1. Applicants to medical school must have studied biology, chemistry, and physics at the college level- premedical requirements
2. Medical schools should implement curricula with didactic and laboratory courses in anatomy, histology, embryonology, physiology, and biochemistry in the first year of study and pathology, pharmacology, bacteriology, and physical diagnosis in the second year
3. Medical schools must have access to hospitals and dispensaries
4. Students should be as active as possible in patient care and should consult medical literature as a reference
5. Medical schools should employ salaried faculty in the basic and clinical sciences whose job it is to teach students and conduct research
6. State Medical Boards should be responsible for reviewing existing and endorsing new medical schools
7. Finally, Flexner noted bluntly that “medicine is expensive to teach”. Medical schools cannot survive and prosper funded only by student fees, they require the endowment and support of a university. He suggested that medical schools with no means of acquiring this funding should merge with other schools or close, a continuation of a solution reached before the Flexner Report was published