Richmond times-dispatch. [volume] (Richmond, Va.) 1914-current, 1922-01-27

hundred or TWO hundred and NIFTY
students. for comparatively small
schools are admittedly more efficient.
II Is perfectly clear that cOnvinc-
Ing considerations OF better general
education. character formation, teach
Ing power and skill In classroom ard
laboratory inhcrc in til. university
location and can never bc duplicated
elsewhere. Proof that the clinical
situation Is 50 unsatisfactory that all
these essential clements should be
thrown overheard must be forthcom-
ing or this whole proposition falls
to the ground. | leave the intimate
details and asscmbl!ngs Of minute
facts to- greater experts than In
this field. I shall attempt to show
that the clinical situation at the
university Is substantial. sufficient
and capable OF future growth The
training Tor "a doctors WORK demands
at least two years of training In
fundamental science In college, four
years in the medical sciences and in
the main clinical branches in "a med
ical school and year or 80 OF In
tcrneshiD or hospital work in uni
rcrsity or other hospital. Then only
Is the future physician fairly ready
to enter upon his career
Our concern at this point is there
fore. primarily. with training in the
main clinical branches OF the third
ana fourth years ot the medical
school. Let us keep In mind that 1t
Is quality. not quantity. of material
that is needed: that IL Is not the
number Of eases the student simply
sees. but the number he intcnSively
studies that counts. In his third
year the student needs training In
diagnosis through physical and lab
uratory examination. the taking of
histories, ct''.. and certain procedures
in medical practice. In the third and
fourth years. he must learn how to
take hold OF Il case OF illness, make
physical examinations. laboratory ex-
atninations and step by step make the
bedside study OF the case. He must
do this slowly There must be pa
tlcnts numerous enough and varied
enough. though not unlimited to fur
nish the material by which the stu
dent can be properly trained how to
study and treat cases OF Illness. This
material must tc conferred. not scat
tered. under the control OF the uni
vcrsity aud under the guidance of
real vocational teachers as far as
possible. These teachers. physicians
and surgeons should work in con
ncction with the scientists working
in coEnatc fields. This work must
go forward preferably in u teaching
hospital. What is the university
accomplish this training? The ma
jority report Of the medical commits
sion comedies that given financial
support and state lawsuit is possible
tn develop adequate clinical facili-
Ties at either place. Everybody. in
deed. comedies that. Michigan and
Iowa have proved 1t and there Is no
further argument about It. No man
IN America is better qualified to pass
Ilr al
Official Inspector for the Council on
Medical Education OF the American
Medical Association. He has in
spccted the University Medical
School I've times since 1907. DR..
Colwell states that the hospital elm
zeal material at the university met
the minimum requirements of the
Council on Medical Education. and
that as to quantity, the difficulty
was not in securing more patients.
but in finding room for them. He
also testf!cs to the highly efficient
use OF this material for teaching
purposes. Since 1907. the medical de-
Hartmcnt of the university has stood
In the councils highest rank Dr.
Colwcll deprecated removal and
stated that he had frequently urged
other institutions to adopt the elm
Teal methods in use at NirEint,. In
dependent proof OF this. of course
exists iii the fact that the university
is Class school with Il record for
successful candidacy before Amcri-
can state boards uncXCellcd in the
country. The supreme need is a
teaching hospital. l. e.. hospital in
which wards are connected with
laboratories and ciassrooms in which
disease can he studied and diagnosis
taught under vocational teachers. Its
clientele is not charlottesville. bur
100000 people easily access ible to il.
This hospital is not n series OF hos
pitais more or less centrally con-
trollcd. but a teaching unit controlled
by the university not subject TO poll
teal or municipal changes or vicis-
STUDIES. and its teachers are essen
TALLY vocational and not lpracti-
tional. The old theory that Il proper
hospital for teaching medicine must
pcriorcc be in u great city with uu-
limited clinical cases. stated by
groups Of active practitioners has
gone 10y the board. The example and
experience OF Ann Arbor, Iowa City,
Rochester and some half dozen for
cign cities have proven the contrary,
and in this proof have given the most
illuminating discovery OF recent edu-
cational history. In time there
should and there will grow around
the university hospital increasing
services. ana even institutions similar
in character to the Blue Ridge Tuber-
culosis Sanatoriun, with 40 beds.
afford:nS an uncaualed opportunity
10 our students to gain knowledge
of the diagnosis and treatment OF this
dread siscasc. I leave To the experts
the detailed discussion of the alleged
defects in the university clinic rs
compared with the Richmond clinic.
Let these he acknowledged wherever
they exist. My Claim Is that they can
be remedicd easier than the Rich
mond defects. which also exist, with
better results as 10 teaching and at
equal or smaller expense. The real
questions are these: (D Cap AIDE
uuatc facilities be built up at Char
lottesvilte? CD Is this university
clinic when built up. situated on uni
versity campus and in contact with
scientific workers and scientinr
ideals. likely 10 be Il better training
school in the service OF the State
than school situated in a. remote
city away from university stimulus
and life? The answdr TO this ques-
ton OF the hest and latest thought
of the modern medical world is, un :
doubtcdly, yes. Aud this is equally
true If the university must under
n a IN inf. In. tic