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JAMA. 1902;XXXVIII(1):38. doi:10.1001/jama.1902.02480010042007.
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Thus far there are three states in the Union that provide for preliminary examinations under state auspices of those entering upon their medical studies. These examinations are especially for those not possessing collegiate degrees or other satisfactory evidences of educational qualifications; in short, they are a state assurance of proper preliminary education. The need of this has been obvious in the past, and the legal requirement in these states is evidence of the opinion of the leaders in medical reform that it still exists. We are still cheapening our profession by admitting to it the unqualified and the competition of medical schools tends to render this evil a progressive one.

It is said that in Ohio since the enforcement of the preliminary education provisions of the medical practice act, and especially during the first year, there was a serious decline in the number of students in the medical colleges of


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