Flexner Report
The Flexner Report was instrumental in changing the profession of medicine in the United States. This report was submitted by Abraham Flexner in 1910 , as the culmination of his investigation of each medical school operative in the country at that time. "Hired by the American Medical Association's Council on Medical Education and the Carnegie Foundation for the Advancement of Teaching" (reference for quote: Savitt, Todd Lee 1943-Four African-American Proprietary Medical Colleges: 1888-1923 Journal of the History of Medicine and Allied Sciences - Volume 55, Number 3, July 2000, p 219) he evalauted xx medical schools that ranged from university affiliated X year programs with admission standards that included XX, to programs run by individual physicians in private practice that had no formal admission standards, no laboratory teaching in science and no criteria for graduation other than successful payment of fees.
Education of medical physicians and surgeons in the 19th Century
In the United States, requirements at different medical schools varied tremendously. Only a minority of medical schools were affiliated with universities, there were hundreds of small "proprietary" schools of medicine that were administered by physicians in private practice. In many regions of the United States, such as rural states, there was no regulation of these schools. As state boards of health were established, many of the school came under the purview of these government aganecies.
The Association of American Medical Colleges (AAMC)
Johns Hopkins University was lauded in the Flexner Report.