With this accessory, the seat of our university is not yet prepared, either by its population, or by the numbers of poor, who would leave their own houses, and accept of the charities of an hospital. For the present therefore we propose but a single professor for both medicine & anatomy.
As idealistic a lot of the Rockfish Gap Report is, it's interesting to see how much the founders focused on practicality. They figured that since they didn't have the necessary resources for training a physician well, they wouldn't waste even more by hiring more than one professor of medicine. Even though the liberal education Jefferson talked about so often is about being educated in many fields before picking one to specialize in, the authors of this report were not willing to allow students to become specialized at something they didn't think they could properly teach. The growth of the UVA hospital system has been incremental, which is what I think Jefferson was aiming towards. He cared more about quality than quantity.