Educating Physicians In The Nineteenth Century

Paper edition, with a new preface, of a 1972 work. The author, a sociologist, explains how ...19th-century medicine did not disappear; it evolved into modern medicine...; and he discusses such topics as active versus conservative intervention, reciprocity between physicians and the public in adopt

Focusing on the social, intellectual, and political context in which medical education took place, Thomas Neville Bonner offers a detailed analysis of transformations in medical instruction in the United Kingdom, France, Germany, and the United States between the Enlightenment and World War II. From a unique comparative perspective, this study considers how divergent approaches to medical instruction in these countries mirrored as well as impacted their particular cultural contexts. The book opens with an examination of key developments in medical education during the late eighteenth century and continues by tracing the evolution of clinical teaching practices in the early 1800s. It then charts the rise of laboratory-based teaching in the nineteenth century and the progression toward the establishment of university standards for medical education during the early twentieth century. Throughout, the author identifies changes in medical student populations and student life, including the opportunities available for women and minorities.

Offering a new perspective on medical progress in the nineteenth century, Steven M. Stowe provides an in-depth study of the midcentury culture of everyday medicine in the South. Reading deeply in the personal letters, daybooks, diaries, bedside notes, and published writings of doctors, Stowe illuminates an entire world of sickness and remedy, suffering and hope, and the deep ties between medicine and regional culture. In a distinct American region where climate, race and slavery, and assumptions about "southernness" profoundly shaped illness and healing in the lives of ordinary people, Stowe argues that southern doctors inhabited a world of skills, medicines, and ideas about sickness that allowed them to play moral, as well as practical, roles in their communities. Looking closely at medical education, bedside encounters, and medicine's larger social aims, he describes a "country orthodoxy" of local, social medical practice that highly valued the "art" of medicine. While not modern in the sense of laboratory science a century later, this country orthodoxy was in its own way modern, Stowe argues, providing a style of caregiving deeply rooted in individual experience, moral values, and a consciousness of place and time.

Professional education forms a key element in the transmission of medical learning and skills, in occupational solidarity and in creating and recreating the very image of the practitioner. Yet the history of British medical education has hitherto been surprisingly neglected. Building upon papers contributed to two conferences on the history of medical education in the early 1990s, this volume presents new research and original synthesis on key aspects of medical instruction, theoretical and practical, from early medieval times into the present century. Academic and practical aspects are equally examined, and balanced attention is given to different sites of instruction, be it the university or the hospital. The crucial role of education in medical qualifications and professional licensing is also examined as is the part it has played in the regulation of the entry of women to the profession. Contributors are Juanita Burnby, W.F. Bynum, Laurence M. Geary, Faye Getz, Johanna Geyer-Kordesch, S.W.F. Holloway, Stephen Jacyna, Peter Murray Jones, Helen King, Susan C. Lawrence, Irvine Loudon, Margaret Pelling, Godelieve Van Heteren, and John Harley Warner.

In the late nineteenth century, medical educators intent on transforming American physicians into scientifically trained, elite professionals recognized the value of medical school design for their reform efforts. Between 1893 and 1940, nearly every medical college in the country rebuilt or substantially renovated its facility. In Building Schools, Making Doctors, Katherine Carroll reveals how the schools constructed during this fifty-year period did more than passively house a remodeled system of medical training; they actively participated in defining and promoting an innovative pedagogy, modern science, and the new physician. Interdisciplinary and wide ranging, her study moves architecture from the periphery of medical education to the center, uncovering a network of medical educators, architects, and philanthropists who believed that the educational environment itself shaped how students learned and the type of physicians they became. Carroll offers the first comprehensive study of the science and pedagogy formulated by the buildings, the influence of the schools’ donors and architects, the impact of the structures on the urban landscape and the local community, and the facilities’ privileging of white men within the medical profession during this formative period for physicians and medical schools.