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Many academic physicians regard the enormous pressures that weigh so heavily upon us as unprecedented. History shows otherwise. Kenneth Ludmerer records the tremendous constraints under which medical faculty operated in 1900. Although we may erroneously find the notion of information overload in 1890 quaint, details of unsalaried professors and hostile environment seem both familiar and terrifying.
Ludmerer, a polymath, teaches both internal medicine and history at Washington University. The American College of Physicians early supported his unusual synthesis with a teaching and research scholarship. He traveled nationwide to read countless archival documents from medical schools both extant and vanished (such
Learning to Heal: The Development of American Medical Education.. Ann Intern Med. ;104:902. doi: 10.7326/0003-4819-104-6-902_2
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Published: Ann Intern Med. 1986;104(6):902.
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