie F. Murray who was (P&S) was well settled on West 59th Street, between 9th and 10th destined to become Pediatrician-in-Chief at Mary Imogene Bassett (Amsterdam) Avenues, flush with new assets and 5 years into a long- Hospital in 1928. sought affiliation with Columbia College.2 In the late 1880s, Vander- Virginia Frantz became the first woman ever to be accepted bilt family munificence had provided P&S with a new classrooms into Presbyterian Hospital’s two year surgical internship. -
Medical School Expansion in the 21St Century Colleges of Osteopathic Medicine
Medical School Expansion in the 21st Century Colleges of Osteopathic Medicine Michael E. Whitcomb, M.D. and Douglas L. Wood, D.O., Ph.D. September 2015 Cover: University of New England campus Medical School Expansion in the 21st Century Colleges of Osteopathic Medicine Michael E. Whitcomb, M.D. and Douglas L. Wood, D.O., Ph.D. FOREWORD The Macy Foundation has recently documented the motivating factors, major challenges, and planning strategies for the fifteen new allopathic medical schools (leading to the M.D. degree) that enrolled their charter classes between 2009 and 2014.1,2 A parallel trend in the opening of new osteopathic medical schools (leading to the D.O. degree) began in 2003. This expansion will result in a greater proportional increase in the D.O. workforce than will occur in the M.D. workforce as a result of the allopathic expansion. With eleven new osteopathic schools and nine new sites or branches for existing osteopathic schools, there will be more than a doubling of the D.O. graduates in the U.S. by the end of this decade. Douglas Wood, D.O., Ph.D., and Michael Whitcomb, M.D., bring their broad experiences in D.O. and M.D. education to this report of the osteopathic school expansion. They identify ways in which the new schools are similar to and different from the existing osteopathic schools, and they identify differences in the rationale and characteristics of the new osteopathic schools, compared with those of the new allopathic schools that Dr. Whitcomb has previously chronicled. 1 Whitcomb ME. -
US Medical Education Reformers Abraham Flexner (1866-1959) and Simon Flexner (1863-1946)
DOCUMENT RESUME ED 443 765 SO 031 860 AUTHOR Parker, Franklin; Parker, Betty J. TITLE U.S. Medical Education Reformers Abraham Flexner (1866-1959) and Simon Flexner (1863-1946). PUB DATE 2000-00-00 NOTE 12p. PUB TYPE Reports Descriptive (141) EDRS PRICE MF01/PC01 Plus Postage. DESCRIPTORS Biographies; *Educational Change; *Educational History; Higher Education; *Medical Education; *Professional Recognition; *Social History IDENTIFIERS *Flexner (Abraham); Johns Hopkins University MD; Reform Efforts ABSTRACT This paper (in the form of a dialogue) tells the stories of two members of a remarkable family of nine children, the Flexners of Louisville, Kentucky. The paper focuses on Abraham and Simon, who were reformers in the field of medical education in the United States. The dialogue takes Abraham Flexner through his undergraduate education at Johns Hopkins University, his founding of a school that specialized in educating wealthy (but underachieving) boys, and his marriage to Anne Laziere Crawford. Abraham and his colleague, Henry S. Pritchett, traveled around the country assessing 155 medical schools in hopes of professionalizing medical education. The travels culminated in a report on "Medical Education in the United States and Canada" (1910). Abraham capped his career by creating the first significant "think tank," the Institute for Advanced Study in Princeton, New Jersey. The paper also profiles Simon Flexner, a pharmacist whose dream was to become a pathologist. Simon, too, gravitated to Johns Hopkins University where he became chief pathologist and wrote over 200 pathology and bacteriology reports between 1890-1909. He also helped organize the Peking Union Medical College in Peking, China, and was appointed Eastman Professor at Oxford University.(BT) Reproductions supplied by EDRS are the best that can be made from the original document. -
Abraham Flexner As Critic of British and Continental Medical Education
