Flexner's Five Factors
the Determination of the
of a School's Medical Education
First, the entrance requirements. What were they? Were they
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
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.