SUNY Downstate Medical Center - Iatros Yearbook (Brooklyn, NY)

Page 31 text:

L,.l .-1 ... -ff - . ea 'I lg ll li l fl 1 l fra- ,.--- f..-X 4. ,I , , I L N , Y Y ,N V, fm. fs. asf-.'. 1.-. - 1- ff.-c. v,. .,7A, 1 -- - - if .gs :V ,.., .1 1 ,fr ,..-., , f , . f J.- , J .. I . is . 4 ' vv V -X Y - .M i f i - ., -- , 1 , :,l-- 1, ' .1 - h -, f ,, i .,iJ.. ,K fi- l,,-..- ,Y ,A J: 4 Q yan. 'ff-1 l ,,1,. i ,-Xi, y,-,p ' W' '- Lal-Q l e ' T T -l ul- fl 2'-T L-'-mt '.'.flamf-. J, LJ.. is.-Lfl,.-.-.lc . .1 a -.l,c'-c,.c.,i,.-J ' - f 4 11-'-.za -ff 1 f-,T-if M- at---,-ff--F:-1-7--, ll' I l iii llll I ' ' ' '.-1 i y . Physiology Figs-,3F',L?:15' HIL curricular system from which we departed .at the beginning of the current college year has been in vogue, in this country, for more than three decades-long enough, surely, to allow its effects on the body-medical to have become discernible-yet it has not given general 'S f e9JA satisfaction. Hence the desire for change. The present re-arrangement is not merely a modified form of the graded, serial system, still so commonly followed, but a re-casting of the entire curriculum, based on principles which do not figure prominently in the older system. The subjects dealt with are, quite necessarily, the same, but their time-relations and allotments have been so changed that the block-like structure of the serial system has given place to a more uniformly graded pattern, comparable with a shaded continuum, most transections of which contain each and all its constituents but in amounts discreetly va1'ied from beginning to end. The so-called pre-clinical branches are treated as both sub-and co-clinical, and therefore taught, not merely as isolated, preparatory subjects, but as essential to, and continually utilized in actual clinical analysis. The adoption of this principle of continuous co-study seems to be a step in the direction of advancement, but the extent to which it may be judiciously applied remains to be determined by experience. Any attempt, for example, to confine subclinical inst1'uction within the limits of im- mediate, or present-day clinical applicability would be a very grave error. The graded serial system has given us an abundance of scientifically trained physicians and surgeons, but its systematization seems to have been carried too farg yielding an undesirably high percentage of specialists and, consequently, an insufficient proportion of broadly trained practitioners. Desire to offset this apparent imbalance in the profession is the prime motive of the re-adjustment of our curriculumg which, therefore, deserves a fair and sufficiently long trial to admit of reliable judgment concerning its continued value and possible adoption in principle, though not necessarily in exactly its present form. For it is tenta- tive and elastic, and therefore likely to undergo minor modification in the course of experience. But it contains the nucleus of a new and, let us hope, more satis- factory systemg one that bids fair to encourage the student to develop a habit of focusing on clinical problems whatever facts or principles of the sub-clinical sciences may give promise of aid in its solving. The sudden swi.ng from the old to the new has affected us all, and, naturally, reactions to the change have been various. During the period of probation, how- ever, we should all squarely face the issueg casting bias aside and holding opinion in abeyance. But while remaining receptive to its merits we should not allow eagerness for its advancement dull detection of its shortcomings. And, finally, past experience should warn us to guard against its oversystematization. For it is a means, not 2111 end. J. c. c. 1: Page Tweiityffiue 1

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