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MEDICAL EDUCATION

the higher standard can do good work on the lower basis. In the south now is it more important to destroy commercial schools by collecting in good university institutions a sufficient body of students, or to provide high-grade teaching for a few, leaving utterly wretched teaching for the vast majority? The dilemma is worthy of very careful consideration.

A word as to the colored school at Raleigh. This is a philanthropic enterprise that has been operating for well-nigh thirty years and has nothing in the way of plant to show for it. Its income ought to have been spent within; it has gone outside, to reimburse practitioners who supposed themselves assisting in a philanthropic work. Real philanthropy would have taken a very different course. As a matter of fact, Raleigh cannot, except at great expense, maintain clinical teaching. The way to help the negro is to help the two medical schools that have a chance to become efficient,—Howard at Washington, Meharry at Nashville.

North Dakota

Population, 536,103. Number of physicians, 552. Ratio, 1:971.

Number of medical schools, 1.

GRAND FORKS: Population, 12,602.

State University of North Dakota, College of Medicine. Organized 1905. A half-school. An organic part of the state university.

Entrance requirement: Two years of college work.

Attendance: 9.

Teaching staff: 9 professors and 7 instructors take part in the work of the department. The professor of bacteriology is State Bacteriologist.

Resources available for maintenance: The department shares in the general funds of the university. Its budget amounts to $6300; income from fees, $450.

Laboratory facilities: The laboratory of bacteriology, being at the same time the public health laboratory of the state, is well equipped and very active. Subjects given in the regular university laboratories are likewise well provided for. For the specifically medical subjects—physiology, pathology, anatomy—the provision is slighter. The students are, of course, few. A library and museum have been started.

Date of visit: May, 1909.

[See South Dakota, "General Considerations," p. 301.]