In 1905, the american medical association, with support from the carnegie foundation, commissioned a study of u.s. medical schools in response to decades of concern about the quality of medical education and training. the resulting flexner report is considered a benchmark in the history of medical education because it:

The American Medical Association had been started in 1847 and had been incorporated in 1897. This includes the association of DMOs, MD and the medical students.

The Flexner report is bench mark because it is responsible for the stimulation of the license legislation. This established the new requirements that pertains the training lengths and improve the quality standard in laboratory. The large charitable dollars and the wealthy families contributed for the betterment of the medical schools.