Jefferson Medical College - Clinic Yearbook (Philadelphia, PA)

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jefferson and The Future By 1. M. cooN, A.B., M.D., Ph.D. The accompanying facultyfcontributed articles of this, The 1964 Clinic, take. some looks into Jefferson's past. For balance and perspective, it might seem appropriate to look forward as far into jefferson's future as we can look backward into her 138 year past. But this would take us into the hrst year of the twentyfsecond century, which would necessitate our imagining things wildly, indulging in fantasies, and squinting into the hazy blur of the unpredictable reaches of the future. So let us shorten our span of forward view by one hundred years and look ahead for 38. That will take us to the year 2001, when some of us will still be living and will witness the outcome of our predictions. In the next 38 years, the growth of the Jefferson Medical College and Medical Center, in all aspects of its activities, will far exceed the growth of the last 38, which itself has been remarkable. Its square and cubic footage growth for the next decade is already well delineated. Anyone who has been around our College for a few months now, and who has had his eyes and ears open, already knows much about the immediate tangible, physical future of Jefferson: the future that involves the bricks, concrete, stones, and steel which will be shaped into a new Jefferson skyline in the next few years, and which will cast their morning and afternoon shadows over what may rightly be called a jefferson campus. Before he graduates, the medical student who is now a freshman or sophomore will witness the com' pletion of the new jefferson Hall, which will house the teaching and research activities of the six basic science departments, and a student commons facility including swimming pool, gymnasium and other recreational fa' cilities, lounges, cafeteria, bookstore, meeting rooms, and living rooms for visiting guests and alumni. The basic science part of Jefferson Hall is the result of five years of dreaming and two years of feverish detailed plan' ning by the basic science faculty, and it will incorporate the best that their collective knowledge and imaginations could conceive for the purpose of executing the prime functions of teaching the first two years of medicine and research in the medical sciences. Two features of the building are expected to facilitate the teaching of the medical class. Escalators will enable the students to get to class on time, and the experimental laboratory teaching in each department will be carried out in six relatively small laboratories, each of which will accomf modate only sixteen students. The completion of jefferson Hall will have two other more profound effects on life at Jefferson. The Depart' ment of Anatomy will join theother basic science def Professor of Pharmacology and Head of the Department. partments in the new building, and the Daniel Baugh Institute of Anatomy will cease to exist. The demise of DBI will be received with mixed emotions, especially by those who have enjoyed and tolerated its many lov' able inadequacies and inconveniences throughout the years. But DBI is an established Jefferson tradition, and by the turn of this century it will not be forgotten. The other important effect of the construction of jefferson Hall will be the release of the present basic science facilities for occupancy, following modernizing renovations, by the clinical departments for use as offices and much needed research laboratories. These changes will more than triple the space available for research at jefferson. In addition, a building in the Walnut to Locust block, betwen 9th and 10th Streets, has recently been purchased to house the Eleanor Roosef velt Cancer Research Laboratories and Radiation Biol' ogy, and an Institute of Behavior is proposed to occupy a new building directly across 11th Street from the Student Nurses Residence. The existing building on the southeast corner of Walnut and 10th Streets is to be acquired and renovated to house the medical library and college administrative offices. For the first time in its history jefferson will provide rooming accommodations for medical students, single and married. The present first year student will see the completion of a new residence hall, where he, will have the opportunity of living before he graduates, if he stays single. Conveniently enough, this building will be located immediately south of the Student Nurses Resif dence. Residence facilities for married students, house staff and graduate nurses are also projected in adjacent areas of the same block. Less definite than the developments mentioned above, but much needed and preliminarily planned, is a five story parking garage topped by six floors for offices for Jefferson's medical staff, and six floors for private patient rooms and hospital facilities. This would be placed on 11th Street between Sansom and Chestnut, with bridges over Sansom Street to the Foerderer Pavilion. The expansion program outlined here will cost subf stantially more than the 41 million dollars tentatively budgeted thus far, and the time of completion of the program has been set at 1975. The growth of jefferson, forward, outward and upward, however, cannot stop at a prefset cutoff date. When growth ceases, def terioration begins. But, as important as growth in size is the inward growth, or the development, coordinaf tion, and training of the big muscles we are building up. If these are not flexed with finesse, the cause is lost in

