JAMA. 1927;88(11):781-784. doi:10.1001/jama.1927.02680370009003.
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The surprisingly rapid development of hospitals during the last twenty-five years is only a parallel to the marvelous improvements made during the same period in medical schools and medical education. Indeed, the developments of the medical school and the hospital were interdependent. When the medical course consisted of only two sessions of lectures of six months each, with or without the preliminary experience with a preceptor, the student had very little time for hospital work even if the medical school he was attending had access to a hospital. A review of the early announcements of medical schools shows that few of them had access to hospitals. Even when they had such access, clinics were not held with any regularity and, with one or two possible exceptions, students were not permitted to enter the sacred walls of the hospital. In the announcement of only one medical school, as far back as


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