Medical Education in the United States and Canada; A Report to the Carnegie Foundation for the Advancement of Teaching

 
9780217018227: Medical Education in the United States and Canada; A Report to the Carnegie Foundation for the Advancement of Teaching
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This historic book may have numerous typos, missing text or index. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1910. Not illustrated. Excerpt: ... CHAPTER II THE PROPER BASIS OF MEDICAL EDUCATION We have in the preceding chapter briefly indicated three stages in the development of medical education in America,--the preceptorship, the didactic school, the scientific discipline. We have seen how an empirical training of varying excellence, secured through attendance on a preceptor, gave way to the didactic method, which simply communicated a set body of doctrines of very uneven value; how in our own day this didactic school has capitulated to a procedure that seeks, as far as may be, to escape empiricism in order to base the practice of medicine on observed facts of the same order and cogency as pass muster in other fields of pure and applied science. The apprentice saw disease; the didactic pupil heard and read about it; now once more the medical student returns to the patient, whom in the main he left when he parted with his preceptor. But he returns, relying no longer altogether on the senses with which nature endowed him, but with those senses made infinitely more acute, more accurate, and more helpful by the processes and the instruments which the last half-century's progress has placed at his disposal. This is the meaning of the altered aspect of medical training: the old preceptor, be he never so able, could at best feel, see, smell, listen, with his unaided senses. His achievements are not indeed to be lightly dismissed; for his sole reliance upon his senses greatly augmented their power. Succeed as he might, however, his possibilities in the way of reducing, differentiating, and interpreting phenomena, or significant aspects of phenomena, were abruptly limited by his natural powers. These powers are nowadays easily enough transcended. The self-registering thermometer, the stethoscope, the microscope...

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