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LOSS OF WEIGHT IN

INT

When a syphilitic begins to lose weight there is urgent need for something more than specific treatment, if this loss is to be stopped and the fullest effect of the main therapeutic procedure secured. In this condition the nutritional advantages offered by

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Many able clinicians appreciate this point so thoroughly that the administration of Cord Ext Ol Morrhuae Comp (Hager) a routine adjuvant in syphilis.

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TRI-IODIDES (HENRY'S.] Liquor Sali-Iodides.

A powerful alterative and resolvent, glandular and hepatic stimulant, and succedaneum to the iodides. Indicated in all conditions dependent upon perverted tissue metabolism. Does not cause the unpleasant gastric symptoms of potassium iodide.

THREE CHLORIDES HENRY'S.] Liquor Ferrisenic

An oxygen-carrying ferruginous preparation, suitable for prolonged treatment of children, adults and the aged. Indicated in anemia and convalescence from acute diseases and surgical operations.

MAIZO-LITHIUM

A genito-urinary sedative, an acute diuretic; solvent and Alush; indicated for the relief and prevention of renal colic; a sedative in the acute stages of gonorrhea, cytitis and epididymitis; in dropsical effusions due to enfeebled heart or to renal diseases. Decidedly better, more economical, extensive in action and definite in results than mineral waters.

HENRY PHARMACAL CO., 121 Vine St., ST. LOUIS, MO.

F

A Monthly Journal Published in the Interests of Women Physicians

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THE FIELD FOR WOMEN OF TODAY IN
MEDICINE.

BY MARY SUTTON MACY, M.D.,
NEW YORK,

Neurologist, Demilt Dispensary; Assistant Consultant in
Medicine, Children's Hospitals and Schools,
Randall's Island.

In February, 1916, I undertook, at the request of the editor of the WOMAN'S MEDICAL JOURNAL, a research into the opportunities of today which were available to medical women, and in the introductory outline of the subject I said:

"So much has appeared of late in the secular press, and to some extent in the medical press also, as to the opportunities open to women in the profession, their physical and mental fitness for the general practice of medicine, that it has seemed advisable to give the subject a rather thorough and, I hope, unprejudiced going over, with a view to establishing certain facts in our own minds as well as in the public mind.

"Sometimes a group of people preen themselves unduly upon what they are doing or have done in a given field, and then suddenly their eyes are opened by some little unlooked for bit of statistics, and they stand appalled before the real truth. I have in mind a graphic instance. We Americans have been patting our selves on the back, not only figuratively, but actually, in our self-congratulation at what we have done as a nation to help suffering Belgium. I wonder how many Americans realize that we have given exactly 634 cents per capita, even including the Rockefeller donations and the money value of all the knitted socks, scarfs, etc., of our enthusiastic fairs and bazaars and similar agencies. If we look a little further, and see what others have done, we may well catch our breaths before the figures from Australia—i. e., $1.27 per capita for Belgium alone.

"Now, it is possible that we as women may have cause to be surprised at some of the facts which develop in the course of this inquiry I am making for the WOMAN'S MEDICAL JOURNAL into the Field for Women of Today in Medicine. I do not know what results are to follow, nor what adverse or favorable facts I am going to uncover in the course of this inquiry, but I sincerely trust that we can fairly and honestly present in the end a case for the women which will better bear comparison with the field for men of today than I have shown is presented by the American and the Australian efforts for Belgium."

In April I presented some statistics gathered, for the most part, from personal acquaintances in five of the States of the Union and from the Twelfth Census of the Continental United States in 1900. As a result of the replies received, and from which the April preliminary study was made, I built up a questionaire, which was sent

$2 per year in advance

{Single Copies, 20 cente

out by the WOMAN'S MEDICAL JOURNAL to the State medical societies, medical colleges, etc., in the United States and Canada. The questionaire was as comprehensive as possible in order to cover the various phases of the subject which had been brought out by my numerous correspondents.

QUESTIONAIRE.

Information Concerning the Field for Women of
Today in Medicine.

I. (a) How many physicians and surgeons are licensed in your State?.

(b) How many of them are women?.

II. (a) How many physicians are members of your State Medical Society?

(b) How many of them are women?.

(c) How many officers in your State Medical Society? (d) Are any of them women? If so, what positions are so filled? If not now, have women held such

office at any time in the past, and when, and for how long? III. (a) How many County Medical Societies in your State? (b) How many officers in your own County Medical Society?

(c) Are any of them women? If so, what positions do they fill? If not now, have women held offices in past? When and what office, and for how long a term, or how many terms?.

IV. (a) Have you any Medical Colleges in your State?.... (b) Are they connected with Universities?. (c) Are they co-educational?....

(d) Do women hold positions as professors, assistants, or lecturers in such colleges? If so, what positions, and state the names of the women holding them?

