The UVA Health System's history can be traced to the original conception of the University of Virginia on August 1, 1818, whereupon Thomas Jefferson, James Madison, and twenty-one other men first compiled a report for the Virginia State Legislature to determine a site, building plans, and courses for study for the University of Virginia. Acknowledging that clinical lectures and medical training were not available in Charlottesville at that time, Jefferson and his colleagues determined that The University should offer education in "the elements of medical science...with a history and explanation of all its successive theories from Hippocrates to the present day," as a way to train both prospective physicians, as well as those students with a more dilettante interest in medicine.