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

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position of integrator of these several forces, and must, there- fore, take the time and make the effort to understand the relative significance of each to human destiny. For the first time in history, in this your generation-the ingenuity and resourcefulness of the human mind, have made available the tools and materials, the power and resources to serve man's every need. For centuries men have fought for the means of subsistence against famine and for survival from pestilence. Now these means are known, and can readily be translated into human health--if actual fighting can be stopped or prevented. If men of little faith and much fear persuade us to try and maintain an island of plenty in a world of ZM5 billion inhabitants-where want and sickness and death still predominate despite this promise-we, too, will surely perish. Since disease respects no national borders, the physician can know no political or racial boundaries! Any other policy is alien to the spirit of the men and women who came to this country originally, to be rid of tyranny and selfishness in all of its varied forms, who have fought when necessary to pre- serve their right to life, to liberty and to the pursuit of happi- ness, who have peopled and industrialized this Continent, generously sharing to a fault with all less fortunate people, men and women who have joined with other freedom loving people repeatedly, to help establish the rule of just law in a decent society. This is our inheritance. This is our heritage of good faith. And greater even than the greatest discovery is to keep the way open to future discoveries, fAbelj. That, we of my generation are doing for you of the younger generation, today, whatever may have been our failure otherwise. This is the educational ideal of our day! Emerson in his Essay on The Natural Story of Intellect defined man's relationship to the Universe in these terms: Each man is a new power in nature. He holds the keys of the world in his hands. No quality in natures vast magazines he cannot touch. No truth he cannot see. Silent, passive, even sulkily, Nature offers every morning her wealth to man. She wmlfiefmackvzpecmu. Ble.r.red are lbe meek, for llvey rival! izzberil lbs earrin- Matt. 5:5 This assurance, found in the Sermon on the Mount, has been accepted with some skepticism by those who are am- bitious for their own welfare or even for the welfare of others-probably because the connotation of the meek, in the popular interpretation is not applicable to those who get things done , they are not the frontiersmen, not the leaders in any society. Actually the word is but a translation from the Aramaic, a translation made 350 years ago, and here is out of context. An eminent lexicographer has pointed out that in the truest semantic sense it indicates one who not only is able to recognize the inevitable, but having recognized it, is able to accept its implications and to profit therefrom. The history of the development of the Medical Center is well-known to all of you, certainly that portion of it beginning in 1945, the year which marked the peak of a concerted effort directed toward the expansion of the teaching and research facilities of this College of Medicine. The request then was for expansion which would adequately fulfill the needs of an enrollment of some 325 students. Subsequent developments added two units to the basic plan-the Ohio Tuberculosis Hospital and the Columbus Receiving Hospital. It was planned that these additional units, although administered by the State Department of Health and the State Department of Public Welfare respectively, would be integrated into the overall teaching and research activities of the College. The units represent a net gain of some 500 beds, over and above the 600 beds called for in the original plan. The remodelling of Hamilton Hall to be made possible by the removal of the is immensely rich, he is welcome to her entire goods, but she speaks no word, will not so much as beckon or cough, only this, she is careful to leave all her doors ajar-towers, hall., storeroom and cellar. If he takes her hint and uses her goods, she speaks no word, if he blunders and starves she says nothing. To the idle blockhead Nature is poor, sterile, in- hospitable! But to the gardener her loam is all strawberries, pears, pineapples. To the miller her rivers whirl the wheel, weave carpets and broadcloth. To the sculptor her stone is soft, to the painter her plumbago and marl are pencils and chromes. To the poet all sounds and words are melodies and rhythms. In her hundred-gated Thebes every chamber is a new door. To the physician, earth's human progeny presents a never-ending procession of unfortunate individuals, to whom his sympathetic and increasingly scientinc ministrations will mean the difference between health and sickness, between happiness and sorrow, between hope and despair, between life and death. After all, in the ultimate, it is not what this or that par, ticular country, or race or Age has thought or produced that matters very much. Wliat does matter is humanity's great common collective achievement-the sum total of all human knowledge and experience, which has brought into a rich and we hope enduring pattern in our day, all that mankind has previously dreamed and struggled and sacrificially died to attain, a potentially free world of free men and women with all frontiers explored, a world from whose great observatories man may one day survey the Universe and be able to say with assured conviction and deep satisfaction: It is good, health and peace and happiness now lie within man's in- tellectual horizon, if he will but accept and use wisely his hard-won knowledge. May each of you rejoice in the opportunity which is now yours to help to bring to high noon the dawn of this new day! Your enterprise is just beginning! Charles A. Doan, M.D., Deniz College of Dentistry to its new building would yield a large increment of space for the pre-clinical division. Here again wise foresight has improved the general plan. The allocation of new quarters in old Starling-Loving Hospital to the De- partment of Pathology will allow all of the space in Hamilton Hall to be divided among three remaining basic science de- partments. Furthermore, the extension of the fourth Hoor over the old Dental Clinic, a project originally looked upon as architecturally unsound, is now an actuality, nearing com- pletion. All of these newly ,blamzecl and executed accomplish- ments made it possible to increase the size of the student body. The questions most often asked in this respect are, Do we need to increase the output of physicians, and therefore, to increase the size of the entering classes andfor to accelerate Page Tbirieefz

