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clinical pathology, has been placed as assistant visiting physician to Bellevue Hospital. In order to prevent, as far as is advisable, the too frequent reduplication of clinical demonstrations on the part of section teachers, Professor Thompson proposes to establish a "clearing house" system whereby each instructor shall be required to report at the close of each section period the ground covered and the number and nature of cases presented. The following is a list of the researches conducted during the year:

With Dr. Wolf of the department of chemistry, dietetic and nutrition experiments in cases of obesity.

With the department of pharmacology, use of new preparations of strophanthin and thiosin in a number of cases of heart disease. Results satisfactory.

With Dr. Beebe, exhaustive study of nutrition and the effect of therapeutics in pernicious anaemia, and a number of cases of exophthalmic goitre treated with serum.

Through Dr. Hastings, tested tuberculin opthalmic reaction in some 60 odd cases; also typhoid fever ophthalmic reaction; curative use of tuberculin in cases of glandular and bone tuberculosis tested; tests of the Wright method of opsonic vaccines in cases of septicaemia, with striking results.

Through the Health Department and department of Bellevue Hospital, tetanus antitoxin has been used, blood cultures, etc., for diagnosis in cases shown students.

Dr. Coleman made researches of value in diet in typhoid fever, in study of para-typhoid with Dr. Buxton.

In the Dispensary Dr. William Armstrong has continued the study of gastric analyses and has given several demonstrations before the class.

Dr. Searing has continued the serum treatment of about 20 cases of exophthalmic goitre.

At the Presbyterian Hospital the class has been shown the use of vaccines in malignant endocarditis, and the use of Flexner serum for the cure of cerebro-spinal meningitis.

Dr. Coleman has experimented at Bellevue Hospital with the serum treatment of pneumonia.

The remaining departments each report satisfactory condition. But pediatrics finds itself hampered because of lack of hospital facilities. Being without control of beds in any hospital which cares for children, for the present we are unable to meet this deficiency.

I must also report that the department of psychopathology does not receive at our hands the opportunity it requires. This has been mainly due to the lack of hours available for instruction, and again suggests the propriety of extending the course another year. The increasing demand for a more finished product in the graduate of medicine, if it continues, will force this step upon us sooner or later. We may meet it by at least offering an optional additional year, to be devoted to the more specialized divisions of medicine and surgery. This applies with peculiar force to neurology and psychopathology. Fortunately we have the assurance of greatly increased facilities in these two departments in the extension of Bellevue Hospital and the creation therein of an enlarged psychopathic and neurological service. Properly organized it should furnish opportunity unequalled in this country for the study of disorders of the mind and nervous system, especially acute and transient insanity. In this connection it is important that we increase in our own dispensary facilities for the treatment of the many cases on the border line, which are to be met with all too frequently in homes rather than in hospitals or asylums.

A fitting conclusion to this report is presented in the subjoined

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APPENDIX VI

REPORT OF THE SECRETARY OF THE ITHACA DIVISION OF THE MEDICAL COLLEGE

To the President of the University:

SIR: I have the honor to present the following report of the Ithaca Division of the Medical College for the academic year 1907-1908.

The registration in the Medical College was this year 65 students, of whom eight were also registered in the College of Arts and Sciences as candidates for the A. B. degree. The total number of students, therefore, is the same as last year, while the number taking the combined course was increased from five to eight. In addition to those studying Medicine, there were in attendance in the department of histology and embryology, 28 students from the Veterinary College, 16 students in Arts and Sciences and three graduate students, while in the department of physiology, there were 33 students from the College of Arts and Sciences, 19 from the College of Agriculture, and four graduate students, the total number of individuals receiving instruction in Stimson Hall being, therefore, approximately 144, with a total registration in all courses of 593 students. Many of the students from the College of Arts and Sciences, thus registered in Stimson Hall, are either prospective Medical students or possess a more or less direct interest in medical science.

The curriculum as followed this year has been the same as last. As has been stated in previous reports, it is greatly overcrowded and yet additional work next year in certain subjects is urgently called for. With the requirement of physics and inorganic chemistry for entrance, which will be in force year after next, a remodeling of the curriculum will be called for and the congestion and certain illogical sequences in the present course of study can doubtless be obviated.

