The Teaching Hospital: Evolution and Contemporary Issues

David Littauer, MD
JAMA. 1967;199(5):345. doi:10.1001/jama.1967.03120050087031.
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In this excellent volume four eminent medical educators and administrators examine the effect on the teaching hospital of rapid changes in medical technology, medical education, institutional organization for patient care, economics of such care, and expectations of an informed public.

In an essay, "The Teaching Hospital and the Medical School," Robert J. Glaser defines the teaching hospital as "one, irrespective of whether it is university-owned or independent and under its own governing board, that is used extensively for the clinical instruction of medical school students." He traces the evolution of the relationships of the medical school to the teaching hospital, including house officer programs, clinical clerkships, and education of medical students.

Paul S. Russell reviews the changes in the training of surgeons, graphically describing the roots of present-day surgery (biochemistry, physical chemistry, anatomy, pharmacology, engineering, and others), and stressing the need for the increased use of private patients in the


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