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James Z. Appel, M.D.
JAMA. 1960;173(13):1446-1450. doi:10.1001/jama.1960.03020310034011.
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Many studies have been made during the past years that give information on the basis of which it can be decided whether or not there is a need for a recruitment program for medical students. These studies are concerned with the future need of the nation for physicians. There are also broader studies of the educational system of the United States comparing its effectiveness with systems in other nations of the world. While research in these matters has been going on for some time, there is no question that Sputnik has popularized them and stimulated them.1

The Need for and Problems of Recruitment  In the year 1948-1949 there were 3.62 applicants for medical school for each freshman accepted in the medical schools of the United States. By the year 1958-1959 this ratio fell to 1.86:1. This was the lowest the ratio had been for at least 20 years. In


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