MINUTES OF THE PROCEEDINGS - Association of American ...

1 AssociationofAmericanMedicalCollegesrJ)r J) (1) " ::~ MINUTES '"d(1) (1)\-;(1). <.l:11::(1)a8oQOctober21,22,23,1957 ATLANTICCITY, ,IllinoisMinutesofthe68thAnnualMeetingao <.l:11::(1)a8oQ60 Sixty-EighthAnnual'MeetingAssociationofA mericanMedicalCollegesChalfonte-HaddonHa ll,AtlanticCity, ,1957 MONDAY,October21, . ~~AbrahamFlelnerTUESDAY,OCTOBER22, ,.._ . _ .. :1 Minutesofthe68thAnnualMeetingREPORTSANDR ECOMMENDATIONS01'COMMITIEESA udio VisualEducationandMedicalAudio VisualInstituteReportonHungarianRefugees ".NominatingCommiHeeContinliationEducati onReportofChairmanofEditorialBoardSupple mentalReportofEditorialBoardFinancingMed icalEducationInternationalRelationsinMed icalEducationInternships, <.l:11::(1)a8oQ62 INTRODUCTIONOFNEWDEANST hefollowingnewdeanswereintro- ,UniversityofColo-radoSchoolofMedicine; ; ,GeorgeWashingtonUniversitySchoolofMedic ine; ,JohnsHopkinsUniversitySchoolofMedicine; (alsopresi-dentoftheMedicalCenter), ,Brooklyn; (ChairmanofInterimCommittee), (justappointeddean),UniversityofSouthern CaliforniaSchoolofMedi-cine;RobertAlway( ActingDean),Stan-fordUniversitySchoolofM edicine;JeanJacquesLussier,UniversityofO ttawaFacultyofMedicine;JeanBaptisteJobin ,LavalUniversity(nowanAffiliateIn-stitut ionalMember); ( ,dean)oftheAmericanUniversityofBeirut, ,UniversityofLondon; 'Donovan,UniversityCollegeofDub-lin,Irel and; ,AssociateDean,FacultyofMedicalSciences, AmericanUniversity,Beirut,Lebanon; ,FaculdadedeMedi-cinadePorteAlegre,Brazi l; ,MedicalFaculty,Surabaja,In-donesia; ,MedicalFacultyofUniversityofRangoon,Bur ma; ,UpsalaUniversity,Sweden.

2 ,MedicalSchoolofSanLuisPotosi, ,whichwasheldOctober15-19,waspresentedby :GeorgePackerBerry,PerspectiveontheAAMCT eachingIn-stitutes; , ; ,CharacteristicsoftheMedicalStudentandth eDiversityofValuesandObjectivesinMedical Edu-cation; ' ,throughthiscommittee,anop-portunitytopr esentcomplicatedorcon-troversialmatterst othosewithspecialconcerns, ,professorandheadofthedepartmentofmicros copicanatomy,FacultyofMedicine,Univer-si tyofWesternOntario, ,agoldmedaland$1,000, , ' , ,presidentoftheCarnegieCorpora-tionofNew York, , ,LLD. , ,WashingtonUniversity.)Whereas,youhavepl ayedanimpOT-tantToleinimprovingthisnatio n'sao<.l:11::(1)a8oQMinutesofthe68thAnnu alMeetingeducationalandsocialinstitution sandpractices,andWhereas,astheresultofyo ursurveyandreport"MedicalEducationintheU nitedStatesandCanada,"supportedandsponso redbytheCarnegieFounda-tionfortheAdvance mentofTeachingandpublishedin1910,youhave madeaparticularlysignificantcontribution totheprogressofmedicaleducationintheUnit edStatesandCanada,Nowbeitthereforeresolv ed, ,November12,13,14,1956,TheBroadmoor,Colo radoSprings,Colo.

