Long Island College Hospital - Lichonian Yearbook (Brooklyn, NY)

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J E 1 'i 1,1 AA i A I Y A W i L V , VJ W , Z, ics., .. -W., if - -f 1 -. - -ai, - bags.: f:ui3324:wi::vfw::v1gr1:vN,'5i1.?!g , A . . V -- - B+.-ff A - :' 'J ' Q ' ' p A E.. g .S ig YM. 7 M Vi as Wa M Hi lit? . iq if lf? r VE i li eil Y: fl lli ry ii ggil fi? tr V21 E gl rfu ri : l til lhi 1, N b if? 9. Li' 1 1 lag? il? ljylll N , i 3 id fl at a is a ra V 1 llifili Vi' at ..,. bi ,Qi if 1 sr. . L -is 2 if-z ,,.', lf -i ' -- - if. . + ,-if .- af ,fa f H, if 5- 'g'.i55'F,,ig5,LlL'F-32 M-sas -eff-2, 5135.11 beginning. For the medical aspects of surgical patients are naturally thoroughly covered in a good general hospital, a fact which allows a surgical interne to carry the medical aspects of his case, as well as the surgical, during his surgical interneship. This means that a year of medical interneship is desirable although not absolutely necessary. Formerly the recent graduate associated himself for a number of years as an apprentice or assistant in private and public work to an older experienced surgeon and after a number of years he would have sufficient experience and contact with surgical conditions, to give himself confidence in his own individual efforts. This method was rather lengthy and often impossible to obtain because of the limited opportunities thus offered to large numbers of graduates. This difficulty has. in large part., been overcome by the well organized system of interneships geons established in a number of the best schools and hospitals in preferable method is to spend a well thought out number of years in conducted clinics, during which time the applicant acts as interne, and resident surgeon. during a period of at least five or more years and resident sur- this country. A one or more well assistant resident In the end such' a man is turned out a finished surgeon and able at the moment of leaving the hos- pital to take his stand in competition with the great majority of surgeons in most of the cornmunities in this country. ln other words, although the period of training may he looked upon as rather a long one, he obtains a concentrated experience during this time, welfare is assured him and at the end of his period of training he becomes an experienced, safe surgeon and is able to practice his science and art with a greater satisfaction to himself and certainly with better service to his patients. ln such a period of training liberal contact is afforded with the pathological and diagnostic features of surgical problems and while acting as assistant and later as independent operator under the guidance of experienced surgical teachers, surgical principles and practices are made so thoroughly a part of the young surrreon. that he will of necessity carry his surgical ideas and ideals with him throughout his own career and incidentally bring a good influence to any community and among his colleagues wherever he may choose to practice. A The Long lsland College Hospital is fortunate, in being able to offer to a limited number of medical graduates opportunities to get in contact with the field of general surgery and the resident system has already been productive of careful diagnostic methods, good records, useful for future medical publications, good care and treat- ment of surgical patients and opportunities for progressive training of younger surgeons, As an additional valuable course to the undergraduate in surgery, it is fervently hoped by the surgical department, that as soon as funds are available. to institute a class in operative surgery and an experimental laboratory in which teaching and research can be conducted on live animals. In other words, where the fundamental principles of surgery can be taught to the undergraduate student, in the same manner in which it must of necessity now be taught in hospitals after graduation. whenever such a class is unavailable for undergraduate instruction. This is the one additional course in surgery which, at the present time, is most desired by the surgical department. and to which we feel every undergraduate and graduate of the Long lsland College Hospital should give his ambition and effort. EMU. Goerscri. rataaarav .ing . ., lliil ' I ' l-' 1, ., tsirtvea Il i 'l , '!-.I -.1 1 ,.-.4 - rc c.: s ,,,.- V-1 -1-4,5 ,g- L..i,--.:---J Page fifty

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'Q at fi e s lfil ity LN i ,. yi Bri 5--' 57-' :iw .f: A.-f n 771 :-, Ps-itfell, -.',,- 2:25-Jim: .'.1 :,5'p-f,n!.- '.-.. 1 -5.1.11 ,.',': -,-, f farm 'g'4 qQ1u:Z44:geQ5l3gef-.E113334 fs? i l? sts? Ji n ri ff y . i 2 - fa? X? Jil f' Ni l Lf , J A,,, . .,,A.. , 4, ..,.. k.A.,, W ,,,.,,,Q.,.,, .,A,.,.,?. , -ZZiz'1i.fi::e,f,5q. ,.,. viii! . . . . . ilfii URGERY'1s designated' in the medical curriculum as one of- the three major subjects of medicine, surgery, gynecology and obstetrics. That general surgery is, and should be so considered, needs no argument at the present day. There was a time, to be sure, in the history of medicine 'L when surgery was a mere adjunct to medicine and being practiced by the barber surgeons. With the advent of greater knowledge of the art of surgery as Well as medicine and particularly with the strides made during the so-called antiseptic and aseptic stages of surgery, the latter has reached a point of development which is so UN great that it is diflicult for the recent graduate to grasp the immensity of it. ml F, It is for this reason that medical faculties have tried in their teachings, not to cover the realm of surgery any more than they attempt to cover the realm of any iw other subject, with the idea of making the graduate capable of practicing his subject ,ffl to the best advantage. It should he emphasized that- the fundamental training for any one of the major subjects should be as diversified and as thorough as possible, for 'EQ after all, surgery requires as thorough aknowledge of the fundamental sciences of medicine as any other branch taught, for example, medicine, the only difference being 55: in the therapy used. The surgeon should be a well trained medical man with an additional knowledge of mechanical therapy, namely, operative surgery. The mechanical surgeon who does not approach his patient in the same way that the medical man does, as a medical and diagnostic problem. and who is called in by the physician Hifi merely to operate after all diagnostic tests and examination of the patient have been lifj done, allows himself to become simply the operating tool of the internist and can 'ily therefore not claim a position much higher than that of a tradesman, such as a ,tl carpenter. The fundamental branches which the young aspirant to surgery should make himself particularly familiar with are. anatomy, physiology and pathology, for it is evident to every experienced surgeon that given a good knowledge of these subjects the surgical problem is rarely more than simple logic and well directed operative pro- cedure. When a disease is thoroughly understood in its physiological and pathological features, therapy becomes more a science and the cure of the condition is more apt if to follow. A good grounding in the fundamental sciences is the problem of the gf-,K medical graduate who hopes to equip himself for the practice of surgery. A year spent as interne in a well organized medical department of a busy hospital is a very desirable 'f . 'i!!iilii'?13 f Qqiiiffi 31 ,i,. -igia D li Llilelddlfltl lf' i 3495? ie, gffi-F55 fl iiila Page fo1'fy-n-inc ing

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ana-rfgfgf 95175 PROFESSOR GOETSCH and his Secfiun in Surgw-y - I I -