Medical History, 1989, 33: 472-479. ABRAHAM FLEXNER AS CRITIC OF BRITISH AND CONTINENTAL MEDICAL EDUCATION by THOMAS NEVILLE BONNER * When Abraham Flexner landed in England in October 1910, he was already well known in British medical circles. His report on medical education in the United States and Canada, published earlier in the year, had been widely distributed in Europe by Nicholas Murray Butler, an influential trustee of the Carnegie Foundation for the Advancement of Teaching. When Flexner called on the president of the Royal College of Surgeons, Henry Butlin, on 8 October, Butlin told him of the impact his American study had made in Britain. "You didn't need any letter of introduction from Osler," Flexner recounted the conversation, "I've read your report, it's masterly. I am preparing a memorial to the Royal Commission on London University and you are my authority-see here, here's your Report ... every margin filled with pencil comments showing how you have analyzed our difficulties for us . Flexner's arrival in Britain was timely. Medical education throughout the island was in turmoil. Dissatisfaction with the variety of routes to licensure, the wide differences between Scottish and London requirements for degrees, and the rigidity of the seniority system within the hospitals had been growing since the 1880s. In addition, new concerns over British backwardness in laboratory study and scientific research were creating a sense of crisis in those aware of developments in Germany and America.2 William Osler himself, who had arrived at Oxford to fill the Regius Chair in 1905, had sharply criticized a year earlier the neglect of laboratory studies in British medical schools in a widely reported address at the London Hospital.3 Flexner conferred with Osler and other members of the British medical establishment on his arrival in Britain. -
Research Organizations and Major Discoveries in Twentieth-Century Science: a Case Study of Excellence in Biomedical Research
A Service of Leibniz-Informationszentrum econstor Wirtschaft Leibniz Information Centre Make Your Publications Visible. zbw for Economics Hollingsworth, Joseph Rogers Working Paper Research organizations and major discoveries in twentieth-century science: A case study of excellence in biomedical research WZB Discussion Paper, No. P 02-003 Provided in Cooperation with: WZB Berlin Social Science Center Suggested Citation: Hollingsworth, Joseph Rogers (2002) : Research organizations and major discoveries in twentieth-century science: A case study of excellence in biomedical research, WZB Discussion Paper, No. P 02-003, Wissenschaftszentrum Berlin für Sozialforschung (WZB), Berlin This Version is available at: http://hdl.handle.net/10419/50229 Standard-Nutzungsbedingungen: Terms of use: Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Documents in EconStor may be saved and copied for your Zwecken und zum Privatgebrauch gespeichert und kopiert werden. personal and scholarly purposes. Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle You are not to copy documents for public or commercial Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich purposes, to exhibit the documents publicly, to make them machen, vertreiben oder anderweitig nutzen. publicly available on the internet, or to distribute or otherwise use the documents in public. Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, If the documents have been made available under an Open gelten abweichend von diesen Nutzungsbedingungen die in der dort Content Licence (especially Creative Commons Licences), you genannten Lizenz gewährten Nutzungsrechte. may exercise further usage rights as specified in the indicated licence. www.econstor.eu P 02 – 003 RESEARCH ORGANIZATIONS AND MAJOR DISCOVERIES IN TWENTIETH-CENTURY SCIENCE: A CASE STUDY OF EXCELLENCE IN BIOMEDICAL RESEARCH J. -
RF Annual Report
The Rockefeller Foundation Annual Report 1913-14 TEE RO-.-K'.r.'.'.I £E 7- 1935 LIBRARY The Rockefeller Foundation 61 Broadway, New York © 2003 The Rockefeller Foundation ^«1 \we 2003 The Rockefeller Foundation July 6, 1915. > To the Trustees of the Rockefeller Foundation: Gentlemen:— I have the honor to transmit to you herewith a report on the activities of the Rockefeller Foundation and on its financial operations from May 14,1913, the date on which its charter was received from the Legislature of the State of New York, to December 31, 1914, a period of eighteen months and a half. The following persons named in the act of incorporation became, by the formal acceptance of the Charter, May 22, 1913, the first Board of Trustees: John D. Rockefeller, of New York. John D. Rockefeller, Jr., of New York. Frederick T. Gates, of Montclair, N, J. Harry Pratt Judson, of Chicago, 111. Simon Flexner, of New York. Starr J. Murphy, of Montclair, N. J. Jerome D. Greene, of New York. Wickliffe Rose, of Washington, D. C. Charles 0. Heydt, of Montclair, N. J. To the foregoing number have been added by election the following Trustees: Charles W. Eliot, of Cambridge, Mass.1 8 A. Barton Hepburn, of New York. G Appended hereto are the detailed reports of the Secretary and the Treasurer of the Rockefeller Foundation and of the Director General of the International Health Commission, JOHN D. ROCKEFELLER, JR., President. 