r r ^,.i .<■■■'' )\ ■>^- C' i- // /\ :^ ^^. X^^x 'b^ ^x. -y "^ ^^^ V^^ \\ C^ -^^ ,V"'^> ^-'♦;V"•• : 4"%^ ,0- -^.v/"^- V-^y •'^^^^^ '■■ /-^^ °^?^^ ^>^% A HISTORY MEDICAL DEPARTMENT UNIYERSITY OF PENNSYLYANIA FOIJA"DATION IN 1165. SKETCHES OF THE LIVES OF DECEASED PROFESSORS. BY JOSEPH CARSON, M. D., PROFESSOR OF MATERIA MEDICA AND PHARMACY IN THE UNIVERSITY OF PENNSYLVANIA MEMBER OF THE AMERICAN PHILOSOPHICAL SOCIETY, ETC. PHILADELPHIA: LINDSAY AND BLAKISTON 1869. Entered according to Act of Congress in the year 1869, by JOSEPH CARSON, M.D., in the Clerk's Office of the District Court of the United States in and for the Eastern District of the State of Pennsylvania. PHILADELPHIA : COLLINS, PRINTER, 105 JAYNE STREET. TO THE ALUMXI OF THE :VIEDICAL DEPARTMENT OF THE UXIYEESITT OF PEXNSTLYAl^IA, fbis M0rk IS RESPECTFULLY DEDICATED BY THEIR OBEDIENT SERVANT THE AUTHOR PREFACE The author of this History of the Medical Department of the University of Pennsylvania was appointed to deliver the opening lecture of the course of 1865, on the occasion of the centenary anniversary. That lecture, delivered at the request of the Faculty, consisted of a succinct statement of events preceding, and of the circumstances connected with, the foundation of the Medical School, with an exposition of the character and labors of the individuals who were prominent in the enterprise of transferring medical education from the Old World to the New, and who by their learning, talents, and energy contributed to its success. It was written for public delivery, and was by no means a complete history of the Medical Department of the University. Although urged to the publication of that lecture, the author conceived that a more extended account should be given of the origin and progress of the School, and that a fuller notice should be presented of the lives of the emi- nent men who, by establishing its reputation and extending its usefulness, were identified with its history. A consider- able amount of materials had been collected to accomplish this object, but the entire field of research had not been exhausted, and many sources of information still remained available. In the intervals of leisure since the period re- ferred to, the author has been steadily employed in collecting 1* VI PEEFACE. all tlie materials necessary for the extended history that is now placed before the medical public. It is proper to state that a brief account of the Medical School has been in print for many years, prepared originally by Professor Wood as a valedictory discourse to the class of 1836. This was subsequently printed in connection with the catalogue of the graduates. Another notice of the Medical Department, by the same author, is contained in a General History of the College and University published in the third volume of the " Transactions of the Historical Society of Pennsylvania;" these have been employed for comparison and verification of impressions derived from original au- thorities. The main sources from which the author has derived his materials are the Minutes of the Board of Trustees and those of the Medical Faculty. The former are entire from the foundation of the Academy and College; while the latter date from 1800. He has also consulted the Minutes of the Penn- sylvania Hospital, and of the Philosophical Society, and the manuscript documents preserved in the Historical Society, as well as the public papers, more particularly the " Pennsyl- vania Gazette" and the " Pennsylvania Journal." To these may be added numerous original letters in his own posses- sion. He is largely indebted to biographies — many of them extremely rare — of the Professors who, at different epochs, have been connected with the University, and to the pam- phlets and documents contained in the Philadelphia Library, as well as in the libraries of the Philosophical and the His- torical Societies, and more especially in that of the Penn- sylvania Hospital, which is rich not only in medical science, but in medical history. Eeference has been made to every source from which in- formation is derived. There are, moreover, several mooted points discussed in the progress of the history which the PEEFACE. Vll author lias endeavored to place in their correct light; in doing which it seemed just that the authority upon which statements are made should be open for examination. In the publication of the work, great pleasure is taken in acknowledging the obligation the author is under to his friend, Dr. La Eoche, for assistance with the revision, and for many valuable suggestions that have been adopted. The work has occupied much time in its preparation, and entailed a large amount of labor, ample recompense for which will be received should it subserve the design for which it has been written — namely, to communicate to his fellow- alumni all the information he has been able to gather with respect to the history of their Alma Mater. CONTENTS. CHAPTER I. PAGE Introduction 17 CHAPTER II. The first physicians of Pennsylvania — Their education abroad — Their professional and public influence — The succeeding generation of medical men, and their education at home and abroad — Their cha- racter and labors — The institution of the American Philosophical Society, and of the Pennsylvania Hospital . . . . .26 CHAPTER III. Commencement of medical teaching in America — Dr. Cadwalader's lectures on anatomy in Philadelphia — Dr. Hunter's lectures at New- port — Dr. Shippen, Jr., opens an anatomical school — Dr. Fother- giirs contributions for teaching anatomy — Dr. John Morgan, his education and early labors — Dr. Shippen' s education and studies — Dr. Morgan submits his plan of a medical school to the trustees of the college 39 CHAPTER IV. Foundation of the College of Philadelphia — Application of Dr. Morgan — His appointment to the professorship of theory and practice of physic — His public discourse — Dr. Shippen appointed Professor of Anatomy and Surgery — Organization of the medical department — Dr. Bond delivers clinical lectures in the Pennsylvania Hospital — Rules for the government of the medical department of the College — Dr. Wm. Smith's lectures on natural and experimental philosophy . 52 CHAPTER Y. Dr. Adam Kuhn ; education and appointment to the professorship of botany and materia medica — Fees of the college — Degree of Br.che- lor of Medicine conferred in 1768 — Degree of Doctor of Medicine : CONTENTS. PAGE conferred in New York in 1769 — Commencement exercises of tlie college on the occasion of conferring the degree of M. B. — Dr. Ben- jamin Rush ; his education and correspondence while in Europe ; appointment to the professorship of chemistry — First faculty of medicine organized — Commencement of 1771 64 CHAPTER VI. Connection between the medical department of the College of Phila- delphia and that of the University of Edinburgh — Sketch of the origin of the Edinburgh school and of its position in 1768 — Dr. Cullen 77 CHAPTER VII. Effect of the American Revolution upon the College of Philadelphia — Abrogation of its charter and the establishment of the University of the State of Pennsylvania — Restoration of the charter and privileges to the college — Union of the two institutions under the name of University of Pennsylvania 86 CHAPTER VIII. Death of Dr. Hutchinson — Sketch of his life — Election of Dr. Wood- house to the professorship of chemistry — Resignation of Dr. Griffitts — Sketch of his life — Election of Dr. Barton to the chair of materia medica — Resignation of Dr. Kuhn and election of Dr. Rush to the chair of practice — Creation of the chair of surgery and election of Dr. Physick, professor — First recognition of the ad eundem footing. Petition to the legislature with respect to irregular practitioners — Death of Dr. Shippen and election of Dr. Wistar — Death of Dr. Woodhouse and sketch of his life — Election of Dr. Coxe to the chair of chemistry — Opinion of the faculty with respect to chemistry CHAPTER IX. Separation of Obstetrics from the Chair of Anatomy — Estimation of this branch in Europe, and its elevation to an equal position with other branches of the Medical Schools— Dr. Shippen's endeavors to improve its condition in America — Election of Dr. James to the Chair of Obstetrics in the University of Pennsylvania — The tardy admission of the subject to an equality with others — Mode of exam- ining for degrees — New By-Laws for the regulation of the Medical Department — Rules for graduation 110 CONTEXTS. XI CHAPTER X. PAGE Death of Dr. Rush — His services to the Medical School and his doc- trines — Election of Dr. Barton to the Chair of Practice, and of Dr. Chapman to that of Materia Medica — Death of Dr. Barton — Sketch of his life and labors as a teacher and naturalist — Election of Dr. Chapman to the Professorship of Practice, and of Dr. Dorsey to that of Materia Medica 120 CHAPTER XI. A Faculty of Natural Sciences organized by the Board of Trustees. Death of Dr. Wistar — Sketch of his life and services to the Univer- sity — Anatomical Museum — Dr. Dorsey succeeds Dr. Wistar — Death of Dr. Dorsey — Sketch of his life — Transfer of Dr. Physick to the Chair of Anatomy — Election of Dr. Gibson to the Chair of Surgery — Dr. Horner appointed Adjunct Professor of Anatomy . . . 134 CHAPTER XII. Degrees in Pharmacy — Foundation of six studentships in the Medical Department — Appointment of Dr. Dewees Adjunct Professor of Ob- stetrics and the Diseases of Women and Children — Settlement of the ad eundem footing of other Schools of Medicine — Application for the transfer of the Botanical Professorship to the Medical Faculty — Ap- pointment of Dr. Samuel Jackson as an Assistant to the Professor of Practice, &c., to teach the Institutes of Medicine — Resignation of Dr. Physick ; sketch of his life and services — Election of Dr. Horner to the Chair of Anatomy 145 CHAPTER XIII. Resignation of Dr. James — Sketch of his life — Dr. Dewees elected Pro- fessor of Obstetrics — Retirement of Dr. Coxe from the Chair of Materia Medica — Sketch of his life — Restitution of the Chair of In- stitutes — Election of Dr. .Jackson to it — Election of Dr. Wood to the Professorship of Materia Medica and Pharmacy — Resignation of Dr. Dewees and election of Dr. Hodge — Sketch of the life of Dr. Dewees — Faculty as organized in 1835 ' 154 CHAPTER XIV. Resignation of Dr. Hare — Sketch of his life — Election of Dr. James B. Rogers to the Chair of Chemistry — Change in the lecture term — Resig- nation of Dr. Chapman — Sketch of his life — Election of Dr. Wood to the Chair of Practice, and of Dr. Carson to that of Materia Medica and Phar- macy 165 Xll CONTENTS. CHAPTEE XV. PAGE Death of Dr. James B. Kogers — Sketch of his life — Election of Dr. Eobert E. Rogers to the Chair of Chemistry — Death of Dr. Horner — Sketch of his life — Election of Dr. Leidy to the Chair of Anatomy — • Resignation of Dr. Gibson, Sketch of his Life — Election of Dr. Henry H. Smith to the Professorship of Surgery — Resignation of Dr. Wood — Election of Dr. Pepper to the Chair of Practice — Re- signation of Dr. Jackson and of Dr. Hodge — Election of Dr. F. Q. Smith to the Chair of Institutes, and of Dr. Penrose to that of Obstetrics — Resignation of Dr. Pepper and his decease — Sketch of his life — Election of Dr. A. Stille to the Chair of Practice — Supple- mentary Course of Lectures 180 CHAPTER XVI. Clinical instruction 192 f CHAPTER XVII. University Buildings and accommodations for the delivery of the lectures 305 Appendix . . . 213 Index . . . . . . .223 HISTORY MEDICAL DEPARTMENT OF THE UNIYERSITY OF PENNSYLVANIA. CHAPTEE I. INTEODUCTION. The most enlightened nations of all periods have per- ceived the advantages, and zealously promoted the forma- tion of colonial settlements. Accordingly those nations who most figure in the records of history were more or less engaged, at the acme of their prosperity, in thus extending the sphere of their inflaence and authority. In the language of William Penn, " Colonies are the seeds of nations, begun and nourished by the care of wise and populous countries, as conceiving them best for the increase of human stock, and beneficial for commerce."^ Without detailing the numerous instances of enterprise in this direction, or the circumstances attending their varied fortune, it will be pertinent to the subject of present interest to state prominently the fact, that of all the races who have been thus distinguished, not one has been more successful than that branch of the Teutonic stock from which we are lineally descended. Conqueror of the Eoman Empire, and the legitimate inheritor of its glory, the race of Teutons has sent its sons broadcast over the earth, and has its offshoots, ' Penn, in issuing his proposals, entered into an elaborate argument to show the advantages of colonization. — Penn's Works, fol. Annals of Pennsylvania, by Samuel Hazard, pp. 305. 2 18 MEDICAL DEPARTMENT OF as fJourisliing communities, on every continent. Deriving our descent from this redoubtable people through Anglo- Saxon ancestry, we are in this land to-day the representa- tives of a civilization which has never lost a foot of soil to which it has been transplanted, nor yielded, by force of arms, to any rival or competitor for supremacy; for wherever Anglo-Saxon domination has been carried, there has it been permanently established. The colonists of North America had all the qualities to secure a permanent foothold, and to extend territorial domin- ion. They seem to have counted the cost of relinquishing the attractions and advantages of European civilization, and having determined to cast their lot in a distant land, and settle in a wilderness, were ready to undergo the privations, hardships, and frequent perils incident to so bold an under-, taking. With stout hearts, vigorous frames, firm and un- wavering faith, and confidence in an unconquerable will to surmount obstacles necessarily to be encountered, they perse- vered tenaciously in their efforts, and, slowly emerging from their difficulties, were eminently successful in converting the primeval forest into a dwelling-place of abundance and luxury. The country they were preordained to subjugate, and to transmit as an inheritance to their children, was no El Dorado. To obtain gold or silver, or precious stones, from its streams or mountains, entered into the imagination only of the wildest dreamers ; but it possessed a virgin soil of untold richness, and bays and rivers of vast proportions ; and it had every requisite for the support of an industrious, ^enterprising, self-reliant people, who would bestow their labor without stint, and by the sweat of their brow render nature herself conducive to the acquisition of independence, prosperity, and wealth. The settlers soon discovered that their land of promise was a cereal producing countr}?", by the cultivation of which bread could be produced in abundance for domestic demand, and to spare; that the plough and the sickle were the engines of present and prospective affluence, and that upon the use of these must depend everything that contributes to the erection of a flourishing community, of a first-class power among the nations, with its commerce, manu- THE UXIVERSITY OF FENXSYLVAXIA. 19 factures, and arts.^ In 1680 Malilon Stacy wrote thus to a friend in England, from New Jersey: "We have wanted nothing since we came hither but the company of our good friends and acquaintances; all our people are very well, and in a hopeful way to live much better than they ever did, and not only so, but to provide well for their posterity. I live as well to my content, and in as great plenty as ever I did, and in a far more likely way to make an estate."^ Writers upon political economy, when estimating the sources of the wealth and prosperity of nations, have given comparatively too little attention to the importance of one natural family of the vegetable kingdom, the Graminede; yet with reference to ourselves, its cultivation was the foundation of our first successes, of our prodigious growth and augmen- tation, of our moral and intellectual elevation, and of our influence upon mankind. Food, then, has been made a dominant power, and all creation virtually recognizes the truth of the assertion. WitJ^ the relief from^ anxiety and concern for immediate and temporary requirements, and an improvement in material sources of prosperity, came new wants, spontaneously arising, to a thriving, active, and reasoning people. The need of literary and scientific cultivation was fully understood, and incited to practical endeavors to meet its suggestions. The school and the schoolmaster were early introduced as an institution, and we may advert with interest, not unmingled with pleasure and pride, to the former days when the rustic school-house and the "Log College" were the seats of educa- ' That enthusiastic writer, Gabriel Thomas, when speaking of the crops of the settlers, informs us that " Their sorts of grain are Wheat, Rye, Pease, Oats, Barley, Buckwheat, Rice, Indian Corn, Indian Pease, and Beans, with great quantities of Hemp and Flax, as also several sorts of eating Roots and Turnips, Potatoes, Carrots, Parsnips, etc., all of which are produced yearly in greater quantities than in England. There are several Husband- men who sow yearly between seventy and eighty acres of Wheat, each, besides Barley, Gates, Pease, and Beans/' — An Historical and Geographi- cal Account of the Province and Country of Pennsylvania and of West Jersey in America, etc., by Gabriel Thomas, who resided there about fifteen years: London, 1698, p. 10. ^ Smith's New Jersey, p. 114. ^ 20 MEDICAL DEPAETMENT OF tion and learning of tlie country, when, witli spelling and reading, with writing and arithmetic, the classics and philo- sophy constituted the daily round of teaching imposed on one professor. From such humble beginnings have pro- ceeded the most successful and elaborately-organized educa- tional establishments, which having acquired a world-wide reputation, and in the full tide of usefulness, are evidences of the intelligence and refinement of the nation. Besides the necessity of systematic instruction for the pro- secution of the increasing business of the people, and for the extension of their relations at home and abroad, there was soon felt that of providing for the future successful perform- ance of professional duties. As population multiplied, this need was thoroughly appreciated. The educated men had become, from the earliest period of the settlements, the lead- ing characters, whether occupied in administering the laws, and governing the State, in expounding the doctrines of religious belief, or in administering to the sick ; and hence a respect for the higher orders of learning which were re- garded as conducive to efficiency and usefalness became fixed in the minds of the community. The first practi- tioners of the healing art had been educated in the parent country; when following the fortunes of their less gifted countrymen they had become participants of their struggles and trials. Such were the few medical men who first landed on our shores, and who encountered all the difficulties of administering to the ailments incident to a new climate, aggravated by deficient facilities of protection from the ele- ments and exposure. They were, in many instances, pos- sessed of a thorough education and of classical accomplish- ments, and nobly sustained their part in the untried scenes through which they passed. In some cases the theological and medical professions were united in the same individual, medicine being studied as an accessory science, with the especial view — as is now fre- quently done by our missionaries — to meet the exigencies of administering, if required, not only in spiritual concerns, but in bodily derangements. This union of the clerical and medical professions has been adverted to by Dr. Thatcher, THE UXIVER3ITY OF PEXXSYLYAXIA. 21 who thus explains it: ''The inducements to emigrate, with the large proportion of the colonists, was of a religious nature. They were restive and unhappy under the restric- tions and even persecutions which emanated from the bigotry of the Church Establishment of England." "The Puritan clergy of England were, for more than twenty years prior to the emigration of the first settlers, subjected to the sharpest persecution. Hence, as a precautionary measure in case of an ejectment, a considerable number of clergymen of that period were educated to the medical profession, and not a few were eminent practitioners before they crossed the At- lantic. When these professional men came to form connec- tions in the Colonies, it was found that the small congrega- tions were unable to afford them a comfortable support; hence the necessity and convenience of their resorting to secular avocations." Dr. Sewell remarks, in this connection, that " so far were the professions of Divinity and Medicine united that the clergy not only prescribed for the sick, but entered into medical controversies, and wrote practical works on the dis- eases of the country." There were several medical works published in America at an early date by divines. A physi- cian as well as a learned clergyman of Boston, Thomas Thatcher, in 1677, published a work entitled, "A Brief Guide in the Smallpox and Measles." This was soon followed by the work of another clergyman, which bore the title of " A Good Management under the Distemper of the Measles."^ The Rev. Benjamin Colman, also of Boston, printed a small pamphlet entitled, "Some Account of the New Method of Eeceiving the Smallpox, by Grafting or Inoculating." Ka- thaniel Williams wrote a pamphlet on the " Method of the Practice in the Smallpox," published in 1730. And Thomas Howard, in 1732, put forth a treatise upon Pharmacy.-^ Even ^ A Lecture delivered at the opening of the Medical Department of Columbia College, in the District of Columbia, March 30, 1825, by Thomas Sewell, M. D., Professor of Anatomy and Physiology, Washington City, (p. 8.) 2 An Historical Sketch of the state of Medicine in the American Colonies from their first settlement to the period of the Revolution, by John B. Beck, M. D. — Transactions of the New York State Medical Society, 1850. 22 MEDICAL DEPAETMENT OF as late as 1775, we find, in the "Pennsylvania Magazine" for April, tlie history of a malignant fever, attended with some new symptoms, in Sussex County, Delaware, by the Kev. Mr. Matthew Wilson, of Lewestown.^ The two avocations, however, occasionally interfered with each other, as is illustrated by the following incident : In a neighboring State, a theological physician was in the midst of his usual Sunday services when a message was conveyed to him that a negro girl was dangerously ill and needed his medical attention. Having no other means in the pulpit of giving his directions, he seized a hymn-book and wrote upon the fly-leaf, "Let the wench be blooded, and wait until I come." The book is now in the possession of the clerical grandson of the clerical doctor, who in his day was an influ- ential personage. It must not be supposed that from the very commencement of the settlements there was the highest degree of skill, or consummate learning. The colonists, in the infancy of their establishments, were apparently satisfied with a moderate amount of professional competency. It is recorded that "Jan Petersen, from Alfendolft, was employed as barber (as surgeons were then denominated) on South Eiver (Dela- ware) at ten guilders per month from the 1st of July, 1638."^ At a little later period, we are told by Gordon that the salary of a secretary in New Sweden was eight dollars a month, of a barber ten, and of a provost six. He adds : " We must not infer from comparison of the wages of the secretary and barber, that the latter was most valued, though most appreciated. The first had doubtless the most honor, though the second had a greater compensation in base lucre."^ When the Swedish possessions had passed into the hands of the Dutch, the Director of the colony at New Arnstel (afterwards New Castle), Aldricks, writes "that our actual situation is certainly very distressing by an ardent prevailing fever, and other diseases, by which the large majority of the inhabitants are oppressed and broken down; besides that, our ' The letter giving this account is dated March 22, 1775. 2 Annals of Pennsylvania, p. 49, from Albany Papers. 3 The History of New Jersey, by Thomas F. Gordon, p. 13. THE UXIYERSITY OF PENNSYLVANIA. 23 barber died, and another, well acquainted with his profession, is very sick."^ The practice of the times was probably con- fined to bleeding, and the administration of salts and simples. These did not always succeed, however, for in some of the references in connection with epidemic disorders, it is stated that this mode of treatment was unsuccessful. A low type of disease may have been prevalent. There are other allusions made to the Dutch-Swedish Colony on the Delaware. In a letter from Aldricks to the Director-General, Stuyvesant, March, 1659, the "causes" then operating against it are stated; among others, "that prevailing violent sickness which wasted a vast deal of goods and blood from one year to another, and which not only raged here, but everywhere throughout this province, and Avhich consequently retarded, not only our progress in agri- culture, but threw a damp over other undertakings." In 1660, Beekman, the Collector, speaks of "Peter Tenneman to be employed as a surgeon by the Company," and adds: "We are in want of a good surgeon, as it happened already more than once ; thereto we wanted very much Mr. Williams, the barber (surgeon) in this city; but having then some patients there (probably New York) he could not come hither, and when he came he often had not by him such medicaments as the patients required, wherefore the sick are suffering."^ These extracts furnish an .interesting view of the posture of affairs, and of the difS.culties encountered at the period. The profession has always been burdened with charlatans, and the early history of it in this country presents no excep- tion. Smith, who wrote in 1758, when speaking of the pro- fession of ]^ew York, says: "A few physicians among us are eminent for their skill. Quacks abound like locusts in Egypt, and too many have been recommended to a full practice and profitable subsistence; this is less to be wondered at, as the ' This picture differs from a somewhat spiteful one of affairs by Gabriel Thomas: " Of Lawyers and Physicians I shall say nothing, because this Countrey is very Peaceable and Healty {sic) ; long may it so continue, and never have occasion for the Tongue of the one, nor the Pen of the other — both equally destructive to Men's Estates and Lives ; besides, forsooth, they, Hangman like, have a License to Murder and make Mischief."— Op. cit., p. 32. * Annals of Pennsylvania, p. 308. 24 MEDICAL DEPARTMENT OF profession is under no kind of regulation. Loud as ttie call is, to our shame be it remembered, we have no law to protect the lives of the king's subjects from the malpractice ^ of pre- tenders. Any man, at his pleasure, sets up for physician, apothecary, and chirurgeon. No candidates are either exam- ined, licensed, or were sworn to fair practice."^ This condi- tion of things was also exhibited by Dr. Peter Middleton in his introductory lecture in 1768, upon the opening of the Medical School, who stigmatized a class of practitioners as the "needy outcasts of other places in the character of doctors."^ There is an instinctive tendency among scientific men, when transplanted to new and unexplored localities, to inves- tigate the objects of natural interest to which they are intro- duced, and none could have been better calculated to arouse curiosity, or lead to exploration, than the surroundings of the colonial physicians. The natural science with which they were best acquainted 'was botany. It had necessarily entered into their studies as an element of medic^^l education, and was so closely associated with the therapeutical methods of the time, that the transition was an easy and attractive one from the study of the plants to which they had been accustomed to unknown productions everywhere thrust upon their obser- vation. The rich and resplendent Flora of North America was a subject for wonder and contemplation to the true votary of nature, well calculated to awaken his enthusiasm, irrespective of the practical application that might be made of its study and investigation to the interests of humanity. When Pro- fessor Kalm, of Obo, a distinguished naturalist, was sent by the Universities of Sweden and the Government to this country in 1748, he landed in Philadelphia, and thus narrates his impres- sions: "I found that I was now come into a new world. Wher- ever I looked to the ground I everywhere found such plants as I had never seen before. When I saw a tree, I was forced to stop and ask those who accompanied me, how it was called. The first plant which struck my eyes was an andropogon^ or ' History of New York, by William Smith, A. M., p. 336. 2 See Beck's Historical -Sketch, before quoted. THE UXIYERSITY OF PEXXSYLVAXIA. 25 kind of grass — and grass is a part of botany I always de- lighted in, I was seized with terror at the thought of ranging through so man}^ new and unknown parts of natural history/'^ This was an instinctive expression of feeling on the part of one of the most accomplished naturalists of the age. The colonial physicians were not neglectful of resources that lay within their reach. Stimulated by a desire to render themselves independent in the supply of their remedial agents, they made important discoveries in regard to the_ value of indigenous plants, which have stood the test of expe- rience. By them standard additions were made to the Mate- ria Medica list, not only of this country, but of Europe. Some of the medicinal productions of the continent of America were known to the aborigines.^ The names of Clayton, Tennant, Lining, Chalmers, Garden, Shoeff, Colden, and Mitchell, may be honorably mentioned in association with the botanical productions of North America; and in compliment to several of them Linn^us named such genera as emanated from their researches. It is stated that Dr. Ten- nant received one hundred pounds from the Virginia legis- lature, in 1739, in consequence of the discovery of the efiicacy of senega in pleuris}^. Dr. Garden's name is closely con- nected with the recognition of the anthelmintic properties of Spigelia Marilandica.