The Columbia evening Missourian., 1922-04-27

ly throw important light on many line
of work in pure science. Above all yo'
secure a stronger scientific group in you
university.
| DIVISION CALLED ILLOGICAL
$50 great are the advantages OF univer
sty location that, in the words of Prosi
dent Alderman: Nothing would jusiif,
the separation from a great and GROWN;
university of an organic and essential par
of the university except incontrovertiblt
proof that the necessary processes OF edu
/ caiional work of that department cOuld
not with proper money and legislation be
carried on within the university. An,
other position would invite general dis
memberment and dissolution As abhorreni
! to an institution As to an individual. This
think the core of the matter. Division
Of the four-year medical course is illogi
cal and impraciicablc. The fundamental
medical sciences must be closely connect
ed with the hospital for purposes OF
teaching and research both in the medical
sciences and in clinical subjects. This
need has become more apparent with the
Developments in medical science in the
past 10 years. The interdependence of
the medical and other sciences is becom-
ing more and more intimate.
so indispensable is correlation of the
work Of the first and second wears with
that Of the third and fourth that only one
or two courses would be open To the uni.
,crsiiy with clinical teaching established
in Kansas CITY. Much of the work of
the elementary years would of necessity be
duplicated in Kansas City. or. on the
other hand the whole four years of work
would be offered there and medical teach
ing discontinued at the University. The
first alternative would be wasicful if not
prohibitiye in point of cost: the second
would be step toward the dismember-
mcnt Of the University and unthinkable.
1t is abhorrent TO contemplate and per
haps illegal TO execute.
For third and fourth year medical stu
dents sufficient amount and variety of
clinical material is necessary but unlim-
tied material is not necessary. \ clinic
of 500 beds for a school graduating 100
students annually is all that the school
,an profitably use. Hence although there
is more clinical material easily access
: l., IN L =.
not the same thing as saying that adequate
facilities for the clinical teaching of third
and fOurth-year medical students cannot
be provided in Columbia and with no
greater cost TO the state.
FAyoRs UNIFIED CONTROL
THE only safe plan is to have the teach
ing hospital and the medical school under
the same governing body. With separate
and especially with political control of
the hospital, there is constant danger of
and upintelligent limitation
of the teaching privileges in a hospital.
To make a municipal hospital in Kansas
City the essential reliance of the state
medical school for its teaching clinic is
to court disaster.
The other great essential of success.
full clinical teaching is the employment
Of vocational teachers of clinical as well
as of scientific branches. Teaching is
mans job and man must put into it
the very best that is in him. The primary
interest with the clinical teacher must not
be the demands Of a private practice; it
must be the bedside teaching of medi-
cine and surgery. There are grave prac-
teal difficulties in the way of establish
ing the vocational system of clinical
teaching in large city. Vocational teach
ers cost more than ayocational teachers;
but the cost is not prohibiiiye and it is
as great or greater in large cities as at
the University.
All experience shows that if you build
and equip great modern hospital and
place in it a competent staff, patients
will come to it in constantly increasing
numbers. They come TO the hospital
because of its reputation.
Certain inevitable difficulties in es-
tablishing teaching clinic in a small
town have been urged as arguments for
location in a large city, where these par
iicular difficulties do not exist. Care
full analysis shows that none of these diff.
hculties are insuperablc and that no es-
sential element Of clinical instruction is
sacrificed by university location. Sepa-
tate location, on the other hand. involves
the irremcdial sacrifice of most of the