This paper is an attempt to place the Flexner Report of 1910 in the larger perspective of dynamics of American society in the years surrounding the turn of the 19th century. It looks at medicine as an integral part of society affected by the contradictions affecting the larger society. The Flexner Report is viewed as an attempt by the capitalist class to ameliorate those contradictions affecting medicine. The events preceding the publication of the Flexner Report are described in detail, and some problems with conventional accounts of the origins of the Flexner Report are discussed. In addition, the paradigm of medicine that was institutionalized with the acceptance and implementation of the Flexnerian recommendations is discussed.
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References
1.
FlexnerA.Medical Education in the United States and Canada. Carnegie Foundation for the Advancement of Teaching, Bulletin No. 4, New York, 1910.
2.
FlexnerA.Medical Education in Europe. Carnegie Foundation for the Advancement of Teaching, Bulletin No. 6, New York, 1912.
3.
MillerH.Fifty years after Flexner. Lancetii: 647–654, 1966.
4.
PoynterN.Medicine and Man, pp. 111–112. Penguin Books, Baltimore, 1973.
5.
FrishaufP.The AAMC story: The rise to power. New Physician23(10): 36–39, 1974.
6.
ChaseA.The Biological Imperatives, pp. 286–287. Penguin Books, Baltimore, 1973.
7.
BlishenB. R.Doctors and Doctrines, p. 25. University of Toronto Press, Toronto, 1969.
8.
EbertR. H.The medical school. Scientific American229(3): 138–148, 1973.
9.
RichmondJ.Currents in American Medicine: A Developmental View of Medical Care and Education, p. 3. Harvard University Press, Cambridge, Mass., 1969.
10.
WassermanH.Harvey Wasserman's History of the United States. Harper and Row, New York, 1973.
11.
WilliamsW. A.The Contours of American History. Quadrangle, Chicago, 1968.
12.
WiebeR.The Search for Order. Hill and Wang, New York, 1968.
13.
RudolphF.The American College and University. Vintage Books, New York, 1962.
14.
Van TasselD.HallM.Science and Society in the U.S.Dorsey, Homewood, Ill., 1966.
15.
VeyseyL.The Emergence of the American University. University of Chicago Press, Chicago, 1965.
16.
SchwendingerH.SchwendingerJ.The Sociologists of the Chair. Basic Books, New York, 1974.
17.
TaylorF.Principles of Scientific Management. Harper Brothers, New York, 1947.
18.
HaberS.Efficiency and Uplift. University of Chicago Press, Chicago, 1965.
19.
BravermanH.Labor and Monopoly Capital. Monthly Review Press, New York, 1974.
20.
PollackN.The Populist Response to Industrial America. Harvard University Press, Cambridge, Mass., 1962.
21.
EhrenreichB.EnglishD.Complaints and Disorders. Feminist Press, New York, 1973.
22.
BremerR.American Philanthropy. University of Chicago Press, Chicago, 1971.
23.
CreminL.The Transformation of the School: Progressivism in American Education. Vintage Books, New York, 1961.
24.
WeinsteinJ.The Corporate Ideal in the Liberal State. Vintage Books, New York, 1968.
25.
KuhnT.The Structure of Scientific Revolutions. University of Chicago Press, Chicago, 1962.
26.
RossdaleM.Health in a sick society. New Left Review36: 82–90, 1965.
27.
RomørenT. I.Body-medicine-society: Some comments concerning the ideology of somatic medicine. In Helse i Norge, edited by RomørenT. I., Pax, Oslo, 1973 (translated by RingenKnut, School of Hygiene and Public Health, Johns Hopkins University).
28.
PowlesJ.On the limitations of modern medicine. Science, Medicine and Man1(1): 1–30, 1973.
29.
IllichI.Medical Nemesis. Centre for Intercultural Documentation, Cuernavaca, Mexico, 1974.
30.
McKeownT.Medicine in Modern Society. Allen and Unwin, London, 1966.
31.
