The programme developed a four-year course and maintained registration with New York educational authorities. External recognition could make degrees portable, yet it also gave distant standards influence over curriculum, laboratories, staffing, and language.
During the French Mandate, an American-model institution faced political and professional competition. Rockefeller support and new appointments in the 1920s helped establish separate basic-science departments and facilities, strengthening a laboratory-based curriculum while deepening transnational dependence.
Graduates carried knowledge throughout Lebanon and the wider Middle East. They did not reproduce one uniform system: local hospitals, ministries, private practices, universities, and patient expectations changed what their education meant in use.
War and political crisis repeatedly tested the faculty and its medical centre. Keeping wards, classrooms, records, supplies, and training programmes functioning required collective labour and difficult institutional choices. Continuity should therefore be credited not only to leadership but to clinicians, nurses, technicians, students, patients, and staff who remained connected through disruption.