Flexner's Five Factors

in the Determination of  the

Quality of a School's Medical Education



First, the entrance requirements. What were they? Were they enforced?


Second, the size and training of the faculty.


Third, the sum available from endowment and fees for the support of the institution, and what became of it.


Fourth, the quality and adequacy of the laboratories provided for the instruction of the first two years and the qualifications and training of the teachers of the so-called preclinical branches.


Fifth and finally, the relations between medical school and hospitals, including, in particular, freedom of access to beds and freedom in the appointment by the school of the hospital physicians and surgeons who automatically should become clinical teachers.