In 1914, Lewellys F. Barker, William Osler's successor as Professor of Medicine at the Johns Hopkins University School of
Medicine and physician-in-chief at the Johns Hopkins Hospital, resigned to enter private practice rather than accept the terms
of a full-time plan, whereby professors in clinical departments would receive fixed salaries and have no financial incentives
to see patients. The predicaments he faced in 1914 continue to pester the medical profession in the United States.