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Previous Volume 329:1887-1890 December 16, 1993 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Until the beginning of the 20th century, the organization of medical schools and hospitals was simple. There were usually four clinical departments representing the traditional disciplines -- medicine, surgery, obstetrics and gynecology, and pathology. As various specialties developed, with their own training programs, a number of new departments evolved from these ancestral departments. From medicine came radiology, pediatrics, psychiatry, neurology, and dermatology, and from surgery came anesthesiology, orthopedics, ophthalmology, and otolaryngology.

As we approach the 21st century, the movement to subdivide medicine and surgery is continuing. In many institutions, divisions of neurosurgery and urology are seeking departmental status (and in . . . [Full Text of this Article]

Contentious Issues

The Three Missions of Academic Cardiology

Research

Education

Clinical Care

Routes to Resolution of the Conflict

Recommendations

Address reprint requests to Dr. Eugene Braunwald at the Department of Medicine, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115.

References

This article has been cited by other articles:

• Myerburg, R. J. (1994). Departments of Medical Specialties: A Solution for the Divergent Missions of Internal Medicine?. NEJM 330: 1453-1456 [Full Text]