The evolution and organization of the university clinic / by Simon Flexner.

  • Simon Flexner
Date:
1939
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Licence: In copyright

Credit: The evolution and organization of the university clinic / by Simon Flexner. Source: Wellcome Collection.

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    The final objection was that students would be made too scientific. They would be less good practitioners because they would become too much absorbed in and dependent on laboratory methods. But the idea was a sound one and took root. Curschmann intro¬ duced a similar laboratory into his clinic in Leipzig in 1892, and presently there were others throughout Germany. Some of you will recall a delightful essay of Dr. John Brown’s on Locke and Sydenham published about 1858. It chances to be a favourite of mine, and I often think of the good Scottish doctor’s anxiety over the march of science in his day which was imperilling the art or practice of medicine. ‘ This distinction between the science and art or craft, as it is often called the cunning of medicine, is one we have already insisted upon and the importance of which we consider very great, in the present condition of this department of knowledge and practice. We are now-a-days in danger of neglecting our art in mastering our science, though medicine in its ultimate resort must always be more of an art than a science.’ These sentiments have a strangely familiar and ominous sound even at the present day when there is still head-shaking in high places over the invasion of the medical curriculum by the laboratory. 4 In America the developments came much later. A beginning in physiology was made by Bowditch, a pupil of Ludwig, at Harvard Medical School in 1871, and in 1876 when the Johns Hopkins University opened its doors, Newell Martin, a pupil of Huxley and Foster, was given a fully equipped laboratory in biology including physiology. When the Johns Hopkins
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