^ * Kalm's Travels in North. America, vol. i. p. 31. ^ The way in which the resources of the country were viewed by certain persons who wrote upon the subject at an early date, may be judged of from the following extract of Gabriel Thomas's account of Pennsylvania, published in 1698 : "There are also many curious and excellent 'physical wild herbs, roots, and drugs, of great virtue and very sanative, as the sassafras and sarsaparilla, so much used in diet drinks, for the cure of the venereal disease, which makes the Indians, by a right application of them, as able doctors and surgeons as any in Europe, performing celebrated cures therewith, and by the use of some particular pZcm^.s only, find remedy in all swellings, burnings, cuts, etc. There grows also in great plenty the black snakeroot (famed for its sometimes preserving from, but often curing the plague, being infused only in whine, brandy, or rumm), rattle- snake root, pokeroot — called, in England, jallop — with several other bene- ficial herbs, plants, roots, which physicians have approved of, far exceed- ing in nature and virtue those of other countries." — Op. cit., p. 18. ^ An interesting lecture upon this subject was published by Professor Wood, introductory to his course of 1840, University of Pennsylvania. See, also, Thatcher's Medical Biography. 26 MEDICAL DEPAETMENT OF CHAPTEK II. The first physicians of Pennsylvania — Their education abroad — Their professional and public influence — The succeeding generation of medical men, and their education at home and abroad — Their character and labors — The institution of the American Philosophical Society, and of the Pennsylvania Hospital. When Penn made up his company of emigrants, which, under his own guidance, landed on the shores of the Dela- ware in 1682, he was not unmindful of the medical wants of his incipient colony. Several well-educated members of the profession united their destiny with that of the party who arrived that year. It is known that one at least of these physicians was on board the Proprietary's own vessel, the Welcome, where his services were called into requisition on the voyage from England, as smallpox broke out among the crew and passengers shortly after their embarkation. The attention of a practitioner of the healing art must have been beneficial to those who were attacked by the disease, and, under such ap- palling circumstances, his presence must have been a source of encouragement and comfort to all who constituted the adven- turous company. The individual referred to as having been on board the Welcome was Thomas Wynne} Another skilful ' Mr. Edward Armstrong, the editor of the reprinted vol. i. of the Memoirs of the Historical Society of Pennsylvania, has taken pains to ascertain who were the individuals accompanying William Penn in the Welcome. The name of Thomas Wynne has been determined to be upon the list. We have reason to suppose that there were many, not enume- rated, with respect to whom the direct proof is lost that they were in the same vessel as the Proprietary. With the scanty data that are now acces- sible, it is impossible to specify with accuracy of whom the entire company was composed. Several vessels arrived during the autumn and winter of the same year, and other individuals of the medical profession may have been passengers in them. — Appendix to vol. i. Mem. of Hist. Soc. of Pa., p. 33, and note. THE UNIYEKSITY OF PENNSYLVANIA. 27 physician who arrived at this period was Dr. Griffith Oiven. It appears from the records that the sphere of operation in the immediate line of medical practice was too limited for all of the gentlemen who had arrived, and as they were men of the highest order of intelligence and acquirement, their talents were turned to account in organizing the settlement. Dr. Wynne was a Welsh gentleman, and is said to have practised previously with reputation in London. After serving as Speaker of the first Provincial Assembly of Pennsylvania, and being much employed in political business, he died in ten years from his arrival. From his public position he appears to have paid but little attention to medicine. Dr. Wynne left a son-in-law, Dr. Edward Jones, also one of the emigrants of 1682.^ He settled in Merion Township, near Philadelphia, and enjoyed considerable repute as a physician. Dr. Griffith Owen, whose merit and ability raised him to several offices of trust, continued his vocation as physician, ''in which he was very knowing and eminent," as we are informed by Proud.^ This gentleman, indeed, appears to have been the chief medical practitioner of Philadelphia, and was highly respected for his professional talents, integrity, and spirit. He left no record of a medical sort, and dying in 1717, at about the age of seventy, was succeeded by a son, who practised some time after his father's death.^ Dr. Owen, besides his medical employment, was a preacher among Friends. The individuals of whom mention has been made were in the prime of life when they identified themselves with the success of the newly-created Province. A narrative has been given by Thomas Story, of the first recorded surgical operation in Pennsylvania, as. follows: " The next day, being the 1st of the 10th month (December, 1699, old style), we went over Chester Creek on a boat to the town, and as the Governor landed (William Penn's second ' Prior to 1700, Dr. John Gooclson is spoken of as a surgeon of tlie city, as also Dr. Hodgson ; of these gentlemen nothing has been transmitted to us. ^ Proud's History of Pennsylvania. ' Eulogium upon Dr. William Shippen, Jr., by Dr. Caspar Wistar. Reference is made to these early physicians by Dr. Caspar Morris, in "Contributions to the Medical History of Pennsylvania." — Trans. Hist. Soc. of Pa., vol. i. 28 MEDICAL DEPARTMENT OF visit), some young men, officiously, and contrary to express command of some of tlie magistrates, fired two small sea pieces of cannon, and being ambitious of making three out of two, by firing one twice, one of tbe young men, darting in a cartridge of powder before the piece was sponged, had his left hand and arm shot to pieces; upon which a surgeon being sent for from on board a ship then riding, an amputation of the member was quickly resolved on by Dr. Griffith Owen (a Friend), the surgeon, and some other skilful persons pre- sent. But as the arm was cut off, some spirits in a basin happened to take fire, and being spilt on the surgeon's apron, set his clothes on fire, and there being a great crowd of spec- tators, some of them were in the way, and in danger of being scalded, as the surgeon himself was upon his hands and face, but running into the street, the fire was quenched, and so quick was he that the patient lost not very much blood, though left in that open, bleeding condition."^ In the progress of time, the inhabitants of the thriving and extended colony of Pennsylvania became so numerous as to require a greater number of medical attendants. In the year 1711, Dr. John Kearsley arrived; and in 1717, Dr. Thomas Graeme. Both of these medical men were well educated, and became distinguished citizens. Dr. Kearsley, although throughout his career extensively engaged in the practice of medicine and surgery, was not inattentive to the public inte- rests of the province. He was a favorite of the people, and as a member of the House of Assembly, after advocating their interests in debate, was carried to his home upon their shoulders. From the Eev. Dr. Dorr we learn that "he was for fifty-three years a member of the vestry of Christ Church, and always took an active interest in all its concerns. To him, more than to any other individual, we are indebted for the present beautiful edifice, he having superintended the building from the commencement to its completion, and often was in advance large sums of money to defray the expense ^ Journal of the Life of Thomas Story : printed at New Castle-npon- Tyne ; foL, 1747, p. 245. Dr. Owen could not have been the surgeon of the vessel ; he probably had gone to Chester to pay his respects to the Proprietary, William Penn, on his arrival. THE UXIYERSITY OF PEXXSYLVANIA. 29 of materials and the bills of workmen." When the church was completed, "on May 11, 1747, the vestry passed a vote of thanks, and ordered a piece of plate of the value of forty pounds, to be given to Dr. John Kearsley, for his care and trouble in rebuilding nad ornamenting the church, and as a lasting testimonial and acknowledgment of his services done for this church and congregation."^ Dr. Kearsley died in January, 1772, at the advanced age of eighty years, and " left by his will a large part of his estate both real and personal, in trust to the corporation of the united churches of Christ Church and St. Peter's, to found the institution which he named ' Christ Church Hospital^'' the design of which is to afibrd a comfortable home for respecta- ble, aged, indigent females."^ By judicious management this benefaction has proved a munificent one. Dr. Thomas Graeme, after a long career in medicine, in which pursuit he from time to time performed the duty of health officer, became an officer of the customs, and a justice of the Supreme Court. ^ He finally retired to his country seat in Bucks County, where he spent the remainder of his life. This country seat has been known by the name of Graeme Park. The influence of the intelligent and educated men whose names have been mentioned, was of incalculable advantage in all the ways where science and learning could be brought into requisition, but especially were their services important as teachers of their art and preceptors of the rising genera- tion. The physicians who succeeded them were natives of the country. Of their number may be named Lloyd Zachary, Thomas Cadwalader, William Shippen, Sr., Thomas Bond, Phineas Bond, Cadwalader Evans, John Eedman, John Bard, and John Kearsley, Jr. Several of these, as Zachary, Eedman, and Kearsley, Jr., were the pupils — or, in the lan- guage. then in vogue, the apprentices of the elder Kearsley, who, if the account speaks truly, was no lenient master. ' Historical Account of Christ Church, of Philadelphia, etc., by the Rev. Benjamin Dorr, D. D., 1841, p. 335. 2 Ibid. » Pa. Archives, 1728 to 1759. 30 MEDICAL DEPAETMENT OF " He treated his pupils with great rigor, and subjected them to the most menial employments." An apprenticeship at that time was no sinecure; it was a period of probation attended with toil and exactions. The pupil lived, for the most part, with his master — was constantly subject to his orders, whether in the task of preparing medicines to be used in his daily rounds, in carrying them to the patients, or in making fires, keeping the office clean, and other household duties now devolving upon domestics. " To these. Dr. Bard has been often heard to say, he would never have submitted but from apprehension of giving pain to his excellent mother, and the encouragement he received from the kindness of her particular friend, Mrs. Kearsley, of whom he always spoke in terms of the warmest gratitude, affection, and respect. Under such circumstances he persevered to the end of seven tedious years, stealing his hours of study from sleep, after the family had retired to rest, and before they arose from their beds."^ The desire for medical knowledge was not satisfied, on the part of these American pupils, with the limited means of education at the command of their preceptors, who, as far as they were able, bestowed a training in the handicraft of the profession; and it was regarded as important that a visit should be made to Europe to complete the course of acquire- ment. We therefore find that most of the individuals alluded to pursued this plan, and returned to the field of their duty with all the accomplishments that a residence at the schools of the old world could afford to zealous aspirants for useful- ness and distinction. The facilities for improvement which were presented in Edinburgh, in London, or in Paris, attracted thither these neophytes in the healing art; and to good account, as was shown in their subsequent career, did they apply the fund of information there acquired. Another seat of medical improvement was Leyden, which possessed attrac- tions from the distinguished reputation of Boerhaave, of ' Memoir of the late Dr. John Bard (American Medical Register, New York, vol. i. p. 61). Dr. Bard subsequently settled in New York, and both he and his son, Dr. Samuel Bard, one of the founders of the New York Medical School, were distinguished practitioners of that city. THE UNIVERSITY OF PENXSYLVANIA. 31 Albinus, and of Ganbius. Not a few of the earlier plij- sicians of our country g:i;aduated at that famous University. The fruits of the assiduity of these earnest inquirers into the nature and cure of disease are manifest in the valuable contributions made by them to the literature and practice of tlie profession. Their observations in so novel and unde- scribed a field as the maladies of a recently-settled country, whose geographical position was so remote from the ancient haunts of men, could hardly fail to elicit materials for publi- cation which would be received with interest and thankful- ness by contemporaries and colaborers, as well as be calculated to excite attention in foreign lands.^ The endeavors of the early physicians to contribute a share to the advancement of medical science are proofs of a thoughtful cultivation of it, and of a laudable desire to render the experience acquired available to others. They may be referred to with interest as the only means at our command of ascertaining the spirit which actuated and the principles which guided the pioneer fathers of the profession.^ But not solely from the achievements of medical men within the limited circle of their professional occupations must we judge of their character and worth. As liberally instructed individuals and as citizens, from the very nature of their ' Dr. Cadwalader published an "Essay on the West India Dry Gripes, with the Method of Curing that Cruel Distemper. To which is added an Extraordinary Case in Physic. Printed and sold by B. Franklin, 1745." In the "Gentleman's Magazine" of 1769 appeared an account of Angina mahgna, which prevailed in Philadelphia in 1746 and 1760, by John Kearsley, Jr. 2 The subject of inoculation as a protection from smallpox was a promi- nent one among the physicians of Philadelphia. It was discussed pub- licly, and had its advocates and opponents. In 1736 the success of the practice was published. Drs. Kearsley, Zachary, Hooper, Cadwalader, Shippen, Bond, and Somers, advocated and practised it. (Watson, vol. ii. p. 373.) See also a valuable exposition of inoculation in the Transactions of the State Medical Society of Pennsylvania, 1865, by J. M. Ton- ner, M. D. A number of papers by American physicians may be found in the "Medical Observations and Inquiries by a Society of Phy.sicians of London." Among them is a relation of a cure performed by electricity, by Dr. Cadwalader Evans, at Philadelphia, dated October 31, 1754. This cure was effected by the apparatus of Dr. Franklin, applied by himself in September, 1752. 32 MEDICAL DEPARTMENT OF position, there are duties and obligations imposed upon them ■vyhich must. be responded to in th« readiest spirit. To act up to the demand of their noble avocation, they must either be leaders or associates in enterprises that are calculated to expand the domain of true learning and information, or that, originating in benevolence, will conduce to an amelioration of the social, moral, or physical condition of the community. It can, without fear of contradiction, be asserted that such a course has been pursued by the medical profession from the very foundation of the Colonies to the present time of their development into wealthy and prosperous commonwealths. It does not enter into the design of this history to trace out all the manifold channels of exertion into which intelligence and philanthropy were directed in connection with the medi- cal profession; yet, when adverting to occurrences which preceded the establishment of the School of Medicine, it would be an omission if we were to take no notice of some of them which have had an influence upon its rise and pro- gress. We may, then, pertinently refer to the origin of two institutions in which medical men took part, and to whose success they have largely contributed their share of labor. The first of these was founded with the design of reciprocal culture and the advancement of science and philo- sophy ; the second was a benevolent and philanthropic under- taking. The history of the American Philosophical Society has been particularly detailed in an interesting and elaborately prepared discourse by the Yice- President, Dr. Eobert M. Patterson, delivered on the occasion of celebrating the Hun- dredth Anniversary, May 25, 1843. It is our purpose now to exhibit the part taken in its concerns by the members of the medical profession. The originator of this Society was Franklin, who, finding that the time had come for a more extensive combination than that which for many years had borne the name of the Junto, on May 14, 1743, corresponding in the Gregorian Calendar to May 25, issued a "Proposal for promoting useful knowledge among the British Plantations in America." The enumeration of the subjects on which it was designed that the THE UXIYEESITY OF PENNSYLVANIA. 33 society should be occupied, included botany, medicine, mine- ralogy and mining, chemistry, mechanics, the arts, trades and manufactures, geography, topography, agriculture, "and all philosophical experiments that let light into the nature of things, tend to increase the power of man over matter, and multiply the conveniences and pleasures of life." Upon its going into operation Dr. Franklin himself acted as secretary. In the life of Dr. Cadwallader Golden, given in Eees' Ency- clopaedia, it is stated, in a letter to a friend, that Dr. Franklin acknowledges that the idea of founding a Philosophical So- ciety was suggested to him by Dr. Golden, and this has been repeated in every account of the life and of the labors of that distinguished physician in the cause of science and general knowledo-e. The name of the individual to whom this com- munication was made is not mentioned. From the following letter it is very clear that Dr. Golden must have been deeply interested in the success of the Society, or Franklin would not have been so explicit in his exposition of its prospects. New York, April 5th, 1744. Sir : Happening to be in this city about some particular Affairs, I have the pleasure of receiving yours of the 28th past, here. And can now acquaint you that the Society, as far as relates to Philadelphia, is actually formed, and has had several Meetings to mutual Satisfaction. As soon as I get home I shall send you a short account of what has been done and proposed at those Meetings. The members are — Dr. Thomas Bond, as Physician. Mr. John Bartram, as Botanist. Mr. Thomas Godfrey, as Mathematician. Mr. William Parsons, as Geographer. Mr. Samuel Khodes, as Mechanician. Dr. Phineas Bond, as Gen. Nat. Philosopher. Mr. Thomas Hopkinson, President. Mr. William Goleman, Treasurer. B. F., Secret. To whom the following Members have since been added, viz : Mr. Alexander,' of New York, Mr. Morris (Gh. Justice of the Jerseys), Mr. Home, Secretary of do., Mr. Jno. Coxe, of 3 34 MEDICAL DEPARTMENT OF Trenton, and Mr. Marty n, of the same place. Mr. ISTicliolls tells me of several other gentlemen of this city that incline to encourage the thing. And there are a Number of others in Virginia, Maryland, Carolina, and the New England Colonies who we expect to join us as soon as they are acquainted that the Society has begun to form itself. I am, sir, with much Eespect, your most humble Servant, B. FRANKLIN. The Hon. Cadwallader Colclen, Esq. It will thus be seen that in the organization of the Philo- sophical Society our profession occupied a prominent . place. The subjects of inquiry pertaining to it stood at the head of the list, and of the nine original founders two were medi- cal men. Another society came into existence about the year 1750, which in a considerable measure took precedence of its elder sister. This association had its origin very much in the same way as the first, and was likewise, in its infancy, called the Junto. In April, 1766, it assumed the name, and went into operation as the "American Society for Promoting and Pro- pagating Useful Knowledge." It was likewise supported b}^ the medical men of the day, and the names of Morgan, Evans, Cadwalader, Bard, Kedman, Kuhn, Moore, Graeme, and Ship- pen may be enumerated as contributing to give weight and dignity to its proceedings.^ In the year 1768, greater activity was infused into the " American Society ;" large additions were made to the list of fellows and correspondents, and among them were Dr. Franklin himself, then in England, and other men of great distinction. " The proceedings were no longer those of a de- bating club, bat of a learned Society." At the same time the Philosophical Society appears to have acquired additional vitality, as it were, from emulation infused into it by the activity of its younger sister. ISTevertheless, " the necessity for the existence of two societies devoted to the same extended field of research and inquiry did not exist, and it is an evi- ' Minutes of the American Society. THE UXIVERSITY OF PENXSYLYANIA. 35 deDce of the good sense and kindly feeling of both parties interested that the proposition of union prevailed when the proper influence was brought to bear upon them."^ From the minntes of the American Society, January 28th, 1768, it appears that the overture came from the younger association, and in the negotiation that ensued the medical members were influential in securing the result, as the following letter from Dr. Bond to Dr. John Morgan will show : — Dear Sir : I have considered the proposals you made me yesterday of our taking some further steps towards your uniting Avith us in a Philosophical Society, and as it was always my desire, and I think may yet be readily effected, I should be pleased to confer with you about it, and will do everything in my power to cultivate that harmony which should subsist among the lovers of science. I will confer with such of our members as I can meet with this morning, and I shall be glad to meet you, with such' of your members as you think proper, at my house, or any other place, at half-after twelve o'clock this day, that no time may be lost. I am, yours respectfully, THO. BOND. January 28tli, 1768. At the end of the year (December 30th, 1768), the two societies were united under a title which was derived from both, " The American Philosophical Society for Promoting Useful Knowledge." Throughout the entire subsequent career of the Philosophi- cal Society the medical profession has had its full share of honor in the bestowal of ofl&ces upon its members. This dis- tinction has been fully earned by the deep interest taken by them in its welfare, and by their contributing to its trans- actions scientific investigations and papers which have pro- moted its reputation. Of the thirteen presidents elected by ballot five have been medical men.^ * Discourse of Dr. Patterson. 2 The names of the physicians elected to the Presidency of the Society are, Caspar Wistar, M. D., Nathaniel Chapman, M. D., Robert Patterson, M. D., Franklin Bache, M. D., and George B. Wood, M. D. 36 MEDICAL DEPARTMENT OF Intlie " Transactions of the American Philosophical Society," printed in 1769, which contain the joint contributions of the two societies for the previous year, of twenty papers upon various interesting subjects eight pertain to medical science.^ The subsequent volumes contain many important and inter- esting medical communications, as well as others upon general science from members of the medical profession. The other institution to which we must now allude, as fill- ing a large space in the affections of the public, and quite as much dependent for its successful operation upon the medical profession as upon legislative or private aid, and whose annals in connection with the medical administration are blended with those of the University, is the Pennsylvania Hospital. It is not necessary to detail minutely the circum- stances under which this noble charity sprung into existence. A professor of the University has accomplished the task of writing its history, and it may be said of this, as of all his literary labors, " nihil tetiget quod non ornavit."^ The fact on which we desire to dwell is that the instigation to meet the requirements of the sick and wounded indigent citizens of the increasing colony emanated from its most natural source, the medical profession, in the person of Thomas Bond, who, although most ably seconded by the suggestive mind of Ben- jamin Franklin, may be regarded, without disparagement to the benevolence and efficiency of the great philosopher, as the originator of the undertaking. The physicians of the hospital first appointed were Lloyd Zachary, Thomas and Phineas Bond. To these were soon added Thomas Grraeme, Thomas Cadwalader, Samuel Preston 1 The small volume of Transactions to which reference is here made was the first published by the Society. It is of the small octavo size. A copy is not in the possession of the Society, whose first series of Transactions is a reprint in quarto form, not following the order of the original. We met with this original publication in the Philadelphia Library in connection with the "Pennsylvania Magazine" for 1769, edited by Lewis Nichola, and bound with it. The number in the catalogue is 1504 O. Apparently this early volume of Transactions had been lost sight of and forgotten. 2 An address on the occasion of the Centennial Celebration of the Found- ing of the Pennsylvania Hospital, delivered June 10, 1851, by George B. Wood, M. D., published by the Board of Managers. THE UXIYERSITY OF PEXXSYLYANIA. 37 Moore, and John Eedman. It is worthy of notice that at the time of the incorporation of this charitable institution, when, on an appeal for assistance being made to the Provincial Assembly, one of the objections offered to the measure was that the cost of medical attendance would alone be sufficient to consume all the money that could be raised, it was met by the offer on the part of Drs. Zachary and the Bonds to attend the patients gratuitously for three years. This became the settled understanding with the Board of Physicians and Surgeons ; nor have we learned that the compact has ever been annulled or abrogated during the period of "one hundred and seventeen years (from 1751 to the present date), an instance of disin- terested philanthropy which has been generally followed in the charitable institutions depending on medical attendance, not onlv of this city, but throughout the length and breadth of the land.^ In this institution was the first clinical instruction given by Dr. Thomas Bond in connection with the collegiate course, and it may be stated, so close has been the association between the hospital and the medical school, that of the twenty-nine professors, who have occupied collegiate chairs, eighteen have been attending phj^sicians or surgeons of the hospital, and five of the seven medical men first elected to these positions in the hospital were trustees of the college. The foundation of the medical library of the hospital dates as far back as 1763. The first medical book possessed by it appears to have been a gift from that warm friend and gene- rous benefactor of the institution, Dr. John Fothergill. It was the Materia Medica of Dr. WilHam Lewis, Loiidon, 1761. " When the managers resolved to demand a fee for the privi- lege of attending the wards of the hospital, and consulted with the physicians in regard to the destination of the sum raised, these gentlemen, Thomas Bond, Phineas Bond, Cad- walader Evans, and Thomas Cadwalader, although having claims upon such gratuities, according to the custom of the 1 In bis "Travels in the United States" in 1788, this fact was thought by Brissot de Warville of sufficient importance to be particularly noted and published. 38 MEDICAL DEPAETMENT OF British hospitals, full of scientific zeal, proposed to apply the money to the foundation of a medical library for the advantage of the pupils of the institution."^ In 1767, Hugh Eoberts and Samuel ISi eave presented as executors of Dr. Zachary, forty- three volumes from his library. The Library of the Penn- sylvania Hospital contains by donation and purchase between ten and eleven thousand volumes. 1 Preface to Catalogue of the Medical Library of the Pennsylyauia Hos- pital, hy Emil Fischer, M. D. THE UXIVERSITY OF PEXXSYLVANIA. 39 CHAPTEE III. Commencement of medical teaching in America — Dr. Cadwalader''s lec- tures on anatomy in Pliiladelpliia — Dr. Hunter's lectures at Newport — Dr. Sliippen, Jr., opens an anatomical school — Dr. Fothergill's contri- butions for teaching anatomy — Dr. John Morgan, his education and early labors — Dr. Sliippen' s education and studies — Dr. Morgan submits his plan of a medical school to the trustees of the college. It has been stated that the medical men who first settled in the Province of Pennsylvania came with their countrymen from Europe, and that into their offices or shops apprentices Avere received, to be trained in a knowledge of the healing art. It was well understood, however, that the highest grade of medical acquirement could not be derived from the re- sources alone of private practitioners, no matter how well informed they might be, or versed in the every-day applica- tion of science to the demands that were made upon their skill; and hence the resort, on the part of the rising genera- tion, to prominent seats of instruction abroad. The return of these youthful travelled aspirants was hailed with pleasure by their friends and fellow-citizens. The acquire - ments additionally gained by them from a visit to Europe afforded promise of a life of usefulness and distinction. They Avere believed to be conversant with the latest discoveries and improvements, and the exponents of the progressive attainment of the age. To their preceptors they returned with interest the debt of gratitude for early instruction, becoming in turn the teachers whose field of enterprise and labor lay in dif- fusing the results of their studies and inquiries. In exempli- fication it may be stated, that Dr. Cadwalader, who had studied anatomy in London under the guidance of the celebrated Cheselden, gave demonstrations to the physicians of Phila- delphia, when he settled himself among them. It is interest- ing to know, that the place of delivery of these lectures was 40 MEDICAL DEPAKTMENT OF in Second Street above "Walnut, on the back part of the lot which faces Dock Street. The Bank of Pennsylvania subse- quently occupied the site. With respect to these lectures. Dr. Wistar remarks: " I suppose that the anatomy of that day, as well as of the present, enjoyed the honorable protection of literature, and that the dissections were made under the aus- pices of the most profound scholar of Pennsylvania, the Presi- dent, James Logan, founder of the Loganian Library." " This probably was the first business of the kind ever done in Philadelphia."