Teaching hospitals in the United States
Teaching hospitals in the United States are hospitals or medical centers that provide medical education and training to future and current health professionals. They are often affiliated with medical schools and work closely with medical students throughout their education. Teaching hospitals also offer graduate medical education/physician residency programs, where medical school graduates train under a supervising physician. Many teaching hospitals also serve as research institutes.
The concept of teaching hospitals originated in the Persian Empire during the Sassanid era, with the Academy of Gundishapur being the first known teaching hospital. In the United States, the first teaching hospital was founded at the College of Philadelphia (now the University of Pennsylvania) in 1765. This was followed by the establishment of notable university-affiliated teaching hospitals at King's College of New York, Harvard University, Dartmouth College, and Yale University.
Between 1810 and 1910, almost 400 medical schools were opened in the United States, but many of them lacked control over hospital facilities for teaching and research. The Flexner Report, published in 1910, highlighted the weaknesses of the existing clinical teaching system and emphasized the importance of hands-on learning. The report led to the closure of many medical schools that did not meet the new requirements for clinical education. State examinations were also introduced during this period, further raising the standards for medical schools and practitioners.
Today, teaching hospitals in the United States continue to play a crucial role in medical education, training the next generation of health professionals and conducting research to advance medical knowledge and practice.
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Contributors: Prab R. Tumpati, MD