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polemic, was worthy of a tomb in the Pere-Lachaise hallowed ground, since he had worked the greatest reformation in the chaotic state of the healing art, the world has ever known.

In this famous cemetery lie the remains of Delavigne, Balzac, Rosini, Moliere, La Fontaine, Visconti, and of the lamented Felix Faure.

Let every American Homeopathist remember that while the artistic work of the one and the political strength of the other lifted up the

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culture and the freedom of the races of mankind, yet the work of Hahnemann appeals to all because it lifts up the poor and the lowly, the rich and the great, so that first being free in the flesh, they may enjoy the benefits of culture and of race, and disregarding all except the worldly evidence of worldly greatness, even in the beauty of the tomb we have ample evidence of his worth to the world.

It is a beautiful tomb. We may well be proud of an opportunity to look upon it.

Cleveland Medical and Surgical Reporter.

A Journal Devoted to the Science of Homeopathic Medicine and Surgery.

Published Monthly by the Cleveland Homeopathic Medical College, 226 Huron Street, Cleveland, O.

JAMES RICHEY HORNER, A. M., M. D., Editor.
HUDSON D. BISHOP, M. D., Managing Editor.

The Reporter solicits original articles, short clinical articles, society transactions and news items of interest to the profession." Reprints of original articles will be furnished authors at actual cost of paper and press-work, provided the order is received before the publication of the article. If authors will furnish us with names before their article is published, copies of the journal containing it, will be mailed free of charge (except to addresses in Cleveland) to the number of 100.

The subscription price of the Reporter is $1.00 per annum in advance. Single copies 10 cents. The Reporter has no free list. but sample copies will be given on request.

The Reporter is mailed on the 1st of each month. All matter for publication must be in the hands of the Editor by the 15th of the preceding mouth.

When a cbange of address is ordered, both the new and the old address must be given. The notice should be sent one week before the change is to take effect.

If a subscriber wishes his copy of the journal discontinued at the expiration of his subscription, notice to that effect should be sent. Otherwise it is assumed that a continuance of the subscription is desired.

Remittances should be sent by Draft on New York, Express-Order, or Money-Order, payable to order of THE MEDICAL AND SURGICAL REPORTER. Cash should be sent in Registered Letter.

Books for review, manuscripts for publication, and all coinmunications to the Editor should be addressed to J. Richey Horner, M, D., 275 Prospect St., Cleveland, O. All other communications should be addressedTHE MEDICAL AND SURGICAL REPORTER,

762-4 Rose Building, Cleveland, Ohio.

Editorial

EDUCATION FOR EFFICIENCY. In a recent periodical, President Charles William Eliot, of Harvard University, discusses education from the standpoint of efficiency, meaning effective power for work and service. In many ways the article voices our sentiments—that education is a continuous performance, with the curtain rung down only when the performer reaches the grave. Dr. Eliot says:

“Let me say at once that this education for efficiency is not a training which should cease with youth. On the contrary, it should be prolonged through adult years, until the powers of the mind and body begin with added years to decline. It has been too much the custom to think of education as an affair of youth, and even of the earlier years of youth; but it really should be the work of the whole life. Because the large majority of American children cease to go to school by the time they are fourteen years of age, it by no means follows that their education should cease at that early age. More and more of late regular and formal provision for a continued education is made in public school systems, through beneficent endowments and by private enterprise. The prolongation of the period of formal education for a considerable minority of American children, and the provis

ion of summer schools, evening schools, trade schools, correspondence schools, business colleges and reading circles of many sorts, with public libraries and book clubs, illustrate the increasing prevalence of the new idea that education is to be prolonged through adult life, and may be carried on in a systematic and active way long after the individual has begun to earn his livelihood in whole or in part.”

* * * Since reading the article we have been thinking of its applicability to the life of the physician, not alone while he is in college, but after he has obtained his degree—and education not alone along the line of his particular field of life work, but outside of that, in the broader fields of general literature. Once before we had something to say about the necessity for a physician getting outside of medicine once in awhile in his books. It would be difficult to make a list of books which a physician should read. Tastes differ, but more than that the book world is changing so much and so frequently, that what we might write today would be out of date tomorrow. But the physician should read—his reading should be varied—should embrace some of the classical novels, some standard history and biography—and some of the lighter fiction of the day. As a nation we read too many newspapers and too much,ten-cent magazine production. Perhaps it would astonish our reader to know that where there were in the United States twenty years ago over three thousand book stores, there are today only one thousand. By book stores we mean those which deal exclusively in books and their allied lines. Two reasons for this stand out prominently-one the fact that department stores are selling so many books, the other that people are reading newspapers and ten-cent magazines. But people of today are not reading history, biography, travels or the standard novels, as Dickens, Thackeray, and others. Of all men whose life calling gains them admittance to the home circle, the physician should have a mind broad and full of the good things of the literary world. There is scarcely any man whose time is so fully taken up that he cannot spare at least half an hour each day, for reading some book outside of medicine and surgery—and while that seems a short time the aggregate of a year's reading would mean much.

