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Ira Remsen, Osler, the Flexner Report, and the full-time plan.

Charles S Bryan1, Jonathan J Kopel2, Mark Sorin3

  • 1Department of Internal Medicine (Emeritus), University of South Carolina School of Medicine, Columbia, South Carolina.

Proceedings (Baylor University. Medical Center)
|July 5, 2021
PubMed
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Sir William Osler opposed the full-time medical faculty plan. Ira Remsen, uniquely positioned, did not advance the plan due to administrative style, health, and friendship.

Area of Science:

  • Medical Education History
  • Academic Medicine Development
  • History of Johns Hopkins University

Background:

  • Sir William Osler's 1911 letter opposed the full-time plan for clinical professors, advocating against private practice.
  • Previous analyses of this episode largely overlooked Ira Remsen's pivotal role.
  • Remsen's unique background positioned him to influence medical education reforms.

Purpose of the Study:

  • To highlight Ira Remsen's overlooked significance in the Osler full-time plan controversy.
  • To analyze Remsen's potential influence and reasons for inaction.
  • To provide a more comprehensive historical account of medical education reform at Johns Hopkins.

Main Methods:

  • Historical analysis of correspondence and institutional records.
Keywords:
Abraham FlexnerDaniel Coit GilmanFlexner ReportFranklin Paine MallIra RemsenJohns Hopkins Medical SchoolJohns Hopkins UniversitySimon FlexnerWilliam H. WelchWilliam Oslerfull-time planwhole-time plan

Related Experiment Videos

  • Examination of Remsen's prior contributions to medical education and science.
  • Review of secondary sources on the Osler-Remsen episode and Flexner Report.

    • Main Results:

    • Ira Remsen, Johns Hopkins University president, was uniquely positioned to champion medical education reforms.
    • Remsen had prior connections to key figures and initiatives, including Abraham Flexner and the Flexner Report.
    • Remsen's decision not to further the full-time plan stemmed from administrative style, health, and personal relationships.

    Conclusions:

    • Remsen's inaction had significant implications for the adoption of the full-time plan at Johns Hopkins.
    • Understanding Remsen's role provides critical context to the history of academic medicine in the US.
    • The episode underscores the complex interplay of personal, professional, and institutional factors in academic reform.