Page:Carnegie Flexner Report.djvu/272

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254
MEDICAL EDUCATION

The school is a business in which a large margin of profit is secured by its owners. The teaching furnished is of the cheapest kind. Its huge income is therefore largely profit.

Date of visit: November, 1909.

ST. JOSEPH: Population, 132,954.

(6) Ensworth Medical College. Organized in 1876, it has twice merged with other schools. An independent institution.

Entrance requirement: Less than a four-year high school education.

Attendance: 72, 68 per cent from Missouri.

Teaching staff: Numbers 40, 32 being professors, 8 of other grade.

Resources available for maintenance: Fees only, amounting to $7060 (estimated).

Laboratory facilities: These are very weak. The chemical laboratory is of elementary character; there is a small outfit for physiological demonstration; a single room with little material is provided for pathology, bacteriology, and histology. There is the usual ill kept dissecting-room. There is no museum, books, or teaching accessories. The building is very dirty.

Clinical facilities: These are wholly inadequate. The adjoining hospital, containing six free beds, is of little use. Fifty beds, of which 14 were occupied at the time of visit, are accessible at a Catholic institution, but four-fifths of its work is surgical. Obstetrical work is entirely inadequate; post-mortems are very rare. The available material, scant as 'it is, is poorly used, as far as teaching is concerned.

There is a small dispensary, without records, organization, or equipment.

Date of visit: November, 1909.

ST. LOUIS: Population, 698,706.

(7) Washington University Medical Department. Organized 1842. United in 1891 with Washington University, of which it has been since 1907 an organic department. Completely reorganized on modern lines 1910.

Entrance requirement: Four-year high school education. Credentials are passed on and examinations conducted by the university.

Attendance: 178, 60 per cent from Missouri.

Teaching staff: 99, 48 being professors, 51 of other grade. There had been four full-time professors and a few full-time assistants, but as this report goes to press, the entire faculty is undergoing reconstitution. All the laboratory branches, as well as the departments of medicine, surgery, and pediatrics, have been already reorganized on a strict university basis.