20th Century American Medical Education

Through this evolution, these pieces show the reader the concrete was that groups assured control through different methods of asserting authority. Since Starr wrote both of his chapters the evidence for how physicians finessed the healthcare system to their benefit through the use of authority is straightforward since he developed the language that is being used. However, when looking at Gambles chapter the evidence isn’t as clear. When looking at the creation of both the Providence Hospital and the Frederick Douglass Memorial Hospital both Dr. Williams and Dr. Mossell employed tactics to increased their authority over desired parties. As a starting point, both men used their limited societal authority at the time to further their education and become physicians (Gamble 16,20).

The Greeks went even further, introducing the concepts of medical diagnosis, prognosis, and advanced medical ethics. The Hippocratic Oath, still taken by doctors up to today, was written in Greece in the 5th century BCE. The germ theory of disease in the 19th century led to cures for many infectious diseases. Public health measures were developed especially in the 19th century as the rapid growth of cities required systematic sanitary measures. Advanced research centers opened in the early 20th century, mid-20th century was characterized by new biological treatments, such as antibiotics. These advancements, along with developments in chemistry, genetics, and lab technology led to modern medicine. Medicine was heavily professionalized in the 20th century, and new careers opened to women as nurses and as physicians. The 21st century is characterized by highly advanced research involving numerous fields of science.

1. In the paternalistic model of doctor-patient relationship, power resident exclusively with Doctors; in the engineering model, it resides entirely with Patients.

The Flexner Report was a commentary a school educator by the name of Abraham Flexner wrote it in 1910 that would change American and Canadian medical education is conducted today. The report was named after him rightfully so. What this report did was set precedence for a gold star model of medical training across the board and started reforms that would change how we teach, practice medicine today.

The American Medical Association (AMA) published a Code of Ethics for Physicians that includes a list of certain principles physicians should follow in order to be good physicians, practicing in an ethical fashion. This list, which was first adopted in June of 1957 and revised as recently as June of 2001, demonstrates some principles that are not universally accepted to be critical to the ethical practice of a physician. In particular, all physicians do not completely believe the claim that “A physician shall support access to medical care for all people” (Principles of Medical Ethics). Theorist, H. Tristam Engelhardt believes that the lack of access to care for some may be unfortunate, but it is not unfair and that this access does not need to be mandated, nor does believing it should be make you an ethical physician. In fact, Engelhardt supremely believes that by providing access of care to all, you will hurt certain patients that already have access to care, negating your function as a physician practicing beneficence. Engelhardt would retract this statement from the Principles of Ethics. However, this belief of and drive to implement access of care to all is critical to one’s job as a physician and it goes against core values of physicians to claim otherwise. Theorists such as Tom Beauchamp and Norman Daniels would agree that the universal access to health care is a critical component of the values physicians hold.

The Changes In Medicine In The Nineteenth Century The nineteenth century was one of the most important eras in the history of medicine as many new cures and technologies were discovered. At the beginning, many poor people still lived in houses without proper sanitation, worked in dangerous factories and drank water from polluted rivers. By the end of the century, social conditions had improved, medicine was more complex, treatments were more widely offered and technology was more advanced along with many other improvements. But why did these changes occur?

Medicine has always been improving throughout the years, but the 1940s were one of the most critical times of how medicine is still practiced today. There were a lot of medical advancements in the 1940s. New antibiotics were discovered, new medical practices helped in the war effort, tests and organizations set up to help find problems in health or health care.

As progress was made in medicine gradually with new medical technologies which could only be used in the hospitals, doctors started charging more, which was unaffordable for most people, with time, all this started to change as the industrialization of the American economy caused families and people to start relying on services from doctors and the

It hasn’t changed that the average person doesn’t like to feel pain or be ill. The evolution of medicine from 1776 to 1938 in the United States depended on the knowledge of current diseases and treatment at that time. The major diseases during this time were pneumonia, influenza, tuberculosis, gastrointestinal infections, heart disease and cerebrovascular disease.1 Ironically, much of those diseases still exist today. Over time, the world’s demand for drugs for any type of illness or disease drastically skyrocketed. Was the medicine really working or were people psyched into believing they had an illness? The diagnosis and treatment was incorrect many times, resulting in “shoulda, coulda, and wouldas” when dealing with diagnosis and medicine. Without a scientific basis, medical doctors, such as Benjamin Rush were ineffective with proper treatment, and quacks promoted strange treatments as to say: Yackedy Quack, Don’t Talk Back. By the end of the 20th Century, one could say American medicine was on the rise and researchers and physician were much more respected.

Imagine waking up in the middle of the night, you’re sweating, coughing, and starting to throw up. In today’s world, doctors are available for situations like these. Before the 1800’s, doctors were not as common, and their techniques were questionable. It wasn’t until the 1800’s, that doctors and scientists began discovering and creating medicines and vaccines to help cure sickness and disease. During the 1800’s, there were very many medical advancements. Because there were a lot of medical advancements, there were conflictions such as medical/scientific concerns, ethical concerns, legal changes, and how the economy was affected.

One of the very first and successful medical schools that were built during the Renaissance era was a University in Salerno, Italy called Schola Medica Salernitana.

In the years following the Civil War (1865), hospitals became either public or private. More medical schools and institutions devoted to medical research emerged. A trend toward physicians needing more training

There were doctors in Colonial America. When a doctor visits a patient to check upon the sick person's health, their pay will be in anything but money such as chopped woods, vegetables, et cetera for the poor people. The poor people did not have money as stated in A Visit to a Colonial Times Doctor’s Office. They usually rely on their farming to feed their families and things such as money were scarce. Those who are of the contrary to the low income and the rural settings have better access to health and opportunities as written in Colonial Medicine (5). They can pay their doctor on the spot and can even request their choice of doctors. In modern America, a new change to the health care business is arriving. With the currently new healthcare, everyone shall be able to hopefully

In the administration of medical services in the United States law and regulation now control much of professional life. (p. 586)

Many physicians are now switching to private practices to have more control over their business. Physicians with private practices have unlimited salaries, choose their hours, and have full control over their management options (Reeves, 2014). Physician entrepreneurialism benefits doctors because it allows them to be their own boss and manage their practice to their choosing.