1 Elected January 21, 1914. 9 Elected March 18, 1914. 2003 The Rockefeller Foundation 2003 The Rockefeller Foundation To the President of the Rockefeller Foundation: Sir:— I have the honor to submit herewith my report as Secretary of the Rockefeller Foundation for the period May 14, 1913, to December 31, 1914. -
American Osler Society
47th Annual Meeting of the American Osler Society Sunday, April 9th – Wednesday, April 12th, 2017 Emory Conference Center Hotel Atlanta, Georgia The image on the cover is of Sir William Osler and is on display on the Emory University campus in the James B. Williams Medical Education Building. The artist and history of the piece is unknown. 47th Annual Meeting of the AMERICAN OSLER SOCIETY Sunday, April 9th - Wednesday, April 12th, 2017 Emory Conference Center Hotel Atlanta, Georgia Photo courtesy of Osler Library of the History of Medicine, McGill University Course Objectives Upon conclusion of this program, participants should be able to: Describe new research findings in the history of medicine. Outline the evolution of medicine in a particular disease. List professional contributions made by others in medicine. Intended Audience The target audience includes physicians and others interested in Osler, medical history and any of the medically oriented humanities who research and write on a range of issues. Attendees will acknowledge the diversity of topics discussed and the spectrum of research techniques employed to investigate hypotheses, frame arguments, and draw conclusions. The themes addressed are comprehensible to all health care providers, making the content and conclusions accessible to the participants regardless of their main professional identity. CME Accreditation and Designation This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The University of Arizona College of Medicine – Tucson and the American Osler Society. The University of Arizona College of Medicine - Tucson is accredited by the ACCME to provide continuing medical education for physicians. -
Dreams ATSU-SOMA’S Inaugural Class 92 New D.O.S Graduate in Our Point of View
Dreams come true 92 new D.O.s graduate in ATSU-SOMA’s inaugural class Vol. 6, No. 2 • Fall 2011 Vol. Our point of view ATSU celebrated five commencements this spring, and you’re looking at a few of the 92 new D.O.s who graduated from ATSU-SOMA’s inaugural class in June. A.T. STILL UNIVERSITY Board of Trustees 2011 Carl G. Bynum, D.O., M.P.H., ’75 Chair Jefferson City, Mo. Friends, Kenneth E. Jones, D.O., ’83 It seems like every issue of the magazine is special, and this one is, Vice Chair Clinton, Mo. too, celebrating the first graduating class of our School of Osteopathic Medicine in Arizona. SOMA began as a dream six years ago when Dr. Cynthia D. Byler, D.O., M.P.H., Douglas L. Wood joined us as the founding dean. Now the dream has KCOM ’85, SHM ’04 Secretary become reality as 92 men and women of the inaugural class took part St. Louis, Mo. in commencement ceremonies on June 3 and, receiving their D.O. degrees, became osteopathic physicians. I am proud of each and ev- Richard W. Anderson, D.O., FACGP, ’46 ery one of them, and I am equally proud of the innovative curriculum Dallas, Texas which Dr. Wood and his staff have implemented and which Interim Manuel C. Bedoya, D.M.D. Dean Thomas McWilliams is carrying on. Tucson, Ariz. Daniel L. Biery, D.O., FACOI, FACG, ’72 from the At the Innovators’ Gala the evening before Phelps, N.Y. commencement I had the distinct privilege of presenting to Dr. -
2020 SGEA Regional Meeting Abstract Compendium
