General Education Necessary as a Basis for a Course in Medicine
As a basis for a course in medicine one must have completed not only the eight grades of common-school work, but the four years of high school. Twenty-eight medical schools require two years of college work for entrance, and there is some tendency to require even four years of college work. This tendency, however, will probably not grow very fast. Certainly if the requirement is made it can not be a hard and fast rule, for the simple reason that it would raise the age of graduation from the medical school to a point higher than the age at which it is wise for one to begin practice.
The question of what subjects should be taken in premedical work is very important also. Not long ago some 300 graduates of the Harvard Medical School were asked to fill out answers to questions, giving their opinions in regard to the value of their premedical education. They were asked to state whether they thought it best in this premedical work to have a large amount of general culture—such as history, philosophy, economics, literature, and art—or a large amount of natural science—such as physics, chemistry and biology. Of the 300 reporting, 120 favored a large amount of science, while 110 favored a large amount of general culture. Seventy favored an equal amount of general science and culture. It would seem, therefore, that according to the present opinion there should be an equal amount of general culture and science in one’s college education previous to taking up the special training in medicine.
Available records show that in 1904 there were only 20 States that had made any legal provision for preliminary education to go before the definite education in medicine. Now 26 States have such a provision. At that time only 10 States required four years of high school as a minimum amount of preliminary premedical education and none required college work. Now 30 States require the four years, or an equivalent, and 8 of these 30 require either one or two years of college work in addition. At that time 36 States required that all candidates for license be graduates of legally chartered medical schools. Now 44 States make this requirement by law. At the present time 48 States require an examination to be taken by all those who are seeking license to practice medicine, unless they hold a license granted by some other State.
It is necessary, therefore, that the course of instruction taken in medicine shall include courses that will qualify the graduate to meet the requirements of the examination for license to practice in the State in which he wishes to locate. There is a tendency at present for the examination to consist not only of questions and answers, but of some practical test of one’s ability to practice medicine successfully.