Answer:
The majority of medical schools were using the same standards but it wasn't written down explicitly for all to see
Explanation:
As written by Abraham Flexner, the Flexner report was a research work that pointed out the flawed standards in medical education in the UNited states and Canada, suggesting more effective curriculums and methods of learning in medical schools. He supported Germany's educational system as regards medical schools. His reforms were supported and taken up by medical schools in the United States and Canada consequently.