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Washington University and the Creation of the Teaching Hospital
Kenneth M. Ludmerer, MD
JAMA. 1991;266(14):1981-1983.
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IT IS common knowledge that during the 20th century the Washington University School of Medicine has exemplified the ideals of the Flexnerian revolution—the marriage of basic science with clinical medicine.1 Less well known, however, is the fact that in the reorganization of the school in 1910, Washington University left an enduring imprint on the nation's developing system of medical education. The remarkable feature of the reorganization was not that the school acquired a scientifically eminent full-time faculty and built an impressive new physical plant, important as those achievements were. Rather, the singular contribution of the school lay in the success of its leadership in persuading Barnes Hospital, St Louis, Mo, and St Louis (Mo) Children's Hospital to become true teaching hospitals. Before the reorganization, The Johns Hopkins Hospital in Baltimore, Md, was the only large, modern hospital that genuinely encouraged teaching and research within its walls; the lack of
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Medicine, School of Medicine, and Department of History, Faculty of Arts and Sciences, Washington University, St Louis, Mo.
Footnotes
This article is based on material previously published by the author, including Learning to Heal: The Development of American Medical Education (New York, NY: Basic Books Inc Publishers; 1985) and "Reform of medical education at Washington University" (J Hist Allied Sci. 1980;35:149-173).
Reprints not available.
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