* * * And just here comes the thought that to the physician particularly there is a need for continuous education. In these days of rapid progress, no man can afford to hug his diploma to his breast and rest content. The diploma becomes a back number very soon, and does not very long stand for evidence of efficiency. We pity the man who does not progress in his profession—who is content to practice medicine in

1904 just as he practiced it in 1894 or 1884. And we pity the teacher who uses the same thoughts and knowledge in his teaching today that he used even five years ago. Certainly the active, practicing physician, and assuredly if he happens to be a teacher, should make at certain times excursions to the fields occupied by other men to learn what they are doing—perhaps he may find a better way than that he himself has been travelling. No man can afford, looking at the situation from a mercenary standpoint,—no man can afford to work year after year along the same lines—to be satisfied without adding to his stock of knowledge. And the place to add is not at home. He must get away from his every-day surroundings-get out of the daily routine which the average doctor travels. He must mix with his fellow doctorwatch him work—and imitate him if that work shows an improvement over his own methods.

* * * Incidentally it has occurred to us to look over the list of our faculty to see who have been travellers since the college came into its present corporate existence. The result is rather interesting and quite worthy of note. Prof. Spencer, after taking special courses in Physiology in Columbia University, spent a summer in the same work in London and Paris, making special preparation for his work as Professor of Physiology. Prof. A. B. Schneider is now abroad and has been for some months—at present in Vienna—taking special courses in diagnosis. Prof. Bishop spent a summer in the hospitals of the old world taking up his special work in genito-urinary and rectal surgery. Prof. Nobles spends a month every spring visiting the great centres of learning. One year he was at Boston, another at Johns Hopkins, Baltimore, another with Prof. Bull and others in New York; another with the Mayo Brothers in their great hospital at Rochester, Minn. Next year he hopes to take his turn abroad. Prof. Wood spends most of his time when away from home browsing in the great hospitals east or west. Prof. Roper has just returned from a summer abroad. He spent his time in the great hospitals, a close observer of gynecological technique and methods. Prof. W. H. Phillips is another of the summer's travellers. He spent three months this year in a systematic study of newest work done by nose and throat specialists across the water. As noted in last month's news notes, he was a participant in the International Congress of Ophthalmology and Otology held at Lucerne. Prof. George W. Jones supplemented his course in our own college with a thorough training in the Post-Graduate and Polyclinic Schools of New York city. All of which goes to show that our faculty are alive to the important fact that in order to be efficient in

their teaching as well as in their professional work, they must prolong their time of preparation and education.

Look at it any way you like the physician must study—he must progress—he cannot stand still. Fortunately, the trend of the times is such that he is very apt to want to advance. The fact that before he can begin the study of medicine he must prove himself to have had an education—a training—is an indication for the future. The man who has once been trained in mental work is likely to continue in that training. If he passes the twelve formative years of his youth in the company of books he will very likely continue in their company during his young manhood, and the habit having been formed, he will not want to break it. The chances are that the physician of the future will be a broad, well-read, cultured man, whose visits will be welcomed not alone on account of his skill and ability to relieve disease and suffering, but also because he is a gentleman with whom it is profitable to associate.

GUESTS AT THE COLLEGE. Twice within a month the College building has been the scene of activity apart from the daily exercises incident to College work. Last month, as is well known, the Eastern Ohio Homeopathic Medical Society held its annual meeting in Cleveland and were invited to use the College building for its sessions. That the meeting was a decided success goes without saying, and that the success was very much enhanced by the fact of suitable surroundings is another truism. We have no doubt but that it seemed to many who attended the meeting more like a “home coming” than simply the formal attendance upon the meeting of a medical society. There are many who graduate from a medical college who unless there are some special reasons for their doing so would never again make their appearance within the College halls. It is a good thing for the man, and it is a good thing for the College—that once in a while he should resume for a period the close relationship of student days.

* * * Upon another occasion still more recently the entire day was given up to clinical exercises, the occasion of the change being the annual convention in the city of the Greek Letter Fraternity connected with the Homeopathic Medical Colleges. At nine o'clock in the morning Prof. Wm. T. Miller had a surgical clinic, followed at 10:30 by Prof. J. C. Wood with a Gynecological clinic. At 1 o'clock Prof. H. D.

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