McKeownT.A historical appraisal of the medical task. In Medical History and Medical Care, edited by McLachlanG.McKeownT., pp. 27–55, Oxford University Press, Oxford, 1971.
32.
GatesF. T.Civilization and Disease. Speech given to the Board of Trustees of the Rockefeller Foundation, New York, 1923. Rockefeller Foundation Archives, New York.
33.
ShryockR. H.The Unique Influence of Johns Hopkins on American Medicine. Munksgaard, Copenhagen, 1953.
34.
HudsonR. P.Abraham Flexner in perspective: American medical education 1865–1910. Bull. Hist. Med.46(3): 545–561, 1972.
35.
NevinsA.John D. Rockefeller: The Heroic Age of American Enterprise, Vol. II.Scribners, New York, 1940.
36.
GatesF. T.The memoirs of Frederick T. Gates. American Heritage6(3): 65–86, 1955.
37.
CopelandR. S.The science of homeopathy. Journal of the American Institute of Homeopathy5(6): 507–521, 1912.
38.
GoodspeedT. W.A History of the University of Chicago, pp. 331–333. University of Chicago, Chicago, 1916.
39.
StarrR. J.Harper's University: The Beginnings, pp. 287–291. University of Chicago Press, Chicago, 1966.
40.
FlexnerS.FlexnerJ.William Henry Welch and the Heroic Age of American Medicine. Dover, New York, 1966.
41.
HoltL. E.Letter to T. Mitchell Prudden, March 9, 1921. Rockefeller Institute Archives, New York.
42.
CornerG. W.A History of the Rockefeller Institute 1901–1953. Rockefeller Institute, New York, 1965.
43.
ChesneyA. M.The Johns Hopkins Hospital and the Johns Hopkins University: A Chronicle, Volume II, 1893–1905, pp. 468–470. Johns Hopkins Press, Baltimore, 1958.
44.
CoulterH.L.Divided Legacy. McGrath, Washington, D. C., 1974.
45.
RothsteinW.American Physicians in the 19th Century. Johns Hopkins Press, Baltimore, 1972.
46.
BurrowsJ.AMA – Voice of American Medicine. Johns Hopkins Press, Baltimore, 1963.
47.
RayackE.Professional Power and American Medicine. World Publishing Company, Cleveland, 1967.
48.
FishbeinM.A History of the AMA. Saunders, Philadelphia, 1947.
49.
CoulterH.Homeopathic Influences in 19th Century Allopathic Therapeutics. Foundation for Homeopathy, Washington, D. C., 1973.
50.
U. S. Bureau of the Census. Historical Statistics of the United States. U.S. Government Printing Office, Washington, D. C., 1960.
51.
BevanA. D.Cooperation in medical education and medical service. JAMA90(15): 1173–1177, 1928.
52.
KaufmanM.Homeopathy in America, p. 167. Johns Hopkins Press, Baltimore, 1971.
53.
MarkowitzG. E.RosnerK. D.Doctors in crisis: A study of the use of medical education reform to establish modern professional elitism in medicine. American Quarterly25(1): 83–107, 1973.
54.
SavageH. J.Fruit of an Impulse: 45 Years of the Carnegie Foundation. Harcourt, Brace, and World, New York, 1953.
55.
HollisE. V.Philanthropic Foundations and Higher Education. Columbia University Press, New York, 1939.
56.
SmithD. N.Who Rules the Universities? An Essay in Class Analysis. Monthly Review Press, New York, 1974.
57.
Carnegie Foundation for the Advancement of Teaching. Annual Report Number Three, pp. 159–162. Carnegie Foundation for the Advancement of Teaching, New York, 1908.
58.
Carnegie Foundation for the Advancement of Teaching. Annual Report Number Six, p. 92. Carnegie Foundation for the Advancement of Teaching, New York, 1911.
59.
ShryockR. H.Medical Licensing in America, 1650–1965, p. 62. Johns Hopkins Press, Baltimore, 1967.
