Ohio State University College of Medicine - Caducean Yearbook (Columbus, OH)

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' ' ,Zaa.., , The fzzrtifrrziiofz for .fz rmirferrily is tba! il p1'e.rer1fe.r lbe mfmerliofz b e I 111 e e 71 knowledge and lbe zest of life, by mziling lbe young and lhe old in lbe imagimziive ti07l.l'l!l8I'dfl0I1 nf lenr11i11g. - Wlmiteliead. There mn be no adeqnafe lerbnicnl eclllcalion which ir :mf liberal, and 110 liberal ezlzrmlion wbirla ir noi leebni- crzl: tba! ir, 710 education -which does no! imfmrl bolb 1 . -5 lerbniqzle and inlellecfzml zfiriofl.-Wlmitelmeacl. ig la- A University properly attuned to these changing times airview of the University, are closeups of the Student Union requires frequent additions to its Plant' The many Changes which is to be dedicated this Fall and the Book Tower of which have substantially altered the skyline at Ohio State, most of which we have caught glimpses in our daily routine, are too varied to detail here. Above, in addition to a recent the magnificent newly-enlarged Wlilliam Oxley Thompson Memorial Library, dedicated this june. de Szfadewt rilmezdccm 77Zea!eZm6 ,-4eeac6cu'6an 64 7aaewled . . , Student delegates from 48 medical schools over the country with a total enrollment of 15,855 medical students gathered in Chicago, December 28-29, to approve a constitution for a Student American Medical Association. Its objectives are: The advancement of medicine, contribution to the welfare and education of medical students, familiarization of its members with the purpose and ideals of the medical pro- fession, and the preparation of its members to meet the social, moral and ethical obligations of the profession. The Association is to be comprised of academic societies in approved medical schools. Donald Brugger represented the Ohio State Student body at the organizational meeting and was elected a student Councilor. Local olhcers are Donald Burk, President, joe Mullen, Vice President, Robert Rine- hart, Secretary, and Dale Flickinger, Treasurer. Page Eleven

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real medical advance must be dependent on this type of re- search. But we also hear here that you must consider the patient as an individual. You have cut out Mrs. jones' salt entirely and her cardiac status doesn't improve. Are you going to treat heart failure as you think heart failure ought to be treated or are you going to treat Mrs. jones' peculiar physiology with respect as something you don't completely understand? It is evident, then, that often fand the more you know the more often it is evidentj the proper management of your patient depends not only upon diagnosis, prognosis, and general indications, but upon your ability to treat your patients reaction to his disease as an individual research problem in which you must know exactly what responses and adaptations are taking place-how great they are-how stable they are- how they are reacting to your therapeutic measures-and, if possible, why? It would be theoretically possible to cut out the preclinical training-yes, and the premedical sciences also-if you would put in the extra effort to learn by rote the constellations of symptoms and physical signs for a presumptive diagnosis, the interpretations and indications for dehnitive procedures in the diagnostic laboratories, and the indications, contra- indications, and doses of the various therapeutic agents. That way you could recognize and treat any disease-nearly any- according to the accepted best method. Advances in diagnosis of disease and the development of new therapy could be left to the research men. That way you could learn to treat disease. Most of you, however, want to treat patients. When the methods of the research man irk you . . . you may be right that the subject matter in hand is not indispensable for diagnosing and treating disease-but the method is the one you must use if you are going to adapt the treatment to your patient. So it seems to me that Science has two places in medicine. The first is the application of the scientific method to the acquisition of new knowledge, whether so-called Fundamental or applied, and the use of this knowledge in the diagnosis and evaluation and treatment of diseases, syndromes, dis- abilities, and symptoms. This knowlege, once established and confirmed, is available for every physician to use according to his lights. The other place of Science is the use of the scientific method by each physician on each patient to see exactly where this patient Hts in the large group of cases with a given diagnosis, to evaluate how much each organ system and function of the individual is altered by the events of his life and by the particular disease causing his complaints, to take the proper treatment of the disease and to fit its details accurately to the present dynamic state of the individual patient. To achieve this perfectly would need not only the skillful integration of all the knowledge