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AUG 28 1906

Contents
LIBRARY
ORIGINAL ARTICLES.
President's Address -

S. S. Wade, M. D. I
The County Society -

W. W. Golden, M. D. 4
Massage in Some Surgical Affections -

- C. A. Wingerter. 7
SELECTIONS.

The Sources of Infectious Agents - - -. Ludwig Hektoen, M. D. II

The Ideals of the Medical Profession - - - P llarwell Foshay, M. D. 14
CORRESPONDENCE.
Notes on the Boston Meeting. -

L. D. Wilson, M. D. 17
The Need of Rest - - -

J. L. Dickey, M. D. 20
The West Virginia Leper - -

- J. C. Irons, M. D. 21
RESPONSE TO ADDRESS OF WELCOME -

- F. Howell, 11. D. 22
EDITORIAL. I

Why We Are Here - - -
Our Thirty-ninth Annual Meeting

· The Pure Food and Drug Bill - -
STATE News . . . . .
TRANSACTIONS OF WEST VIRGINIA MEDICAL ASSOCIATION - - - - - 35

To Medical Journals—

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Fill subscription blank another page, put in a dollar, and do it at your first exam-

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To Non-Members,

Join the County Society, if there is one. If none, organize and form a part of us,
remembering that "in union there is strength.”

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Situated in center of the city. High, salubrious site. Abundant space for light and air. Fully equipped. Private rooms. Free charity wards. Full medical and surgical staff, but any physician may enter and treat his own patients. No cases of contagious disease admitted.

In connection with the Hospital is a Training School for Nurses, with a two year course of instruction. Separate building in the grounds for Nurses' Home and Dormitory. For information address

THE SUPERINTENDENT.

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COMMITTEE ON PUBLICATION:

S. L. JEPSON, M.D., Ch'n, Wheeling.
L. D. WILSON, M.D., Wheeling.

J. L. DICKEY, M.D., Wheeling.

Vol. 1.—No. 1.

WHEELING, W. VA., AUGUST, 1906.

Subscription Price $1.00 per Year.

Single Copies 20 Cents

Original Articles.

somewhat so as to keep it still unreached,

and at the same time not unreachable, for PRESIDENT'S ADDRESS.

in any avocation that class of men which

has already attained to its ideal has outlived S. S. Wade, M.D., Morgantown.

its usefulness, because with nothing more

to go forward to, they must go backward. Delivered at Webster Springs, June 20, 1906. And on the other hand, that class of men

which has a very distant ideal is likely to Members of the West Virginia State Med- become impracticable because of the hopeical Association:

lessness of ever attaining to anything near It becomes me to express to you my sin- their ideal. But every age has its reprecerest thanks for your kindness in electing sentatives of both of these classes and hence, me to the office of President of our body. we find these two extremes promulgated Of course I consider this a great honor, and even to this day. The one by our wealthy am very sorry not to have been able to ac- members, with everything in the way of complish more during the past year, but money at their disposal, and therefore the my intentions were good, my efforts were need of finishing a course and getting into my best, so I plead not responsible for my active and immediately remunerative work failures, which were many.

is with them a secondary consideration. And now, members of the Association. The other by our members, vastly in the ladies and gentlemen, I wish to speak to you majority, who are less favored in point of for a few moments this evening on “The wealth, and with whom the time element is Standard of Medical Education as Ad- the main consideration. Such were the prevanced by Organization.” The question of vailing conditions sixty years ago when the higher education as a requirement for the American Medical Association came into practice of medicine has always been of existence with a membership of less than great interest to the profession and of great five hundred representing twenty-one States, importance to the laity. For ages past the it set about at one of its first meetings with Christian physician has been looked upon one of its ablest committees to advance the as possessed of superior intelligence, and educational requirements for the practice of has been given positions of honor and trust medicine. But with a number of our States in his community and has proven himself outside of the Association, and with no worthy of it all.

restrictions as to practice on their statutes, Very early in the history of our profes- the recommendations of the Association sion we find efforts to lay down a sys- Committees were scarcely felt beyond the tematic course on which the physician was borders of a few of the eastern States. It supposed to prepare himself. The ideal is true that there were medical colleges of education of those early days was necessar- high grade requirements ready to adopt ily very elementary as we now see it. But such recommendations, but there were, also, each generation has advanced that ideal medical colleges of easier requirements bidding for patronage on the grounds of con- not but be astonished at the great variabilferring the same degree in shorter time and ity; for example, take the following report for less money consideration. A purely from the circulars of forty representative commercial argument but a very taking one. schools on the subjects named : Some of the States endeavored to protect Anatomy varies from 200 hours to 1,248 themselves by enacting laws requiring exam- hours; physiology from 96 hours to 450 ination by their boards of all applicants to hours; chemistry from 176 hours to 652 practice not holding degrees from medical hours; histology and embryology from 70 colleges within their borders. Other States hours to 450 hours; bacteriology from 45 recognized the degree from certain medical hours to 364 hours; pathology from 54 schools only and issued certificates. While hours to 512 hours, and so on. If we take still others, our own included, were a home the practical subjects of general surgeryfor all wayfarers.