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When Dr. Bye bought a new straw hat with his initials in the band, Beaver saw a chance for more fun: he went to the same store and purchased two straw hats alike Bye's in every detail except that one was V2 size larger and the other IA size smaller than Bye's hat. When Bye left his hat on the hatrack, Beaver replaced it with the larger hat. The next morning Beaver noticed that Bye had put paper in the band of his new hat to make it fit. Beaver then putathe smaller hat on the rack carefully adding Bye's paper iller. By carefully switch- ing hats each day, Beaver managed to drive Dr. Bye to the brink of decompensation. Still another of Beaver's pranks involved finding a red pencil whose color exactly matched that of Dr. Bye's fluroscopy goggles. He would recopy all notes to his chief in this shade of red and place them on his desk. Bye, of course, would not realize there was anything written on the papers on his desk until hours later when he took off his red goggles. The shock of finding un' attended-to missives beneath his very nose was more than the poor man could take. There is a story about a resident neurologist who was interviewing psychiatric patients in his room in an old building that stood where the present Pavillion now stands. He would greet his patients at the door in his pajamas and conduct the interviews in his bedroom. One day, certain rowdy residents took a fire hose, cut off the nozzle, and pushed it under the neurologist's door in the midst of an interview. They turned on the water expecting to hear great screams of consternation. But there was silence. Five hundred gallons later and still no reaction. They opened the door. Out poured the water, empty cans, a few shoes, but nothing else. They found the patient and the neurologist sitting in chairs in the bathtub safely out of reach of the tides calmly continuf ing their interview. It is said that if a bucket of manure fell from the sky it would land on Dr. Cassey Barnett. On his irst day as an intern, he was informed that he was to make rounds with Dr. Deitrick. Cassey became so flustered at the prospect that he dropped a bottle of urine on the floor. Stepping back to avoid the splash, he knocked over a bucket of soapy water the janitor was using. Leaning over to pick up the bucket, three tubes of blood fell out of his coat pocket and shattered on the floor. This was too much for Cassey and he fled in horror across the soapy floor. As he hit the ward at full tilt he lost his balance and slid to a crashing halt at the feet of Dr. Deitrick. The Chief helped Cassey to his feet, but as Cassey got up he knocked a chart rack over onto a cardiac patient who was getting out of bed for the first time in a month. The first time Dr. Barnett did a pelvic examination he was confronted by a nervous clinic patient. Reaching down into the drawer for a speculum, his crewcut brushed against the inner aspect of the thigh of the rather obese patient. Her thighs clamped together snapping Cassey's glasses and imprisoning his head in a fleshy vice following which both patient and student fled! One night Cassey called the ward, and in a whisper wanted to know if he could admit a convulsing female patient from the accident- ward. The only problem, he whispered, is that she is actually a he and what should he do? Worry about it when we get her up here, advised the resident. Yes,l' replied Cassey, but where will I tell her children she will be? When a new head of the Department of Medicine was installed, Dr. Cassey Barnett was on hand for a bull session in the new Chief's ofhce. With a flourish of the arm he knocked an ashtray laden with ashes and butts onto the floor. With both hands he scooped up the debris and put it back onto the desk, but it was not until he had finished that he saw where he had dumped the refuse: right into the Professor's open briefcase! Many of the alumni will remember Hattie Miller, an asthmatic patient in room 916 for well over a decade. She was quite irascible and if one was not careful to get on her good side he would find himself called in the middle of the night to give Hattie some uanninof phylin Cas she called itj. She demanded that the drug be given in a certain vein on the back of her hand with the smallest possible needle. Things were fairly quiet while Dr. Lingfest was around, but then a senior medical student named Joe Bodge cured Hattie of night calls for quite some time. He was called at 3:00 a.m. to see Hattie, and he gave her her medicine in the smallest vein he could Hnd through the largest needle commercially available. Dr. Bodge became more famous by controlling patients' urine flow with a catheter and a Hoffman clamp. Another student fwhose name is not known, once silenced a Professor of Biochemistry in a unique way. While the latter was busy chastizing another student, our hero slipped a rubber hose into the Professor's pocket, connected the other end to a faucet and turned on the water. The Professor stopped his diatribe as his shoes filled with water! Our final tale is about Dr. Deep and his surgical pit. He had a slide of the 99 various positions in which one might encounter the appendix, and he would show this slide with dreary frequency while the resident pointed out structures with a long pole. One day, as the lights went out and the appendix went on, the resident fDr. Mongoosel raised the pole to the screen, suddenly, the screen filled with the shadow of a rather large fish- obtained from the Reading Terminal market, and tied with a string to the tip of the long pointer.

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a state of muscle hound torpor. We can sit here and wallow in the dollars by the many millions, and glory in the lush fineries of our shiny new architectural structures to come, and in our more and more efficient and expensive tools for research, but have we given, are we giving, a commensurate amount of thought and planning to the building of our intellectual ediiices of the future? Yes, much thought is being given to such vital matters. Each department head at Jefferson has visions and plans for his depart' ment as he believes it should develop in relation to his view of the future of his scientific discipline or medical specialty, or of the total structure of medical science and practice. Though it is difficult to make detailed concrete plans, as for buildings, for this aspect of our future, it is possible to set the stage so that the lustre of jeiferson's most important products-teaching, ref search and service in medicine-will more than match that of the physical setting in which they take place. There is no denying the fact that money is an excellent stagefsetting prop, for with it good facilities and good salaries can be provided to attract men capable of assuring an outstanding future for Jefferson. But the attraction of such men is even further facilitated if strong men are already on the scene and if an out' standing future for the institution is already assured. The future of jefferson as a medical college and a medical center is related to the future of medical edu' cation, research and practice throughout the world. In this relation Jefferson will not be satisfied to follow the leader. jefferson will set, not follow, the pace. To do this requires men of vision, and it is fortunate that men of vision are now at the helm, The following are a few predictions of things to come at the Jefferson Medical College by the year 2001. 1. The College will become a part of a university and will then be known as the Jefferson Medical College of ............ University. Such an aiiiliation will be consummated in the next four to twelve years. 2. Shortly after the completion of jefferson Hall, the size of the entering class will increase from 175 to 192. In succeeding years, in spite of persistent resistance on the part of the basic science faculty, and because of persistent pressures from various quarters, the freshman class size will mount inexorably to a maximum of 240. But appropriate adjustments will be made and the quality of the teaching will not suffer. 3. By 1993 Jefferson Hall will be grossly inadequate for the basic medical science teaching and research functions, and by 2001 the construction of a new basic science building will be complete. A 50 million dollar building will be built in six months. 4. Premedical college education will regularly be taken in three calendar years, students attending school during the summers. Many exceptionally good students will be admitted to jefferson after two full premedical college years, including summers. 5. The regular medical college curriculum will be presented in three years, including summers. A four year program will be available for those wishing to take a year of research of special studies and graduate with honors. 6. The cost of research at Jefferson in 2001 will be 25 times and research productivity will be 10 times the 1963 levels. Medical students will play a greatly increased role in research, and the program of graduate education leading to advance academic degrees in the basic and applied medical sciences will increase in the breadth of its scope and grow to 10 times its present size. 7 Q riser , 1. .. is it : ,., ,, Tearing down the old to make way tor me new.