! Credit is likewise to be awarded to Dr. William Hunter, of Newport, Ehode Island, a native of Scotland, and a relative of the celebrated LIunters, who, upon settling in America, gave lectures upon anatomy in 1754, '55, '56. As Dr. Cadwalader had been established in Philadelphia some time before the year 1751, at which date he Avas appointed one of the physi- cians of the hospital, and gave his lectures upon his return from Europe, the probability is in favor of his having first entered upon this branch of teaching. Dr. William Shippen, Jr., the son of Dr. Shippen already mentioned, who had recently returned from Europe, com- menced a course of anatomy in 1762. In the "Pennsylvania Gazette," November 25, 1762, is the following announcement: " Dr. Shippen's Anatomical Lectures will begin to-morrow evening, at six o'clock, at his father's house in Fourth Street. Tickets for the course to be had of the Doctor, at five Pistoles each, and any gentlemen who incline to see the subject pre- pared for the lectures and learn the art of Dissecting, Injec- tions, &c., are to pay five Pistoles more." The Introductory to this course of lectures was delivered in one of the large apartments of the State House, and many of the gentlemen of Philadelphia heard it with pleasure. The number of students who attended his lectures was twelve. Dr. Wistar, in his Eulogium upon Dr. Shippen, after the pre- ceding statement, adds, " Such was the origin of our medical school." Three courses of this private character were de- livered. * Wistar' s Eulogy upon Dr. Shippen, Jr. THE UXIVEESITY OF PENNSYLVANIA. 41 Dr. John Fotliergill appears uniformly to have evinced an interest in Pennsylvania, at first in relation to medical affairs, and subsequently in a more extended way by his anxiety to avert the calamity of war between the colonies and the mother country.' He Avas of the same religious persuasion as Wil- liam Penn, and hence his concern for the welfare and pros- perity of the Province. Dr. Wistar tells us "that the people of Pennsylvania seem always to have been regarded with affection by this gentleman, but at the present period he was more interested in them than usual. The Pennsylvania Hospital had lately been erected; he took it for granted that students would resort to it, and supposed that they would experience great dif&culty in acquiring a knowledge of anato- my. To remedy this defect in the medical education of Penn- sylvania, he employed Eimsdyck, one of the first artists of Great Britain, to execute the crayon paintings, now at our Hospital, which exhibit the whole structure of the body, at two-thirds the natural size, and the gravid uterus, with many of the varied cirumstances of natural or preternatural partu- rition, of full size. Jentry, an anatomist of London, is said to have made the dissections from which these paintings were made, and Dr. William Hunter sometimes examined the work. They are supposed to have cost two hundred guineas, which, in addition to one hundred and fifty guineas which he con- tributed to the institution, constitute a most substantial proof of his regard as well as of his liberality." The account of the arrival and reception by the Hospital of the donation of Dr. Fothergill is given in the Minutes of the Board of Managers, to wit — "At a Meeting of the Mana- gers and Treasurer, in the Warden's Eoom at the Court House, Philada., the 8th, 11 month (Nov.), 1762. " The Board being called at the request of Dr. William Shippen, Jr., lately arrived from London, he attended and informed the Board that per the Caroline, Capt. Friend, are 1 Life of Dr. Fotliergill by John Coakley Lettsom, M. D., see the "Works of Dr. Fothergill," London, vol. 3d, 1784, Oct., also in Quarto ed. Tlie ac- count of Dr. Fothergill's association with Dr. Franklin is most interesting, in an effort to prevent the American war. His political papers on this sub- ject are worthy of perusal. 42 ]\[EDICAL DEPAETMENT OF arrived from Dr. John Fotliergill seven cases, wlaicli contain a parcel of Anatomical drawings, whicli the Dr. informed him, when in London, he intended as a present to the Pennsylvania Hospital, bnt that he has not received any letter or invoice of them, nor any further directions but what the Doctor verbally gave him, and that he concludes his constant en- gagements prevented his writing per the ship. But by a letter from him to James Pemberton, dated 4th mo. (April) last, he therein signifies in general his intentions of sending this Present to the Hospital, and the uses he proposes thereby. Of it the following is an abstract : — " I distributed the books thou wast pleased to send me as desired, but they came perhaps at an unlucky juncture. Money is much wanted here for numerous purposes, and men part with fifty pounds with reluctance, when they know that a little more would purchase them a hundred; the Hospital, however, must subsist itself as well as possible till better times. I propose to send, by Dr. Shippen, a present to it of some intrinsic value, tho' not probably of immediate benefit. I need not tell thee that the knowledge of Anatomy is of ex- ceeding great use to practitioners in Physic and Surgery, and that the means of procuring subjects with you are not easy ; some pretty accurate anatomical drawings, about half as big as the life, have fallen into my hands, which I propose to send to your Hospital to be under the care of the Physicians, and to be by some of them explained to the students and pupils who may attend the Hospital. In the want of real subjects these will have their use, and I have recommended it to Dr. Shippen to give a Course of Anatomical Lectures to such as may attend. He is very well qualified for the subject, and will soon \)Q followed hy an able assistant^ Dr. Morgan^ hoth of whom^ I apprehend^ will not only he useful to the Province in their employments^ hut if suitahly countenanced hy the Legislature^ ivill he ahle to erect a School of Physic amongst you^ that may draw students from various parts of America and the West Indies, and at least furnish them with a better idea of the rudiments of their Profession, than they have at present the means of acquiring on your side of the water. " Should the Managers of the Hospital think proper, I could THE U^'IVERSITY OF PEXXSYLVANIA. ' 43 wisli that, if the drawings and casts I shall send per the next convoy come safe, thev might be lodged in some low apart- ment of the Hospital, not to be seen by every person, but with the permission of a Trustee, or for some small gratuity for the benefit of the House." The Minutes, moreover, express: "And Dr. Shippen pro- posing to exhibit a Course of Lectures on Anatomy this winter, requested he might have recourse to the said drawings and casts ; and the Managers being desirous of countenancing him in his undertaking agree he may have the use of them, in such manner and place, as after consulting with the physi- cians may be thought most convenient, and not prejudicial to the drawings, as they require to be handled with the greatest delicacy and care ; and after consulting with the Physicians, who, on notice being sent them, attended on the occasion, viz., Thomas Bond, Phineas Bond, William Shippen, Jr., John Eedman, and Cadwalader Evans, to A¥hom the proposal of Dr. Shippen, Jr. of his exhibiting a Course of Lectures, &c., being communicated, they unanimously expressed their ap- probation thereof, and it was concluded that the several cases should be conveyed to the Hospital and that the physicians and managers will attend at 3 o'clock P. M. to view the contents." With reference to these drawings, &c., the subjoined notice will be found in the " Pennsylvania Gazette," May, 1763 : " The generous donation of Dr. Fothergill, of London, to the Penn- sylvania Hospital of a set of anatomical paintings and casts in plaster of Paris, representing different views of the several parts of the human body, being now deposited in a convenient chamber of the Hospital, and as there may be many persons besides students of Physic desirous to gain some general knowledge of the structure of the human body. Dr. William Shippen, Jr., proposes to attend there on the seventh day of the week, the 21st inst., at 5 o'clock P. M., and once a fort- night during the summer season, on the same day of the week and same hour, to explain and demonstrate them to such persons who are willing to give a dollar each for the benefit of the Hospital," At a subsequent period the drawings were deposited in the Museum of the University, where they re- 44 MEDICAL DEPARTMENT OF mained until 1866, when they were retransferred to the Hos- pital to be placed in its Pathological Museum. The lectures upon Anatomy by Dr. William Shippen, Jr., were thus in full operation when, in 1765, Dr. Morgan arrived from Europe. As he and Dr. Shippen, Jr., must be regarded as the fathers of systematic medical teaching in this country, it will be proper to give an account of their previous training and qualifications to assume so important a duty. Dr. John Morgan was born in Philadelphia, in 1736, and acquired his literary education at the college of this city, from which he received the degree of A. B. in 1757, with the first class which was graduated. He studied medicine with Dr. Redman, and upon the expiration of his indentures entered the Provincial army as a surgeon. This was at the conclusion of the French war, which terminated by the expulsion of that nation from Canada. In 1760, having resigned his commis- sion in the arm}^, he sailed for Europe with the view of per- fecting his medical knowledge. When speaking of himself with reference to this period, he states : " It is now more than fifteen years since I began the study of medicine in this city, which I have prosecuted ever since without interruption. During the first years I served an apprenticeship with Dr. Redman, who then did, and still continues to enjoy a most justly acquired reputation in this city for superior knowledge and extensive practice in physic. At the same time I had an opportunity of being acquainted with the practice of other eminent physicians in this place, particularly of all the physicians to the hospital, whose pre- scriptions I put up there above the space of one year. The term of my apprenticeship being expired, I devoted myself for four years to a military life, principally with a view to become . more skilful in my profession, being engaged the whole of that time in a very extensive practice in the army amongst diseases of every kind. The last five years I have spent in Europe, under the most celebrated masters 'in every branch of medicine, and spared no labor or expense to store my mind with an extensive acquaintance in every science that related in any way to the duty of a physician ; having in that time ex- pended in this pursuit a sum of money of which the very in- THE U^'IYEESITY OF PEXXSYLVANIA. 45 terest would prove no contemptible income. With what suc- cess this has been done, others are to judge, and not myself."^ During Dr. Morgan's residence in London he experienced the benefit of the instruction of the Hunters and of Hewson. With the latter, as appears from his correspondence, he was on intimate terms. He graduated as M. D. at Edinburgh in 1763, his thesis being written upon the formation of pus. It is entitled "nvonotfotj, sive Tentamen Medicum de Puris Con- fectione." This thesis, when published, was dedicated to the Medical Society of Edinburgh, in the following terms : " So- cietati Medicinos Studiosorum in Academia EdinburgcDa du- dum institutge." In this essay the doctrine is maintained that pus is a secre- tion from the vessels, and in this he anticipated Mr. Hunter. Dr. James Curry, Lecturer at Guy's Hospital, gives the credit of priority in this statement to him, and says: ''I could not avoid giving that merit to Dr. Morgan, who discussed the question with great ingenuity in his Inaugural Dissertation on taking his degree at Edinburgh in 1763 ; whilst I could find no proof that Mr, Hunter had taught or even adopted such an opinion until a considerably later period."^ While in England Dr. Morgan became a proficient in the art of injecting organs with wax, and preparing them by sub- sequent corrosion.^ Carrying with him to the continent the evidences of his skill, he acquired such a reputation as to pro- cure his admission as a member to the Academy of Surgery of Paris. While there residing, and attending the lectures of the distinguished anatomist M. Sue, he prepared a kidney by * Preface to the Discourse, etc. * London Medical and Physical Journal, 1817. New England Journal of Medicine and Surgery, vol. vi. p. 404. Beck's Historical Sketch. * The method of making preparations by this process was communicated to the American Philosophical Society. It is published in the second volume of Transactions, and is entitled the "Art of making Anatomical Prepara- tions by Corrosion, by John Morgan, M. D., Professor of the Theory and Practice of Physic in the University of Pennsylvania, Member of the Royal College of Physicians, Ed., F. R. S., London." It must have been com- municated some years prior to 1786, when the volume was printed. Dr. Morgan was an active member of the American Society, which he joined in 1766, and became a member of the Philosophical Society on its union with the former in 1768. 46 MEDICAL DEPAETMEXT OF this process, which led to the distinction specified. Besides this honor, he was elected a member of the Eoj^al Society of London, admitted as a Licentiate of the College of Physi- cians of London, and as a member of the College of Physicians of Edinburgh. He was also admitted to membership of t^e Society of Belles Lettres of Eome. When in Italy Dr. Morgan visited Morgagni, at Padua. Dr. Rush says, in his notice of Morgan, that " this venerable physician, who was the light and ornament of two or three successive generations of physicians, was so pleased with the doctor that he claimed kindred with him from the resemblance of their names, and on the blank leaf of a copy of his works, which he presented to him, he inscribed with his own hand the following words: Afiini suo, medico prseclarissimo Johanni Morgan, donat auctor." These volumes were placed by Dr. Morgan in the library of the College of Physicians of Phila- delphia. Dr. Morgan, while in Europe, appears to have constantly revolved in his mind the course he would pursue. In writing from London, November 10th, 1764, to Dr. Cullen, he re- marks : " I am now preparing for America, to see whether, after fourteen years' devotion to medicine, I can get my living without turning apothecary or practitioner of surgery. My scheme of instituting lectures you will hereafter know more of. It is not prudent to broach designs prematurely, and mine are not yet fully ripe for execution."^ It has been shown that the practice of medicine in the Colonies embraced every branch of the profession, including pharmacy. This arose from the necessity of the case, and the difS.culty of division of labor in a restricted community. The plan pursued in Europe of a separation of practice into several departments was regarded as inexpedient, and had not been adopted. "When Dr. Morgan returned from Europe, he determined to take a different course from that in operation, and was the first physician who restricted himself to simply prescribing for the sick.^ In the Preface to his Discourse he ' Thompson's Life of Cullen, vol. i. 2 Prior to 1754, the profession of medicine in Edinburgh was not exclu- sive. In that year the College of Physicians passed an act prohibiting THE UXIYERSITY OF PENNSYLVANIA. 47 published his views with respect to the mode of practice which he thought shoukl be pursued by the physician, enforcing them with arguments derived from the advantages whicli he believed would be secured by such procedure. Having been appoiuted professor in the college, there was another reason, having reference to this position, which must be admitted as valid. It is thus given: "As far as I can learn everybody approves of my plan for instituting medical schools, and I have the honor of being appointed a public professor for teaching physic in the college here. Can any man, the least acquainted with the nature of that arduous task, once imagine it possible for me to acquit myself in that station in an honorable or useful manner, and yet be engaged in one continued round of practice in surgery and pharmacy as well as physic?" " To prepare for a course of lectures every year requires some leisure, and a mind undisturbed with too great variety of pursuits. So that my usefulness as a professor makes it absolutely necessary for me to follow that method of practice w^hich alone appears to be calculated to answer that end."^ Although the opinions of Dr. Morgan were not at the time adopted, nor was his example immediately followed, still, in connection with the history of the profession they are import- ant, from the fact that he was the first practitioner in the city of Philadelphia who placed himself upon the highest ground, by separating himself from the handicraft which requires dis- tinct skill, and so long a training, as to constitute in itself an occupation. He insisted upon the distinction being made their Fellows and Licentiates from taking upon themselves to use the em- ployment of an apothecary, or to have or keep an apothecary shop. In 1765, in order, as they conceived, "to support that character and esteem which they had all along maintained, and to keep up that distinction which ought to be made between the members of the College and the practitioners of those branches of the healing art which have always been esteemed the least reputable," they resolved "that for the future they would admit no person to be one of their Fellows whose common business it was either to practise Surgery in general, or Midwifery, Lithotomy, Inoculation, or any other branch of it in particular." — Life of Cullen, vol. ii. p. 87, by Dr. Craigie. A continuation of Thompson's Life. ' Preface to his Discourse. 48 MEDICAL DEPAKTMENT OF between medicine proper and pbarmacj, whicli ultimately became a recognized necessity, affording relief to the physi- cian, while, by improving pharmacy, he was provided with greater resources for the application of his skill. The course pursued by Dr. Morgan may be said to have given the origi- nal impulse to the cultivation of the profession of pharmacy, and sanctioned its independent existence.^ Dr. William Shippen, Jr., was born in Philadelphia in 1736, and received his elementary training from the Eev. Dr. Fin- lay, of Nottingham, in Maryland. He entered the College of New Jersey, then established at Newark under the direction of President Barr. He graduated in 1754, and, being dis- tinguished for oratorical talent, was advised by Whitfield to devote himself to the clerical profession. He entered the office of his father. Dr. William Shippen, Sen., a respectable practitioner of Philadelphia, and a public-spirited citizen, by whom he is said to have been trained with reference to his future course as a lecturer. "The old gentleman must have been made sensible by his own personal experience of the value of an European medical education," and his son was sent to Europe in the year 1757, soon after he was twenty-one years of age.^ In London he studied Anatomy Avith and .resided in the family of Mr. John Hunter, bat was also associated with Dr. William Hunter and Mr. Hewson.^ While in the British Metropolis, in addition to Anatomy and Surgery, he devoted a share of attention to the rising department of Obstetrics, ' There was an independence of thought and action in the character of Dr. Morgan. In further illustration, it is worthy of record that he was one of the first to use a silk umbrella, to the wonderment of the citizens. 2 Wistar's Eulogium. 3 From the Life of Mr. Hewson it will be seen that in the autumn of 1759 that gentleman came to London, lived with Mr. John Hunter, and attended Dr. William Hunter's Anatomical Lectures at a house in Covent Garden. Hewson' s diligence and skill soon recommended him to the favorable notice of the brothers, and when Mr. John Hunter went abroad with the army in 1761, he left to Mr. Hewson the charge of instructing the other pupils in the dissecting-room. — " Works of William Hewson, F. B. 8., edited by George Gulli'cer, F. R. >S'." It was through this Association that Dr. Shippen became intimately acquainted with Mr. Hewson. In 1762 Mr. Hewson was in attendance upon the Lectures at Edinburgh. THE UNIVERSITY OF PENNSYLVANIA. 49 attending in the summer season the lectures of a celebrated accoucheur, Dr. McKenzie, which were delivered near St. Thomas's Hospital. As he removed to this neighborhood, we may suppose it was in consequence of the practical advantages afforded by proximity to the poor, as Dr. William Hunter was then at the height of his reputation as a teacher and prac- titioner of Midwifery.^ He next proceeded to Edinburgh, where he graduated in the spring of 1761. His thesis was entitled "i)e Placentse cum utero nexu^ This production evinces a continued interest in obstetrical studies. He after- wards travelled in France, where he formed an intimate ac- quaintance with Senac and other physicians of Paris. Dr. Shippen, as has been stated, went to Europe in 1757, where he remained until 1762, while Dr. Morgan arrived there in 1760, and returned to this country in 1765. They were therefore together between one and two years in Europe. As these two zealous and enthusiastic young men, natives of the same city and imbued with the -same aspirations, were treading abroad the same ground of preparation for their calling, it is natural to conceive that they should have pos- sessed similar sentiments with respect to the urgent wants of their common country — that they should have conferred with those interested in the subject, and that the scheme of establishing, on this side of the Atlantic, systematic medical education, which was subsequently put into operation, was there entertained by both of them. In support of this opinion, Dr. Kush may be quoted, who, in his account of Dr. John Morgan, states "that it was during his absence from home that he concerted with Dr. Shippen the plan of establishing a Medical School in this city," meaning Philadelphia.^ From the testimony hereafter presented it is clear that Dr. Push was perfectly conversant with all the transactions connected with the origin of the medical school. Dr. Shippen paved the ' In August, 1762, Dr. Hunter was the professional attendant upon the Queen of England in her confinement. ^ An Account of the late Dr. John Morgan. Deli,vered before the Trustees and Students of Medicine in tlie College of Philadelphia on the 28th of November, 1789, by Benjamin Rush, M. D. 4 50 MEDICAL DEPAETMENT OF way for the enterprise, by the course which has been detailed, on his arrival in Philadelphia. Dr. Morgan, at the time of his return from Europe, was freighted with great intents and exalted purposes. His views had been kept no secret, he had enlisted in behalf of his projects the Hon. Thomas Penn, a patron of the College of Philadelphia, and laying before the Board of Trustees of the College "a plan for establishing a medical school under their auspices," he presented to them a letter from that gentleman recommending it to their patronage. This letter was read at a meeting of the Board of Trustees, May 3d, 1765, as follows : — "Gentlemen : Dr. Morgan has laid before me a proposal for introducing new professorships into the Academy for the in- struction of all such as shall incline to go into the study and practice of Physic and Surgery, as well as the several occu- pations attending upon these useful and necessary arts. He thinks his scheme, if patronized by the Trustees, will at present give reputation and strength to the Institution, and though it may for some time occasion a small expense, yet after a little while it will gradually support itself, and even make considerable additions to the Academy's funds. "Dr. Morgan has employed his time in an assiduous search after knowledge in all the branches necessary for the practice of his profession, and has gained such an esteem and love from persons of the first rank in it, that as they very much approve his system, they will from time to time, as he assures us, give him their countenance and assistance in the execu- tion of it. "We are made acquainted with what is proposed to be taught, and how the lectures may be adopted by yoii, and since the like systems have brought much advantage to every place where they have been received ; and such learned and eminent men speak favorably of the doctor's plan, I could not but in the most kind manner recommend Dr. Morgan to you, and desire that he may be well received, and what he has to offer be taken with all becoming respect and expedition into your most serious consideration, and if it shall be thought necea- THE UXIVERSITY OF PEXXSYLVAXIA. 51 sarj to go into it, and thereupon to open Professorships, that he may be taken into your service. "When you have heard him, and duly considered what he has to lay before you, you will be best able to judge in what manner you can serve the public, the Institution, 'and the particular design now recommended to joii. " I am. Gentlemen, your very affectionate friend, THOMAS PENN. "London, February lotli, 1765." In addition to this letter Dr. Morgan presented others he had received from Mr. Hamilton and Richard Peters, former members of the Board, but then residing in England. His scheme was also approved by Dr. Fothergill, Dr. Hunter, Dr. Watson, and Dr. Cullen, " men distinguished for their supe- rior knowledge in literature, and particularly eminent in everything which relates to medical science."^ f Moriran's Discourse. 52 MEDICAL DEPAETMENT OF CHAPTEE lY. Foundation of the College of Philadelphia — Application of Dr. Morgan — His appointment to*the professorship of theory and practice of physic — His public discourse — Dr. Shippen appointed Professor of Anatomy and Surgery — Organization of the medical department — Dr. Bond de- livers clinical lectures in the Pennsylvania Hospital — Rules for the government of the medical department of the College — Dr. Wm. Smith's lectures on natural and experimental philosophy. The College of Philadelpliia was founded in 1749, sixteen years before the medical school was engrafted upon it. This institution was intended to meet the demands of the popula- tion for education of a more extended nature than was afforded by the private schools in existence. As liberal pursuits en- gaged the attention of a greater number of individuals in the Province, and as preparation for the professions, as well as a diffusion of knowledge in arts and letters, became necessary, the importance of employing all the facilities at command was made apparent. " Franklin drew up the plan of an Academy to be erected in the city of Philadelphia, suited to the state of an infant country; but in this, as in all his plans, he confined not his views to the present time only. He looked forward to the period when an institution on an enlarged plan would become necessary. "With this view he considered his academy as a foundation for posterity to erect a seminary of learning more extensive and suitable for future circumstances."^ Dr. Franklin, himself, was no classically educated scholar, but one of nature's own perfecting, who probably derived his inspiration from his native Province, Massachusetts. ' Life of Benjamin Franklin, by himself, and continued by Dr. Henry Stuber, New York, 1825, p. 99. The college obtained a charter from the proprietaries, Thomas and Richard Penn, in 1753. This was amended and enlarged in 1755. In organizing the college, credit is awarded to Dr. Phineas Bond, Thomas Hopkinson, Tench Francis, and Rev. Richard Peters. THE UXIVERSITY OF PEXXSYLVANIA. 53 The gentlemen who were called upon to give their aid and counsel to this enterprise were among the most respectable in the community.^ Five prominent physicians were mem- bers of the Board of Trustees in 1765, viz : Thomas Bond, Phineas Bond, Thomas Cadwalader, William Shippen, Sen., and John Eedman. To such an organization was the pro- posal of Dr. Morgan submitted.^ Upon examining the records of the College and of the Uni- versity, it will be found that for more than half a century medical men were admitted to participate in their government. No jealousy or suspicion appears to have been entertained towards them, and certainly it may be affirmed that medical men have as deep a stake in the prosperity of the schools as the representatives of other professions or occupations. Although the custom of electing members of the medical profession was for a time suspended, the return to it may be regarded as a happy omen, and the present honorable body may be congratulated upon the accession to its deliberations of such discreet and proper members as the medical gentle- men who now constitute a portion of its number.