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

  • Simon Flexner
Date:
1939
Catalogue details

Licence: In copyright

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

    41/58 page 30
    II E turn now to a consideration of the organiza ¥ V tion of the investigator-student laboratory in the clinic. It is self-evident that the clinical professors should be skilled physicians, as their first responsibility is the welfare of the patients in their charge. Then, as the purpose of the laboratory is to advance know¬ ledge, they should be investigators as well. Clinical teaching in the past has not prepared men especially for this second office; it is to be supposed that the clinical units already established and the large Nuffield benefaction will add to the number of men so trained. The investigator-clinical laboratory, as we shall now call it, will not as a rule be large. As it is not intended for usual diagnostic purposes or for elementary instruc¬ tion, but as a place where the clinical staff and advanced students are to study problems of disease, the size will be determined by the capacity of the wards or units in which the special patients providing the problems are cared for. The clinical investigators will, as a rule, all have duties in the wards as well as in the laboratories, since the two functions are essen¬ tially interrelated. In what is to follow I shall not be dealing specifically with Oxford. I shall be dealing with the question of organization in a more general way and one related rather to the principles of organization than to local plans adopted to-day and subject to change as ex¬ perience warrants. Nor will it matter especially whether the examples to be given are taken from the more conventional teaching and investigating institu¬ tion or from the research institution, since the principle
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