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  Vol. 126 No. 3, March 1991 TABLE OF CONTENTS
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The Town-Gown Syndrome

An Ancient Disease, as Yet Uncured

ROBERT J. BAKER, MD

Arch Surg. 1991;126(3):285-287.

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

The first cases of the so-called town-gown syndrome were alleged to have occurred in the 13th century, when the first universities were founded. Throughout the more or less civilized parts of Central and Western Europe, these institutions proliferated, creating the environment for frequent outbreaks of violence and rioting among students, faculty, and neighboring townspeople. During the next three or four centuries, the disease finally remitted as communities realized that having a university in their midst was not only an economic but an intellectual boon, and the students and faculty, although somewhat unruly, stopped laying waste to the adjacent villages (except for a few Ivy League universities).

The syndrome waned and largely disappeared in the rest of the civilized world, but, unfortunately, there has been a recent exacerbation of this troublesome ailment.1 It is fair to say that the town-gown syndrome is essentially limited to the medical profession and is . . . [Full Text PDF of this Article]


Author Affiliations

Wilmington, Del



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