In 1924, many of the special otolaryngological societies in America were about to complete their first half century of existence. The separation from ophthalmology that had begun earlier was becoming more general. These societies were composed of men aware of the need to establish a basic standard of training in otolaryngology, which would produce a safe level of specialization throughout the country. Many of these men had been unable to acquire adequate special training in America and were obliged to supplement it in Britain or Europe. Vienna and Berlin were two very popular otolaryngological training centers in the late 1800s and early 1900s.
The American Medical Association, the American College of Surgeons, and the American Hospital Association at that time were advocating and supporting the upgrading of standards and the improvement of teaching in the medical schools and hospitals both at the undergraduate and postgraduate levels.
The American Examination Boards