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Physicians interested in the direction historians of medicine are increasingly taking with respect to the examination of health care institutions can do no better than to read this book. The subject of this work is how London hospitals in the 18th century evolved into important teaching centers and why hospital-based medicine became an essential vehicle through which physicians and surgeons were able to establish their reputations among their peers and the public. Lawrence has deftly handled an enormous amount of primary source material hospital records, minutes of board meetings, journals, diaries, and newspapers to produce a valuable portrait.
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