available in the standard texts of preclinical sciences, but also a complete understanding of individual variations in structure, chemistry, and function, and of the methods for evaluating these in- dividual variations of the bedside. You can't afford to waste any more time digging for a degree-there's too much to be learnt in the short lifetime that remains to you! Evidently the perfection of the scientific handling of each patient is, like most perfections, outside our reach. But in proportion as we steep ourselves in scientific method and factual knowledge, and in proportion as we strive to handle each patient scientifically, so does our reach become longer, our effectiveness greater, and our success nearer to the idealized perfection. The two functions of science in medicine, science dealing with disease and science dealing with Mrs. Jones, though com- plimentary, related, and mutually indispensable, are not iden- tical and must not be confused. 'Me Wea:-OM Zfamilzfaa Wai! . . , Hamilton Hall as we have known it in the past is changing -from the basement up. Generally, most of the alterations are located in the northern wing, once occupied by the l Page Ten School of Dentistry. The North Basement will house the Physiological Chemistry laboratories now located in Kinsman hall. One room in this section, however, will be assigned to the Physiology Department for a laboratory for research purposes. The center basement will include the student lounge and the Caducean office. On the first floor, the Physiological Chemistry ofiice will be moved up one floor and these rooms will be occupied by the junior Dean of the College of Medicine. The Store Room is moved to the former College of Dentistry office. The remainder, except the lecture rooms, will house in part the Chemistry laboratories, The Library is to be tremendously enlarged in its present location. It will present an outer desk and Reserve Section separated completely by a glass partition and glass doors from a large reading room. Books, for the most part, will be housed in the two floors immediately below the library and the stacks will be readily accessible to Medical Students. The Physiology Office is to be moved to Room 512, the well-remembered lecture room of old. The southern wing of this second floor, then, will be used by Physiological Chemistry, with the exception, of the lecture rooms. The North Wing of the third floor will be divided between Physiology and Comparative Anatomy. The top floor will be entirely apportioned to the Anatomy Department, includ- ing the rooms added by suspending a dividing Hoof in the former two-story Dental Clinic. Corresponding changes in the hospital are contemplated. The north central section of all fioors will be assigned to the Department of Pathologyg the Lobby will be made into a large classroom, and the Out-Patient Clinics will be en- larged to include the entire A wing.

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zamliepemzm, TODAY'S CHALLENGE The Em! of the E.x'pim'alim1. ir ilre begimzing of the Emferprireff--Dr. David Livingstone. You, of the Class of 1951, and we of the faculty of medi- cine, with whom you have been so closely and intimately associated during the past four years, are together approaching the successful conclusion of our respective current exploratory paths. Each, after a brief but searching self-inventory, will turn to contemplate the beginning of his own tomorrow's new and even greater enterprise! You have been privileged to share the results of 75 years of successful educational exploration on this campus, the con- sumation of 117 years of continuous medical education in this College. You have seen evolving, parallel with your own en- larging mental horizon, a new modern Medical Teaching and Research Center now about to be dedicated to the better health and greater happiness of the people of this State and Nation. Happily for society, the physical culmination of these explora- tions of preceding generations coincides with the successful achievement of your undergraduate medical academic goal, calling now for the rededication of self to the service of those who suffer and sorely need your understanding and help. The facilities and opportunities you have enjoyed here are muliti- plied by 79-the number of presently functioning medical schools in this country today-with 26,193 physicians-in- training to meet the present and future medical needs of this country. But these are not enough new recruits! As scientific knowledge advances, even more and better trained physicians are necessary to apply these new principles of prevention and treatment. Our country in crisis is faced with this problem of the potential shortage of medical manpower. The trials of civiliza- tion are due in part at least to man's inherent mental myopia. Too often neither the past nor the present is seen clearly. By lacking historical objectivity and perspective, we often lack wise foresight with respect to future planning. The