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Each hospital approved for internship or residency represents itself to physician applicants as an educational institution. At present the main authority under which most interns and residents may be considered to fall is that as an employee of the hospital, and not as an enrollee in an educational program. There has been a reluctance of the medical staff to accept educational responsibility, and a significant factor in their reluctance has usually been a lack of authority to implement changes as they see fit. In order to perform their educational function, those engaged in instruction should be organized into a faculty, and in order to avoid omissions and duplications curriculums must be developed. The present status of hospitals in this country as regards acceptance of educational responsibilities leaves much to be desired, but a review of the factors at work suggests plans for improvement.
JAMA – American Medical Association
Published: May 31, 1958
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