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(e) What is the relative proportion of medical men and medical women on the college faculty and in the classes?

V. (a) How many State Hospitals have you in your State? (b) Does the State law require a woman physician on the staff of each of the State Hospitals?..

(c) How many women are on the staffs, or serving as internes in the State Hospitals over and above those required by law?.

VI. (a) How many general hospitals in your vicinity?.. (b) How many physicians on the staffs of such hospitals?

.

(c) Are any of them women? If so, how many?...... (d) How many beds in each such hospital?. (e) Are such hospitals open to physicians-men

women-not on

or

their staffs, for the care and treatment of private patients?.. VII. (a) Have you women in your State who are specializing in their medical practice? Is so, please give names, addresses, and specialty...

own or run

(b) What is the proportion of men and women recognized as specialists by the profession?.. VIII. (a) How many medical men and women private sanataria in your vicinity?.. (b) Have they medical women associated on the staff or as internes? If so, how many?.. (c) Please give addresses of such sanataria, and state whether run by a medical man or woman.. IX. (a) How many medical women in your vicinity are engaged in laboratory work exclusively?..

(b) Are they connected with Board of Health laboratories, with hospitals, or in private laboratories?.. (c) What is the proportion of medical men and women in laboratory work?....

X. (a) Are there any women connected with your State Board of Health? If so, what are their positions

and names?

(b) Are there medical women on your local Board of Health, or employed in its service as directors, inspectors, or in any other capacity?.

(c) What is the proportion of men and women in Board of Health work?.. (d) Is the medical school inspection under Board of Health or Board of Education direction in your locality? Do medical women serve as school inspectors? If so, in what proportion to the men? XI. (a) In private practice, how does the clientele of medical women compare with that of medical men in your vicinity?

(b) Do medical men call medical women in consulta

tion?

(c) Do medical women call medical women in consul-
tation?

XII. (a) Does your State offer a good field for medical
women?

(b) How does it compare with the field for medical
men?

(c) Are the opportunities for medical women in private
practice equal in number and remuneration to
those in social service?.

Please fill out the answers to any or all of the above
questions as fully as possible and mail to Mary Sutton
Macy, M.D., 101 West 80th St., New York City.

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In all, forty-one questionaires were returned fully or partially complete. Of these only twenty were really what might be called fully filled in, and eleven of the forty-one served to verify or supplement certain States of which they were duplicates.

The net returns, then are from twenty-eight States of the United States, the Panama Canal Zone, and one Province of Canada.

Reports on the proportion of women to men licensed in the State and on the proportion of women to men in the membership of the State Medical Society were received from the following:

Arizona

Connecticut

March, 1917

LIBRARY

proportion of 2.59% women licensed in the State and no women members of the State Medical Society.

From the following no proportionate figures were obtained: Iowa, Maine, Massachusetts, Minnesota, Missouri, New York, North Dakota, Ontario, Panama Canal Zone, Pennsylvania, Texas, Wisconsin, though I was led to infer that there were no women licensed to practice in the Canal Zone.

According to those who filled out the questionaires, and whose knowledge may have been limited in the matter of their own individual county societies, women held official positions in county societies in the following States in 1916: California, Connecticut, New York, Ohio; and women have held such positions in the past in Arizona, California, Colorado, Iowa, New York, Ohio.

From the following States comes the report that women are at the present time, or were in 1916, serving as officers or as chairmen of standing committees of the State Medical Societies: by women in the past in California, Colorado, New Mexico, Ohio. Such positions have been held Connecticut, Illinois, Michigan, Mississippi, New Hampshire, New York, Ohio.

From the information given me, women have never held office in State societies in the following States: Arizona, Idaho, Iowa, Louisiana, Maine, Massachusetts, Minnesota, Missouri, Ne

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Idaho

Illinois

Louisiana

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Michigan

0.93%

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0.41%

New Hampshire

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Ohio

Utah

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"State Medical Society membership. "licensed physicians.

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"State Medical Society membership. "licensed physicians.

Vermont

Virginia

2.25%
1.43% 66
0.98% 66
0.83%
0.32%

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"State Medical Society membership. "licensed physicians.

66

State Medical Society membership. licensed physicians.

"State Medical Society membership. "licensed physicians.

State Medical Society membership.

vada, New Jersey, North Dakota, Ontario, Panama Canal Zone, Pennsylvania, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin.

Co-educational medical colleges are reported from the following States: California, Colorado, Connecticut (Yale opened in 1916-1917), Illinois, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, Missouri, New York, North Dakota, Ohio, Ontario, Pennsylvania, Texas, Utah, West Virginia, and Wisconsin.

In New Jersey and the Canal Zone there are no medical schools of any kind, which leaves, if my

informations are correct, Arizona, Idaho, Maine, Mississippi, Virginia, Nevada, New Hampshire, New Mexica, and Vermont without co-educational medical schools or schools where women may obtain a medical education.

