Early clinical exposure- Why and how?

Chinmay Shah


A revolution in medical education arose in the 20th century and soon led to the establishment of what we may call a “Hopkins Circle.” The result was the release of the famous “Flexner Report” also called as “the Carnegie Foundation Bulletin Number Four” in 1910. Aside from other guidelines, the report laid down the foundation of what we are still implementing today (a century later) ‑ “the pedagogic pattern of training in medical schools.” The distinctive feature of this report is the two years exclusive training on basic sciences (preclinical) followed by 2 years of clinical (patient) exposure. Clearly, the preclinical or the basic training has been siloed from the clinical training in this traditional format. This pattern was needed at that time, and much good came by implementing the same.

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