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ILLINOIS STATE BOARD OF HEALTH.

REPORT

ON

MEDICAL EDUCATION.

MEDICAL COLLEGES

AND THE

Regulation of the Practice of Medicine

IN THE

UNITED STATES AND CANADA.

1765--1889.

BY JOHN H. RAUCH, M. D.. SECRETARY

SPRINGFIELD, ILL.:

H. W. ROKKER, PRINTER AND BINDER,

1889.

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MEDICAL EDUCATION AND MEDICAL COLLEGES IN THE

UNITED STATES AND CANADA: 1765-1889.

IN an address delivered, as Chairman of the Section of State Medicine, at the session of the American Medical Association in 1886.* certain considerations, therein set forth, led to the following conclusions:

1. That the best interests of the public welfare demand the highest attainable standard of educational qualifications, skill and ability, as well as of professional and persona honor, integrity and morality, among those engaged in the practice of medicine.

2. That it is the duty of the State to exercise the inherent plenary power and authority which it possesses for the protection and promotion of the public welfare, to secure such standard.

3. That uniform State laws, exacting of every one aspiring to practice medicine, proof of personal fitness and professional competency. would prove the most potent agency in improving the standard of medical education and in enhancing the dignity and usefulness of the medical profession.

In order to give practical effect to the foregoing conclusions, it was specifically suggested

That the American Medical Association should put itself upon record at this session as recommending the extension of the period of study to four years, and of attendance upon lectures to three full terms, with ample hospital practice and clinical instruction, as the requirements for graduation in medicine.

That the Section of State Medicine be instructed to frame a law for the regulation of the practice of medicine, which law, when endorsed by the Association, shall be the standard with which all existing legislation on the subject should be made to conform as speedily as practicable, and which shall be urged for adoption by those States where no such law now exists.

Two sessions of the Association have been held since these suggestions were made, and at the last one, in Cincinnati, May 8, 1888, the President of that body-the late Dr. A. Y. P. Garnett, of Washington,-devoted the larger share of his address to a discussion of the same general theme, and to emphasizing the mission and the duty of the Association in working out "a radical and thorough retorna in 'the 'present medical education of the United States." The marked prominence given to this theme in such an address was a timely and appropriate recognition of the general interest now felt in a subject to which the ILLINOIS STATE BOARD OF HEALTH is enjoined to devote its

ADDRESS IN STATE MEDICINE. Delivered at the Thirty-Seventh Annual Session_of the American Medical Association in St. Louis, May 6, 1886. By JOHN H. RAUCH, M. D., Chairman of the Section.

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