3 , , ,1956, ' ,Resi-denciesandGraduateEducationwas63le ges,astherepresentativeofthemedi-calscho olsandmedicalfacultiesoftheUnitedStates, theDominionofCanadaandtheirpossessions,i nrecognitionofthesefacts,herebyestablish esthe"AnnualAbrahamFlexnerAwardforDistin guishedServicetoMedicalEdu-cation,"andFu rtherbeitresolved,thatasevi-denceofthisa ct, ,October21, , :" " , :(a)Thefour-yearmedicalschoolstodetermin ehowmanyadditionalstudentsmightbeaccommo datedintheirthirdyearclassifwell-qualifi edstudentswereavailable;(b) , , <.l:11::(1)a8oQ64 ThesecondmeetingoftheCouncilwasheldonFeb ruary8,1957, ,andafterareviewofthehistoryofthevarious committeesdealingwithnationaldefenseprob lems,thefollowingcommitteestructurewasvo ted:(a)TheJointCommitteeonMedi-calEducat ioninTimeofNa-tionalEmergencyistobeaboli shed(subjecttosimilaractionbytheCouncilo nMed-icalEducationandHospitalsoftheAMA). (b)TheAssociation'spresentCom-mitteeonP! :mningforNa-tionalEmergencyistobere-name d"TheCommitteeonMedicalEducationforNatio nalDefense.

4 "(c)ThepresentSubcommitteeonMedicalEduca tionforNa-tionalDefense(oftheJointCommit tee)willbemadeasubcommitteeoftheAssocia- tion'snew"CommitteeonMEND"andentitled"Th eSubcommitteefortheMENDP rogram." :"ItistheconvictionoftheExecu-tiveCounci loftheAAMC:(1)Thatagencies,governmentalo rprivate,makingresearchgrantsshouldcover theindi-rectaswellasthedirectcostofthere search;(2)Thatthecurrentallowancesforove rheadalmostuniver-sallyfailtocovertheful lin-directcostsofresearch;(3)Thatbecause oftheinade-quateoverheadallowanceonresea rchgrants,manycriticalfinancialsituation sexistinourmedicalschoolsanduniver-sitie s.""TheExecutiveCouncilthereforeex-press esthehopethatactiononthisimportantmatter ,whichhassolongbeenunderdiscussion,willb etakenpromptly."Minutesofthe68thAnnualMe etingAtthebudgetmeetingoftheCouncilonMay 25,1957,inChicago,approvalwasgiventotheA dministrativeCom-mittee'sdecision:(a) ,oneinChicago,andoneinSanFranciscotoscre endisplacedHungarianmedicalstu-dents.

5 (b) 'sdecisionthattheAAMC shouldserveastheapplicant,custodiananddi spensingagentforfundsforanewstUdyofpreme dicaleducationbySeveringhaus, ,morecomplete, :(a)VoteintoAffiliateInstitutionalMember shipatthismeetingLavalUniversityFacultyo fMedicine,visitedApril15-18, (b)VoteintoInstitutionalMember-shipatthi smeetingtheAmericanUni-versityofBeirutSc hoolofMedicinevisitedMay6-9, , (c)Confirmbyvoicevotetheapprovalgivenbym ailvoteforfullInstitutionalMembershipfor MiamiUniversitySchoolofMedicine,visitedF ebruary18-21, "TheGuidingPrinciplesintheCareandUseofLa boratoryAnimals" ,fourmeet-ingsoftheExecutiveCouncilwereh eldonWednesdayafternoon, ,1956,February8,1957,andMay25,1957, "MedicalCollegeStaffSalariedQuestionnair e"wouldbeasfollows:Whenarequestforthesed atacomesfromadean, <.l:11::(1)a8oQ~Iinutesofthc68thAnnualMe etingbeaddedsuchdescriptivebutnon-iden-t ifyingstatementsas"State-owned-LargeCity -South," ,the1958meetingwillbeheldatSwampscott,Ma ssachusetts,andthe1959meetingatChicago, ,Florida,forthe1960 AnnualMeeting, , :"TheCounciloftheAssociationofAmericanMe dicalCollegesisoftheopinionthatanyactivi tyofastudentwhichmightbeinterpretedasexp loitationofhisorherstatusasamedicalstude ntorthroughhimorher,ofthemedicalschool,i sundesirableandshouldbedis-couraged.

