HIST 249 Lecture Notes - Lecture 17: Abraham Flexner, Ibm Officevision, Flexner Report

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Begin to see organized activity international congress of medicine. Medical pluralism to medical monopoly: unify the profession, science as claim to cultural authority, a legally enforced monopoly (treat entire population, increased social and economic status, unify the profession. From many local occupations representing many social classes to single middle-class profession. Replace external patronage with collective solidarity and professional authority: harder today because of the government. Treat the entire population or at least most of it rather than small segment. Society surgeons treated rich, dressed well, trivial procedures (bloodletting, phlebotomy) Country surgeons lived like people they treated, emergency situatio(cid:374)s (cid:894)legs (cid:272)rushed (cid:895), extreme actions (amputations) Change: single medical profession, all other groups replaced by, specialists, general practitioners. The (cid:374)e(cid:449) professio(cid:374) is (cid:374)o(cid:449) (cid:862)do(cid:272)tors(cid:863) not only mean. This new profession has connections with a variety of paramedical occupations: nurses, physiotherapists, physician assistants. Non-licensed and some occupations that achieved certifications (psychologists) are not exactly.

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