Abstract
JOHNS HOPKINS developed what was probably the first clinical clerkship with student responsibility in this country. As I took this course in 1914, I carried out such laboratory procedures as blood counts and urinalyses, assisted in ward procedures, and took rather abbreviated histories, but the chief emphasis was on physical diagnosis. In step with the times, this was done in an elaborate way with the goal of anticipating the gross autopsy findings. Most other institutions did not permit students on the wards at all or allowed only a few with top grades to stand in the rear during rounds. When I began to teach the clinical clerks at Columbia a few years later, the students were barely tolerated and spent much of their time using the centrifuge as a roulette wheel. In the early 1920's, as we began to realize the extraordinary opportunity provided by the medical clerkship, the
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