south of Minneapolis or as far west as the Pacific which as completely meets all the requirements of the case.
There is abundant evidence to indicate that those interested in Washington University appreciate its "manifest destiny;" it bids fair shortly to possess faculty, laboratories, and hospital conforming in every respect to ideal standards. It is, however, worth asking whether it may not supplement its own resources by some form of coöperation. The state university formerly conducted a four-year school at Columbia; realizing that its clinical instruction could not without immense expenditure be brought to the present level of the scientific years, it has had the wisdom and courage to confine its efforts to the first two years. The easy expedient of a clinical end at Kansas City or elsewhere, it has with equal wisdom and firmness rejected. Its resources and influence, however, may not impossibly be enlisted in behalf of the medical work of Washington University, for the latter institution, is in position to use effectively whatever can be placed at its disposal. Should St. Louis University receive financial support enabling it to enforce the same entrance standard as the other two institutions mentioned, it also would be wise to forego clinical instruction, turning over its students in their last two years to Washington University. A second clinical establishment on the same scale is neither desirable nor likely. Nor will St. Louis University or its students be permanently satisfied with an old-fashioned clinical department superposed on its modern laboratory foundation.
Nebraska
Population, 1,069,579. Number of physicians, 1776. Ratio, 1: 602.
Number of medical schools, 3.
LINCOLN-OMAHA: (Population: Lincoln, 53,667; Omaha, including South Omaha, 164,519).
(1) College of Medicine, University of Nebraska. Organized 1881. Affiliated in 1902 with the state university, of which it is now an organic part. A divided school, the first two years being given at the university (Lincoln), the last two at Omaha.
Entrance requirement: Two years of college work.
Attendance: 122.
Teaching staff: 84, of whom 38 are professors, 46 of other grade. The laboratory branches are taught by full-time teachers, using in the main student or practitioner assistants.
Resources available for maintenance: The department is supported by state appropriations. Its income in fees for the year ending June, 1909, was $4905; its budget amounts to $20,612, reckoning only items due directly to the medical department.
