Abstract

At the turn of the 20th century, Drs. Osler, Kelley, Welch and Halsted established a departmental structure for the Johns Hopkins University School of Medicine that was borrowed in large part from European medical schools.1 Later modified with the formation of the departments of pediatrics and psychiatry and the eventual inclusion of obstetrics with gynecology, this early organizational strategy supported the belief of Osler that physicians should be generalists before becoming specialists2 and the view espoused by Abraham Flexner that the pre-clinical sciences should be distinct and separate from clinical education.

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