^ The impression which the arguments in his communication and his earnestness made upon the Board of Trustees, sus- tained by the letters from abroad which were submitted, pre- vailed with them to accede to Dr. Morgan's propositions. The Trustees approved the scheme, and, as the minutes ex- press it, "entertaining a high sense of Dr. Morgan's abilities, and the high honors paid to him by different learned bodies, and societies in Europe, they unanimously elected him Professor of the Theory and Practice of Physic." The first medical professorship in America was thus created. The date- of this event is May 3d, 1765. ' The Board has consisted since its commencement of twenty-four mem- bers. 2 The liistory of the College of Philadelphia and of the University of Pennsylvania has been written by Dr. George B. Wood. It was published in vol. iii. Memoirs of the Historical Society of Pennsylvania. In addition to the trustees mentioned, Dr. Lloyd Zachary had been in the Board in 1749.. * The present (1868) medical gentlemen in the Board of Trustees are Drs. Rene La Ptoche, George W. Norris, and George B. Wood. 54 aAIEDICAL DEPAETMENT OF At tlie public Commencement of the College, whicli took place on the 30th and 31st of May following, Dr. Morgan delivered his famous Inaugural Address, entitled "A Dis- course UPON THE Institution of Medical Schools in America." It had been prepared in Paris. This discourse constituted a part of the Commencement exercises on both days of their continuance. In noticing this performance, the '^ Pennsylvania Gazette" thus comments upon it : " We would not wish to anticipate the judgment of the public, and shall only say that the per- spicuity with which it was written and spoke drew the close attention of the audience, particularly of the gentlemen of the Faculty of Physic." In this address will be found an exposition of the nature and scope of medical science ; a sketch of the departments of which it is composed, with the reasons for their special culti- vation ; an advocacy of classical, literary, and general scien- tific attainments on the part of the student of medicine, and, what is pertinent to the purpose, the demonstration that to be effectively taught "a coalition is required of able men, who would undertake to give complete and regular courses of lectures on the different branches of medicine." In connec- tion with his statements, the author insists especially upon the advantages presented by the city of Philadelphia, to which even then students resorted, attracted as well by the reputation of it3 practitioners, as by the facilities for clinical instruction afforded thena in the hospital. In this literary and scientific performance, a prognostica- tion was uttered which has been fully realized, viz : " Per- haps this Medical Institution, the first of its kind in America, though small in its beginning, may receive a constant increase of strength and annually exert new vigor. It may collect a number of young persons of more than ordinary abilities, and so improve their knowledge as to spread its reputation to dis- tant parts. By sending these abroad duly qualified, or by exciting an emulation amongst men of parts and literature, it may give birth to other useful institutions of a similar na- ture, or occasional rise, by its example, to numerous societies THE UXIYERSITY OF PENNSYLYANIA. 55 of different kinds calculated to spread the light of know- ledge through the whole American continent wherever inha- bited.'" It is worthy of note that at the time this was uttered the population of the city of Philadelphia was about twenty -five thousand, and of the colonies in the aggregate less than three millions.^ In September following the appointment of Dr. Morgan, Dr. Shippen was, on application to the Board, unauimously elected the Professor of Anatomy and Surgerj^^ The application for this position was thus expressed : — "To the Trustees of the College, etc.: " The institution of Medical Schools in this country has been a favorite object of my attention for seven years past, and it is three years since I proposed the expediency and practica- bility of teaching medicine in all its branches in this city in a public oration read at the State House, introductory to my first course of Anatomy. "I should long since have sought the patronage of the Trustees of the College, but waited to be joined by Dr. Mor- gan, to whom I first communicated my plan in England, and who promised to unite with me in every scheme we might think necessary for the execution of so important a point. I ' A Discourse upon the Institution of Medical Schools in America, delivered at a Public Anniversary Commencement, held in the College of Philadelphia, May 30 and 31, 1765, with a Preface, containing, amongst other things, the Author's Apology for Introducing the Eegular Mode of Practising Physic in Philadelphia. By John Morgan, M. D., &c., and Pro- fessor of the Theory and Practice of Medicine in the College of Philadel- phia. Printed and sold by William Bradford: 1765. A review of this Discourse will be found in the North American Medical and Surgical Journal, vol. iv. p. 362, written by Prof. Charles D. Meigs, M. D. 2 In his work upon Yellow Fever, Dr. La Roche has given the data from which this conclusion is drawn. Mr. Thomas Smedley makes the same statement. The population of the city of Philadelphia, in 1760, was 18,756 ; and in 1769 it was 28,042. The rate of increase was then about one thou- sand annually. — A Complete Atlas of the City of Philadelphia^ 1862. ^ At a meeting (special) of the Board of Trustees, held September 23d, 1765, the following minute was made : " Dr. William Shippen, Jr., applied by letter as follows," &c. 56 MEDICAL DEPAETMEXT OF am pleased, however, to hear that you, gentlemen, on being applied to by Dr. Morgan, have appointed that gentleman Professor of Medicine. A Professorship of Anatomy and Surgery will be accepted by, gent., " Your most obedient and very humble servant, WILLIAM SHIPPEN, Jr. "Philadelphia, 17th September, 1765." The reputation of Dr. Shippen as a private teacher had directed attention to him, and secured his election as particu- larly qualified for the post. During his active career of over thirty years he well sustained the prestige he had previously acquired. The Medical School of the College of Philadelphia having been founded by the action of the Board of Trustees that has been detailed, the announcement was given to the public in the "Pennsylvania Gazette," September 26, 1765, as follows : — "As the necessity of cultivating medical knowledge in America is allowed by all, it is with pleasure we inform the public that a Course of Lectures on two of the most import- ant branches of that useful science, viz.. Anatomy and Materia Medica, will be delivered this winter in Philadelphia. We have great reason, therefore, to hope that gentlemen of the Faculty will encourage the design by recommending it to their pupils, that pupils themselves will be glad of such an opportunity of improvement, and that the public will think it an object worthy their attention and patronage. "In order to render these courses the more extensively useful, we intend to introduce into them as much of the Theory and Practice of Physic, of Pharmacy, Chemistry, and Surgery as can be conveniently admitted. " From all this, together with an attendance on the practice of the physicians and surgeons of the Pennsylvania Hospital, the students will be able to prosecute their studies with such advantage as will qualify them to practise hereafter with more satisfaction to themselves and benefit to the community. "The particular advertisements inserted below specify the time when these lectures are to commence, and contain the THE UXIYERSITY OF PENNSYLVANIA. 57 various subjects to be treated of in eacli course, and the terms on wbicb pupils are to be admitted. WILLIAM SHIPPEN, Jr., M.D., " Professor of Anatomy and Surgery in the College of Philadelpliia. JOHN MORGAN, M. D., F. R. S., etc., " Professor of Medicine in the College of Philadelphia." In addition to this general announcement, eacb professor advertised his lectures.^ For two years lectures were delivered by these two profes- sors under the sanction of the College. In connection with their labors, Dr. Thomas Bond, one of the physicians of the Pennsylvania Hospital, commenced a course of Clinical Lectures in that institution. He submitted a lecture that he had prepared, introductory to his course, to the Board of Managers and his medical colleagues, which was directed to be inserted on the minutes of the Board. This lecture was publicly delivered on the third of December, 1766. It is a clear exposition of the advantages of clinical instruction in connection with medical education, at the same time evincing a deep interest in the medical school recently established, to which, as a trustee of the College, Dr. Bond had most zealously given his influence. In proof of this, the following passages may be quoted : — " Therefore, from principles of patriotism and humanity, the Physic School here should meet all the protection and encouragement the friends of their country and well-wishers of mankind can possibly give it. Though it is yet in its infancy, from the judicious treatment of its guardians it is already become a forward child, and has the promising appearance of soon arriving at a vigorous and healthy maturity. The pro- fessors in it at present are few, but their departments include the most essential parts of education. Another teacher whose distinguished abilities will do honor to his country and the Institution, is expected to join them in the spring; and I think he has little faith, who can doubt that so good an undertaking will ever fail of additional strength and provi- ' See Appendix A. 58 MEDICAL DEPAKTMENT OF dential blessing ; and I am certain nothing would give me so much pleasure as to have it in my power to contribute the least mite towards its perfect establishment. " The Professor of Anatomy and Physiology is well quali- fied for his task, his dissections are accurate and elegant, and his lectures learned, judicious and clear. '• The Professor of the Theory and Practice or Physic has had'the best opportunities of improvement, joined to genius and application, and cannot fail of giving necessary and in- structive lessons to the pupils."^ In 1766, Dr. Shippen's course was announced publicly on the 18th of September. That of Dr. Morgan was also an- nounced on the 25th of the same month in these terms: " A Course of Lectures on the Theory and Practice of Physic will be delivered for the benefit of medical students, with a preparatory course on Botany, Chemistry, and the Materia Medica, being the substance of a set of lectures, delivered to his pupils last winter." This, then, in reality was the first course of lectures on the practice of medicine. The year 1766 was further memorable in the annals of the College for the award of a gold medal to Dr. Morgan for a prize essay. The following advertisement explains the nature of the transaction: — "College of Philadelphia, March 6t]i, 1866. " "Whereas, John Sargent, Esq., Merchant of London and Member of Parliament, hath presented to this College a Gold Medal for the best English Essay on the reciprocal advantages of a perpetual union between Great Britain and her American Colonies, notice is hereby given by order of the Trustees, that the said Medal will be disposed of at the ensuing Com- mencement in May, for the best Essay that shall be produced on the subject proposed, by any one of those who have received any degree or part of their education in this College; and, as the said subject is one of the most important which can at this time employ the pen of the patriot or scholar, and is thus left open to all those who have had any connection with this College, either as students or graduates, it is hoped ' This lecture was published in the " North American Medical and Surgical Journal," Ucl. 1827, page 266. THE UNIVERSITY OF PEXXSYLVAXIA. 59 for the honor of the Seminary, as well' as their own, they will nobh^ exert themselves on a subject so truly animating, which may be treated in a manner alike interesting to good men, both here and in the Mother countr}^" From nine performances which were presented, the Com- mittee of Trustees selected that of Dr. Morgan, and at the Commencement held May 20th, 1766, immediately after the valedictory oration, "the Hon. John Penn, Esq., Governor of the Province, as President of the Trustees of the College, delivered the medal to the Provost, ordering him to confer it in public agreeably to their previous determination. The Provost accordingly acquainted the, audience that the same had been decreed to John Morgan, M. D., F. K. S., &c.. Pro- fessor of the Theory and Practice of Physic in the College of Philadelphia, and then requested Dr. Morgan to dehver his dissertation in public, which being finished, the eulogium accompanied the conferring of the medal. "^ In 1767, a further movement was made towards a more tho- rough organization of the medical department, and placing it upon a proper footing in connection with collegiate privileges. The medical gentlemen of the Board of Trustees, with the two Professors and the Provost, William Smith, D.D., united in framing a code of rules for the new department. These were submitted to the Board of Trustees at the meeting of May 12th, 1767, when they were approved and adopted. The announcement given to the public press indicates the action taken as being supposed to promote the interests of the school and of the profession.^ " College of Philadelphia, July 27th, 1767. "At a meeting of the Trustees, held the 12th of May last, it being moved to the Board that conferring the usual degrees ' The essay was published, with others, under the title, " Four Disserta- tions on the reciprocal advantages of a perpetual union between Great Britain and her American Colonies, written for Mr. Sargent's Prize Medal, to whicli by desire is prefixed an Eulogium, spoken on the delivery of the medal at the public Commencement of the College of Philadelphia, May 20th, 1166. Philadelphia : Printed by William and Thomas Bradford, at the London Coffee House, 1766." * I'ennsylvania Gazette. / 60 MEDICAL DEPARTMENT OF in Physic on deserving students will tend to put the Practice ' of Physic on a more respectable footing in America ; the mo- tion was unanimously agreed to ; and the following Course of Studies and Qualifications, after mature deliberation, was fixed on and enacted as requisite to entitle physical students to their different degrees. " For a Bachelor's Degree in Physic : — " 1. It is required that such students as have not taken a Degree in any College shall, before admission to a degree in Physic, satisfy the Trustees and Professors of the College concerning their knowledge in the Latin tongue, and in such branches of Mathematics, Natural and Experimental Philoso- phy as shall be judged requisite to a medical education. "2. Each student shall attend at least one course of lectures in Anatomy, Materia Medica, Chemistry, the Theory and Practice of Phj^sic, and one course of Clynical (sic) Lectures, and shall attend the Practice of the Pennsylvania Hospital for one year, and may then be admitted to a Public Examination for a Bachelor's Degree, provided that on previous examina- tion by the Medical Trustees and Professors, and such other Trustees and Professors as choose to attend, such Students shall be judged fit to undergo a public examination without attending any more courses in the Medical School. "3. It is further required that each student, previous to the Bachelor's Degree, shall have served a sufficient apprentice- ship to some reputable Practitioner in Physic, and be able to make it appear that he has a general knowledge in Phar- macy. " Qualifications for a Doctor's Degree in Physic : — " It is required for this Degree that at least three years have intervened from the time of taking the Bachelor's Degree, and that the Candidate be full 24 years of age, and that he shall write and defend a Thesis publicly in the College, unless he should be beyond seas, or so remote on the continent of America as not to be able to attend without manifest incon- venience ; in which case, on sending a written thesis, such as shall be approved of by the College, the candidate may re- ceive the Doctor's Degree, but his thesis shall be printed and published at his own expense. THE UXIVERSITY OF PEXNSYLVAXIA. 61 "This scheme of a medical education is proposed to be on as extensive and liberal a plan as in the most respectable European Seminaries, and the utmost provision is made for rendering a Degree a real mark of Honor, the reward only of distinguished learning and abilities. As it is calculated to promote the Benefit of Mankind by the improvement of the beneficent Art of Healing and to afford an opportunity to students of acquiring a regular medical education in America, it is hoped it will meet with public encouragement, more especially as the central situation of this city, the established character of the Medical Professors, the advantages of the College and of the public Hospital, all conspire to promise success to the Design. " For the further advantage of medical students, a course of Lectures will be given by the Professor of Natural and Ex- perimental Philosophy each winter in the College, where there is an elegant and compleat {sic) apparatus provided for that purpose, and where medical students may have an opportunity of completing themselves in the Languages and any parts of the Mathematics at their leisure hours." The lectures were further advertised to commence on the first Monday of ISTovember, and "to consist of a complete course of lectures on Anatomy, to which will be added all the operations in Surgery, and the mode of applying all the necessary bandages, &c." "A course of Lectures on the Theory and Practice of Medi- cine, which will be preceded by a general explanation of the Theory of Chemistry, accompanied with some necessary ope- rations to render a knowledge of this science easy and familiar to the inquisitive student." "A course of Clynical Lectures, to be delivered in the Penn- sylvania Hospital wherein the Treatment of both Acute and Chroxic Diseases will be exemplified in the cases of a great number of Patients. " Each course of Lectures will be finished by the beginning of May, in time for those who intend to offer as candidates for a Degree in Physic to prepare themselves for the Exami- nation before the Commencement of the ensuing year." Appended to this general advertisement were those of each 62 MEDICAL DEPARTMENT OF professor with his own signature, and additionally that of Dr. Bond, in the following terms : " Dr. Bond's Course of Clynical Lectures, exemplifying the Theory and Practice of Physic, in the variety of Cases which present in the Pennsylvania Hos- pital, will be opened early in November, by a Introductory Lecture on the usefulness of a Medical School in America, and the necessity of a general Scientific Education to the students of Physic. To which will be added a Plan of the Course." The lecture of Dr. Bond, of which no further record has been left, was apparently supplemental to the one already referred to, and shows how deeply interested he was in the success of the great experiment then in operation. A just appreciation of the efforts of Dr. Bond to aid the collegiate instruction, was entertained by the Board of Trustees. On their minutes of May, 1768, we find this entry : " Dr. Bond is requested by the Trustees and Professors to continue his Clynical Lectures at the Hospital, as a Branch of Medical Education judged to be of great importance and benefit to the students." We cannot find, however, that he was formally appointed professor. He continued to execute the duty of clinical instructor until his death in 1784, when clinical medi- cine had no especial representative until it was united with the Institutes in 1792. The lectures upon Natural and Experimental Philosophy, were delivered by the Rev. Dr. William Smith, D. D., LL. D., the Provost of the- College.^ The announcement issued at the time explains their nature. "College op Philadelphia, December 17tli, 1767. *' At the request of the Medical Trustees and Professors, the subscriber having last winter opened a course of Lectures on Natural and Experimental Philosophy, for the benefit of the Medical Students, which he hath engaged to continue this winter on an extensive plan, notice is hereby given that on Monday, the 28th iust., at 12 oc, it is proposed to deliver the Introductory Lecture at the College. As these lectures are • The Rev. William Smith, D. D., LL. D., was Provost of the College from 17r)3 to 1779, when the charter was abrogated and the University instituted. THE UNIVERSITY OF PEXXSYLVANIA. 63 instituted and given gratis, with the view to encourage the medical schools lately opened, and to extend the usefulness and reputation of the College, any gentlemen who have formerly been educated in this Seminary, and are desirous of renewing their acquaintance with the above mentioned branches of knowledge, will be welcome 'to attend the course. " To the standing use of the large apparatus belonging to the College, Mr. Kinnersley' has engaged to add the use of his electrical apparatus which is fixed there, and to deliver the lectures on electricity himself, as well as to give his occasional assistance in other branches; so that with these advantages, and the many years' experience of the subscriber in conducting lectures of this kind, it is hoped the present course will answer the design of its institution and do credit to the Seminary. W. SMITH. "N. B. — An evening lecture in some branches of Mathe- matics, preparatory to the philosophical course, is opened at the College." ' Ebenezer Kinnerslej-, A. M., was Professor of Oratory and English Literature in the College from 1753 to 1773. He was interested in elec- tricity, and aided Dr. Franklin in his experiments. See Life of Franklin by Dr. Stuber, and Lectures on Natural Philosophy by Rev. Dr. Ewing. G'i MEDICAL DEPARTMENT OF CHAPTEB Y. • Dr. Adam Knlin ; education and appointment to the professorship of botany and materia medica — Fees of the college — Degree of Bachelor of Medicine conferred in 1768 — Degree of Doctor of Medicine conferred in New York in 1769 — Commencement exercises of the college on the occa- sion of conferring the degree of M. B. — Dr. Benjamin Rush ; his educa- tion and correspondence while in Europe ; appointment to the professor- ship of chemistry — First faculty of medicine organized — Commencement of 1771. The next addition to the faculty was in the person of Dr. Adam Kuhn. He was born at Germantown, Philadelphia County, in 1741. His father was a native of Swabia, a physi- cian by profession, and a man of bright parts and liberal edu- cation. Having removed to Lancaster-in Pennsjdvania, where he became a magistrate, " he was deeply interested in the pro- motion of classical learning amongst the youth of that place, and for this end procured the erection of a school-house, in which the Greek and Latin languages were taught by the best qualified masters." Under such auspices Dr. Kuhn received his elementary education, and commenced his medical studies with the advantage of parental direction. In 1761, Dr. Kuhn went to Europe, and, deviating thus far from the course pursued by his colleagues, resorted to Sweden for instruction in botany and materia medica, at the hands of Linnaeus, then at the height of his renown. He subsequently went to Edinburgh, and received the degree of Doctor of Medicine from that University in 1767. The thesis, published by him on that occasion, "i>e Lavatione Frigida^''^ was dedi- cated to his friend and instructor Linnseus. The letters of that eminent naturalist to the father of Dr. Kuhn evince the deep interest he took in the son, and the particular estimation he had conceived of his abilities.' ' A sketch of the life of Dr. Kuhn was communicated anonymously to the 8th vol. Eclectic Repository. It was written by Dr. S. Powell Griffiths. THE UXIVERSITY OF PEXXSYLVAXIA, . 65 In January, 1768, Dr. Kiihn returned from Europe, when he was at once appointed the Professor of Materia Medica and Botany in the College. These subjects had been taught by Dr. Moro-an in connection with his course on the Theory and Practice of Physic; but the necessity of creating a distinct Professorship, appropriated to their consideration, was. im- pressed upon the Board of Trustees, and Dr. Kuhn, from his training in the natural sciences, was regarded as its most fitting incumbent. The record thus refers to his election : — " Dr. Kuhn having made application to be appointed Pro- fessor of Botany and Materia Medica in this College, declar- ing that he would do the utmost in his power to merit the honor, and the Trustees having ample assurance of his abili- ties to fill that Professorship, for which he is likewise parti- cularly recommended by the Medical Trustees and Professors belonging to the College itself, did therefore unanimously appoint him, the said Dr. Kuhn, Professor of Botany and Materia Medica in this College, agreeably to his request." His first course was on Botany, in May, 1768, three months after his arrival from Europe. In the following year, on May 1st, we find that Dr. Kuhn's course on the same branch was announced, but it appears in subsequent years to have been dropped. Dr. Kuhn held the Chair of Materia Medica during twenty- one years, under the auspices of the College and University, until he assumed the Chair of Practice, as will be seen by the account hereafter given of the changes in the Medical Faculty.. The subject of fees in the College is one of some interest.. With respect to the particular compensation for instruction we cannot find that there was any legislative action when the lectures were first inaugurated, and can only judge of the amount from the advertisements of the professors. The first regulation with respect to fees, more especially having reference to graduation, is found on the Minutes of the Board of Trustees of May 17, 1768, to wit:— " The following Eules brought forward by the Medical Committee of Trustees and Professors were agreed to, viz : — " 1. Such Medical Students as propose to be Candidates for Degrees, and likewise such other Medical Students as shall Q6 MEDICAL* DEPARTMENT OF attend the Natural Philosophy Lectures now given by the Provost, and whose names have never been entered in the College, shall enter the same, and pay the usual sum of Twenty Shillings Mah'iculation Money. " 2. Every student on taking the Degree of Bachelor of Physic shall pay not less than one Guinea to each Professor he has studied under in the College, from the time of his en- tering the Medical Classes ; and likewise the usual Fees for the seal to his Diploma, and for the increase of the Library. " 3. Each Medical Student who shall pay one Dollar for the use of the Library (exclusive of the Fee of Commencements) shall have his name entered, and have the free use of the Books belonging to the Medical Library of the College during his continuance of the same and attendance of lectures under the Medical Professors." The price of tickets for a single course, ^.e., to each professor, was determined not to exceed six pistoles ($20), and after two courses the students had the privilege of attending gratis. The next event in the order of time is an important one in the history of the medical school. The bestowal of the first medical honors by the institution, and the first in America, in itself constitutes an epoch. Under the regulations that had been adopted this event took place on June 21st, 1768. The question as to which medical school, that of Philadel- phia or that of New York, the honor of priority is to be awarded in the bestowal of degrees has been a mooted one. Dr. Hosack claims the distinction for New York, and comments in the following language with reference to it: "Dr. Sewall, in his excellent Introductory Lecture, delivered at the open- ing of the Medical School of Columbian College, District of Columbia, also^ is in error in his statement relative to the first medical degrees conferred in the colonies, now the United States. In the discourse referred to he dates the first medical degrees as conferred at the Commencement held in Philadel- phia on June, 1771, whereas the doctorate had been previously conferred in the month of May of the preceding year in the ' The word " also" has reference to a mistake of Dr. Miller in his Retro- spect of the Eighteenth Century, who stated that no degrees in medicine were conferred by King's College, New York, previously to the Revolution. THE UXIVERSITY OF PEXNSYLVAXIA. 67 city of ISTew York. The same error has been committed by Dr. Thatcher, in the new edition of his Modern Practice re- cently published."^ Dr. Beck reiterates this statement when referring to the schools. He informs his readers that the schools thus started in New York and Philadelphia were the only ones attempted before the Eevolution. " The first medical degrees were given by the College of New York. In 1769, the degree of Bache- lor in Medicine was conferred upon Samuel Kissam and Eobert Tucker. In 1770 the degree of Doctor of Medicine was conferred on the last of these gentlemen, and in May of the following year upon the former. In June, 1771, the degree of Doctor in Medicine was conferred on four students of the Philadelphia College, being the first given in the insti- tution."^ The truth is that Dr. Sewall, in his lecture, correctly pre- sented the fact, overlooked by Dr. Hosack, that in June, 1768, the first Commencement of the College of Philadelphia was held, at which the degree of Bachelor of Medicine was conferred, and further stated that "at the Commencement in 1771, the degree of M. B. was conferred on seven, and the degree of M. D. on four students."^ This latter statement is made by Dr. Thatcher in his History of American Medi- cine, prefixed to his Medical Biography, without reference to any previous Commencement. With respect to the pros- pective conferring of degrees Dr. Morgan, in writing to Mr. William Hewson, of London, November 20th, 1767, thus expresses himself: — "I have twenty pupils this year at about five guineas each. Next year we shall confer the degree of Bachelor in Physic ' An Inaugural Discourse delivered at the opening of Rutgers Medical College in the City of New York, on Monday the 6th day of November, 182G, by David Hosack, M. D., F. R. S. 2 An Historical Sketch of the State of Medicine in the American Colonies, etc., ante citat. ' A Lecture delivered at the opening of the Medical Department of the Columbian College, in the District of Columbia, March 30th, 1825, by Thomas Sewall, M. D., Professor of Anatomy and Physiology, Washing- ton City, 1825. Note to page 26 at p. 67. This note w^as furnished by Prof. J. R. Coxe, M. D., in a letter to Dr. Sewall, and is correct in all particulars. 