The instruction in the various departments of the Medical school has been carried out with energy and enthusiasm on the part of the teachers, and fine perseverance and application on the part of the student body, with excellent results.

In the department of anatomy there has been the customary attendance in the required courses, while four students have taken

advanced work. The instruction has progressed smoothly, "the work of the students has been made more independent and the spirit of investigation has been fostered more strongly. In addition, the recitation work upon systematic anatomy has been concentrated in optional courses which have received the appreciation of the students." Dr. Kerr heartily commends the work of the staff. Dr. Schaeffer and Instructor Baldwin have devoted themselves to the department with untiring energy and in addition have done some excellent research. The work of Dr. Hathaway and Dr. Wright has been excellent and Drs. Pease and Prince have been faithful and painstaking in their teaching. Four of the instructing staff, however, were not devoting their entire time to the work of the department and Dr. Kerr regrets that sufficient compensation is not available for the securing of men who are making anatomy their life work.

The attendance in the courses offered in the department of histology and embryology has been 101 during the present year. Due to the resignation of the first assistant, Dr. E. A. Reed, and in view of his retirement at the end of the year, that he might not determine for his successor the assistants he should have employed, Professor Gage has conducted the work of the department with the help of men who were not devoting their whole time to the department. While they were capable and faithful, the limited time and energy they could give has made it necessary that detailed oversight of the work of instruction devolve upon Professor Gage.

Through the retirement of Professor Gage from the work of teaching, for the purpose of devoting himself exclusively to research, the Medical Faculty will lose a member of great force of character, honesty of purpose, and unfaltering devotion to high ideals of scholarship; the students, a teacher of wide experience whose clearness of presentation and enthusiasm will be difficult to replace. His cooperation will be greatly missed. He retains, however, his private laboratory in Stimson Hall, and while it would be an imposition to claim his ever-ready help and counsel as freely as in the past, it is a satisfaction to know that an adviser of so extensive experience and sound judgment is close at hand, while the example of devotion to research will be an inspiring one for teacher and assistant.

In his last report, Professor Gage offers some suggestions as to the future work in the department over which he has so long presided, that will be markedly helpful for his successor. For the Medical school as a whole, he urges a more carefully worked out

curriculum in which there is more coordination and less concentration of subjects and an instructing staff devoting their entire time to the branch they teach, which they intend to make their life work.

241.

In the department of physiology and pharmacology, the attendance this year has been greater than ever before; 113 individuals have received instruction, the total registration in all courses being The work has progressed with smoothness and the teaching has been conducted with energy and enthusiasm on the part of both students and instructors. The work of the assistants in the laboratory has been very satisfactory. Dr. Dresbach, as instructor, has proved himself an excellent laboratory worker of high ideals. His devotion to the welfare of the department and his appreciation of original work fully merit recognition which I hope may be accorded him soon.

In the instruction of Medical students in physiology, the plan of closely coordinated recitations, demonstrations and laboratory work has been employed in the major course as last year and the value of carefully arranged laboratory work in physiology becomes more apparent each year. A closer correlation of the course on metabolism with the work in physiological chemistry is desirable and doubtless will be possible when the schedule is remodeled. The arrangement of rooms used in the department is now fairly satisfactory, although the problem of a demonstration room is still unsettled. The shop room in the basement has been exceedingly useful. A mechanic for the department is much needed. The equipment for instruction in experimental physiology is quite good, but there are still some gaps in the equipment for demonstration and research that need to be filled.

Half of the students registered in the department of physiology were from outside the Medical College. The increasing number of such students indicates the demand that exists for the adequate instruction in human physiology as a basis for an appreciation of the laws of health and as a preparation for secondary school teaching. The course as given needs extension with the incorporation into it of carefully selected laboratory work. At present, both the equipment and instructing staff are inadequate for the proper development of this important side of the work in physiology.

The work in pharmacology has been carried out by Dr. Wilson and Dr. Dresbach along the lines laid down by the professor in charge, and has been quite satisfactory. Dr. Dresbach conducted the course on the physiological action of drugs, while Dr. Wilson

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