摘要：In 1910, the Foundation for the Advancement of Teaching, a think tank established and funded by American steel magnate Andrew Carnegie, issued a report on how medical education in the United States and Canada could be improved. Commonly referred to as the Flexner Report after its author, Abraham Flexner, the report played a critical role in shaping the medical education system of today [1]. The Flexner Report held up Johns Hopkins University School of Medicine, as well as others, as a model of what medical education should look like. Sir William Osler, the well-known and respected clinical professor and chair of medicine at Johns Hopkins University and later one of the founding members of the Medical Library Association, had established the program at Johns Hopkins, where basic sciences were taught the first two years of medical school and the third year was spent clerking in patient care areas. Scientific inquiry and the advancement of medical practice based on research began to drive medical care more than theory, tradition, or superstition. As a result of the influence of the Flexner Report, many medical schools that functioned essentially as diploma mills were shut down or transitioned to a college or university model, and the quality of physicians and medical care increased. The Flexner Report also had an international impact.