68 MEDICAL DEPAETMEXT OF on several of them, and that of Doctor in three j^ears after. New York Las copied us, and has six Professors, three of whom you know, to wit. Bard, Professor of Physic; Teniiant, of Midwifery; and Smith, in Chemistry; besides whom are Dr. Jones, Professor of Surgery; Middleton, of Physiology; and Glossy, of Anatomy. Time will show in what light we are to consider the rivalship ; for my part, I do not seem to be ander great apprehensions.'" The degree of Bachelor of Medicine was conferred, in 1769, by King's College, New York, and the degree of Doctor of Medicine in 1770. From this it appears that the claim of priority in conferring degrees in medicine must be awarded to the Philadelphia School, while the precedence in conferring the Doctorate must be given to New York. As all the points connected with the mode of proceeding in the infancy of the school are worthy of notice, the resolutions with regard to the examination of applicants have been transcribed from the Minutes of the College of May 17, 1768. ' In July, 1767, the first measures were taken in New York; and in 1768, a Medical Bcliool was organized under the direction and government of the College, which was then called King's College. A Board of Pro- fessors was then appointed to teach the several branches of Medical Science. The instructors in this early school were Samuel Clossy, M. D., Professor of Anatomy ; John Jones, M. D., Professor of Surgery ; Peter Middleton, M. D., Professor of Physiology and Pathology ; James Smith, M. D., Pro- fessor of Chemistry and Materia Medica; John V. B. Tennant, M. D., Professor of Midwifery ; and Samuel Bard, M. D., Professor of the Theory and Practice of Physic. The occupation of the city of New York by the British army for so long a period of the war prevented the continuance of the operations of this school. After the peace of 1783, the former medical professors, being separated by death or accident, never as a body were reinstated in their former situation in the College. An effort was made to resuscitate the Medi- cal School, but was unsuccessful. In 1792, Columbia College, which had superseded King's College, instituted a Medical Faculty at the head of which was Dr. Samuel Bard. But the effort had not much success, as "it appears from the records of Columbia College since 1792, the time when the Medical Faculty of that School was organized, to the year 1811, thirty- four students have completed their courses of study, and received the medi- cal honors of that institution." The College of Physicians and Surgeons of New York was established in 1807. — Hosack''s Introductory. Beckys Sketch ; also Historical Sketch of the Origin, Progress, and Present State of the College of Physicians and Surgeons of the Jlnroersity of New York. American Medical and Philosophical Register, vol. iv. 1814. THE UNIVERSITY OF PEXXSYLVANIA. 69 "It Avas agreed that in pursuance of a Proposal given in by the Medical Trustees and Professors, the examination of the Medical Students for the degree of Bachelor of Physic shall be made in the following mode, according to the Kule origi- nally laid down for the Medical Schools, which requires a full private examination before admission to the public one. '•Wherefore the private examination shall begin in the College, on the 9th of May, being Monday next, and shall be finished on Monda}^, the 16th. Such of the Medical Students as may appear fit, after such private examination, shall be admitted to a public examination in the College on Wednes- day, the 18th of May." The ceremonies attending the Commencement of June 21, 1768, are minutely detailed upon the Minutes of the Board of -Trustees, and are full of interest in connection with the customs of the time. They are thus set forth : — " This "day may be considered as the Birth-day of Medical Honors in America. The Trustees being met at half an hour past nine in the forenoon, and the several Professors and Medical Candidates, in their proper Habits, proceeded from the Apparatus Room to the Public Hall, where a polite assembly of their fellow-citizens were convened to honor the Solemnity. " The Provost having there received the Mandate for the Commencement from his Honor the Governor, as President of the Trustees, introduced the business of the day with Prayers and a short Latin Oration, suited to the occasion. The part alluding to the School of Medicine is in the follow- ing language : — " ' Oh ! Factum bene ! Yos quoque Professores Medici, qui magno nummi, temporis et laboris sumptu, longa quoque peregrinatione per varias regiones, et populos, domum re- duxistis et peritiam, et nobile consilium servandi, et rationali praxi, docendi alios servare valetudinem vestrum civium. Gratum fecistis omnibus, sed pergratum certe peritis illis medicis, qui artis suae dignitatis conscii, praxin rationalem, et juventutis institutionem in re medica liberalem, hisce re- gionibus, ante vos longe desideraverunt.' " To this succeeded — "1. A Latin oration, delivered by Mr. John Lawrence, 70 MEDICAL DEPAETMENT OF 'De Honoribus qui in omni sevo in veros Medicinse cultores collati fuerint.' " 2. A dispute, whether the Eetina or Tunica Choroides be the immediate seat of vision ? The argument for the retina was ingeniously maintained by Mr. Cowell ; the opposite side of the question was supported with great acuteness by Mr. Ful- lerton, who contended that the Eetina is incapable of the office ascribed to it, on account of its being easily permeable to the rays of light, and that the choroid coat, by its being opaque, is the proper part for stopping the rays, and receiving the picture of the object. "3. Questio, num detur Fluidum Nervosum? Mr.Duffield held the affirmative, and Mr. Way the negative, both with great learning. "4. Mr. Tilton delivered an essa}^ ' On Eespiration,' and the manner in which it was performed did credit to his abilities. " 5. The Provost then conferred the degree of Bachelor of Medicine on the following gentlemen, viz : Messrs. John Archer, of New Castle County ; Benjamin Cowell, of Bucks ; Samuel Duffield and Jonathan Potts, of Philadelphia ; Jona- than Elmer, of New Jersey ; Humphrey Fullerton, of Lan- caster County ; David Jackson, of Chester County; John Law- rence, of East Jersey; James Tilton, of Kent County, Dela- ware ; and Nicholas Way, of Wilmington. "6. An elegant valedictory oration was spoken by Mr. Potts, ' On the Advantages derived in the Study of Physic, from a previous liberal education in the other sciences.' " The Provost then addressed the Graduates in a brief Ac- count of the present state of the College, and of the quick progress in the various extensive establishments it hath already made. He pointed out the general causes of the advancement as well as decline of literature in different Nations of the World, and observed to the Graduates, that as they were the first who had received medical honors in America, on a regular Collegiate plan, it depended much on them, by their future conduct and eminence, to place such honors in estimation among their countrymen; concluding with an earnest appeal that they would never neglect the opportuni- THE UNIVERSITY OF PENTXSYLVAXIA. 71 ties wliich their profession would give them, when their art could be of no further service to the bod}^, of making serious impressions on their patients, and showing themselves men of consolation and piety, especially at the awful approach of death, which could not fail to have singular weight from a lay character. " Dr. Shippen, Professor of Anatomy and Surgery, then gave the remainder of the charge, further inviting the Grra- duates to support the dignity of their Profession by a lauda- ble perseverance in their studies, and by a Practice becoming the character of gentlemen ; adding many useful precepts respecting their conduct towards their patients, charity towards the poor, humanity towards all ; and with reference to the opportunities they might have of gaining the confi- dence of the sick, and esteem of every one who by theiir vio-ilance and skill mio-ht be relieved from sufferino- and restored to health. "The Yice-Provost concluded the whole with Prayer and Thanksgiving."^ At a public Commencement held June 30, 1769, the degree of Bachelor of Medicine was conferred on eight candidates, viz: James Armstrong, John Hodge, John Houston, Josias Carroll Hall, Thomas Pratt, Alexander Skinner, Myndert Yeeder, and John Winder. The exercises were of a charac- ter similar to the preceding, the charge being given by Dr. Bond.2 In the year 1769, Dr. Benjamin Rush, on his return from Europe, was elected Professor of Chemistry. He was born in Pennsylvania, in 17tto. His classical education was com- menced at the celebrated school of Rev. Dr. Finley, at ISTot- tingham, in Mar3dand ; and so well trained was he that he entered the Senior Class at Princeton College, and graduated at the expiration of the term in 1760, when hardly sixteen years of age. President Davies was then at the head of the Institution. The next six years of his life were spent in the study of medicine with Dr. Redman, and he was one of the ' The account is published in the Pennsylvania Gazette, Jul}', 17G8. 2 See Appendix B. 72 MEDICAL DEPAKTMENT OF first pupils in attendance upon the lectures of Dr. Shippen. In 1766 he went to Edinburgh, where, in 1768, he took his degree of Doctor of Medicine; the same year in which the first medical honors were conferred in America. The subject of his thesis was " De coctione ciborum in ventriculo." It is stated by Dr. Eamsay, in his eulogium, "that the Writings of Hippocrates were among the first books Benjamin Rush read in Medicine, and, while he was an apprentice, translated his Aphorisms from Greek into English. He also began to keep a note-book of remarkable occurrences, the plan of which he afterwards improved and continued through life. J'rom a part of this record, written in the seventeenth year of his age, we derive the only account of the yellow fever of 1762, which has descended to posterity." An account of this same epidemic has recently been published by the College of Physicians of Philadelphia, from a manuscript of Dr. Redman, found among its Archives.^ The desire of Dr. Rush to become the incumbent of the Chair of Chemistry in the Medical School of Philadelphia,' Avas formed while he was still a student at Edinburgh, and in this he was evidently supported by the friendly suggestions of Dr. Morgan. In a letter to this gentleman, dated Jan. 20, 1768, he thus expresses himself: " I exult in the happy pros- pects, which now open upon yon, of the success of the Medi- cal Schools you have established in Philadelphia. The scheme you have published for conferring degrees in Physic has met with the approbation of Dr. Cullen himself, who interests himself warmly in everything that relates to your reputation or success in life; he thinks himself happy, he says, in edu- cating those young men to whom so important a Medical College as that in Philadelphia will owe its foundation and future credit." " I thank you for the pains you have taken to secure me the Professorship of Chemistry. I think I am now master of ' An Account of the Yellow Fever, as it prevailed in Philadelphia in the Autumn of 1762, by John Redman, M. D., First President of the Col- lege. A paper presented to the College of Physicians of Philadelphia, at its stated meeting, September 7, 1793, now for the first time published by order of the College, 1865. THE UXIVERSITY OF PEXNSYLVAXIA. 73 the science, and could teacTi it with confidence and ease. I have attended Dr. Black for two years diligently, and have, I think, received from him a comprehensive and accurate vieAV of the science, together with all his late improvements in chemistry, which are of so important a nature that no man, in my opinion, can understand or teach chemistry as a science without being acquainted with them." "As to the experiments you speak of, there is scarcely one of them but what I have seen twice performed, either publickly or pri- vately, by Dr. Black." Again: " I would not, however, urge your interest too warmly in this affair; perhaps I may dis- appoint the expectations of the Trustees, and prevent a person better qualified from filling the chair. I should like to teach Chemistry as a Professor, because I think I could show its application to medicine and philosophy." " I should likewise be able more fully, from having a seat in the Col- lege, to co-operate with you in advancing the Medical Sciences generally." Of the certainty of his election Dr. Eush must have re- ceived an intimation, as in October, 1768, he thus wrote from London to Dr. Morgan: " I am much obliged to you for con- tinuing to read lectures upon Chemistry. I hope to be in Philadelphia in May or June next, so that I shall relieve you from the task the ensuing winter. Is it necessary for me to deliver publickly an Inaugural Oration ? Something must be said in favor of the advantages of Chemistry to Medicine, and its usefulness to medical philosophy, as the people of our country in general are strangers to the nature and objects of the science." The language of Dr. Eash, in the extracts from his corres- pondence which have been presented, indicates that although conscious of his own acquirements, ambitious of advance- ment in connection with usefulness, animated almost by a prescience of the distinction to which he ultimately attained, and relying on a will and industry to secure success in the position he desired, he was still diffident in the expression of his fitness for the office. The wishes of Dr. Eush were fully realized. At a meet- ing of the Board of Trustees, July 23, 1769, a letter was read 74 MEDICAL DEPAETMENT OF from Thomas Penn, Esq., dated May, 1769, of wliicli tlie fol- lowing is a copy: — "Gentlemen: Dr. Eusli having been recommended to me by Dr. Fothergill as a very expert Chymist, and the Doctor liaving further recommended to me to send a Chymical Appa- ratus to the College, as a Thing that will be of great use, particularly in the tryal of ores, I send you such as Dr. Fothergill thought necessary, under the care of Dr. Eush, which I desire your acceptance of. I recommend Dr. Eush to your notice, and humbly wishing success to the College, remain, with great regard, "Your very affectionate friend, THOS. PENN. "To tlie Trustees of tlie College of Pliiladelpliia." The following is a part of an address to the Hon. Thomas Penn, Esq., approved and signed August 1, 1769: — " We have likewise the pleasure to acknowledge a fresh instance of your benevolence in sending us a Chemical Appa- ratus under the care of Dr. Eush, who will meet with all the encouragement from us due to your recomraendation and his own good character." At the same meeting, a letter was submitted by Dr. Eush, applying for the Professorship of Chemistry. " Gentlemen : As the Professorship of Chemistry, which Dr. Morgan hath some time supplied, is vacant, I beg to offer myself as a Candidate for it. Should you think proper to honor me with the Chair, you may depend upon my doing anj^thing that lies in my power to discharge the duties of a Professor, and to promote the reputation and interest of your College. " I have the honor to be, with the greatest respect. Your most obedient, humble servant, BENJ. RUSH. " PniLADELPHiA, July 31, 1769." " In consequence of the above application, and in con- sideration of Dr. Eush's character as an able Chemist, he was THE UNIYEESITY OF PEXXSYLVANIA. 75 unanimously appointed Professor of Chemistry in the Col- lege." From the more complete organization of the Medical Facult}^, effected in the manner now detailed, the session of 1769-70 may be regarded as the commencement of greater vigor in the School. The Announcement stood as follows: — Theory and Practice of Medicine, JoHX Mokgan, M. D. Anatomy, Surgery, and Midwifery, Wm. Shippen, Jk., M.D. Materia Medica and Botany, Adam Kuhn, M. D. Chemistr}^, Benjamin Eush, M. D. Clinical Medicine, Thomas Bond, M. D. Additionally to the strictlj^ medical courses, the Eev. Dr. Smith, Provost, delivered lectures on Natural Philosophy to the Class.i It may be of interest to know the ages of the above-named members of the Faculty of Medicine at the period of its exist- ence in 1769. Like the School itself, the Professors Avould, in these days, be considered juvenile ; but in the vigor of their youth, they were capable of accomplishing great things, and failed not in their endeavor. Eush was but twenty-four years old ; Kuhn but twenty-eight ; Shippen thirty -three ; and Morgan thirty-four. Bond only had arrived at that age when experience is supposed to bring the greatest wisdojn ; he was over fifty years. At the Commencement before referred to in June, 1771, the degree of Bachelor of Physic was conferred on Benjamin Allison, Jonathan Easton, John Kuhn, Frederick Kuhn, Bodo Otto, Eobert Pottinger, and William Smith. Four graduates who had received the primary degree in 1768, now received that of Doctor of Medicine, viz : Jonathan Potts, Avhose thesis was " De Febribus Intermittentibus Po- tissimum Tertianis ;" James Tilton, " De Ilydrope ;" Nicholas Way, " De Yariolarum Insitione;" Jonathan Elmer, " De Causis et Eemediis sitis in Febribus."'' The theses of these gentlenien were written in the Latin ' Appendix C. 2 Appendix D. 76 MEDICAL DEPARTMENT OF language, and, according to tlie rule heretofore given, as enacted in 1767, were published. Professor Beck has fallen "pariially into error in his inte- resting historical sketch, when he states that no medical journal of any description appears to have been published until after the war of our Independence ; and that " the only inau- gural dissertation that was published was from the New York College in 1771, by Samuel Kissam, M.D., 'On the Anthel- mintic Virtue of the Phasceolus Zuratensis;' 'Siliqua Hir- suta, or Cow-itch,' a copy of which may be seen in the library of the New York Historical Society." In this he is evidently mistaken, for the theses of the graduates of the College of Philadelphia were published in 1771, and are now in existence. THE UNIVERSITY OF PENXSYLVAXIA. CHAPTEE YI. Counection between the medical department of the College of Philadelphia and that of the Uniyersity of Edinburgh — Sketch of the origin of the Edinburgh school and of its position in 1768 — Dr. Cullen. From a comparison of the course of instruction in the Col- lege of Philadelphia, from the time of its inception to that of its complete organization, ^vith that of the University of Edinburgh, there can be no doubt that ■ this distinguished school was taken as the model for imitation. The individuals who composed the medical faculty of the College, the first occupants of the chairs, were graduates of the- Edinburgh school, and had unavoidably acquired an affection and preference for its system of instruction. They were familiar with all its details and methods ; and on assuming their positions the bright days of their student life were vivid in their memories. Eegarding with reverence and enthusiastic admiration the men who had been their preceptors, it was most natural that these zealous colonial students should desire to transfer to their native shores the peculiar doctrines that had been inculcated, as well as the stores of learning of which they had been the recipients. But further, between our own school and that of Edinburgh the parallelism is so close as to be worthy of particular atten- tion; indeed, the resemblance can only be explained by the laws of descent which mould the features of the child lilve those of the parent, and impart similar moral and mental cha- racteristics. The medical school of Philadelphia may be said to be the legitimate offspring of that of Edinburgh. The latter had its origin with the Scotch students in attendance upon the lectures of the University of Leyden, who forty years previously were actuated by the same motives which prompted the American students, while abroad, to the projec- tion of their enterprise. We are told by Dr. Fothergill that " there had long been 78 MEDICAL DEPAETMENT OF Professorsliips for Medicine in Edinburgh (connected with the College of Surgeons), and several attempts had been made to introduce a general course of Medical instruction;, but it was not until the year 1720 that this University distinguished itself Several gentlemen who had studied under Boerhaave with the view to revive the study of Medicine in their native country where it had formerly flourished, qualified themselves for the purpose of giving courses of public lectures on every branch of their profession. The celebrated Monro taught Anatomy after having studied it for several years under the ablest masters then in Europe. The Theory of Physic was assigned to the amiable, the humane Dr. Sinclair; Drs. Euther- ford and Innes chose the Practice; Chemistry was allotted to Dr. Plummer ; and the teaching of Materia Medica (of which last he was appointed King's Professor) devolved upon the learned and indefatigable Alston."^ With what success the labors of these enterprising men were crowned, the record of the uniform, unswerving advancement of the Medical School of Edinburgh, and its eminent position now, afford the evi- dence. Has not the institution which was founded by Mor- gan and Shippen, by Kuhn and Eush, and Bond, been found equally worthy of praise and admiration? Lectures upon anatomy were given in Edinburgh in 1694, by Mr. Monteith, and subsequently he delivered lectures on chemistry. Mr. Eobert Eliot was appointed, in 1705, the first Professor of Anatomy in the University. To him succeeded, in 1714, Mr.Drummond, who had associated with him Mr. Magill, but in consequence of the difficulty of procuring subjects and of numerous drawbacks, which rendered their instruction irre- gular and u.nsatisfactory, they, in 1720, withdrew in favor of Mr. Alexander Monro, who is justly considered as the founder of the Anatomical School of Edinburgh. His first lecture was public, " The Lord Provost, accompanied by his friends in the Magistracy, the President and Fellows of the College of Physicians, and the President, accompanied by the Members of the College of Surgeons, honored him w^ith their presence."^ ' Essay on the Character of the late Alexander Russel, M. D., F. R. S. Fotherglirs works, quarto ed., p. 430. 2 The History of the University of Edinburgh, &c., by Alexander' Bower. Edinburgh, 1817, vol. ii. p. 166. An interesting sketch of the THE UXIVEESITY OF PEXXSYL.VANIA. 79 "Towards the end of liis third course, Mr. Monro, encouraged by the success that had attended his exertions, and with the concurrence and urgent recommendations of his friends, which indeed in this instance were only an echo of the opinion of the public, presented a petition to the honorable patrons, in which he set forth the usefulness of the study of anatom}^, and the advantages it might be of to Edinburgh ; and in order thereto, the necessity of putting the commission of a professor on such a footing as might encourage him effectively to follow out the design for which he was appointed." The following extract from the response to this petition evinces the ready acquiescence on the part of the Council : "being fully convinced of the fitness and sufficiency of the said Mr. Alexander Monro, in all respects for the said profes- sion, and well acquainted with his diligence and assiduous application in the exercise of it, they therefore for his better encouragement, of anew, again nominate, &c., him sole Pro- fessor of Anatomy within this city and College of Edinburgh, and that, ad vitam aut culjjam, notwithstanding any act of Council formerly made to the contrary."^ The success of Mr. Monro's lectures encouraged the magis- trates to extend their liberal patronage in favor of public medical teaching, and induced them, in 172i, to appoint Dr. Potterfield the Professor of the Institutes of Medicine, and two years afterwards (1726) to elect Dr. Andrew Sinclair and John Rutherford Professors of the Practice of Medicine, and Andrew Plummer and John Jones Professors of Medicine and Chemistry. In subsequent arrangements, to these gentle- men Dr. Alston was added, who, although a teacher of Materia Medica and Botany at the Botanic Garden, was not appointed "Early History of tlie Medical Profession in Edinburgh," written by Dr. John Gairduer, has been published in the Edinburgh Medical Journal, vol. ix. Part II. • Bower's History, vol. di. pp. 181, 182. In the No. of the Dublin Medical Press and Circular for May 9tli, 1866, is an interesting lecture, by Prof. Struthers, of Edinburgh, before the Royal College of Surgeons, on the History of the Edinburgh Anatomical School. The details of this lecture, with reference to Mr. Monro, are in accordance with what has been given from the authorities cited. Mr. Monro was in his twenty-third year when he was elected Professor of Anatomy by the Town Council of Edinburgh. 80 MEDICAL DEPAETMEI^T OF legally a professor until 1730. As Dr. Potterfield, as far as ascertained, did not lecture, the six other gentlemen who have been named may be regarded as, de facto, founders of the Medical Department of the University of Edinburgh. The only degree conferred by this University was that of Doctor of Medicine ; with reference to which we are informed that "the Medical Faculty being now constituted, degrees were conferred after a much more regular manner, and, with some slight variations, the forms adopted at Leyden, where the Professors themselves had heen educated^ were preferred." To exhibit the requirements of the school, the following rule may be cited : — " The Candidate must have attended the lectures given hj the Professors of Anatomy and Surgery, Chemistry, Botany, Materia Medica and Pharmacy, the Theory and Practice of Medicine, and Clinical Medicine in the Hospital."^ The re- quisite examinations followed. It appears to have required nearly twenty years to thus far perfect the course of instruction in the school that must be regarded as the parent of our own.^ It would seem that difficulties in prosecuting anatomical investigation and teaching beset the efforts of the profession in Scotland as well as in this country. The coincidence in this respect is worthy of notice, evincing the prejudices of the populace in connection with matters deeply involving its own welfare and interests, and the mode of eradicating them by judicious management. By the historian of the University of Edinburgh, the account of Mr. Monro's troubles is thus given: "Mr. Monro never desisted from exerting himself in the line of his profession, with that abilitj^, diligence, and steadiness which secured the approbation of all. In some respects, however, he had a difficult part to perform. The population of the town then amounted to only thirty thou- sand, and he had inspired his pupils with such a taste for anatomy and the opportunities they possessed were so lim- ited that they were uneasy under the restraint. In April, 1725, however, some of the more enterprising of the students, ' Bowers' History, vol. ii. p. 217. 2 The first degree of M. D. was conferred by the University of Edin- burgh in 1705. See Catalogue of Graduates. THE UNIVERSITY OF PEXXSYLVAXIA. 81 as was supposed, had attempted to violate the graves of the dead. Mr. Monro's well-known character placed him above suspicion in the eyes of sober-minded men, but the vulgar of all denominations were of a different opinion. The city was in an uproar, and an Edinburgh mob was in those days very formidable. The}^ beset Surgeon's Hall, where Mr. Monro had from the first delivered bis lectures, and had it not been for the spirited and vigorous measures of the magistrates, they would have destroyed and trampled under their feet the Anatomical preparations which he had accumulated with so much labor and expense. The tumult was fortunately quelled, but the magistrates found it necessary or convenient, in order to pacify the multitude, to offer a reward of £20 sterling to those who would discover the persons that were acQessory to stealing dead bodies. The Session of the College rose in the course of a few weeks ; no discovery was made, and the cir- cumstance which occasioned the riot was speedily forgotten." The preceding occurrence led to provision within the build- ings of the University for the accommodation of the Medical School, and the greater security of the Museum belonging to it. A similar unfortunate occurrence disturbed the quiet of Dr. Shippen's demonstrations in Philadelphia. On one occa- sion his house was mobbed, and only by exercising great tact, and by the judicious interference of his friends and of the authorities was he saved from the entire destruction of his accumulated materials for teaching. The event was known for years after to the inhabitants as the Sailors' Mob. In one of his early advertisements, Dr. Shippen exculpates himself from the imputation of procuring subjects in an illegal manner, by violating the sanctuary of the dead.' In the changeathat had taken place in the Faculty of the University of Edinburgh, at the period when the founders of the American School were educated within its walls, Cullen had come upon the theatre of action, and filled the highest place in their affections. As with the students of the Uni- versity of Leyden, Boerhaave had been the ruling spirit, and had stamped his genius upon their thoughts and opinions, ' See Appendix E. 82 MEDICAL DEPAKTMENT OF SO, by the pupils who listened to his instructions, CuUen was regarded as the paragon of scientific medical intellectuality. He had succeeded Dr. Plumrner in the Chair of Chemistry in 1756, and Dr. Whytt in that of Institutes in 1766, which position he was holding at the time the American students, who were the founders of our School, were in attendance upon his lectures. The warmth of commendation on the part of Dr. Rush may be taken as an explicit illustration of the popularity of Dr. Cullen with his pupils. " Dr. Cullen (says he, in writing to Dr. Morgan) continues still to be the idol of his pupils ; he has lately proposed a Theory concerning the offices of the Brain and Neryes that will do him more honour, however,»than anything he has eyer yet found out. I have not room to do it justice in this place; hereafter you shall be welcome to it. His Clinical lectures and his practice in the Infirmary cannot be too highly praised ; in each of them he shows the most extensive reading and the most consummate skill. He intends to publish a ^ Nosologica Methoclicd' next summer, which will contain a complete arrangement of all diseases under proper classes, orders, genera, and species, somewhat in the manner of Sauvages, tho' considerably different from his in the matter of arrangement." When Cullen first began to lecture in the Infirmary of Edinburgh upon practical medicine, he deviated from the routine of following Boerhaave implicitly. To this, exception was strongly taken. He tells the story of the difficulties he experienced in thus deviating from so renowned a master, in his Introductory to the Session of 1783-4: "About twenty years after I had left this University as a student, I was again called to it to take a Professor^s Chair, when I still found the system of Boerhaave prevailing as much as ever, and even without any notice taken of what Boerhaave himself and his commentator, Yan Swieten, had in the meantime added. Soon after I came here I was engaged to give Clinical, that is to say, practical lectures, and in these I ventured to give my own opinion of the nature and cure of diseases different in several respects from that of the Boerhaavians. This soon produced an outcry against me. In a public College, as I happened to THE UXIVEESITY OF PENNSYLVANIA. 