TY - JOUR
T1 - "A Condition of Development"
T2 - Muckrakers, Surgeons, and Hospitals, 1890-1920
AU - Kernahan, Peter J.
PY - 2008/2
Y1 - 2008/2
N2 - Between 1890 and 1920, surgery was in "a condition of development" in the words of A J Ochsner, an eminent surgeon and the College's first Treasurer. Dr Barnesby's book, Medical Chaos and Crime, exposed many deplorable failings of both surgeons and hospitals. Despite its inflammatory rhetoric, the book spoke to popular and, to some extent, professional concerns. The persistence of an expanding, unregulated market was becoming increasingly untenable. But individualist traditions, the perceived need for professional unity, and the difficulties securing even basic licensing laws, made state regulation or action by existing institutions unlikely. Franklin Martin and the ACS offered one way out of this impasse by setting standards for both surgeons and hospitals. Within a decade of the College's founding, 4,000 US and Canadian surgeons and >60% of North American hospitals surveyed by the College had met those standards.
AB - Between 1890 and 1920, surgery was in "a condition of development" in the words of A J Ochsner, an eminent surgeon and the College's first Treasurer. Dr Barnesby's book, Medical Chaos and Crime, exposed many deplorable failings of both surgeons and hospitals. Despite its inflammatory rhetoric, the book spoke to popular and, to some extent, professional concerns. The persistence of an expanding, unregulated market was becoming increasingly untenable. But individualist traditions, the perceived need for professional unity, and the difficulties securing even basic licensing laws, made state regulation or action by existing institutions unlikely. Franklin Martin and the ACS offered one way out of this impasse by setting standards for both surgeons and hospitals. Within a decade of the College's founding, 4,000 US and Canadian surgeons and >60% of North American hospitals surveyed by the College had met those standards.
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U2 - 10.1016/j.jamcollsurg.2007.08.014
DO - 10.1016/j.jamcollsurg.2007.08.014
M3 - Article
C2 - 18222395
AN - SCOPUS:38549121297
SN - 1072-7515
VL - 206
SP - 376
EP - 384
JO - Journal of the American College of Surgeons
JF - Journal of the American College of Surgeons
IS - 2
ER -