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Book Review
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Volume 340:1601 May 20, 1999 Number 20
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Improve, Perfect, and Perpetuate: Dr. Nathan Smith and early American medical education

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By Oliver S. Hayward and Constance E. Putnam. 362 pp. Hanover, N.H., University Press of New England, 1998. $35. ISBN 0-87451-860-1.

Educators at recently established rural medical schools throughout the world share various challenges and satisfactions. Serving on faculties that tend to be small, they must often be versatile teachers. Medical-library holdings are limited, students arrive with academic preparation of varied quality, and attending to the needs of widely dispersed populations poses difficult challenges. Yet the opportunity to build and innovate, the beauty of the countryside, and the chance to see one's graduates bring medical care to the region and make their own contributions to medical education frequently serve as rewards.

Some two centuries ago, physician and surgeon Nathan Smith (1762–1829) . . . [Full Text of this Article]




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