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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

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their graduation? Can we achieve an increased output without sacrificing the quality of instruction? Can we Gnd the additional staff necessary to maintain quality? Can we hnd an adequate number of qualified students? Can we ht such expansion into the present curriculum structure? Vffhat are other schools going to do about increasing the number of graduates? Granting that the whole answer to none of these questions is at present possible, let us explore the partial answers which are known. The demand for more physicians stems from two sources, i.e., the stated requirements of the Armed Services, and the allegations in the Ewing report. The preparations currently in progress, placing this country on an emergency footing encompassing the next ten years-perhaps longer-are essential if we are to remain a free nation of free peoples. No one dare underestimate the threat of the Red Slaver in spite of the possibility that his intentions may lack the wherewithal for implementation. Such armed alertness will continue to make heavy demands on our man-power facilities, both lay and pro- fessional. The poorly documented arguments of the Ewing report Cand I mean poorly with regard to quality, not quantitylj concerning the civilian requirements for increased physician output have taken on new meaning in the light of the continuing emergency and the possibility of actual war-light reflected from the inferno that was Hiroshima and could be New York, Chicago-or Columbus. In consideration of these two pressing demands, the Ad- ministration of this University, after consultation with the Faculty of Medicine authorized a 70W increase in the medical class entering in the Fall of 1950. Certain minimal alterations in current facilities and some increase in staff were required to enable us to handle an enlarged class a full year ahead of schedule. Also required was the assurance that most of the major changes should have been accomplished by the Fall of 1951. All of you know the fuss and muss and cuss which the ensuing remodelling has occasioned throughout this year! In retrospect the annoyances were minor-really only signs of progress. Instruction to the big Freshman Class has been at- tended by some inconveniences but the quality of that instruc- tion continues at the same high level. In fact, it is altogether probable that the effort to maintain previous standards may have resulted in greater attainment than heretofore had been demanded! Witli the opening of the year 1951-52, the ex- panded facilities will have been completed and the teaching staff enlarged. There is every reason to expect normal operation by the Fall of 1952 at the latest. mama 1-fazaaazzea . . , The bugaboo of acceleration has reared its ugly head, and Dame Rumor, the Pontifex Maximae of all medical students, would have us on that condemned merry-go-round this july. However, an apostate faculty conniving with an heretic ad- ministration has decreed that we shall not consider acceleration before july 1952- Sufficient unto the day is the evil thereof! To be sure, the Armed Services Policy Committee has urged a 15W increase in enrollments in all medical schools andfor the acceleration of the present curriculum, but does not a 70921 increase in enrollment, a whole year in advance of the demand for a mere lifk increase, more than fulfill our obligation to the total picture at the moment? The faculties of all medical schools almost uniformly oppose the four years in three acceleration of World War II days. Various plans are being considered to circumvent this undersirable speed-up, and yet provide an increased number of graduates in any given time interval. Here is not the place nor is this the time, to delineate the mechanics of such plans nor to discuss their relative merits. Finally, a word should be said about reorganizing the cur- riculum. It has long since been recognized that certain funda- mental adjustments might be desirable. Expanded facilities and an enlarged student body now make certain changes man- datory. The Curriculum Committees are now systematizing the details for such a program which will first affect the present Freshmen when they become juniors in the Fall of 1952. No details are at present available for release, but in essence the contemplated revisions will involve the adoption of the so- called block plan of clinical instruction together with the elimination of the major part of the lecture system as it affects the last two years. Concurrently, greater efforts will be made to correlate clinical teaching with teaching in the basic sciences al all levelr. This effort to supply answers to all of the current questions is admittedly incomplete. It attempts only to indicate the trend of events for the immediate future. Most of the reorgani- zation can be accomplished with little cavil but, since man is inherently resistant to change, because it disrupts his habit- patterns and threatens his alleged security, there may be head-shaking, griping, some whining, I fear, and, worst of all, some passivity. Is it after all, too much to expect of us, students and faculty alike, that we should be meek ? Even now we are blessed l And shall we not soon begin to inherit the earth ? George H. Ruggy, M.D., junior Dean Inmgiamfiozz ir 7101 la be dir-'orred from the farlr: il ir 11 way of ilfIll7lil7L7ff71g the fat'fr.-Whiteliead. Research is a measure of the health of a university, when this pulse is strong and bounding, the overall environment surrounding the approach to teaching is apt to be imagina- tive. For this reason, it is thought appropriate that some recognition be given these activities as a matter of record. We cannot be exhaustiveg but we can be only suggestive by typifying some of the outstanding projects. Amzlozzzys The histochemistry of ontogeny and phylogeny by the study of different species at various levels of develop- mentg the histology of the adrenal glandg the origin and distribution of the cranial and spinal nerves, the study of the development of the human pharyngeal hypophysis with a possible relation to development of tumors in this region. BiorlJemi.rtry.' Analysis of liver lipidsg the chemistry of Hodgkin's Disease, a study of the various solvents in re- lation to the fatty acids. Pbyriology: Several cardiovascular projects relating to pulse Page Fwlrleezz