Medical Education in the Early 1900’s- Subspecialty Training

• Progressing towards education at an academic center because
  of the Flexner report.
  - To obtain subspecialty training, physicians would travel to Europe to
    study for several months under the international experts in that field
  - England was well known for bone diseases
  - Budapest or Vienna were good places for dermatology
  - St. Andrew’s in Scotland was a good place to study cardiology…
    any coincidence that St. Andrew’s is also the birthplace of golf…

Improvements in Care- the Cincinnati General Hospital

• Dr. Holmes had stated in an address in 1894 that medicine in
  Cincinnati needed three areas addressed:
    - A new hospital for Cincinnati
    - Improvements in medical education
    - Cultivation of professionalism in the medical community
  


• The medical education was already improving, but a new hospital was
  still needed.
  


• He took the responsibility of planning the new Cincinnati General
  Hospital in 1910 on Burnet Avenue.
     - The hospital was to be “planned on an elevated plateau in a Cincinnati
      Suburb providing an unobstructed view over the zoological gardens and
      wooded hills for many miles.”
  
• Dr. Holmes had stated in an address in 1894 that medicine in
  Cincinnati needed three areas addressed:
    - A new hospital for Cincinnati
    - Improvements in medical education
    - Cultivation of professionalism in the medical community
  


• The medical education was already improving, but a new hospital was
  still needed.
  


• He took the responsibility of planning the new Cincinnati General
  Hospital in 1910 on Burnet Avenue.
     - The hospital was to be “planned on an elevated plateau in a Cincinnati
      Suburb providing an unobstructed view over the zoological gardens and
      wooded hills for many miles.”