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The Creation of The Medical Therapist

Paul S. Derian, MD
JAMA. 1968;206(11):2524-2525. doi:10.1001/jama.1968.03150110072025.
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To the Editor:—  New programs for the young, needy, and aging are now part of American medicine. With medicaid, medicare, and regional health and proposed neighborhood medical centers, how will the physician staffing be realized? There are, at the last count, 294,072 active physicians in America. Our population exceeds 200 million. In 1963 it was estimated that to maintain the existing ratio of physicians to population, medical school admissions should be doubled in the next decade.If we review the total number of medical schools and graduates from 1946 to 1968, it would be obvious that greater initiative and drastic changes are needed.

Medical Schools Graduates  1946 78 5,826 1964 85 7,336 1968 99 7,996In 1910 with the Flexner Report, an improved program for the student began. University associations ultimately became a reality. Uniquely, by structuring medical education the physician was to lessen his contact with the community.In


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