"Medical Education in the United States and
Cana
da", quite possibly the most important written document in the
history of American and Canadian medical education. The report is
named for Abraham Flexner (1866-1959) who prepared it.
Abraham Flexner was not a doctor but was a secondary school
teacher and principal for 19 years in Louisville, Kentucky (where
this writer's uncle was one of his students). Flexner then took
graduate work at Harvard and the University of Berlin and joined the
research staff of the Carnegie Foundation for the Advancement of
Teaching. For the Carnegie Foundation, Flexner researched, wrote and
in 1910 published a report entitled "Medical Education in the United
States and Canada." It is known today as the Flexner Report.
The Flexner Report triggered much-needed reforms in the standards,
organization, and curriculum of North American medical schools. At
the time of the Report, many medical schools were proprietary schools
operated more for profit than for education. In their stead Flexner
proposed medical schools in the German tradition of strong
biomedical sciences together with hands-on clinical training. The
Flexner Report caused many medical schools to close down and most of
the remaining schools were reformed to conform to the Flexnerian
model.
Flexner founded the Institute for Advanced Study at Princeton in
1930 and served as its first director. (Albert Einstein joined the
Institute in 1933).
Abraham Flexner was one of the great educators of the 20th
century. To him, medical education and medicine in North America owe
a large debt.
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