83 be Professor of Chemistry, I was called a Paracelsus, a Yau Plelmont, a whimsical innovator, and great pains were taken in private to disparage myself and my doctrines."^ Cullen lived to know that his teachings had as wide a circulation and as much authority as those of Boerhaave, which ulti- mately gave place to them. It was determined, as we are informed by Dr. Thomson in his Life of Cullen, that he should deliver a course of Lec- tures on the Practice of Medicine during the summer of 1768. He accordingly delivered his first course on that branch at the time specified, and continued to alternate with Dr. Gre- gory until the death of that professor in 1773, when he suc- ceeded to the Chair: With respect to the above-mentioned arrangement, it appears that an application was made by Dr. Cullen, with the concurrence of Dr. Cregory, for a joint appointment to the Chair of Practice.^ The movement ap- pears to have been instigated by the students of the Univer- sity, who were impressed by Dr. Cullen's teaching at the Infirmary, although Mr. Bower states that "the origin of the whole transaction is involved in obscurity." "The students were divided in their opinions respecting the abilities of these eminent men as public lecturers, and as usual entered ver}^ keenl}^ into the medical theories they severally taught."^ This is clear from the correspondence of Dr. Push, then in Edinburgh, which, although commendatory of Gregory, is enthusiastic with respect to Cullen. In a letter, July 27th, 1768, to Dr. Morgan, he says: "Dr. Cullen, the great unri- valed Dr. Cullen, is going on unfolding each day some new secret to us in the Animal economy; his lectures on the Prac- tice of Physic this summer are richly worth my staying for." "When we take into consideration the enthusiasm mani- fested by Dr. Push with respect to the prelections of Cullen, • An Account of the Life, Lectures, and Writings of William Cullen, M. D., Professor of the Practice of Physic in the University of Edinburgh, by John Thomson, M. D., F. R. S., L. and E., Professor of Medicine and General Pathology in the Universitj' of Edinburgh, vol. i. p. 161. 2 Bower's History of the University of Edinburgh, vol. ii. p. 385 ; vol. iii. p. 108. ^ Bower, loc. cit. S-1 MEDICAL DEPARTMENT OF liow worthy of attention is the similarity of their public career. They both occupied successively the same chairs in the respective institutions of which they were conspicuous ornaments and supporters. Cullen commenced his course of teaching in the Professorship of Chemistry, was transferred to that of Institutes, and, finally, to the one of Practice; while Push, in the term of his long life, occupied successively the chairs pertaining to each of these branches of medical science. When Cullen became a teacher of medicine, he made an innovation which at the time was considered rash. It was the abandonment of the Latin language and the use of ver- nacular English. The Latin was considered the language of science, and as such was used upon the Continent, as well as in England and Scotland. Lie was accused of not being sufficiently familiar with it to use it readily, but from this charge he is vindicated by the fact of having received his education in that tongue, and moreover of having delivered a course of botany in it. When, about the year 1746, he adopted the new plan of delivering his lectures, he conferred a service which was afterwards acknowledged by its imitation. From this period the use of the Latin language was gradually dropped.^ The Lectures on the Materia Medica by Dr. Cullen, w^ere first republished in Philadelphia, by Pobert Bell, in 1775. To exhibit the estimation in which that distinguished teacher was held everywhere, the following advertisernent is singu- larly pertinent. " The American Physicians who wish to arrive at the top of their profession are informed that the great Professor Cullen 's Lectures on the Materia Medica, containing the very cream of Physic, are now selling by the said Bell, on Third Street. Price Five dollars." The expec- tation of a ready sale may be surmised from this extract.'"^ Callen's " First Lines of the Practice of Physic" was subse- quently published in this country, in 1781. With reference ' See Thomson's Life of Cullen, vol. i. p. 28. ^ The work first published was a surreptitious edition of the Lectures on Materia Medica by Dr. Cullen, delivered in 1761. It was issued from the Edinburgh Press in 1771, when an injunction to prohibit its sale was ob- tained from the Court of Chancery. It was republished in London in 1773. Dr. Cullen published his " Treatise of Materia Medica" in 1789. THE UNIVEKSITY OF PEXXSYLVAXIA. 85 to this work, an interestins; extract of a letter from Dr. Rush to Dr. Cullen may be given. " One of the severest taxes paid by our profession during the war was occasioned by the want of a regular supply of books from Europe, by which means we are eight years behind you in everything. Yonr First Lines was almost the only new work that was smuggled into the country. Fortunately it fell into my hands. I took the liberty of writing a Preface to it, and published it during the war. The American Edition had a rapid sale and a general circulation through the United States. It was read with pecu- liar attention by the physicians and surgeons of our arm}^, and in a few years regulated in many things the practice in our hospitals. Thus, Sir, you see you have had a hand in the Ee volution, by contributing indirectly to save the lives of the officers and soldiers of the American Army." 16th Sept., 1783. At the time mentioned, the first volume only of the work was republished; it had been issued in Edinburgh in 1777. Cullen had able coadjutors in the University of Edinburgh. Monro (secundus) had great distinction as an anatomist and surgeon ; the name of Gregory was regarded with respect ; Home, Hope, and Young were filling their parts with credit to. themselves and usefulness to the institution ; while Black had inscribed his name upon the roll of fame, by his doctrine of latent heat and his discovery of carbonic acid. Of such lumi- naries was formed that cynosure in the northern firmament of medical science, Avhich attracted the attention of the intellec- tual world, and directed the steps of those who sought for lights to guide them in preparation for professional duties.^ 1 An Eulogiiiin upon Dr. Cullen was read before the College of Physi- cians of Philadelphia, by Dr. Rush, July 9, 1790. 2 In 1768 the Faculty of the Medical Department of the University of Edinburgh was thus constituted : — Alexander Monro, M. D., Professor of Anatomy and Surgery. William Cullen, M. D,, " Institutes of Medicine. John Gregory, ]\[. D., " Practice of Medicine. Joseph Black, M. D., " Chemistry. Thomas Young, M. D., " ^lidwifery. ' Francis Home, ^[. D., " Materia Medica. John Hope, M. D.. " Botany. John Rae, M. D., Lecturer on Surgery in the Infirmary. S6 MEDICAL DEPAKTMEXT OF CHAPTEE YII. Effect of the American Revolution upon the College of Philadelphia — Abro- gation of its charter and the establishment of the University of the State of Pennsylvania — Restoration of the charter and privileges to the college — Union of the two institutions under the name of University of Penn- sylvania. The fortunes of our medical school, for twenty years after the organization of the faculty in 1769, were checkered and unequal. An intermission of Dr. Morgan's lectures took place in the winter of 1772-73, in consequence of his absence in the West Indies, whither he had been sent by the Board of Trustees to collect funds for the College. At this time the medical class had increased to between thirty and forty students. But soon the disordered condition of society, attendant upon the Ee volution, disturbed the quiet flow of scientific pursuits, and led to the suspension or to the serious embarrassment of academic establishments on the American Continent. In illustration it may be stated that the Professors of the College of Philadelphia applied to the " Council of Safety" for relief from their annoyances, inform- ing it " that the Schools were interfered with and inconveni- enced by the occupation of the grounds and buildings by soldiers, who did much injury to the property."^ In the years 1776 and 1777, the lectures upon anatomy were wholly suspended in the College, and afterwards neces- sarily shorter than usual, and, as far as can be ascertained, the lectures on the other branches were either interrupted or but partially given.^ The occupation of the city by the British in the autumn of 1777 was the occasion of the removal of the effects of the College, which, as far as possible, were secured privately by the professors.^- ' June 23, 1777, Pa. Archives, vol. v. p. 198. 2 Eulogium on Dr. Shippen by Dr. Caspar Wistar, p. 29. 3 It is a tradition in the family of the Provost, the Rev. Dr. Smith, that THE UXIYEBSITY OF PENG'S YLVANI A. 87 Several of the medical profe?;sors took their place as medical officers of the arinj^ Morgan and Shippen successively acted in the capacity of Medical Director-Greneral during the Eevo- lution, and Knsh as Medical Director of the Middle Department. The latter was also a member of the Congress which signed the Declaration of Independence.' The account of the services rendered by the Medical Professors as well as by the members of the Profession generally, may be gathered from the biogra- phies which have been given us of the most eminent physicians and surgeons of the period. Two of the graduates, of the Class of 1768 and 1771, of the College were useful and distinguished phj^sicians of the Hospital Department of the American Army, viz., Jonathan Potts and James Tilton. An estimate may be formed of the difficulties encountered by the army physicians and surgeons from the transcript of part of a letter written by the former of these gentlemen, Dr. Potts, who was Director for the N'orthern Department. " Fort George, August lOtli, 1776. " The distressing situation of the sick here is not to be described ; without clothing, without bedding, or a shelter sufficient to screen them from the weather, I am sure your known humanity will be affected when I tell you we have at present upwards of one thousand sick, crowded into sheds, and laboring under the various and cruel disorders of Dysen- tery, Bilious, Putrid Fevers, and the effects of a Confluent Small Pox. To attend this large number we have four sur- geons and four mates, exclusive of myself, and our little shop doth not afford a grain of Jalap, Ipecacuanha, Bark, Salts, Opium, and sundry other capital articles, and nothing of the kind to be had in this quarter. In this dilemma our inven- tions are exhausted for succedaneums ; but we shall go on doing the best we can in hopes of speedy supply." This letter was addressed to the Director-General.^ The spirit which actuated these gentlemen in the cause of he thus saved the archives from which we have been enabled to compile much of our information. ' Dr. Rush was elected to Congress after the Declaration of Independ- ence, for the express purpose of signing it. 2 It is among the papers of Dr. Potts, in the collection of the Historica Society of Pennsylvania. 88 MEDICAL DEPARTMENT OF their country may be learned from the following passage of a letter of Dr. Thomas Bond, Sen., to the Council of Safety, December 4th, 1776, giving his views in relation to the or- ganization of military hospitals : — " When I see so many of my friends and valuable fellow- citizens exposing themselves to the horrors of war, I think it my indispensable duty to make them a tender of the best services in my power, upon the condition that I can have the joint assistance of my son in the great undertaking, who I am certain you will find on enquiry has already distinguished himself in this Department. As I am told many of the sick are near the City, the sooner this matter is concluded the better."! Dr. Bond at that time was over sixty years of age. The privations and hardships wliich were suffered, the difficulties and vexations which were encountered, and the sacrifices submitted to by the medical officers during the War of Independence have been graphically depicted in his Mili- tary Journal by that venerable sharer of them, the late Dr. Thatcher. When, on the conclusion of the contest, the services of these medical patriots were no further needed, they returned to their civil posts, imbued with knowledge and experience, from which in after life they derived the benefit. So far as the concerns of the College were affected, it re- quired time before they assumed their former tranquillity and regularity. The account of the next ten years is an eventful one in the history of the Medical School, until the University was placed on its present secure foundation. The Institution, being of colonial origin and patronage, needed, as was thought, thorough reorganization to place it upon a basis harmonizing with the regime of Independence. The removal of constraint by a hostile force permitted it to be re-established under different auspices. It was alleged further that disaffection existed on the part of some^of the members of the Board of Trustees to the new Government. By an Act of the Legislature, November 27th, 1779, the charter ' Pa. Archives, vol. v. p. 89. Dr. Thomas Bond, Jr., here referred to, was Purveyor of the General Hospital. THE UXIYERSITY OF PEXX3YLVANIA. 89 of the College was abrogated, its officers removed, and its pro- perty transferred to a new institution. Tins decree of the Legis- lature had been anticipated by authoritative interposition.^ From the Minutes of June 1st, 1779, we learn that Mr. John Foulke was examined for the Bachelor's Degree, but after the mandamus was issued, the Commencement was inter- dicted by the President of the Executive Council of the State. This was the beginning of the difficulty which eventuated in the action of the Legislature above referred to. Still, the move- ment must have been more sudden than was expected, inas- much as we find the following notice in the " Pennsylvania Gazette" :— " College of Philadelphia, October 24, 1779. . The Lectures on the different branches of Medicine will begin on the first Monday of December." The institution which superseded the College of Philadel- phia was entitled the "Uxiversity of the State of Penn- SYLYAXIA," to which were given more extended educational privileges and larger endowment.^ The Trustees at once directed attention to the Medical Department in common with others, and it appears from the Minutes of the Board that on December 8th, 1779, it was — ■ "Resolved, that Dr. Shippen, sen.. Dr. Bond, and Dr. Hutch- inson be a Committee to inquire into the state of the late Medical School, as it stood in the late College, and what is the establishment thereof in Foreign Universities ; and to digest a plan, for the consideration of the Board, for establishing the school on the most respectable footing. That the said Com- • For an exposition of the circumstances which led to this act on the part of the Legislature, and for the full discussion of the merits of the transac- tion, we must refer to the History of the University of Pennsylvania by George. B. Wood, M. D., in the 3d vol. of Memoirs of the Historical So- ciety of Pa. Also to the Pa. Gazette, March and April, 1788, for a Remon- strance against the Act of Assembly of 1779 and an exposition of the origin of the College. In the same paper are "Reasons for abrogating the Charter of the College from Minutes of the Council of Censors," August and Sep- tember, 1784. Also an Exposition of the Controversy between the College and the University, March, 1789. 2 We have seen a diploma of Bachelor of Medicine of 178-"), in which the title University of Philadelphia is used. The title stated in the text is given in the Book of Charters and Statutes. 90 MEDICAL DEPARTMENT OF mittee do request tlie several Medical Professors in the mean time to proceed in their lectures as heretofore." When the University was organized upon the basis men- tioned, the Eev. John Ewing, D.D., was appointed Provost. In this office he remained until his death in 1802. Dr. Ewing continued the practice of delivering Lectures upon Natural Philosophy. These were published, in 1809, in a volume edited by Prof. Eobert Patterson, who appended to them a Life of the author. On May 11th, 1780, it was resolved, by the Board of Trus- tees of the University, "that the former Medical Professors be requested to examine such candidates as shall apply to them ;" and on Jane 27th it was "agreed that on the present occasion the late Medical Professors take their seats." This occasion was in connection with the preliminaries for the graduation of the classes. The Commencement was held, and the Degree of Bachelor of Medicine conferred on William W. Smith and Ebenezer Crossby, and that of Doctor of Medicine on David Eamsay.^ Dr. Shippen was the only one of the Professors who at once accepted the position he had held in the Faculty of the College ; and an agreement not being effected with the others, the Chair of Practice was offered to Dr. Hutchinson, June 25th, 1781, and then, April 22d, 1782, to Dr. James McClurg, of Virginia. The Chair of Chemistry was, Nov. 7th, 1781, offered to Dr. Hutchinson, and on April 2d, 1782, the Chair of Materia Medica was offered to Dr. James Tilton, of Dela- ware. In each case the honor was respectfully declined. On April 22d, 1782, Mr. William Bartram was appointed Professor of Botany. The Trustees evidently labored under embarrassment and difficulties which had to be met by temporary expedients, as is shown by the following public advertisement: — "At a Meeting of the Trustees of the University of Penn- sylvania, on Wednesday, 31st of October, 1781, Resolved 1 The Historian of the United States. He wrote a Life of Dr. Eush, which has heen quoted. The words in wliich the mandamus is expressed are the following : "And the Degree of Doctor of Medicine on David Ramsay, now prisoner with the enemy." THE UXIVEESITY OF FEXXSYLYAXIA. 91 unanimously that Dr. Bond be requested to unite Lectures on the Theory' and Practice of Pliysic with his course of Clinical Lectures, the ensuing season, until such time as a Professor in that Branch of Medicine be appointed and un^ dertake the business." Dr. Bond, who was present at the meeting, expressed his readiness to do so. It was further " Eesolved, that Wednesday next be ap- pointed for the election of Professors of Materia Medica, the Theory and Practice of Physic, Chemistry, and Botany." This attempt to fill the Chairs did not succeed, and in this state of irregularity medical instruction continued for three years. In the " Pennsylvania Gazette" of Nov. 14th, 1781, Dr. Rush announced a course of Lectures upon Chemistry and the Practice of Physic, " to begin on Monday next, at three o'clock in the afternoon." There was no interruption, however, to the graduation of candidates each 3^ear. At the Commencement of 1782, eight students were graduated M.B., and the Honorary Degree of Doctor of Medicine was conferred upon Joannes Franciscus De Coste, Physician-General of the French Army in America, and also upon Maria Bernardus Borgetta, an eminent physician of the same army ; and Fiacer Robillard, a Senior Surgeon in the French Army, received the Degree of Master-^of Arts. In November, 1783, an election anew took place, and the former status of the Professors was accepted by them. The . lectures then appear to have been conducted with some uniformity. Although the University continued to perform its part successfully for ten years from the time of its foundation, the dissatisfaction on the part of the friends of the former College had only slumbered. The Act of the Legislature was regarded by them as unjust and unconstitutional, and their efforts in procuring its repeal, and in the restoration to the College of the powers and property possessed by it originally, were finally crowned with success. The new in- stitution retained its position as a University, with its endow- ment from confiscated estates. The Act of repeal is dated March 6th, 1789.^ > Charters and Statutes of the University of Pennsylvania. 92 MEDICAL DEPARTMENT OF It is a circumstance worthy of record that, in consequence of bis absence abroad for so many years in the service of the Colonies, Dr. Franklin, after the foundation of the College, " had but few opportunities of taking any further active part in the affairs of the Seminary, until his final return in the year 1785, when he found its charters violated, and his ancient colleagues, the original founders, deprived of their trust by an act of the Legislature; and although his own name had been inserted amongst the new Trustees, yet he declined to take his seat among them, or any concern in the management of their affairs, till the institution was restored by law to its original owners. He then assembled his old colleagues at his own house, and, being chosen their President, all their future meetings were at his request held there till within a few months of his death, April 17th, 1790, when, with reluctance, and at their desire, lest he might be too much injured by his attention to their business, he suffered them to meet at the College."^ When the restitution of its rights was made to the College, the Trustees proceeded to the organization of the Schools. The Eev. Dr. Smith was restored to the of&ce of Provost; and with respect to the Medical Professors, the Minutes of the Board inform us, dated March 13th, 1789, that " The Committee who were appointed to wait upon the Pro fessors and Masters formerly deprived, but now restored, made report that they had waited upon the following Professors in the Medical Schools, formerly instituted under the College, viz: — Dr. William Shippen, Jr., Professor of Anatomy, &c. '' Adam Kuhn, Professor of Botany and Materia Medica. " Benjamin Rush, Professor of Chemistry. " Who severally expressed their satisfaction upon the re- newal of their connection with the Trustees of the College, and their restoration to their Professorships under them, in discharging the duties of which as heretofore it was their wish and intention to continue. ' Life of Dr. Franklin by Dr. Stuber, Dno. ecL, N. Y. 1825. See also remonstrance referred to, "Pennsylvania Gazette.". THE UNIVERSITY OF PEXXSYLVAXIA. 93 "Dr. John Morgan, Professor of the Theory and Practice of Physic, not being at present within the State, the Trustees consider him reinstated and entitled to continue in his office until his return home, when he is to be waited on by the Com- mittee in like manner as the other Professors have been, in order to know whether it is his intention to resume the exer- cise of his Professorship as heretofore." In October, 1789, Dr. Morgan died at the age of fifty-four years. It is stated that he had retired very much from active life, actuated by chagrin at his treatment by Congress, in re- moving him from the post of Director General, upon charges from which he was ultimately exonerated. That Dr. Morgan had lost his interest in the duties of his Professorship, would appear from a communication from the Professors to the Trustees of the University in December, 1788, in these terms : " that the Faculty are of opinion that the Medical School sufters for want of a course of lectures being delivered annu- ally on the Theory and Practice of Physic." On the 21th of October, 1789, Dr. Push Avas elected to the Chair of Theory and Practice in the College ; and on the 29th of October, Dr. Kuhn resigned his Professorship and took that of Practice in the University, to Avhich he was elected November 1th, 1789. "At the same time a letter was read from Dr. Wistar recommending lectures on the Institutes of Physic, to be in connection with those of Chemistry by the Professor of the latter branch, which was agreed to." On Xovember 17th, 1789, Dr. Caspar Wistar was unani- mously elected Professor of Chemistry (to succeed Dr. Rush) and of the Institutes of Physic. Dr. Samuel Griffitts was unanimously elected Professor of Materia Medica and Phar- macy ; and Dr. Benjamin Smith Barton was unanimously elected Professor of Natural History and Botany. The Medical School of the College having been thus reor- ganized, and that of the University continuing in full opera- tion, a rivalship naturally sprung up between the two insti- tutions, or rather it may be called an antagonism, which was singular from the fact of an inosculation existing in the per- son of Dr. Shippen, who held his Professorship in both. It has been seen that Dr. Kuhn had joined the University, 94: MEDICAL DEPAETMENT OF as Professor of the Theory and Practice, and on the 19th of December, 1789, Dr. James Hutchinson, an active member of the Board of Trustees, was elected Professor of Chemistry and Materia Medica in that institution. When, in 1789, the College was restored to its former posi- tion, with possession of its functions and privileges, it was determined no longer to confer the degree of Bachelor of Medicine. The reason for this course is thus stated : " It having been considered that it would not be for the honor of the College or the advancement of sound literature to con- tinue the degree of Bachelor of Medicine, lest young and in- experienced men under the sanction of that degree and of their Collegiate education, assuming the name of Doctor, might be tempted to impose upon the public, by a too early Practice, it has, therefore, been determined that the Degree of Doctor in Medicine shall be the only medical degree con- ferred in this Seminary."^ In point of fact it would appear from the early records that, as was anticipated, comparatively fev/ of the primary graduates ever applied for the doctor's degree, and even these bore no proportion to the whole class of students in attend- ance, most of them going into active service' without the evidence of qualification. "With regard to the system of degrees established, Dr. Push, in his correspondence with Dr. Morgan, as early as 1768, makes this comment: "I have read the laws you have established with regard to the conferring degrees in Ph3^sic, and have shown them to several gentle- men in this place (Edinburgh) who, upon the whole, approve of them. Some of them have thought that conferring Bache- lors' Degrees in Physic would tend to depreciate their value, as few young men would ever have leisure enough after they began to practise, to return a second time to the College in order to write a Thesis or go through the other necessary forms, previous to being admitted Doctors of Physic. Upon this account they have proposed that no one should be ad- mitted to the phj^sical honors, until he had studied there two or three years, and afterwards published a Thesis. But you who are upon the spot can best judge of the propriety of the ' Pennsylyania Gazette. - • THE UNIVEESITY OF PEXXSYLVAXIA. 95 regulation." The correctness of the prognostication con- tained in the foregoing extract was shown by the result, and led to the abandonment of the first degree. On November 17th, 1789, the following rules respecting a medical education having been passed by the Trustees of the College, and ordered to be made public for the informa- tion of those students who desired the degree of Doctor of •Physic, were published in the "Pennsylvania Gazette": — "1. 