6 "TheExecutiveDirectorwasinstructedtosend thisstatementtothedeansofallmedicalschoo lsandinaddition, , "FunctionsandStructureoftheModernMedical School" , , ,withoutdis-cussion, , motiontoapprovethis report,theCounciladopteda ,withoutdiscussion, ,theChairman, , , awaitaconferencewithrepresentativesofthe governmentservicestobeheldonSat-urday,Oc tober19, ,yourCouncilwishestopresentthefollowingt hreemattersforyourconsideration:(1)Where as, ,formanyyearsDirectoroftheDivisionofMedi calSciencesoftheRockefellerFoundationdie donJune19,1957andWhereas,AlanGreggwasrec ognizedthroughouttheworldasaleaderinmedi caleducationandWhereas,AlanGregg wasinstrumen-talinthedevelopmentofpsychi atryandpreventivemedicineasmajoreduca-ti onalandresearchdisciplinesandWhereas,Ala nGreggstimulatedmanymedicaleducatorshere andabroadtocreativecareersandWhereas,Ala nGreggwasdeeplyin-terestedinthedevelopme ntofthisAsso-ciation:NowthereforebeitRes olvedthatthisAssociationrecog-ao<.

7 L:11::(1) (2)TheAssociationofAmericanMedicalColleg esrecognizesthatit~electedofficers, !anditsfull- ,theelectedofficers,thecom-mitteemembers andthefull-timestaffareurgedthatwhenthey speakorwriteastheofficialrepresentatives oftheAssociation,thisfactbestatedandthat ,conversely,whendoingresponsiblespeaking orwritingasindividualsre-gardingmatterst hatarenotcoveredbyAssociationpolicyordir ectives,ormayevenbecontrarytosame, (3)Atits1956 AnnualMeeting, ,aftermakingallowanceforthefournewschool sindevelopment, ,explorationofmeansbeyondadditional~ ,plusthefactthatsomeschoolscanaccommodat emoreclinicalthanpreclinicalstudents, ,withtheundergraduatecollege1\1inutesoft he68thAnnualMeetingprogram,andontheother hand,withexisting4-yearschools, ,manywouldundoubtedlyevolveinduetimeinto first-rate4-yearschools, , , , , , , *OrdinarilytheExecutiveDirector'sreportw ouldreviewtheyear'saccom-plishments, ,Ithoughtthatratherthanattempttospellout suchareport,Iwouldprefertosharewithyoumy conceptionofwhatthebasicgoalsshouldbe, , * <.

8 L:11::(1)a8oQMinutesofthc68thAnnualMeeti ngMedicalColleges, givethisanswer, , ,IthinkthatthisisthesourceoftheAssociati on' ,exceptunderthemostunusualofcircumstance s, , ,ifintelligentlytranslatedintoacentralor ganization,suchasthisAssociationwhichisd edi-catedtothepreservationoffreedomonthe onehandandtotheintelligentco-ordinationo fthisfreedomtowardtheinterestsofgeneralp rogressontheother, ,yourcommitteesandyourstaffaretoleadyour Associationtoaposi-tionofeffectivenation alleadership,itwillhavetobethroughthepro cessofeducation-educationfirstofourselve sandthenofthemanypublicswithwhichwemustd eal:ourstudents,faculties,universitiesan dalumni;themanypro-fessionsandorganizati onsimportanttomedicineasafunctionofsocie ty;ourcity,county,stateandnationalgovem- 67ments;andlastbutnotleast,allofthepeopl eofourland,partiCUlarlythoseactivelyconc ernedwithoureconomic, ,althoughthesourceandextentofmydelegated authoritymaybedifferent,Istillcomebackto comparingmyjobtothatofauniversitypreside nt,becauseIamstillengagedinhelpingtopro- videcontinuingleadershiptoaneduca-tional enterprisethatinvolvesbringingmanycolleg estogetherina , ,wemusthavesomethingtocommunicate, ,ifoureffortsaretobecrownedwithsuccess, "substanceofcommu-nication"Imeanthatwemu sthaveac-curatefactsandinformation, ' :(l)basicre-search,dealinglargelywiththe medicalstudentandthemeasurementofhisin-t ellectualandnonintellectualcharacter-ist icsandtheirsignificance,and(2)operationa lresearch,dealingprimarilywiththeday-to- daycollectiveoperationofourmedicalschool sandWithmedicaleducationasa , ,TheAppraisalofApplicantstoMedicalSchool s,containsthemostextensivesur-ao<.

