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1893-1894 - The University of North Carolina at Chapel Hill

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15-1 XOKTII CAROLIXA BOARD OF HEALTH.<br />

client is not willing to be put to a little temporary inconvenience for the<br />

sake <strong>of</strong> the health, and lives <strong>of</strong>ten, <strong>of</strong> his neighbors.<br />

Now, wh<strong>at</strong> is the explan<strong>at</strong>ion <strong>of</strong> this st<strong>at</strong>e <strong>of</strong> affairs? In my humble<br />

judgment it is <strong>at</strong>tributable, mainly, to a want <strong>of</strong> proper instruction<br />

during the form<strong>at</strong>ive period in their medical lives. "Train up a<br />

child in the way he should go and when he is old he will not depart<br />

from it" is a proverb <strong>of</strong> the wisest <strong>of</strong> men which applies with equal<br />

force to the educ<strong>at</strong>ion <strong>of</strong> physicians. <strong>The</strong> neglect <strong>of</strong> this early training<br />

is,<br />

doubtless, the chief cause <strong>of</strong> the indifference to the claims <strong>of</strong> sanitary<br />

science <strong>of</strong> which we complain in so many physicians now in the field.<br />

If hygiene be given a dignified position in the curriculum and its<br />

gre<strong>at</strong> importance be properly emphasized, there can be no question as to<br />

the good it would accomj)lish in the coming gener<strong>at</strong>ion. It would not<br />

only redound gre<strong>at</strong>b' to the welfare <strong>of</strong> the people, but it would have an<br />

elev<strong>at</strong>ing eti'ect upon the pr<strong>of</strong>ession itself, by impressing the philanthropic<br />

aspect <strong>of</strong> the calling which we are in the habit <strong>of</strong> referring to as<br />

"noble"—improperly, we must admit, if we take the merely commercial<br />

view <strong>of</strong> it— if we value it simply for the money there is in it.<br />

I regret th<strong>at</strong> I am not informed as to the extent to which hygiene is<br />

taught in all our medical colleges, but from wh<strong>at</strong> I know I feel th<strong>at</strong> I am<br />

safe in saying th<strong>at</strong>, outside <strong>of</strong> a very few <strong>of</strong> the best, the subject is practically<br />

ignored.<br />

Th<strong>at</strong> this condition <strong>of</strong> affairs should not be allowed to<br />

continue, if it can be prevented, needs no I'urther argument. As guardians<br />

<strong>of</strong> the public health it is our duty to see th<strong>at</strong> it is done. We have<br />

it in our power to do it. In many <strong>of</strong> the St<strong>at</strong>es the St<strong>at</strong>e Board <strong>of</strong> Health<br />

and the Medical Examining Board are one and the same. If those Boards<br />

alone will unite in demanding <strong>of</strong> the medical colleges sufficient instruction<br />

in hygiene, and will require <strong>of</strong> every applicant for license if<strong>at</strong>isfactr^ry<br />

evidence th<strong>at</strong> lie has received and pr<strong>of</strong>ited by it, the m<strong>at</strong>ter will be settled.<br />

Of course the desired result would be obtained more quickly and more<br />

certainly by an advance all along the line. In those St<strong>at</strong>es where the<br />

two Boards referred to are separ<strong>at</strong>e and independent <strong>of</strong> one another the<br />

Board <strong>of</strong> Health should exert itself to interest the Board <strong>of</strong> Examiners,<br />

particularly, and the pr<strong>of</strong>ession, generally, in the subject. As bearing<br />

upon tills point, and as a fitting conclusion to wh<strong>at</strong> I have to say, I will<br />

take the liberty <strong>of</strong> quoting, wh<strong>at</strong> some <strong>of</strong> you may have seen, an editorial<br />

entitled "Hygiene in ^Medical Educ<strong>at</strong>ion," which appeared in the<br />

June number <strong>of</strong> our Bulletin and which shows W'h<strong>at</strong> action has been<br />

taken in Xorth <strong>Carolina</strong>. <strong>The</strong> reader is respectfully referred to the<br />

same.<br />

HYGIENE IN MEDICAL EDUCATION.<br />

At the recent conjoint session <strong>of</strong> the St<strong>at</strong>e Board <strong>of</strong> Healtli and the<br />

St<strong>at</strong>e Medical Society the following resolutions were unanimously<br />

adopted:

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