New Jersey College of Medicine - Journal Yearbook (Jersey City, NJ)

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The Department of Medicine at this Medical School has three inseparable and complementary responsibilities and functions: education, research and patient care. Its activities are centered at the Martland and East Orange Veterans Ad- ministration Hospitals. Involvement with the community is sub- stantial. One direction is indicated by the recent affiliation with the Newark Beth Israel Hospital. The educational responsibilities start practically the day the student arrives at the Medical School, and increase through the four years of the present curriculum, the internship, and the residency and speciality training periods. They include continu- ing education and programs for practicing physicians. The student's involvement with patients and his responsibilities also increase each year and, as an interne, he is the patient's physician. During the subsequent years, teaching responsibili- ties of the students and house officers also increase and so do the opportunities for participating in the development and application of new diagnostic and therapeutic methods and procedures. Further, students, house officers and faculty en- counter at first hand problems of urban American and can play an active role in the handling and prevention of some of them: malnutrition, alcoholism, drug addiction, environmental pollution, social and economic problems as well as health problems. The research programs of the Department are varied and range from clinical studies relating to delivery of health care to fundamental studies involving only bench work. These research programs are essential to the Department of Medicine. Participation of students, house staff and faculty en- sures a spirit of inquiry, a willingness to doubt dogma and a determination to learn and to extend knowledge and to apply lf. The Department of Medicine participates directly in patient care in many places. The most obvious are the medical wards and the Coronary Care Units. The Department also has a large share of the responsibilities for Ambulatory services, the Emer- gency Wards, the Ambulance Service and the Holding Ward. In addition, the Department collaborates in the Drug Detox- ification program and in the care of patients admitted to the Psychiatric Ward. Participation in the development of satellite health centers and in preventive programs is planned as is ex- tension of the concept of comprehensive family health care so effectively initiated by the students. The Department is now providing a measure of direct care for the population in the area immediately surrounding the Martland Hospital. It can increase the scope of its patient care activities and must do this without hindering the fulfillment of its other responsibilities and functions. It must seek to improve the quality of the patient care that is delivered in its hospitals and clinics. Progress has been made at the Martland Hospital. A more modern out-pa- tient facility is being built, new equipment is coming into Radiology and the Laboratories, there is more equipment on the wards, additions to the faculty are being made. Much remains to be done. We need more nurses, more clerks, more technicians and more orderlies and we also need improved and increased facilities of all types. Progress to date is only a very small step forward. The quality and quantity of patient care do depend on fac- tors such as facilities, equipment and perhaps the ameni- ties. However, in the long haul, patient care depends mainly on the physicians who, as students, as house officers in their formal training period, and as practicing physicians and teachers, are determined to strive for excellence in helping the sick, in preventing disease, in developing new knowledge and in applying it. Francis P. Chinard, M.D. Professor and Chairman K c v ..e,,c ,,.,,WV 1:' .iitig light

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