9 L:11::(1) ,studiesareunderwayonthediversityofinter ests,personalitychar-acteristics,andinte llectualabilitiesofmedicalstudentswhicha repointingthewaytoalongitudinal analysisoftherelationshipofthesecharacte risticstoscholasticachievementinmedicals chool,toachievementintheinternshipandres idency, ,andasimportantsideleadsdevelopandarepur sued, ' ,ourresearchisgrowingbothinbreadthanddep th, ,asre-searchresultsarepublishedandthepra cticalapplicationofournewknowl-edgebecom esapparent, ,theOfficeoftheDirectorofResearchis-sues suchpublicationsasstudentaccom-plishment reportsandMedicalCollegeAdmissionTestper formancereportstotheundergraduatecollege ssupplyingstudettUtomeditallielto()Is.,A ndforthemedicalschoolsthtlJnSelVes,avast amountofdataisroutinelyavailable, , , !ntsthepracticalpaybackofatremendousin-v estmentofmoneyandprofessionaltalent-prof essionaltalentattheEduca-Minutesofthe68t hAnnualMeetingtionalTestingServiceinPrin cetonaswellasoftheAssociationstaff-andal soofthetimeandenergyofourmedicalschoolde ansandtheircountlessunsunghelpers, ;infact, ' 'spro-gramsothat,aswetakestepstoin-creas eitsfinancialsupportandstaff, , filingcards!

10 TlteOperat'ou'lIelearcllI' , , , ::11::(1)a8oQMinutesofthe68thAnnualMeeti ngposesofmoreefficientfiscal, ,youwillprobablyreceivemorecallsforin-fo rmationandhelp, , ,particularly, ,contentandmethodsofundergraduateteach10 9undergoingrapidandradicalchange, , ,opinionsandattitudesessentialtoanInstit uteontheinternship, , ,itisinevitablethatthesepressureswillcon tinuetogrow,andasa consequence,ifwearetopro-tectthebestinte restsofmedicaleduca-tionandofmedicalstud ents,andifwearetobasethisuponsoundreason ingandaction, , , , medicalschoolanditsteachinghospitalonthe onehandanditsparentuniversityorgoverning bodyupontheother, ,anditisincumbentuponthisAssociationtofi ndwaysandmeansofdevelopingaprogramofregu larre-portingsothatthevacuumthatiscur-re ntlybeingfilledwithguesses, , ,limitationsoffundsandstaffwillmakeitimp ossibletoshouldertoomuchatanyao<.l:11::( 1)a8oQ70onetime,butwemustbeina positiontomoveeffectivelyandquicklywhena nemergencyjobofoperationalre-searchisnec essaryand,uponaprioritybasis, ,administrativelyandfinancially, ,andIassureyouthatasanex-pandedprogramma ybedeveloped, , ,Wiscon-sin, , ,hasbeenappointedDirectorofPublicInforma -tion,thussatisfyinga ; ,recentlywiththeNationalOpinionResearchC ouncil,TechnicalDirectorofourIBMD epart-ment.