In 1908, The Carnegie Foundation for the Advancement of Teaching conducted a survey of medical education institutions in the United States. At the time, the discipline emphasized "bedside teaching" and providing students experience with a broad variety of illnesses and patients. The school's rural location was deemed too remote for proper clinical training, and the school was advised to stop offering the Doctor of Medicine degree and only provide pre-clinical instruction. The class of 1914 was the last (until 1974) to receive the Doctor of Medicine degree; subsequent classes of students attended DMS for two years before transferring to other medical schools. The drop of clinical instruction worsened the school's problems by driving away talented faculty members.