2020 SGEA Regional Meeting Abstract Compendium 0 Contents Message from the SGEA Chair ....................................................................................................... 2 Message from the 2020 SGEA Conference Host ........................................................................... 3 Special Thank You and Acknowledgements .................................................................................. 4 SGEA Awards ................................................................................................................................. 5 Innovation Abstracts ....................................................................................................................... 6 Research Abstracts ...................................................................................................................... 135 Small Group, Workshop and Panel Discussion Abstracts .......................................................... 247 List of SGEA Steering Committee Members ............................................................................. 324 List of 2020 SGEA Regional Conference Planning Committee Members ................................. 325 2020 SGEA Reviewers ............................................................................................................... 327 1 Message from the SGEA Chair Dear Colleagues, I am so pleased to join with my peer regional GEA chairs and the AAMC medical education team in offering this important compendium of medical education innovation and scholarship. -
Electives and Career Planning
Electives and Career Planning John Graneto, D.O., M.Ed. Professor and Associate Dean Disclosure • This study was supported by a grant from the American Association of Colleges of Osteopathic Medicine and the Osteopathic Heritage Foundation. IRB • This study was reviewed by the IRB at Midwestern University, Downers Grove IL. Acknowledgements • Statistical Support provided by: • Matthew S. Mayo, Ph.D., MBA • Founding Chair and Professor, Department of Biostatistics • KU Medical Center, Kansas City Introduction • Osteopathic medical students face decisions such as “should they enter primary care or a specialty field?” • Factors that ultimately influence an individual medical student’s specialty choice are also varied. 1,2 • What is less well described are the rotation elective choices students make based on entering these specialties. • The objective for this study is to compare the elective choices that students make. Background • Medical school curricula, generally consist of earlier years of foundational teachings in the science-based disciplines or systems and during the later years more clinically focused rotation-based bedside patient encounters with physician preceptors.6,7 • Every year thousands of osteopathic medical students throughout the country make the transition from these pre-clinical classroom years to the rotation-based clinical experiences.8,9 Background • Each student may have limited number of electives • Perceived lifestyle of that career choice is cited as one factor that influences students’ decisions to match in a -
Promoting a More Adaptable Physician Pipeline
Promoting a More Adaptable Physician Pipeline FDA & Health James C. Capretta The views expressed are those of the author in his personal capacity and not in her official/professional capacity. To cite this paper: James C. Capretta, “Promoting a More Adaptable Physician Pipeline”, released by the Regulatory Transparency Project of the Federalist Society, February 26, 2020 (https://regproject.org/wp- content/uploads/RTP-FDA-Health-Working-Group-Paper-Physician-Supply.pdf). This paper adapted from a report originally published by the American Enterprise Institute under the title “Policies affecting the number of physicians in the US and a framework for reform” (https://www.aei.org/wp- content/uploads/2020/03/Report-Policies-affecting-the-number-of-physicians-in-the-US-and-a-framework-for- reform.pdf) March 25, 2020 Table of Contents Executive Summary 3 Introduction 3-4 A Top-line Perspective 4-6 Historical Context 6-7 Basic Framework for Physician Licensure in the US 7-9 Foreign-Born Physicians and International Medical Graduates 9-12 Public Subsidies and Policies for Graduate Medical Education 12-15 More GME Funding Is Not the Answer 15-16 The Role of the Medicare Fee Schedule 17-18 Toward a More Flexible and Adaptable Pipeline of Prospective Physicians 18-20 Conclusion 21 2 Executive Summary Since the latter half of the 19th century, the medical profession has been effectively regulating itself through state medical boards and control of the organizations that certify educational and training institutions. The federal government participates in (but does not directly control) residency programs through partial funding provided mainly by Medicare.