1^0 person shall be received as a Candidate for the degree of Doctor of Medicine until he has arrived at the age of twenty-one years, and has applied himself to the study of Medicine in the College for at least two years. Those students, candidates who reside in the City of Philadelphia, or within five miles thereof, must have been the pupils of some respectable practitioner for the space of three years, and those who may come from the country, and from any greater distance than five miles, must have studied with some repu- table physician there for at least two years. "2. Every candidate shall have regularly attended the lectures of the following Professors, viz., of Anatomy and Surgery; of Chymistry and the Institutes of Medicine; of Materia Medica and Pharmacy; of the Theory and Practice of Medicine; the Botanical lectures of the Professor of Natural History and Botany ; and a course of lectures on Natural and Experimental Philosophy. "3. Each Candidate shall signify his intention of gradu- ating to the Dean of the Medical Faculty, at least two months before the time of graduation, after which he shall be exam- ined privately by the Professors of the different branches of medicine. If remitted to his studies, the Professors shall hold themselves bound not to divulge the same; but if he is judged to be properly qualified, a medical question and a case shall then be proposed to him, the answer and treatment of which he shall submit to the Medical Professors. If these performances are approved, the Candidate shall then be ad- mitted to a public examination before the Trustees, the Pro- vost, Vice Provost, Professors and Students of the College ; after w>iich he shall offer to the inspection of each of the Medical Professors a Thesis, written in the Latin. or English 90 MEDICAL DEPAETMEXT OF Language (at his own option) on a medical subject. This Thesis, approved of, is to be printed at the expense of the Candidate, and defended from such objections as may be made to it by the Medical Professors, at a Commencement to be held for the purpose of conferring degrees, on the first Wed- nesday of June every year-. "Bachelors in Medicine who wish to be admitted to the Degree of Doctor in Medicine, shall publish and defend a- Thesis agreeably to the rules above mentioned. " The different Medical Lectures shall commence annually on the first Monday in November, the lectures in Natural and Experimental Philosophy about the same time, and the lec- tures on Botany on the first Monday in April. "BENJAMIN FEANKLIN,' President of the Board of Trustees. WILLIAM SMITH, Provost of the College and Secretary of Board of Trustees." The University continued the practice of conferring two degrees ; in other respects its rules and requirements were very analogous to those of the College. The state of things exhibited with respect to medical teach- ing by two institutions, in so contracted a sphere as the city of Philadelphia then offered, could not be otherwise than unsatisfactory. This appears clearly from a statement made upon the Minutes of the University, April 6, 1791, being part of a report on the condition of the Schools, to wit : " Of the Medical students who have attended the lectures of the different Professors, since the separation of the College, it cannot be accurately ascertained how many are attached to this Seminary, with a view to graduation in it. " The Professor of Anatomy, who is also Professor of Anatomy under the College, has been attended in his last course of lectures, which commenced in November, 1790, by one liundre.d and four. About twenty of these have not at- tended the lectures of any other of the Professors of either Seminary. Fifty -five^ however, have attended the lectures of the other Medical Professors of the University with a view to graduation in it." THE UXIYEESITY OF PENNSYLVANIA. 97 The field for two establishments was proved to be too re- stricted, and after party spirit bad subsided, and faction had been lulled to rest, a calm appreciation of the circumstances then existing led to the conclnsion, that in union there would be additional strength and prosperity. In speaking of the condition of affairs that existed, the late Chief Justice Tilgh- man refers to the part that was taken by Dr. Wistar in bringing about the union of conflicting interests. " Philadel- phia had then the misfortune to be divided between two rival schools, the Faculty of Medicine of the College and that of the University of Pennsylvania. He saw and lamented the consequences of this division. It was his wish to unite in one great institution the talents of the city. But finding that the period of union had not yet arrived, he accepted the Pro- fessorship offered to him by the College, in order to preserve an influence to be exerted at the proper season, and in this purpose he was not disappointed, for he had the satisfaction of contributing largely to the much desired union which was afterwards effected."^ An amicable adjustment was brought about, followed by an Act of the Legislature, September 30th, 1791, passed in accordance with petitions from the two schools, setting forth the terms of the agreement upon which they had decided to unite. It was agreed that the name of the Institution should be " The Univeksity of Pennsylvania," and that it should be located in the city of Philadelphia. Of this name her graduates have sufficient reason to be proud. In the Introductory Lecture delivered by Dr. Push in the month of Kovember, 1791, he thus expresses himself upon the subject of the union: "I should do violence to my feel- ings should I proceed to the subjects of the ensuing course of lectures, without first congratulating you upon the union of the two Medical Schools of Philadelphia, under a Charter founded upon the most liberal concessions by the gentlemen who projected it, and upon the purest principles of patriotism ' An Eulogium in commemoration of Dr. Caspar Wistar, late President of the American Pliilosophical Society, (fee, delivered before the Society, March 11th, 1818, by the Hon. William Tilghman, Chief Justice of the Supreme Court of Pennsylvania, y was the branch that more particularly interested him, and for which he manifested the most decided partiality. In July, 1813, while an under-graduate, he entered the Uni- ted States army as a surgeon's-mate, and performed his first military duty upon the northern frontier. In this suborbinate capacity he continued to serve until the conclusion of peace with Great Britain, in 1815, when he resigned. Of his adven- tures during this campaign he kept an interesting record, and published a series of papers, detailing his observations and experience, in the Medical Examiner of Philadelphia, as late as 1852, the year before his death. During the winter of 1813-14, having obtained a furlough, he attended the lectures in the University preparatory to his graduation, which took place in April, 1814. The thesis written by him was on " Gunshot Wounds^ Upon resigning from the Army in 1815, after a brief sojourn in the village of Warrenton, his native place. Dr. Horner set- tled in Philadelphia; and here located, as we are informed by his biographer, " his enthusiasm for anatomy, his earnest appli- ' Memoir of the Life and Cliaracter of James B. Rogers, M. D., Profes- sor of Chemistry in the University of Pennsylvania, by Joseph Carson, M. D., Professor of Materia Meclica and Pharmacy ; delivered at the request of the Faculty, on October 11th, 1853. Published by the Class. THE UXIVERSITY OF FEXXSYLVAXIA. 1S3 cation to dissection, bis quiet demeanor, bis steadiness of cba- racter, tbe neatness and elegance of bis preparations, bad attracted tbe notice of Prof. AYistar, and gained Ins friendsbip, confidence, and esteem."^ In tbe spring of 1816 an arrange- ment was made witb Dr. Wistar, by wbicb Dr. Ilorner became bis assistant in tbe anatomical course, preparing tbe subject for demonstration. By tbis association " tbe demonstrations of tbe anatomical course were fuller and more complete tban tbey had been previously, and tbe Anatomical Museum was rapidly increased by numerous specimens and preparations, particu- larly of fine injections, as well as important patbological illus- trations. He worked most assiduously, for it was a work of love." Upon tbe deatb of Dr. Wistar in 1818, be engaged witb Dr. Dorsey as bis assistant, and wben tbat Professor was stricken down, at tbe very opening of bis course, tbe engagement was renewed witb Dr. Pbysick, wbo undertook tbe labor of deliver- ing the anatomical lectures in addition to bis own on Surgery. "The course of 1818-19 was completed in a manner bigbly satisfactory to Dr. Pbysick and tbe class. Tbe assiduity and zeal of Dr. Horner, and tbe excellence of bis demonstrations, by lightening tbe labor of tbe course, and facilitating its pro- gress, contributed in no small degree to tbe result."^ In 1820, Dr. Horner was elected, as has been stated. Adjunct Professor of Anatomy, and upon tbe resignation of Dr. Pbysick, in 1831, became tbe Professor. "As a lecturer. Dr. Horner was not fluent or copious in lan- guage, nor bad any pretensions to elocution. His plan, to a certain extent, was novel. He composed a text-book, bis ^Special Anatomy,' wbicb was a complete but concise treatise on Anatomy. It was written in strict reference to tbe course of study in the University of Pennsylvania, and was kept in as compendious a state as possible, so that there sbould be no unnecessary loss of time in reading it. This book was, in fact, ' A Discourse commemorative of the late William E. Horner, M. D., Professor of Anatomy, delivered before the Faculty and Students of the University of Pennsylvania, October 10, 18o3, b}- Samuel Jackson, M.D., Professor of the Institutes of Medicine. ' Ibid. 184 MEDICAL DEPAETMENT OP his lectures. In the lecture-room he confined himself chiefly to the demonstrations of the text of his work, by dissections, preparations, drawings, and models."^ Dr. Jackson further remarks, wdth respect to this plan : " On the value of the method there will be different opinions, but it is certain that he made good anatomists. I have frequently heard students declare, that plain, simple, and unadorned as were the lectures of Dr. Horner, that they had learned anatomy better from him than from any others they had heard lecture on that branch." "The Anatomical Museum of the University, founded,. as has been narrated, by Dr. Wistar, is an evidence of the great anatomical skill and untiring application of Dr. Horner. A very large portion of it, upwards of two-thirds at the time of his death, and containing most of its finest preparations, rival- ling those of the best anatomical museums of Europe, was the result of his labors. Dr. Horner, from time to time, presented the preparations he had made to the University, which was acknowledged by the Board of Trustees, but on his death he bequeathed an extensive collection, together will all his instru- ments and apparatus connected with dissections, to the Medical Department." The Trustees have, in consequence of this libe- ral bequest, bestowed on the collection thus constituted, the name of the " Wistar and Horner Museum." Dr. Horner is entitled to credit as an original observer. He determined the existence of a special muscle, situated on the posterior surface of the lachrymal duct and sac, which solved the difficulty of explanation as to the mode by which the tears were conveyed into the nose. He named the muscle tensor tarsi. Its existence has been verified by anatomists in this country and in Europe, where it has been called "Musculus Horneri." He also first detected the fact that in cholera the whole of the epithelium was stripped from the small intestines, and hence the turbid rice-water dejections in that disease." This he did by making a minute injection of the mucous membrane, and then examining it by the microscope under water. The paper announcing this discovery was published in the " Ameri- ' Dr. Jackson's Discourse, &c., p. 35. THE UXIVERSITY OF PEXXSYLVAXIA. 185 can Journal of the Medical Sciences" in 1835. Two years sub- sequently the same was published in the "Presse ^ledicale" of Paris, but without allusion to the American anatomist. In 1852 Dr. Horner resigned the Deanship of the ^ledical Department, which is worthy of notice from the fact that he had held that important executive office for thirty 3'ears, and, in addition to his professorial labors, faithfully fulfilled its requirements. Prior to the assumption of the duties of this office by Dr. Horner, they were performed in rotation by the Professors. With him it became a permanent position, and has thus continued with advantasfe to the interests of the o ^ledical Department. Dr. Horner twice visited Europe, first in the early part of his career, and again in 1848, when he journeyed for the sake of recuperation from his labors; but his health from this period rapidly declined. He died on the 18th of ^larch, 1853, of extensive disease of the heart. To the vacant Professorship Dr. Joseph Leidy was elected in May, 1853. In 1855, Dr. Gibson resigned his Professorship of Surgery. This Chair he had held for thirty-six years. He was appointed Emeritus Professor of Surgery by the Trustees. Dr. William Gibson was born in Baltimore, Maryland, March 14, 1788, and received his early education in that city, and at St. John's College, Annapolis. He subsequently went to Princeton College, and remained during the session of 1803-4, leaving the Institution before the time that his class graduated. He commenced the study of medicine with. Dr. John Owen, of Baltimore, and in 1806 attended a course of lectures in the University of Pennsylvania. He himself tells us that upon his arrival in Philadelphia he heard the first public lecture he ever listened to. "It was from my distinguished predecessor, the late Dr. Physick. Struck with the peculiar appearance of that extraordinary man, and with the precepts he poured forth, my attention was riveted to every action he displayed, and every word that fell from his lips."^ ' Lecture Introductory to the Course on tlie Principles and Practice of Surgery in the University of Pennsylvania. Delivered Nov. 1, 18U, by AVilliam Gibson, M. D. 186 MEDICAL DEPAETMENT OF At the close of the lectures he sailed for Europe, and first repaired to Edinburgh, where he spent the summer in witness- ing the private practice and operations of the celebrated John Bell, then in the zenith of his fame — in attending botanical and natural history lectures, and in devoting particular attention to hospital practice.^ He graduated at the University of Edinburgh in 1809, hav- ing written a thesis, entitled, " De Forma Ossium Grentillium." The materials for this inaugural Latin dissertation were ob- tained from the museum of Monro. It was descriptive of the different forms of the bones pertaining to the races of mankind, and has been quoted by Pritchard and other writers in connec- tion with their ethnological researches. The science of ethno- logy was at that time almost in its infancy. On a journey from Edinburgh to London, he formed an acquaintance with a brother of Sir John Moore, commander of the British army in Spain, who was killed at the battle of Corunna, and received from this gentleman such testimonials as enabled him to procure the means of witnessing, " in an unoflQ.- cial capacity," after the arrival of the wounded in England, the important cases of gunshot wounds, and other similar inju- ries, which occurred at that battle. It is probable that Dr. Gibson was thus first brought into close association with Sir Charles Bell, who was at the time a practitioner of surgery in London, and who had been detailed to assist in the care of the wounded soldiers. He entered, as a private pupil, the family of Sir Charles Bell, and with his taste for artistic delineations, had ample opportunities for improvement under the direction of so consummate a teacher.^ In 1809 there was a galaxy of distinguished medical men, at the height of their reputation, in London, of whom Dr. Gibson has mentioned Mr. Abernethy and Sir Astley Cooper as conducing to his improvement by their interesting lectures.^ 1 Ibid. 2 See Life of Sir Charles Bell, in Chambers' Dictionary of the Lives of Celebrated Scotchmen. The system of " Operative Surgery" of Sir Charles Bell was published in 1807. The results of his experience in gunshot wounds was published as an appendix. ^ Litroduct. Lect., cit. THE UXIYEESITY OF PEXXSYLYAXIA, 187 After his return home in 1810, after three years' absence, Dr. Gibson entered upon the practice of his profession in Bal- timore, and two years afterwards was appointed to the Chair of Surgery in the University of Maryland. This Institution had recently been established, and in it he was associated with Drs. David^e. Potter, Baker, De Butts, and Hall. In 1814 he served as a medical officer in the militia of Maryland, at the time of the attack of the British on Baltimore. Upon the death of Dr. Dorsey, when Dr. Physick was transferred to the Chair of Anatomy in the University of Pennsylvania, Dr. Gib- son was elected to fill the vacant Chair of Surgery. The elec- tion took place in September, 1819. It would be no small praise to state that Dr. Gibson fully sustained the reputation he'brought with him from the Univer- sity of Maryland, in the new position to which he had been called as the successor of Dr. Phj^sick, the founder and illus- trator of the Chair of Surgery in the University of Pennsyl- vania. As a lecturer he was clear and emphatic; his voice was distinct and melodious; his language was well chosen, and his style of enunciation was attractive. His demonstrations of surgical anatomy were readily comprehended by the student ; some of them especially, as those in connection with the neck, with hernia, and with lithotomy, could not be surpassed in lucid exposition. For purposes of demonstration, Dr. Gibson had himself prepared, and procured by purchase, an ample collection of morbid structures, diseased and fractured bones, models and casts, as well as pictures of large size, illustrative of disease, or of the anatomical parts of the body involved in operations.^ To these were added the approved mechanical appliances of the day. In thus teaching he set the example that has been followed extensively by other surgeons. As an operator Dr. Gibson was undoubtedly dexterous; of his operations and cases, a number were from time to time communicated to the Journals. In the treatment of fracture of the thigh, he placed before the notice of practitioners of this country a modification of the apparatus known as Hage- ' Some of these illustrations were painted bj^ himself, and others by Mr. Sull}' and other artists. 188 MEDICAL DEPAETMENT OF dorn's; and published a case that had been treated by it in the " Journal of Medical and Physical Sciences."^ A remarkable cir- cumstance in the surgical practice of Dr. Gibson was the per- formance of the operation of Csesarean section twice successfully on the same individual. The details of the two operations have been published separately by Dr. Joseph G. Nancrede and Dr. George Fox, in the "American Journal of the Medical Sciences."^ Dr. Gibson published, in 1824, his lastitutes and Practice of Surgery, being " Outlines of a Course of Lectures." This work was intended as a guide to the students attending his lectures, and is marked for its accuracy of style and language. It passed through six editions, having been amended and im- proved; the last edition of 1811 being so enlarged as to con- stitute a respectable treatise on Surgery. He published, in 1836, a paper entitled, "A Sketch of Lithotripsy, with Cases ;"^ and in 1841 was published his "Eambles in Europe in 1839, with Sketches of Prominent Surgeons and Physicians, Medical Schools, Hospitals, Literary Personages, Scenery, &c." The sketches it contains are graphic and spirited. In 1847 Dr. Gibson again visited Europe, and for several successive years delivered occasionally to the class a lecture devoted especially to his observations and inquiries. He died at Savannah, Georgia, on the 2d of March, 1868, aged eighty years. Dr. Henry H. Smith was elected to the Professorship of Sur- gery, May, 1855. In 1860 Dr. Wood resigned the Professorship of the Theory and Practice of Medicine, and was appointed Emeritus Pro- fessor ; he was succeeded by Dr. William Pepper. In 1863 Dr. Wood was chosen a Trustee of the Universitj^ ' No. VL, page 231. 2 Observations on the C^esarean Operation, accompanied by tlie Eelation of a Case in -wliicli both Mother and Child were preserved. By Joseph G. Nancrede, M. D. — Amer. Journ. of the Medical Sciences, Aug. 1835, vol. xvi. Account of a Case in which the Csesarean Section, performed by Prof. Gibson, was a second time successful in saving both Mother and Child. By George Fox, M. D. — Amer. Journ. of the Medical Sciences, May, 1838, vol. xxii. ^ American Journal of the Medical Sciences, Aug. 1836. THE UXIVEESITY OF PEXXSYLVAXIA. 189 The next changes that occurred in the School resulted from the resignation of Drs. Jackson and Hodge in 1863. Dr. Jack- son had been thirty-six years in connection with the Medical Department of the University, and to the last day of his public career was an eminently distinguished and useful teacher of his branch.' Dr. Hodge had occupied his position twenty-seven years, with the reputation of an admirably practical lecturer.^ The Chair of Institutes was filled by the election of Dr. Francis Gurney Smith, and that of Obstetrics by the election of Dr. R. A. F. Penrose. The dignity of Emeritus Professors of these several branches was bestowed on Drs. Jackson and Hodge on their resignations being accepted by the Trustees. In the spring of 1861:, Dr. Pepper resigned his professorship in consequence of ill health. He was a native of Philadelphia, having been born in 1810. After his collegiate studies at Princeton College, where he graduated with the first honors of his class in 1828, he entered the of&ce of Dr. Thomas T. Hewson, who, in his capacity of private preceptor, was excelled by none of his contemporaries.^ Dr. Pepper graduated at the University in 1832, the subject of his thesis being Apoplexy. After receiving his medical edu- cation, he spent two years in Europe, more especially engaged in studying disease in the great hospitals of Paris. Upon his return to ^iladelphia he ardently devoted himself to the prac- tice of his profession ; for three years was one of the physicians of the Dispensary, and in 181:1 was chosen one of the physi- cians of the Pennsylvania Hospital. He soon acquired the reputation of a sound medical practitioner. The strong feature of Dr. Pepper's medical character was the possession of analytical acumen and decided ideas of diagnosis. This he carried into his of&ce of a teacher. " As a didactic lecturer he was clear, concise, and complete. Thirty years of ' Dr. Jackson publislied, in 1832, his "Principles of Medicine," He was a liberal contributor to the Journals. 2 Dr. Hodge published, in 1860, a ^ork "On Diseases Peculiar to Women, including Displacements of the Uterus," and in 1864, his trea- tise, entitled, "The Principles and Practice of Obstetrics." ^ Dr. Hewson, for a number of years, held the position of Professor of Comparative Anatomy in the University. See ante. 190 MEDICAL DEPAETMENT OF active practice had made liim familiar with disease in its varied forms, and had led him to reject as useless that which was merely speculative in medicine, while it enabled him to speak with authority of all that was valuable in our science. Thoroughly familiar with medical literature, he had also stu- died disease in the great book of nature, at the bedside in private practice, and in the wards of hospitals. Thus, to him, nearly every disease treated of presented itself in the form of individual cases which had come under his notice, or been under his immediate care. From this great treasury of know- ledge he continually drew in illustration of the subject matter of his lecture. Catching at the typical features of the disease, its pathological history and phenomena, its diagnosis, general and differential, were given with such clearness and force, that the student saw before him, as at the bedside, all that was dis- tinctive and important in the case; while the principles of treatment and its results followed with almost mathematical accuracy and precision." " Dr. Pepper made no effort at oratorical display. The main object of his teaching was apparent — to give a thoroughly practical course, one which, as far as possible, would prepare his pupils for the intelligent treatment of disease. His enuncia- tion was distinct, and his delivery rather a rapid than a slow one, No one could visit his lecture-room without 3bticing the marked attention of the class, nor be associated with the stu- dents without perceiving with what affectionate respect they regarded their preceptor." " It is a remarkable fact, and in keeping with what has already been noticed, that during the four years of his profes- sorship, a period the most exciting and important in our national history, notwithstanding the cares of a very large practice, and the infirmities of declining health, he was never absent from a lecture, and never failed to meet his class punc- tually at the time appointed for its delivery."^ The career of Dr. Pepper was short in connection with the ' We have taken largely, in tliis notice, from tlie statements contained in the Biographical Memoir of the late Dr. William Pepper, M. D., by Thomas Kirkbricle, M, D., prepared by request of the College of Physicians of Philadelphia, 1866. THE UXIVEESITY OF PENNSYLVAXIA. 191 University, but was so marked as to give promise of eminence and usefulness. Some papers were contributed by him to the periodical journals; they were few in number, but marked by excellent reflection and the spirit of inquiry, his long expe- rience in the Pennsylvania Hospital having placed ample material at his command. He died October 16, 1864. Upon the resignation of Dr. Pepper, Dr. Alfred Stille was elected, June 7, 1864, to the Professorship of the Theory and Practice of Medicine, and Clinical Medicine. In 1864: it was determined by the Board of Trustees of the University to institute an Accessory Course of Lectures to those delivered during the winter season, and on April 4, 1865, the subjoined report and resolutions were adopted : — "The Standing Committee on the Medical Department to whom was referred the subject of instituting additional lecture- ships in connection with that department, and the mode in which the lecturers should be compensated, respectfully report as follows: — "Whereas, the instruction as at present given in the Medical Department of the University, though as comprehensive as is consistent with self-support, does not embrace all the branches of knowledge specially subservient to Medicine, or closely con- nected with it ; and, " Whereas experience has shown that systematic instruction in these subordinate branches can be secured only through endowed lectureships, and "Whereas, finally, in our Institution, holding the rank of a University, the very name of which implies universality of instruction, it is highly desirable that provision should be made for teaching all the sciences an acquaintance with which is in a greater or less degree essential to a complete and tho- rough medical education; therefore "Eesolved, That a Faculty is hereby instituted in connec- tion with the Medical Department of the University of Pennsyl- vania, to be denominated the Auxiliary Faculty of Medicine, of which the several Professors shall receive a fixed salary, sufficient to serve as an inducement for competent persons to accept the position, yet insufficient to preclude exertion for its increase through the attendance of pupils. 192 MEDICAL DEPARTMENT OF "The Faculty shall comprise five Professorships, of — 1, Zoology and Comparative Anatomy; 2, Botany; 8, Mineralogy and Greology; 4, Hygiene; 5, MedicalJurisprudence, including Toxicology. The occupants of these Chairs shall constitute the Members of the Auxiliary Faculty. It must be understood as essential in the fulfilment of the duties of these Chairs that the three branches of Natural History, forming the subjects of the three Professorships first mentioned, shall be taught mainly in reference to their medical relations, and in other respects only so far as may serve to give a general view of the subject whereby the several facts may be duly connected and arranged. " The Faculty shall appoint a Dean from among its mem- bers, whose duty it shall be to preside over and keep minutes of the meetings, and to perform all the executive functions that may be entrusted to him. "It shall have power to determine the time of lecturing of the several Professors, to fix the terms of admission to the lec- tures, which, however, shall be uniform for all, and shall not exceed ten dollars from each pupil for each Professor; to make rules for its own government; to regulate the common ex- penses; and to do whatever els6 is incidental to its constitu- tion^ every question being decided by a majority of the mem- bers present, provided they form a quorum. "The several courses shall consist of at least thirty-four lectures, to be delivered at hours fixed by the Faculty, three times a week, during the months of April, May, and June, com.mencing on the first Monday of April, and ending on the last Saturday of June. "They shall be given with the assent of the Medical Faculty in the Lecture Eooms of the building occupied by that Faculty, and it will be the duty of the Auxiliary Faculty to take care that the apartments appropriated to their use are kept in due order while occupied by them, and properly cleansed at the end of each course; and should this requisition be disregarded, the cost of supplying the deficiency shall be defrayed by a pro rata deduction from the salaries of the Professors. " At the end of the courses the Faculty shall hold an exami- nation, under such regulations as they may deem best, of the pupils who may have attended at least one full course of all THE UNIVERSITY OF PENNSYLVAXIA. 