climate of our Times has been hard on superficial values, on shallow philosophies, on dogmatic orthodoxies. In these tense times in a turbulent world, the educational perspective which you will have achieved is of paramount importance. Intensity of effort can be substituted for time only to a limited extent, or not at all, in solving fundamental problems and in acquiring true human wisdom-without which many facts may become more dangerous than if they had never become known. The continuity of medical progress, even in times of national stress, cannot be interrupted with impunity. Society will pay too heavy a price should basic research be interrupted. This continuing flow of vitally important new knowledge is de- pendent upon the uninterrupted development of our most talented young student scientists. It is just as essential to provide for scientific manpower stockpiles as for stockpiles of critical materials. The neglect of the former would soon render the latter ineffectual. Government leaders are beginning to recognize this and plan accordingly. Page Twelve As science enlarges the area of the known, it has invariably enlarged the area of the unknown even more, which is to say, the higher we climb, the farther does the visible horizon appear to extend. It does not follow that the more we learn the less we know , relatively, perhaps, yes, but this old adage should be changed to read: The more we learn the more realization we gain of how much more we want to know or need to know. The structure of the atom, the physical-chemical potentialities within a single cell or microorganism, the phenomenon of anti- biosis, for example, disclose vast fields for investigation to challenge and lure manls insatiable curiosity and to satisfy his human needs. It may be temporarily more comfortable to be incurious, but the penalty for preventing scientific curiosity's fullest satisfaction, is mental stagnation-and eventual retro- gression of civilization itself. The philosophical inarticulateness of physicians and medical scientists has been a recurring complaint since man began to accumulate, organize and record biological knowledge. The dynamic rather than semi-static nature of medical knowledge has been both the despair and the hope of the medical teacher and investigator. What seems true today has not always held true tomorrow. Thomas Huxley expressed it thus: The tragedy of science is the shattering bereavement of seeing a beautiful hypothesis slain by an ugly fact. This limits the validity of generalizations, which the lay public constantly demand or deduce. Consequently, we as responsible physicians have had to develop commendable caution, and have had to learn what few laymen stop to realize, viz, that there is far more scien- tific history ahead of us than behind us. We ask each other, what is the significance of abstract science in terms of human values? How wisely will man learn to use technological science? How far can man evolve intellectually and learn to control his emotional stability? None of us may ever know the full answers, but we have hope, and we aspire to help make these answers. ' Today, more than ever before, every member of our free democratic society must first of all be a good citizen, if truly and sincerely we desire the survival of our social order. To be a good citizen requires native intelligence and under- standing, endowments which then must be trained in en- lightened schools and in liberal arts colleges to meet the com- plexities of modern society. You, who are to be physicians to the human race must have in special measure a trained intelligence and a cultivated understanding, for the good phy- sician is often called upon to be philosopher and priest, friend and adviser to his patients beyond the call of professional service. From him shall the hope and faith of the people be replenished. His mental discipline and training must be correspondingly broad. Students of Medicine may indeed have their fancies, but as scientists they must be able to distinguish between facts and fancies, they will have their dreams, but, as scientists they must recognize when they are dreaming, they must have their ideals, but as scientists they will distinguish pseudo from objective realities, the medical scientist's imagination must have full play to enable the formulation of working hypotheses, but devotion to the truth as revealed through controlled experi- mentation and keen observation must supersede blind devotion to a misconceived brain-child. The geographical boundaries of our earth have been reached. Future explorations must, therefore, proceed in two-and opposite directions: Ozrtzumzl to include more distant reaches of space, the very stars in their orbits, and izzward to the desires and motives of the human mind and heart. On the one voyage of discovery, the physical sciences hold the helm, on the other psychiatry and psychology. The humanities are the lodestar. The physician of tomorrow will hold the strategic