Abstract Few will deny that medicine and science are being profoundly affected by the dizzying succession of changes which the current era is thrusting upon us. We are inevitably engrossed in attempts to assess the impact of these changes upon the various institutions, professions, and callings in which each of us has a particular interest and stake. As Socrates said, "The life which is unexamined is not worth living." Each branch of medicine and surgery must regularly examine its own life and accomplishments. And the mirror which we hold must reflect a true and undistorted image. My intention, on the basis of what I hope is a reasonably broad background of experience in medicine and medical education, is to summarize some of the changes which are taking place, and to attempt to assay the effects which these are exerting upon clinical medicine in general, and the specialties of medicine in particular. References 1. A senior registrar in dermatology in Britain has few American counterparts, in that the British senior registrar is fully qualified in Internal Medicine. 2. Sulzberger, M. B.: Education for Dermatology in the United States: Some Personal Views on Doctors, Dermatologists, and Dodos (Presidential Address to the American Dermatological Association, April 8, 1960) , Arch. Derm. 82:311-324 ( (Sept.) ) 1960.Crossref 3. Hinsey, J. C.: Medical Education Forum, Editorial , J. Med. Educ. 35:865 ( (Sept.) ) 1960. 4. Corcoran, A. C.: A Mirror Up to Medicine , Philadelphia, J. B. Lippincott, 1961, pp. 506. 5. Whiting, J. F.; Powers, L., and Darley, W.: The Financial Situation of the American Medical Student , J. Med. Educ. 36:745 ( (July) ) 1961. 6. Wolf, S.: The Implication of Social Sciences for the Future of Medicine , J. Med. Educ. 36:28 (Dec.—Part (2) ) 1961. 7. Hearings Before a Subcommittee of the Committee on Government Operations, House of Representatives, 87th Congress, August 1-2, 1961, Washington, D.C., U.S. Government Printing Office, 1961, p. 72. 8. Bowers, J. Z.: A Long Cold Winter, Medical Education Forum , J. Med. Educ. 36:1617 ( (Nov.) ) 1961. 9. Deitrick, J. E., and Berson, R. C.: Medical Schools in the United States at Mid-Century , Evanston, Ill., Association of American Medical Colleges, 1960, pp. 380. 10. Williams, R. H.: Future Training in Medicine and Medical Specialties , J.A.M.A. 192 ( (May 10) ) 1958. 11. Weiskotten, H. G.; Wiggins, W. S.; Altenderfer, M. E.; Gooch, M., and Tipner, A.: Trends in Medical Practice: An Analysis of the Distribution and Characteristics of Medical College Graduates, 1915-1950 , J. Med. Educ. 35:1071-1121 ( (Dec.) ) 1960. 12. Cain, A. S., and Bowen, L. G.: The Role of Postdoctoral Fellowships in Academic Medicine , J. Med. Educ. 36:1522 (Oct.—Part (2) ) 1961. 13. Costello, M. J.: Personal communication to the author. 14. Becker, H. S.; Geer, B.; Hughes, E. C., and Anselm, L. S.: Boys in White , Chicago, University of Chicago Press, 1961, pp. 456. 15. Stewart, W. H., and Enterline, P. E.: Effects of the National Health Service on Physician Utilization and Health in England and Wales , New Engl. J. Med. 265:1187-1194 ( (Dec. 14) ) 1961.Crossref 16. The British National Health Service, Editorial, New Engl. J. Med. 265:1215-1216 ( (Dec. 14) ) 1961.Crossref 17. Seale, J. R.: Doctor Shortage, and accompanying Editorial , The Wall Street Journal, New York , ( (April 10) ) 1962, p. 16. 18. Hellier, F. F.: Lancet , 2:695 ( (Sept.) ) 1961. 19. Hellier, F. F.: Lancet 2:717 ( (Sept.) ) 1961.Crossref 20. Dowling, G. B.: Lancet 2:878 ( (Oct.) ) 1961.Crossref 21. Jarrett, A.: Lancet 2:1201 ( (Sept.) ) 1961. 22. Allen, E. M., and Staff of the Division of Research Grants, National Institutes of Health, U.S. Public Health Service: Personal communication to the author. 23. Pillsbury, D. M., and Lynch, F. W.: Unpublished data from a survey of dermatology departments and divisions under the auspices of the Association of Professors of Dermatology. 24. Glaser, R. J.: Preface to Medical Services and Medical Education Today and Tomorrow , J. Med. Educ. 36:(Dec.—Part (2) ) 1961.
Archives of Dermatology – American Medical Association
Published: Jul 1, 1962