ABSTRACT

The Hippocraticoath explicitly committed the physician to share both knowledge and the values of the profession with other physicians, including students. Until the rise of the modem research university, this training was imparted through apprenticeship. Anatomical dissection and observation of surgery were medical school—based activities, professors were receiving fees from their students for the privilege of attending their lectures and watching the great physician practice. During the debate about potential federal legislation, some representatives of managed care organizations indicated their opposition to any limitation of the total number of physicians who are trained, explaining that the price of subspecialists was rapidly declining as a result of the increasing supply. Any limitation of production would interfere with the purchasers' capacity to obtain the best prices.