JAMA. 1927;89(26):2194. doi:10.1001/jama.1927.02690260042014.
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The foreword to Cushing's life of Sir William Osler points out that the latter opened the wards to the student—an important departure from methods of medical teaching previously in vogue. Before his time, didactic teaching prevailed and actual contact with patients was largely denied to the embryonic physician. Since the coming of Osler's great innovation, much progress has been made. Hospitals associated with teaching institutions have made arrangements for small clinics, for ward walks and for clinical clerkships, through which the medical student is brought into fairly intimate contact with the sick. Patients have learned to appreciate the desirability of demonstration in the clinic, and are likely to lend themselves readily to such exhibition for teaching purposes. However, the increasing cost of hospital service is causing the purely charitable bed to disappear in most instances except from institutions maintained by the city, county, state or national government.

Even the hospitals


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