medicine and obstetrics—the following ab· In 1867, when our State was less than surd conditions are found to exist : Surgery four years old, the West Virginia State varies from 64 hours to 1,168 hours; mediMedical Society was instituted for the per- cine from 140 hours to 1,232 hours, and obfecting of the plan of the American Med- stetrics from 67 hours to 320 hours. cal Association within our borders; and Against all this difference in the actual from that Society almost unaided have come amount of instruction received by medical whatever we have today of medical laws on students at the schools and also, against an our statutes, and of advanced educational equally wide difference in the degree of higher morals and purer ethical require education required to enter the school, the ments of our physicians. A number of the American Medical Assocation has contended medical colleges effected an organization without much encouraging result save the with the view of aiding in working out the increasing of the college term in years, even plan suggested by the American Medical down to 1904, when a committee of emiAssociation, but like our States, they were nent and experienced men called the Counnot all in the organization and hence the cil of Medical Education, was appointed hindrances were only removed in part, and with instructions to take up this question in fact, even seemed to grow from a with the Association of Medical Colleges, numerical standpoint, because from ninety Colleges of Liberal Arts, representatives of medical colleges in the United States in 1880 the Army and Navy, State and examining the number had grown to one hundred and boards and with public educators, and to fifty-four in 1903.

report in 1905. A part of these—sixty-eight—are mem

Here is the Council's report, which was bers of the Association of American

referred to a special reference committee Medical Colleges. A part-thirteen-are

and later adopted by the House of Delegates members of the Southern Medical College at the Portland meeting last year. Association. A part-forty or more—are

"The minimum standard requirements not members of any Association; because

now recommended prerequisite to the practhey refuse to make the usual requirements in education of those seeking admission.

tice of medicine consist of five cardinal And a small number, Harvard and Johns

points, as follows: Hopkins among them, decline to join any

1. Preliminary requirements to be a high Association because they believe that all the

school education or its equivalent, such as old standards are too low as to entrance would admit the student to one of our recogrequirements and as to requirements for the nized universities. degree, and have raised their standard of 2. Preliminary requirements to be passed entrance to a college degree and have made upon by a State official, such as the Supertheir full medical course five years. If we intendent of Public Instruction, and not by will take the trouble to examine into the an official of the medical college. real course as shown in the circulars of 3. A medical training in a medical college, various medical institutions, the number having four years of not less than 30 weeks of years in the course, number of weeks in each year of 30 hours per week of actual each year of actual work, number of hours work. given to each branch, and the number of 4. Graduation from an approved medical branches taught, and examined on, we can college required to entitle the candidate to an examination before a State Examining be asking for much, but we certainly are Board.

receiving little at the hands of those in 5. The passing of a satisfactory examina- authority. tion before a State Examining Board.”

Organization will stimulate our lawWith the carrying out of these require- makers, if looked after before elections, ments for entrance and for the degree, which out of the usual laxness, into an activity of will take, perhaps, five years, let us see how willingness and anxiousness to do for the a West Virginian, looking forward to medi- welfare of their constituents as to health of cine can be provided for with a reasonable body as well as to condition of purse. Our amount of money at his disposal and within water supply should be looked after as our a reasonable time. Our common schools are food supply in the way of meats is now growing in excellence every year and are being looked after. Rivers are the usual within reach of all for a term of from four water supply for city and town and are only to six months within each year. After sewers now-a-days. Each state could be completing this course, say at sixteen years furnished with a well equipped laboratory, of age, the High school course can be had subject to national supervision. Oganizain most of our counties, or a course at one tion of our profession will make this possiof our normal schools, or at one of the bility a probability. The National Federapreparatory schools, all of which have free tion of Examining and Licensing Boards tuitions, leaving the medical course of four will be enabled to establish reciprocity beyears, with tuition and living expenses to between the states so that a physician of any paid. But our State University at Morgan- state will be recognized as a legal practitown, is prepared to do more by the follow- tioner in any other state. ing two plans : First, by an arrangement with The Universal Signal System for Disthe College of Physicians and Surgeons eases, universally considered contagious and of Baltimore for our men, and by a like so ably championed by our Dr. Barber, arrangement with the Woman's Medical will be duly adopted. Any contagious disCollege, also of Baltimore, for our women, ease can be prevented by strict quarantine, both of which are standard four year and if, as Dr. Barber said, whooping schools, the first two years of the medical cough is the cause of death of large numbers course as prescribed by these schools can be of children, then let us place it among the taken in Morgantown with the advantage diseases requiring strict quarantine and let of free tuition, a saving to the student of at us support health officers in enforcing the least $300.00, and the remaining two years strict observance of such quarantine. Wait taken in Baltimore completes the course and on the people to learn? We have waited, and entitles to the degree.

now let them observe reasonable laws while Second, if a student desires a college de- they learn and so save epidemics and deaths gree in addition to the degree in medicine, in their midst. So long as we have a each of which is a four years' course, he “doubting Thomas” among us, no quarancan enter the combined Literary and Medical tine orders will be cheerfully obeyed. Let course and by diligence can in four years us stand together. Have we illegal practitake the college degree, plus the first two tioners among us? If so, let our State years of medical work, entering the Balti- Board and our County Board go hand in more School with A. B. and after two years, hand before the Court of Justice and aid in receiving his M. D. This combined course enforcing the law and so protect our prois growing in popularity and is the outcome fession in that community. . of the general feeling that with the average Investigation into the affairs of Life Inlife one cannot afford to continue his college surance Companies has exposed great waste work beyond the age of twenty-five, of funds, and who has been benefited it is whereas the separate courses would require difficult to say, but the medical profession two years longer, twenty-seven years. The has been greatly harmed by heavy reduction necessities of organization in our State and in examiner's fees. Organization will corin our country are so urgent, the benefits rect such uncalled for and unnecessary imso great and manifest, that it is hardly neces- position from these rich corporations, if it sary to do more than refer to some of them. be such. Our profession, through its committees on Let us urge more strongly upon our State legislation deserves great things; we may Examining Board the need of furnishing to

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