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MARCUS RAYNER CARO, M.D.

Arch Dermatol. 1960;82(4):521-525.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

At the "Conference on Specialism in Medicine"¹ in 1959 specialism and particularly the Specialty Boards came in for considerable criticism. Gladston² reminded us that "medical specialism was first pursued mainly by the laity. The lens coucher, tooth extractor, lithotomist, bone setter, midwife, masseur and barber surgeon were the specialists of the middle ages . . . . They were, as so many are today, technicians, men skilled in crafts rather than knowledgeable in theories." Galdston divided the practice of medicine "into two major categories: episodic and maintenance. Episodic medicine, as the term implies, is the medicine practiced in emergency situations . . . . Maintenance medicine is devoted to fostering the every day well-being of the individual . . . . Episodic medicine is primarily and predominantly the realm of the specialist." In a previous paper Galdston³ stated that "the future of medical service is not to be envisaged as a continued refinement, as well as increase, in the . . . [Full Text PDF of this Article]

Author Affiliations
Chicago

Footnotes
Submitted for publication April 18, 1960.

Presidential Address given before the Annual Meeting of the American Board of Dermatology, Boca Raton, Fla., April 10, 1960.

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