Tinsley R. Harrison, M.D., M.A.C.P.
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Among the many points cited by the optimist (Pollyanna) are  Our full-time faculties are larger than ever before.  We have many faculty members who are highly skilled in techniques that were nonexistent only 2 decades ago.  Patients are being more thoroughly studied than at any past time.  Our pupils are more familiar than ever before with scientific principles.  There are many more opportunities for residency and fellowship training.  The quality of medical care is steadily rising.
In the rebuttal, the pessimist (Cassandra) stresses:
1. Bigness and greatness are not synonymous. Both students and house
Harrison TR. The American College of Physicians Distinguished Teacher Award Lecture: Pollyanna and Cassandra: Two Views of Present Trends in the Teaching of Internal Medicine.. Ann Intern Med. 1970;72:775–776. doi: 10.7326/0003-4819-72-5-775_4
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Published: Ann Intern Med. 1970;72(5):775-776.
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