In the following States women are reported as having places on the medical faculties, and the figures are those given as the ratio of women to

men:

Colorado-No ratio given.

Illinois-1:5 in one medical school.

Iowa-3:51.

Louisiana-One woman, an instructor.
Massachusetts-No ratio given.

Minnesota-1%.

New York-4:106 at Buffalo (no ratio given elsewhere)

Texas 2:27 in one medical school and 1:40 in another.

Wisconsin-12%.

California, New York, and Ohio only report women physicians connected with the State Board of Health.

From New Jersey and New York only were medical women reported as connected with medical school inspection.

offered women in: Arizona, Idaho, Maine, Mis-
souri, Nevada, New Mexico, North Dakota, Penn-
sylvania, Vermont, Virginia and West Virginia.
Whereas, the opportunities are fairly favorable
in Iowa, Louisiana, Massachusetts, Michigan,
Minnesota, Mississippi, New Hampshire, New
Jersey, Texas and Utah.

It is interesting to note that in the question-
aire sent in Idaho, which comes under the least
favorable States, reports that though women
constitute but 1.8% of the licensed physicians,
they are wide awake enough to constitute 2.22%
of the membership of the State Medical Society;
apparently a larger proportion of the 98.2% of
men physicians in the State are less active in the
Medical Society than is true of the 1.8% of
women physicians.

It is also interesting to note New Mexico in the same list, especially if we bear in mind the fact that a woman physician was President of the State Medical Society in 1916, and that New Mexico reports only 0.9% of her State Medical Society membership as made up of medical women. It would seem that New Mexico came into the "least favorable list" because of de

In Connecticut, Louisiana, Michigan, New ficiency in opportunity for physicians in general,

York and the Panama Canal Zone, medical school inspection is reported as done by Board of Health. In Idaho, Louisiana (both boards), Missouri, Nevada. New Hampshire, New Jersey, North Dakota, Ohio and Ontario, by the Board of Education, but with the two exceptions noted above no medical women are employed, according to the questionaires.

From the following States I receive the report that no medical school inspection is held:

Arizona, Mississippi, New Mexico, Texas, Virginia, West Virginia. Wisconsin; and in the reports from the following the questions were unanswered: California, Colorado, Illinois, Iowa, Maine, Massachusetts, Minnesota, Pennsylvania, Utah; and from three of these States, (California, Iowa and Massachusetts) I had duplicate returns of the questionaires.

In California and New York the law requires that a woman physician shall be on each State Hospital Staff, and California reports five more women and New York twelve more women in such positions than are required by law. The following States have women on one or more of the State Hospital Staffs, though there is no mandatory legislation to that effect: Colorado, Connecticut, Iowa, New Hampshire, Virginia and Wisconsin.

From Colorada, Connecticut, Louisiana, Mis souri and New York women are reported as specializing or "engaged in laboratory work exclusively," and from the following came reports of women specialists in other than laboratory work: Arizona, California, Colorado, Connecticut, Idaho, Illinois, Louisiana, Massachusetts, Mississippi, Missouri, New Jersey, New York, Ohio, Pennsylvania, Vermont, Wisconsin.

From these replies it seems fair to conclude that the following States offer the most favorable opportunities for women: California, Colorado, Connecticut, Illinois, New York and Ohio. The least favorable opportunities seem to be

rather than for medical women in particular.

Nevada, on the other hand, would seem to
come into this category because of inherent de-
ficiency on the part of her medical women.
Forming, as they do. 2.59% of the registered
physicians, none of them is progressive enough
to belong to the State Medical Society; none
of them is reported as interested in any special
field of medicine, and, though the State reports
school inspection through the Board of Educa-
tion, the women do not seem to have exerted
themselves to enter that field of medical activity
and social interest.

One other State in that list is surprising, i. e.,
Pennsylvania. The only apparent explanation is
that political influence is working against the
appointment of women who might, by good, con-
scientious and unbiased work, show up some of
the more vital and exciting corruption of State
and municipal politics in a community already
famously infamous for its muck-raking and cor-
ruption. Pennsylvania has a splendid medical
college devoted to the education of medical
women, than which there is no better college in
the whole United States; it has, also, at least
two co-educational medical schools-the Uni-
versity of Pennsylvania, recently opened to
women, and the University of Pittsburgh, also
more or less recently opened or, rather, re-
opened to women-both of which University
Medical Schools rank well among similar in-
stitutions in the country. Under such condi-
tions favorable to
favorable to education of women in
medicine it is surprising, to say the least, that
she offers no opportunities for women to work
on her State Board of Health or in her State
Hospitals; and is it possible that she has no
medical inspection of her school children? Are
the medical men of Pennsylvania callous to
the health problems of the rural districts? Or
are they afraid the women will show superior
qualifications in correcting rural and municipal

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