RT Journal T1 LOcal medical societies. JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1889 FD December 21 VO XIII IS 25 SP 889 OP 889 DO 10.1001/jama.1889.04440070023009 UL http://dx.doi.org/10.1001/jama.1889.04440070023009 AB The need of higher standards of medical education in the United States is universally conceded. Indeed the persistent efforts of many of our leading medical colleges and an earnest advocacy on the part of our prominent medical journals have rendered much valuable service in this direction. Some of our schools are now making such requirements as would remedy the evils of illiteracy were their standards to be generally accepted.But it is idle to presume that the profession can be purged of incompetency while any medical school, if it shall so elect, may barter its diplomacy as merchandise, and be alone responsible for the proficiency of its graduates. If short terms of study are advertised, if low fees only are required, and if a surety of graduation may be anticipated, it will not be singular if such schools receive a liberal patronage, and the medical profession continue to suffer from