From:
Medical Education | Encyclopedia.com
Though the first schools were created with lofty ambitions, the quality of instruction at the proprietary schools rapidly deteriorated, even based on the standards of the day. Entrance requirements were nonexistent other than the ability to pay the fees. Disciplinary problems arising from outrageous student behavior were commonplace. The standard course of instruction in the mid-nineteenth century consisted of two four-month terms of lectures during the winter, with the second term identical to the first. The curriculum generally consisted of seven courses: anatomy; physiology and pathology; materia medica, therapeutics, and pharmacy; chemistry and medical jurisprudence; theory and practice of medicine; principles and practice of surgery; and obstetrics and the diseases of women and children. Instruction was wholly didactic: seven or eight hours of lectures a day, supplemented by textbook reading. Laboratory work was sparse, and even in the clinical subjects, no opportunity to work with patients was provided. Examinations were brief and superficial; virtually the only requirement for graduation was the ability to pay the fees. Students who wished a rigorous medical education had to supplement what they learned in medical school in other ways, such as through enrollment at non-degree-granting extramural private schools, study in Europe, or work in hospitals as "house pupils."