Page:Carnegie Flexner Report.djvu/252

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234
MEDICAL EDUCATION

Resources available for maintenance: From endowment, $7600; from fees, $8100; total, $15,700.

Laboratory facilities: The laboratory branches are taught in the medical school building at Brunswick with the exception of chemistry, which is well provided for in the college laboratories;' the equipment covering physiology, bacteriology, and pathology is slender. There is nothing in pharmacology at M1. There are no whole-time teachers in the scientific branches. The professor of anatomy is non-resident; his main duty is lecturing, the dissecting-room being supervised by recent graduates, engaged in practice. "The professor looks in occasionally." The professor of pathology is physical director of Bowdoin College. The professor of physiology is non-resident.

Clinical facilities: Clinical instruction is given at Portland by teachers who have little commerce with the laboratories at Brunswick. The chief clinical reliance of the school is the Maine General Hospital, where instruction is given principally in the amphitheater, as a majority of the cases are surgical. Obstetrical work is not to be counted on. Internes do the clinical laboratory work and make up case histories. The records are indexed only by name of the patient. Additional clinical material is obtained at the Eye and Ear Infirmary, Children's Hospital, etc.

Students spend also a small amount of time at a thoroughly wretched city dispensary, where the cases are few, where no records are kept, and where not even copies of prescriptions are filed. The dispensary does not own a microscope.

A course in clinical microscopy is given at the college building in Portland. "Urine and sputum are gathered, and students are told about the cases from which they come." Neither end of this school meets the requirements for the teaching of modern medicine.

Date of visit: October, 1909.

[For general dicussion see "New England," p. 261.]

Maryland

Population, 1,319,182. Number of physicians, 2012. Ratio, 1: 658.

Number of medical schools, 7.

BALTIMORE: Population, 588,475.

(1) Medical Department of the Johns Hopkins University. Established 1898. An organic university department.

Entrance requirement: The bachelor's degree, representing specific attainments in chemistry, physics, biology, German, and French.

Attendance: 297.

Teaching staff: 112, of whom 23 are professors. All the laboratory teaching is conducted by instructors who give their entire time to teaching and research; the heads