. ▁Di agn ose ▁and ▁treatment ▁now ▁had ▁to ▁be ▁based ▁on ▁science . ▁The ▁rise ▁of ▁hosp it als ▁facil itated ▁physical ▁diagn oses . ▁That ▁being ▁said , ▁patients ▁were ▁often ▁rel uct ant ▁to ▁under go ▁physical ▁diagn osis , ▁especially ▁with ▁the ▁rise ▁of ▁new ▁medical ▁instruments ▁being ▁used . ▁In ▁fact , ▁manual s ▁were ▁written ▁to ▁help ▁phys icians ▁gain ▁knowledge ▁on ▁proper ▁“ pat ient ▁et iqu ette ” ▁and ▁gain ▁their ▁consent ▁to ▁perform ▁certain ▁procedures . ▁Society ▁had ▁a ▁hard ▁time ▁except ing ▁the ▁procedures ▁required ▁for ▁the ▁routine ▁physical ▁exam ination ▁and ▁its ▁necessity . ▁It ▁was ▁more ▁interested ▁in ▁the ▁c ure ▁and ▁treatment ▁effect iveness ▁of ▁the ▁diagn osis . ▁ ▁The ▁industrial ization ▁in ▁the ▁late ▁nin ete enth ▁century ▁resulted ▁in ▁a ▁demand ▁for ▁phys icians . ▁ ▁In ▁Canada , ▁the ▁industrial izing ▁towns ▁and ▁cities ▁of ▁the ▁Mar it imes ▁gave ▁plenty ▁of ▁opportun ities ▁for ▁their ▁phys icians ▁to ▁show ▁their ▁skills ▁as ▁emer ging ▁profession als . ▁For ▁example , ▁medical ▁do ctors ▁were ▁needed ▁to ▁expect ▁ten ement ▁housing , ▁and ▁san it ary ▁conditions ▁of ▁fact ories ▁and ▁schools . ▁Do ctors ▁were ▁needed ▁to ▁promote ▁public ▁and ▁personal ▁h yg iene ▁to ▁reduce ▁disease ▁transmission . ▁ ▁Medical ▁fail ures ▁often ▁ham per ed ▁the ▁reputation ▁of ▁these ▁phys icians ▁which ▁made ▁their ▁status ▁as ▁profession als ▁harder ▁to ▁implement ▁and ▁make ▁the ▁general ▁population ▁accept ▁them ▁as ▁this . ▁Not ▁to