Yale School of Medicine, New Haven, Connecticut 06510, USA.
Yale J Biol Med. 2011 Sep;84(3):269-76.
The Flexner Report of 1910 transformed the nature and process of medical education in America with a resulting elimination of proprietary schools and the establishment of the biomedical model as the gold standard of medical training. This transformation occurred in the aftermath of the report, which embraced scientific knowledge and its advancement as the defining ethos of a modern physician. Such an orientation had its origins in the enchantment with German medical education that was spurred by the exposure of American educators and physicians at the turn of the century to the university medical schools of Europe. American medicine profited immeasurably from the scientific advances that this system allowed, but the hyper-rational system of German science created an imbalance in the art and science of medicine. A catching-up is under way to realign the professional commitment of the physician with a revision of medical education to achieve that purpose.
1910 年的 Flexner 报告彻底改变了美国医学教育的性质和模式，导致私立医学院的消亡，并确立了生物医学模式作为医学培训的金标准。这种转变发生在报告之后，报告将科学知识及其进步作为现代医生的核心精神。这种定位起源于对德国医学教育的迷恋，这种迷恋是由世纪之交美国教育家和医生接触欧洲的大学医学院所激发的。美国医学从这一体系所带来的科学进步中受益匪浅，但德国科学的超理性体系导致了医学艺术和科学之间的失衡。目前正在进行追赶，以重新调整医生的专业承诺，并修订医学教育以实现这一目标。
