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

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QQ ifff-3232 -iiiff 'f F1 FE ll I1 lil 53 tl r il ll lil li 1 J l li' 1 up 1 u li ily 1 3 gs Ee 51 D lf VAS l x H lil 1 l 1 ll if ti ll in : u El Ai .ri Ml fil rEfQl'm 7 ll Q xx' H' 71 gl lil its El 5' I r :AI V . L rid v 1 v Nl ax vi E43 M45 ,lv . .15 , :fn 4- Q.--S . H ENRY M1TCll ELL SMITH Clinical Professor of Ofllllilllllllllllllg-V M.D., Long Island College Hospital, 1893. Hospital Connections: Attending fVisitingj Ophthalmologist. L. I. C. H.g Consulting Ophthalmnlogist, Nyack Hos- pitalg County Ophthalrnologist, Nassau Hospital: Ophthalmologist, Helen Oph. ASV. Society Memberships' A INIA Kings Co Brooklvn Medical Club, Alumni -' 1A Association, Adelphi College, Assoc. Physicians of L. I. i -ff ,. ' -'r- .4 X 'L 'ti 5 l i f, V.,-f , 1 ugl X. 1. :U K K qw . Ml f 'li fm ' 'A ll' ,lgwtaolligtln l V' g--ww , LC H ,l X L .,. , y 1 r jtlii, il' f 'sg 1' ' i sw 'Cf' s I ly-5 f. iQ H .EE iii .ff 1 L 'f'L5ffjZ Page fifty-eight

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lj eurolog g 15 ie' i -Q E T-,Vg i -4 5-.Q 2' I ' 1 . 2.-'inf' J 1' T .car 'ff 4 'q,w mn' fi .seg .1 513352 .QAJZLQ g11..v..Z?,.E, fade? TESL ' .E4regL'l5.2ZIQ7l?.lIlZIE'aB2!2.geQBQ5'Z IQEZQZE, .1 tgp, l It is perhaps of interest to the medical student, on the threshold of his career, to inquire what proportion the different specialties in medicine bear to general medical Work. At first the student quite properly considers the healing 21l't as composed of two great divisions,-medicine and surgery. But as he progresses, he realizes that the two great divisions further subdivide and differentiate. The various vital regions of the body demand accentuated interest for a special definite, skill is imperative. Thus emerge into medical specialization the intensive abilities of the internist, the pediatrist, the neurologist, and the surgical adepts in obstetrics, gynecology, etc., etc., to the number of a dozen or more. In order to approximate the proportion each specialty bears to medical work as a whole, certain comprehensive hospital records of admissions by service have been examined. The percentages run roughly as follows: medicine 1976, surgery l7'Z,, obstetrics SQL, gynecology ZW, genito-urinary 324, skin and syphilis 3th, pediatrics YZ, neurology 107 , psychopathic l9f-1., drug-addicts 278, etc., etc. As only a small though rather constant proportion of medical graduates become actual specialists-that is devote their energies exclusively to one branch, the above figures have merely a passing interest to the majority. But for the minority who do intend to specialize it may be of significance to note how large a place general neurology occupies in medicine. The scope of general neurology is tremendously comprehensive when considered in its entirety. The nervous system is not only the most ditfusely spread in the whole body, the most highly organized and delicate tissue, but it is by the very nature of its development through the gradual process of evolution the motor, the instigator, the reason itself for the existance of all the other parts and functions. Combining the above figures of neurology, psychopathics and drug-addicts it appears that 3l'k, or almost a third of the vast domain of medicine, comes under the scope of that which has been designed as the most intellectual of the specialties. Certain it is if the greatest study of mankind is man. the greatest study of man is neurology! Anyhow, as the Cobbler said, there is nothing like leatherll ROBERT ORNIISTON BROCKXVAY, M. D. Page fzfiy-sctfcn Wi l lil lg sl lg fl i til ,li Ml li Sl '-4' 'H .ll il gil U, El A-,I l H! wall 5: if U lull i 1' lik' li Q! 'url llhil ' lil 1 Y lil ' 5.41 ' 1 if ll PQ--J, til, pu ii' it ,szlf 'H tg.. up zur nl if I 'FE til QQ,- ye. al lm l - A iv l 151 .-N, lff1l :H : f5f.4l ll A ,ig . y at A: ldl' ,. bbw 5 .1-J ' 1- f. -ug ,g,1,.,. -ull'-fa ,. il .. f' 41-9 iii? .L Q.-at y. 1 r Cin.. ' 3. 'if' if-f V -sflzfh ' li' ll? 'Isa if ' . as --s ij. ei ri l ,l',.. .-, r 'KS' .rmlli be J 1 im, ' . ... '-fu

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1 Tu ,pa V. -:faire -.:r:.1wirf1:f-, have wveww- -frcjfzfm,-qyawfgqwmfe -::,:g.-511.-1,,gc,-,,f:g: - ge,-te age L -L-Q-sim -.im ,fue 2 J mir:-E., -,fiQ: .:siff:f wftggigau: .f.t.g.se-fa 15411, Era' '- timem:i!Ea15s.mvfaa?srz1teefma3::a1rz:femi,g-www f':-gm' gi' .pfsae2m ,gygwraw::Qz'vM rt',g,i' 1f-rr:,ii ,1:GA:arsernm:seatgQqgz,n5f':r,g 1 ss Xt :bk Q NX: f' gg -J 1' i X 'L ' .mu 1 mug, . Q.. 2 -Nu! W ' -51-E11-I!-if,r.'lL-1222viii- .J-Q71 1v-'g'f:9- e' :i 'SLLM1Q5137b rZi'2S?, Z3f13I'??. 'iI9Z1i9 C5F'E Arif-'flfi'-Y-'RSL'-JB. ',f1g'.-'-'S K'1.f G-E .'?5.4 43L'fk-TT' if ' ' ' ' HE pl in of making clinical study with Specialties elective, has not .rip yr xx orlted out exactly as hoped, owing to the fact that so large a number of M ,Ju the fourth year class elected the same subjects. As a result of this, in order l Specialties by the State, the sections had to be so divided that each one, of necessity, was composed of several men who were not especially interested in the ,Q N i . , .. rfsqf -if f' f 4 ' jj lf that the students should get the minimum number of hours required in 5 -5555 may E rr w - - is - ' ' ' ' subject they were forced to take. This situation presented a problem somewhat difhcult to handle. lt was strongly felt that Elective Specialtiesu was correct in principle, and while difficult to carry out in practice, nevertheless, an effort should be made, on behalf of those who had signified their preference, to enable them to satisfy this as much as possible. A sort of compromise was therefore effected. lVIore intensive study was permitted and offered to those of each section who were specially interested in the subject. Those students were given actual work in the clinic and really became almost a part of the working force, the rest of the section not being pushed beyond a reasonable and necessary minimum of attention to the work going on. This plan seemed to work out fairly well from both angles, the interested students were given a close-up survey, and we hope, were shown that in this department of their own school, there exists abundant opportunity for practical prepara- tion in Ophthalmology, and on the other hand, those not specially interested were not overburdened, and did not retard the efforts of the others. The work of several of the students has been of real value to the department, and we take this opportunity of thanking those who have so helped us. Regarding the general plan of teaching Ophthalmology, we feel that the return to the system of giving preparatory lectures to the third year class, has shown its value, if for no other reason than that it may give a fairly broad viewpoint and may help to determine one. for or against. future follow-up work in the fourth year. HENRY M. SMITH. Page fzfly-nine