According to the American system, the surgeon was responsible not only for the care of the patient, but also for sharing his knowledge and experience with his students. This differed from the European discipline then practiced in Israel, which was based on the personal experience of the seemingly omnipotent head of the surgery department, rather than on clinical research, current medical literature[citation needed], and the resident's analysis. Thus, Saltz developed a new curriculum for the systematic training of physicians that included clinical consultations, instructions during surgery, formal post-operative assessment, and extensive weekly concilia, and caused the Medical School and its surgical training to become pre-eminent in Israel and renowned abroad.