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9780195062984

Becoming a Physician Medical Education in Great Britain, France, Germany, and the United States, 1750-1945

by
  • ISBN13:

    9780195062984

  • ISBN10:

    0195062981

  • Format: Hardcover
  • Copyright: 1996-01-04
  • Publisher: Oxford University Press

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Summary

Written by eminent education scholar Thomas Neville Bonner, Becoming A Physician is a groundbreaking, comprehensive history of Western medical education. The only work of its kind, it covers the United States, Great Britain, France, and Germany. Comparative in focus, the narrative unfolds within the context of social, political, and intellectual transformations that occurred in Europe and North America between the Enlightenment and Nazi Germany. Viewing the late eighteenth century as a watershed in the development of medical education, Bonner begins by describing how earlier practices evolved in the 1800s with the introduction of clinical practices. He then traces the growth of laboratory teaching in the nineteenth century and the twentieth-century preoccupation with establishing a university standard of medical education. Throughout, Bonner pays particular attention to the students, chronicling their daily lives and discussing changes in the medical school population and the various biases-- class, gender, racial, and religious--students and prospective students faced.

Author Biography

Thomas Neville Bonner is Distinguished Professor of History and Higher Education at Wayne State University.

Table of Contents

Introductionp. 3
An Uncertain Enterprise: Learning to Heal in the Enlightenmentp. 12
The Breakdown of the Medieval Orderp. 14
Varieties of Healersp. 16
Serving the Rural Populationp. 22
The Role of the Statep. 26
Changing Patterns of Medical Study Before 1800p. 33
Medicine as University Studyp. 34
Other Sites of Medical Studyp. 43
Rapprochement of Medicine and Surgeryp. 56
The Shape of Things to Comep. 58
Lives of Medical Students and Their Teachers (Late Eighteenth and Early Nineteenth Century)p. 61
Social Class and Medical Studyp. 63
The Chorus of Advicep. 70
A Portrait of a Student of Medicinep. 72
Classroom and Hospitalp. 80
Vexations of Academic Lifep. 81
The Medical Teacherp. 89
Across National Boundariesp. 98
The Clinical Impulse and National Response, 1780-1830p. 103
What Is a Clinic?p. 104
The Revolutionary Changes in Francep. 106
Hospital or Policlinic?p. 109
Clinical Teaching in Britain and Americap. 114
Outside the Walls of Academep. 119
Military Medicine and the Clinicp. 123
Glimpses of Clinical Teachingp. 125
Contrasts in French Clinical Trainingp. 128
Practical Teaching in Anglo-Americap. 132
Paris, the Clinic, and Historyp. 136
Science and Medical Study: Early Nineteenth Centuryp. 142
The New Sciences and the Old Curriculump. 145
The Spread of "Morbid Anatomy,"p. 146
The Beginnings of Physiology as a Medical Subjectp. 151
Medical Study and National Differencesp. 156
A Bird's Eye View of Medical Education in 1830p. 158
The German Enterprise in Medical Educationp. 159
The French System: Comparisons and Contrastsp. 163
An Overview of Medical Education in Great Britainp. 166
North American Medical Training in 1830p. 175
Toward New Goals for Medical Education, 1830-1850p. 182
The Struggle for Change in Britain and Americap. 182
The Aims of Reformers on the Continentp. 185
Germany Advances the Single Standardp. 187
The Reform Movement in Francep. 190
Creating a Safe, General Practitioner in Great Britainp. 193
Striving for Change in the United Statesp. 195
Medical Teachers at Midcenturyp. 200
Between Clinic and Laboratory: Students and Teaching at Midcenturyp. 203
Social Distinctions in Preparation for Medicinep. 204
Women and Medical Education Circa 1850p. 207
The Lives of Medical Studentsp. 213
A Changing Curriculump. 217
Beyond the Classroomp. 226
The Spread of Laboratory Teaching, 1850-1870p. 231
Why Germany?p. 232
The Laboratory as an Extension of Practical Teachingp. 236
The Spread of Laboratory Teaching, 1850-1870p. 239
The Teaching Laboratory in Francep. 241
Anglo-American Teaching and the Laboratoryp. 244
The Laboratory Versus the Clinic: The Fight for the Curriculum, 1870-1890p. 251
The Axis of the 1870sp. 252
The German University at Its Zenithp. 253
Reappraising Medical Training in Francep. 255
The 1870s in Great Britainp. 259
America in the 1870sp. 264
The Fight for the Curriculump. 268
Conflict in Germanyp. 269
The Clinic Versus the Laboratory in Great Britainp. 275
Resistance to Laboratory Science in Americap. 276
The French Clinic and the "Auxiliary" Sciencesp. 278
After 1890p. 278
Toward a University Standard of Medical Education, 1890-1920p. 280
The Persistence of National Differencesp. 281
The Systems at the Fin de Sieclep. 285
Universities, Laboratory Science, and Medicinep. 288
Medical Education and the American Universityp. 291
The Goal of University Teaching in Britainp. 295
Science, the Clinic, and Flexnerp. 298
The War and Medical Education, 1914-1920p. 306
Changing Student Populations in the Late Nineteenth and Early Twentieth Centuryp. 309
Changing Expectations and Rising Costsp. 309
The Limited Admission of Women to Medicinep. 312
Anti-Semitism and Medical Studyp. 315
The Student Experiencep. 316
Access to Patients and Clinicsp. 318
Consolidation, Stability, and New Upheavals, 1920-1945p. 325
The Aftermath of Warp. 326
Between the Warsp. 327
British Efforts at Change in the 1920sp. 330
The Continent: Echoes of Old Battlesp. 332
The Hardening of National Differencesp. 336
Students, Depression, and Political Turmoilp. 337
Women's Study Between the Warsp. 338
Anti-Semitism in Germany and Elsewherep. 340
African Americans and Medical Studyp. 342
War and Medical Study: 1939-1945p. 343
A Closing Wordp. 346
Bibliographyp. 349
Indexp. 405
Table of Contents provided by Syndetics. All Rights Reserved.

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