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MEDICAL EDUCATION

dard will deplete the medical profession of the state. On the contrary, it has been adopted as a means of protecting a people already supporting twice as many doctors as it needs.

Though the students are few, the present provision for their teachers is on too unpretentious a scale. Unfortunately, like all the western states, South Dakota is already scattering its financial resources among half a dozen competing state institutions. Of its seven tax-supported institutions of higher grade, three give the A.B. degree and the others desire to do so. It will prove decidedly unfortunate if these institutions are not in their infancy coördinated, so as to form a genuine system rather than a number of separate, warring units. A population of half a million in a new country will do well to sustain one substantial state college with departments of law, medicine, etc. It can do that only by concentrating its outlay.

Tennessee

Population, 2,248,404. Number of physicians, 3303. Ratio, 1: 681.

Number of medical schools, 9.

CHATTANOOGA: Population, 34,773.

(1) Chattanooga Medical College. Organized 1889. The medical department of the University of Chattanooga.

Entrance requirement: Nominal.

Attendance: 112.

Teaching staff: 25, of whom 11 are professors, 14 of other grade.

Resources available for maintenance: Fees, amounting to $4290.

Laboratory facilities: The school occupies a small building, externally attractive; the interior, dirty and disorderly, is almost bare, except for a fair chemical laboratory in good condition. The dissecting-room contains two tables; the single room assigned to histology, pathology, and bacteriology contains a few old specimens, mostly unlabeled, and one oil-immersion microscope. The instructor explained that they "study only non-pathogenic microbes; students do not handle the pathogenic." There is nothing further in the way of laboratory outfit; no museum, books, charts, models, etc.

Clinical facilities: Amphitheater clinics are held at the Erlanger Hospital, which averages about 50 free patients. Students may not enter the wards. Perhaps ten obstetrical cases annually are obtainable, students being "summoned,"—just how is not clear. The students see no post-mortems, no contagious diseases, do no blood