193 the lectures and may apply for such examination, in order to decide on the proficiency of the pupils ; and should the deci- sion be favorable, a certificate to that effect shall be given to every successful candidate, for which the sum of two dollars and fifty cents may be demanded from each person receiv- ing it. '' The certificate shall be in such form as the Faculty may determine, to be approved by the Trustees ; and each certificate to a medical graduate of the University of Pennsylvania, or any other medical school on the ad eundem list, shall, under the sanction of the Board, receive the seal of the University and the signature of the Provost. " The Professors shall be appointed for one year, after public notice of at least three months, at the regular meeting of the Board in November next, nominations having been made at a preceding meeting, and shall be reappointed annually there- after during satisfactory service, at the regular meeting of the Board in the same month, so long as the plan for the establish- ment of the Auxiliary Faculty of Medicine now adopted shall continue in operation." In accordance with the above resolutions, on November 7th, 1865, the following gentlemen were elected by the Board of Trustees to fill the several Chairs that had been created : — Harrison Allen, M. D., Professor of Zoology and Compara- tive Anatomy. Horatio C. Wood, M. D., Professor of Botany. F. Y. Haydex, M. D., Professor of Geology and Mineralogy. Henry Hartshorne, M. D., Professor of Hygiene. John J. Keese, M. D., Professor of Medical JurisjDrudence. AYith the addition above stated, the Medical Faculty of the University of Pennsylvania, as constituted January 1, 1869, is as follows : — George B. "Wood, M. D., LL.D., Emeritus Professor of Theory and Practice of Medicine. Samuel Jackson, M. D., Emeritus Professor of Institutes of Medicine. Hugh L. Hodge, M. D., Emeritus Professor of Obstetrics and the Diseases of Women and Children. la 194 MEDICAL DEPARTMENT OF Joseph Carson, M. D., Professor of Materia Medica and Phar- macy. EoBERT B. EoGERS, M. D., Professor of Chemistry. Joseph Leidy, M. D., Professor of Anatomy. Henry H. Smith, M. D., Professor of Surgery. Francis G. Smith, M.D., Professor of Institutes of Medicine. E. A. F. Penrose, M. D., Professor of Obstetrics and the Dis- eases of Women and Children. Alfred Stille, M.D., Professor of Theory and Practice of Medicine. D. Hayes Agnew, M. D,, Demonstrator of Anatomy, and As- sistant Lecturer on Chnical Surgery. Dr. Eobert E. Eogers holds the office of Dean. The first course of lectures by the Auxiliary Faculty was given in the spring of 1866, and was highly successful, there being about one hundred gentlemen in attendance. As a por- tion of the uniform regular instruction of the Medical School, the accessory course is now in full operation. THE UXIVEESITY OF PEXXSYLYAXIA. 195 CHAPTER XVI. CLIXICAL IXSTRUCTIOX. It has been shown that clinical instruction was inaugurated in the Pennsylvania Hospital in 1766, by Dr. Bond, in connection with the establishment of the medical lectures of the College, At the time of the organization of the Medical Department, five of the physicians of the Hospital were Trustees of the College, and, well aware of the advantages of clinical teaching, they regarded the association of the two institutions as of the highest consequence to the success of the enterprise of establishing sys- tematic medical teaching in the city of Philadelphia. Anterior to 1800, eight of the professors engaged in conducting courses of lectures on the several branches of medicine taught in the College or University had successively been elected physicians or surgeons of the Hospital.^ The instruction in this institu- tion has been continued under the direction of medical pro- fessors, or of the physicians attached to it, to the present time, and has always been regarded as one of the privileges of students visiting Philadelphia.^ As far as we have been able to ascertain, the mode of con- ducting the instruction in the Pennsylvania Hospital in early times was at the bed-side of the patient; the physician, in making his stated rounds of the wards, selecting such cases as he deemed most interesting or instructive, and especially dwell- ing upon their nature and treatment. For a large class this plan of procedure was attended with its disadvantages; the confusion of a crowded apartment; the possibility of only a • See Appendix, G. 2 Dr. Cakhvell, in his Autoljiograpliy, states that "Dr. Rush prescribed and lectured to his pupils in the Pennsylvania Hospital twice every week during the season of the medical school, which extended from the begin- ning of November to the close of February. This was in 1796-97." p. 264. 196 MEDICAL DEPARTMENT OF limited number of students approaching the patient; the mani- fest danger of injury to those seriously ill who were the sub- ject of remarks, or in close proximity at the time of their delivery; and the inability on the part of the teacher to discuss and illustrate particular diseases in detail for want of classifi- cation, were reasons for the abandonment of this method, and of substituting for it that of presenting the proper subjects of disease before the class in the amphitheatre, which had been arranged for this purpose, and more especially for the peform- ance of surgical operations in public. To Dr. Benjamin H. Coates is the credit due of putting this method of demonstrating and of lecturing into operation in the Pennsylvania Hospital. He introduced it about the year 1884, and continued it afterwards during his connection with the in- stitution. Dr. Wood, who succeeded to the winter term, as senior physician, on the resignation of Dr. Coates, in 1841, pursued the same method, in which he was joined by the sur- geon. Dr. Eandolph. It has been continued ever since, and has been extended during the terms of service, throughout the year, of all the medical attendants. To another establishment must attention be directed as hav- ing conduced to the important purpose of training the younger members of the profession for their duties, and of affording facilities for instruction in clinical medicine. The Philadelphia Almshouse went into operation before the erection of the Pennsylvania Hospital, and the first physicians, of whose ap- pointment to minister to the relief of its inmates we have a record, were Drs. Thomas Bond and Oadwalader Evans. It is stated by Dr. Agnew, in his lecture on the Medical His- tory of the Almshouse,^ that we may claim for that Institution the establishment of the first obstetrical clinic. "Students of good character were allowed to attend cases of labor, and the various stages of the process were explained to them by Drs. ' Lecture on the Medical History of the Philadelphia Almshouse ; de- livered at the opening of the Clinical Lectures, October 15, 1862, by Dr. D. Hayes Agnew, M. D. Published by request of the Board of Guardians. To this interesting and full account of that institution we are indebted for much of the information herein presented, where the Almshouse is alluded to. THE UXIVEESITY OF PEXXSYLYAXIA. 197 Bond and Evans, under whose personal directions these instruc- tions were conducted as early as 1770, and, in all probability, much earlier, as may be inferred from the phraseology of the minutes touching this subject.^ "In 1772 a proposition was made to the managers to extend the usefulness of the house b}^ the admission of students, and an increase in the number of medical attendants. This propo- sition included an offer of gratuitous service, the institution being only at the expense of purchasing the medicines required for the sick." In March, 1774, an addition to the medical corps was effected by the election of Dr. Adam Kuhn, Dr. Benjamin Eush, Dr. Samuel Duffield (one of the first graduates of the College), Dr. Gerardus Clarkson, and Dr. Thomas Parke. It must not be supposed that a uniform course of clinical instruction has been conducted in the Almshouse from the period alluded to. On the contrary, it appears from the records that the instruction was fitful and irregular, depend- ing on a variety of circumstances, and much upon the opinions controlling the management with respect to its expediency, and hence we find that from time to time the admission of students was suspended. When, after the evacuation of Philadelphia by the British, who had forcibly occupied the buildings of the Almshouse, affairs assumed a more settled condition, the desire for clinical instruc- tion was rekindled. "In ISTovember, 1778, the subject was revived by the students present in the city. They presented a formal application to the physicians of the Almshouse for per- mission to witness the practice of the institution. Drs. Eogers and Leib waited on the Board of Managers in their behalf, and presented the importance of such a measure with much earnest- ness." The application was at first refused, and then granted, but either from hostility on the part of the direction, or from other causes, it was of little avail In 1788, Dr. Samuel P. Griflfitts and Dr. Caspar AYistar be- came physicians to the House, and, in 1789, Dr. William Shippen, Jr., was elected. At this time the proposition for ' It is to be understood that this clinic was in a public institution. The private clinic of Dr. Shippen has been referred to in a previous chapter. 198 MEDICAL DEPAKTMENT OF facilities of clinical teaching was renewed, but was not received with favor, and, in a short time afterwards, all of the physicians resigned. In 1795 Dr. Cummings again brought this vexed question to the notice of the managers, but ''the proposition was promptly rejected upon the ground of such publicity being calculated to do harm to the sick." In 1797 Dr. John Church and Thomas C.James were chosen medical officers. These gentlemen were subsequently asso- ciated in teaching Midwifery. " In 1803 Drs. James and Church proposed to attend the Lying-in Ward, on condition they should be allowed to have one private pupil present at each case of labor. The application was granted, and much valuable instruction was communicated in this responsible department of medicine." " The same year, on the 23d of March, Dr. Caldwell was allowed to introduce and instruct twenty, and afterwards forty students, during his stated visits to the medical wards, on the condition of his becoming respon- sible for their good deportment."^ "In November, 1805, through the efforts of Drs. James and Church, the Managers conceded the privilege to deliver clini- cal lectures to a class of students twice a week in the 'Green,' or 'Dead House,' during the winter season. Shortly after, Dr. Barton was permitted to give instruction to his class on the days of his regular attendance at the House. Every successive year now removed more and more the prejudices which had so long operated against the admission of medical students. The Managers were seized with an active desire to promote and foster a system which contributed so largely toward laying a solid foundation of medical usefulness." " Until October 25, 1805, no fee was demanded from those attending the instruction of the Institution, but, at the above date, a ticket was directed to be issued, signed by the Presi- 1 Dr. Caldwell, in alluding to this in his autobiography, states : " The first course of clinical lectures in the Philadelphia Almshouse was delivered by myself, not long after the commencement of the present century, the precise year not being remembered (1803). I was then a member of the Faculty of that Institution, and continued my lectures annually for Several years, until deprived of my appointment in it on political grounds." p. 264. THE UXIVER3ITY OF PE^^NSYLVANIA. 199 dent and Secretary of the Board of Guardians, at the price of eight dollars — two purchasing a perpetual privilege. The office pupils of the medical officers were free to attend without charge. In Kovember, 1807, Dr. James was delivering lec- tures still in the Green Room, and there the physicians con- tinued to give clinical instruction until 1811, when the sur- geons connected with the Almshouse asked for more suitable apartments in which operations could be performed, and thus remove from the ward a source of mischief to the other sick. To correct this evil, the Board had the building called the ' Dye and Wash-House,' carried up an additional story, fitted up as a lecture-room, with two adjoining wards capable of holding each twenty or thirty patients ; and here were next delivered clinical lectures."^ "During 1813 the Managers, anxious to advance the reputa- tion and popularity of the house, were induced to tender to every student taking its ticket the privilege of attending a case of labor ; and to give the proposal greater publicity, it was by their authority announced in the public papers. This scheme of indiscriminate admission to the ward of the lying-in department brought out a minority protest." It appears that, by a rule of the house, a physician or sur- geon holding a position of a similar kind in the Pennsylvania Hospital was not eligible to office in it. To this reference was made in the same report, and the wisdom was urged of select- ing the " very best talent wherever found, and especially the propriety of seeking as many lecturers from the Medical School as possible." The views thus presented were received with favor, the discriminating rule was rescinded, and a cordial ' The Almshouse building was located on the square bounded by Spruce and Pine and Tenth and Eleventh Streets. Across the centre of the lot, from east to west, was the addition made which served for the purposes specified. It made the south side of a quadrilateral ; the main building facing on Spruce Street, and on the sides extending back to the new erec- tion. In the centre was a hollow square, consisting of spacious courtyards on the sides, and a small garden between them. To the south of the entire building, as thus arranged, between it and Pine Street, was a vegetable garden. At one time the small garden was used by Dr. Wm. P. C. Barton for botanical purposes. In its centre was a summer-house that had been carried in the Federal Procession. 200 MEDICAL DEPAETMEXT OF understanding entered into with tbe Hospital. On the part of the University, the spirit exhibited by the Board of Guardians was reciprocated, and on Nov. 15, 1815, the following modifi- cation of the rules was enacted by the Faculty, with the sanc- tion of the Trustees : — ■ " Eesolved, that so much of the Bye-Laws as requires the students of medicine to attend the Pennsylvania Hospital, during one session at least, be altered by inserting after the word Hospital, the words, 'or the City Almshouse.'" In 1822 we find three of the Professors of the University in connection with the clinic of the Almshouse, having as their associates some of the most promiaent members of the profes- sion, among whom was Dr. Jackson.^ It appears that upon the reorganization, at this period, of the Board of Physicians and Surgeons of that institution, the system was introduced of delivering the clinical lectures regularly on Wednesdays and Saturdays in the lecture-room. To this the patients could be conveniently taken, either from the adjacent wards, or, when proper, from those at a distance. Systematic instruction in clinical medicine in the institution, indeed, dates from that period. The importance of the Clinical School of the Almshouse to the interests of medicine, and the appreciation on the part of the students of the practical knowledge afibrded by it, may be inferred from the fact that in ten years, between 1815 and 1825, eleven thousand one hundred and sixty dollars, in the form of fees of admission, had been received by the institu- tion.^ ' In 1822 the Board of Physicians and Surgeons consisted of Drs. Chap- man, Gibson, Horner, Jackson, Joseph Klapp, J. K. Mitchell, Richard Harlan,'' J. V. O. Lawrence, and John Rhea Barton. Dr. Lawrence died that year, and was succeeded by Dr. Hugh L. Hodge. 2 Report of the Clerk of the Almshouse to the Dean of the University — Minutes of the Faculty, May 14, 1823. This would give an average of 139 students annually. In 1830 the number was 185, and in 1834 it was 220. The pupils of both Schools, the University and Jefferson Medical College, were then in attendance. In 1835, Dr. Joseph Pan coast and Dr. Robley Dunglison, were members of the Medical Board of the Almshouse. It is to be recollected that the medical students in the city were divided between the two hospitals. THE UNIVEESITY OF PEXXSYLVAXIA. 201 In 1826 the Faculty applied to the Board of Trustees of the University for authority to employ an assistant to the Pro- fessor of Practice in the delivery of his clinical lectures, on the ground that the duties of the Chair were too onerous for a single individual.^ Whereupon it was resolved, "That the Professor of the Institutes and the Practice of Medicine have permission to employ an assistant in the performance of his duties at the Almshouse, in giving clinical lectures there during the present course, and no longer."^ In 1827, Dr. Jackson was chosen the Assistant to the Pro- fessor of Practice, Institutes, and Clinical Medicine, and from that time took an active part in conducting the clinics of the winter season, as well as in performing the duties devolving upon him during his own especial term. In 1832, Dr. Chap- man resigned his position as Physician of the Almshouse. The Legislature having passed the necessary law to enable the Board of Guardians of the Poor to erect new buildings for the accommodation of the indigent, this was carried into effect in 1830, and the Hospital Department, the first portion of the pile of buildings, afterwards completed on the west bank of the Schuylkill River, was in sufficient readiness upon the first visitation of the cholera, in 1832, to receive patients. The locality selected was at the time outside of the limits of the city, and in the district which was called Blockley; hence the title that was soon acquired of Blockley Hospital. Since the act of consolidation, as it has been technically called, by which the districts were united under the city government, the name of Philadelphia Hospital has been used to designate the estab- lishment. After the removal west of the Schuylkill, the nunibers of the students attending the clinical lectures fell off. In 1834 measures were taken to secure their attendance and render it easy. Negotiations were entered into between the University and the Board of Guardians, and at a meeting of the Medical Faculty, held October 29th, it was ' The duties performed by Dr. Chapman were daily lectures in the Uni- versity upon the Practice of Medicine, and two lectures additional a week in the Almshouse. He consequently lectured twice in succession on two days of the week. 2 Minutes, Dec. 5, 1826. 202 MEDICAL DEPARTMENT OF " Eesolved, That if tlie Guardians of the Poor will make ar- rangements to transport twice a week, for the four months directly ensuing, two hundred and twenty students to and from the Alms House to a convenient site in the city; should the number of students be less than that number, the Medical Fa- culty will pay to the Board the sum of three dollars upon each case of the deficiency." The proposition was accepted by the Board, and the students were conveyed in omnibuses. In 1838, Dr. William Grerhard was appointed an Assistant to Dr. Jackson. The services of Dr. Gerhard were so highly appreciated by the class attending the clinic of the Blockley Hospital in the winter of 1840 as to lead to a- series of resolu- tions expressive of approbation. In 1840 Dr. Gibson withdrew from the service of the Hos- pital, and was followed, in 1845, by Drs. Jackson and Horner.^ In 1841, the system of Dispensary Clinics was adopted by the University. The first that was instituted under its auspices was conducted by Dr. Gerhard and Dr. William P. Johnston, in the building of the Medical Institute, in Locust Street above Eleventh. It was there carried on until the commencement of the course of 1843, when it was transferred to the University building, under the immediate superintendence of the profes- sors, with the assistance of those gentlemen. From that time to the present this mode of practical instruction has constituted a part of the regular course of medical teaching conducted by the University.^ ' For an account of tlie clianges wliicli subsequently occurred, and the policy pursued, we must refer to the pages of Dr. Agnew's Lecture ; it is sufficient here to remark, that, after a trial of various schemes for the man- agement of the institution, with the appointment of a chief resident physi- cian, and, in 1855, of special lecturers on medicine and surgery, there was a return, in 1859, to the original plan of a Board of Physicians and Sur- geons, upon whom devolved the care of the sick as well as the instruction of pupils. Attendance has been made free to all medical students, who, aided by the facilities of attendance afforded by the street cars, now freely avail themselves of the excellent clinical teaching conducted in the estab- lishment. See Appendix G. for list of the Professors who have served in the Almshouse. This method of clinical instruction was first adopted on the organiza- tion of the .Tefi'erson Medical College, in 1824, at its building in Prune Street. The history of that School has been written by Dr. J. F. Gayley. THE UNIVERSITY OF PEXXSYLVAXIA. 203 In connection with the clinical service two rooms within the building were appropriated for the accommodation of patients requiring operations, who could not be immediately renaoved. By this arrangement the same attention, nursing, and care can be bestowed upon the subjects of capital operations as in a hospital. . With a view of completing the plan for clinical instruction, so as to give to it the greatest efficiency compatible with the progress of medical education, on October 4, 1845, it was "Eesolved, by the Facult}^ that a surgeon connected with the Pennsylvania Hospital, and whose duties there were per- formed during the session of the University, be requested to officiate as Clinical Lecturer on Surgery." This led to the creation of the Chair of Clinical Surgery in the University by the Trustees, and the appointment by the Board, in 1847, of Dr. Jacob Randolph to perform the duties of the office in the Hospital.^ In 1848 Dr. Randolph died,^ and Dr. Greorge W. Norris, who had delivered the course of clinical lectures under the auspices of the University during Dr. Randolph's illness, was elected his successor in the professorship. Dr. Norris continued to perform his duties as Clinical Professor until 1857, when, upon being elected a Trustee of the University, he resigned. The. instruction in the Pennsylvania Hospital having now been fully organized, with regular lectures delivered through- out the year by the physicians and surgeons in attendance, and a similar system introduced into the Philadelphia Hospital, the office of Clinical Professor to the University has been abolished. Students have now the advantages afforded in the way of instruction by both these Institutions, which have occu- pied so important a position in connection with medical teaching; and also those afforded by the clinics in the Univer sity building. The establishment of numerous hospitals of late years, both of a general character or devoted to special diseases, has greatly ' Dr. Randolph had previously accepted the invitation of the Faculty to deliver the lectures on Clinical Surgery. 2 An interesting Memoir of Dr. Jacob Randolph was read before the Col- lege of Physicians of Philadelphia by Dr. George W. Xorris. 204 MEDICAL DEPARTMENT OF increased the sources of medical information, and opened a more extensive field for tlie cultivation of medical science to the young and zealous aspirants whose talents and energies are each year called into requisition to minister to the maladies of the inmates of these charitable institutions. The hospitals of Philadelphia, besides the two large ones mentioned, are the Wills Hospital, for diseases of the eye and ear ; St. Joseph's Hospital, the Episcopal Hospital, the Preston Ketreat for Lying-in Women, the Children's Hospital, Howard Hospital, and some others lately organized. THE UNIVERSITY OF PEXXSYLVANIA. 205 CHAPTER XYII. Uniyersity Buildings and accommodations for the delivery of the medical lectm-es. The inquiry will naturally arise with respect to the nature of the accommodations possessed by the Medical Faculty, from the earliest period, for conducting their courses of instruction; and, in connection with this inquiry, the precise locality of such accommodations is not without interest. When Dr. Shippen commenced his labors as an instructor in Anatomy, he occupied apartments in the rear of his father's residence in Fourth Street above Market, which had been pre- pared for this especial purpose. There the lectures on Anatomy, Surgery, and Midwifery, were delivered even some years after he was installed Professor of the College. Access to these apartments was by an alley-way from Market Street above Fourth. In speaking of these arrangements, Dr. Wistar remarks : " He had apartments of his own construction every way adequate to the accommodation of his class, with proper arrangements also for teaching practical anatomy." The probability is that the other lectures were delivered in the old Academy Building in Fourth Street, near to Arch. This building had been erected for religious purposes at the time of Whitfield's popularity in America, to accommodate those who were attracted by his preaching, and for free reli- gious services. In 1749, upon the establishment of the Aca- demy, it was conveyed to the Trustees, upon the assumption of a debt that existed, and with the condition that it should be used by such ministers as were approved by the Trustees. An attraction which it possessed was a hall, which, at the time, Avas regarded as spacious, and adapted for public gather- ings. From the Minutes of the Board of Trustees we are informed that subsequent improvements and alterations were 206 MEDICAL DEPAETMENT OF made witli the view to the accommodation of the several schools connected with the Institution. The first building specially erected for the use of the Medical Professors was situated in Fifth Street below Library — the edi- fice to the south of the Philadelphia Dispensary. It is figured in Birch's Yiews of Philadelphia, published about 1800, as "Sur- geons' Hall." The exact time that this building was erected seems to have escaped recollection or record. In reporting upon a claim to title involving some portion of the lot adja- cent, which had been ceded in 1788, the Committee of the Trustees, to whom the question was years afterwards referred, remark that " at the date of this deed, and long before, as the Committee have understood, the building called the Anatomi- cal Hall, was erected, &c."^ As the University superseded the College in 1779, this building must have been erected for the accommodation of a part of the Medical Faculty attached to the former. In the early advertisements of the Lectures, there are no references to the location of their delivery, nor have we any record by which we can be guided in designating exactly where each course was given. Upon the resumption of its charter and privileges by the College in 1789, the University was compelled to provide new accommodations, and it leased a portion of the building then recently erected by the Philosophical Society on Fifth Street, for the term of five years. Upon the union of the schools in 1791, this lease was not resumed. It is evident, from perusing the documents referring to the subject, that the several schools pertaining to the University were cramped for want of room in which to carry on their operations. In an address to the Legislature, on Jan. 3, 1792, the following language is used by the Trustees: *' We are desirous that additional buildings may be erected, and that our Library and Philosophical Apparatus should be enlarged, but we find that the revenues at present 1 Upon a close examination of the Minutes of tlie Board of Trustees, we have been unable to find any reference to the erection of Surgeons' Hall. The Committee referred to, Messrs. Binney and Gibson, accurate lawyers, had they been more successful, would not have used the indefinite lan- guage quoted in giving an opinion upon a title. Surgeons' Hall was sub- sequently the Board of Health office. THE UXIVERSITY OF PEXXSYLVAXIA. 207 belonging to the Institution will not be sufficient to accomplish these purposes, and the benevolent and liberal views of the Legislature without further aid." In July, 1800, the Trustees became possessed, by purchase, of the edifice that had been built by the State of Pennsylvania, on jSTinth Street, between Chestnut and Market, for the accom- modation of the President of the United States.^ The accept- ance of this building on the part of the General Government was declined by Mr. Adams, and as the government was soon afterwards removed to Washington City, the edifice was sold at auction, and purchased, with adjacent property, by the Trustees of the University. The cost of the edifice itself was twenty-four thousand dollars, and the expense was met by the sale of the south end of the old Academy in Fourth Street. In 1800, at the time of opening the session, the Medical Faculty applied for accommodation in the building on Ninth Street, and in April, 1802, the Committee on the ''New Build- ing" reported that " they have the pleasure of announcing to the Board that all the schools, except the Charity School, were removed to the new University on Ninth Street. They have fitted up the west Bow Eoom in the second story for the Medical Schools, and if the Chemical Professor should desire a room for his chemical apparatus, he can be accommodated in the lower story." That this arrangement w^as not satisfactory is learned from the Minutes of the Medical Faculty, March 17, 180-1. "To the Trustees of the University of Pennsylvania, the petition of the Medical Professors in said University respect- fully showeth : That from the late increase of medical students, amounting last winter to one hundred and fifty, the rooms in ' The following is from the "Pa. Gazette," May IG, 1792: " On FricL^v last the GoYcrnor of this State laid the Corner Stone of the President's House in Ninth Street. The inscription on the stone is — This Corner Stone was laid On the 10th day of May, 1792, The State of Pennsylvania out of debt. Thomas Mifflin, Governor." The edifice was completed in 1797. It was commenced at the time Washington was President, and is said to have cost one hundred thousand dollars. 208 MEDICAL DEPAETMEJSTT OF whicli Anatomy and Chemistry are taught, in Fifth Street, are too small to accommodate them:' " That the room in the University on Ninth Street, in which the other branches of Medicine are taught, is so remote from the Anatomical and Chemical Eooms as to make it disagreea- ble and inconvenient for the students of medicine to pass suc- cessively from one to the other in the inclement season of the year in which the lectures are usually delivered.^ "Under these circumstances your petitioners request the appropriation of four rooms on the first floor of the north end of the building in Fourth Street, formerly the seat of the Uni- versity, exclusively for their use. " The advantages of this situation for the delivery of their lectures they conceive to be as follows: — " First. It will be the centre of population of the city. " Secondly. It is well sequestered from the streets, and un- connected with dwelling-houses, and thus defended from acci- dent, injuries, and inspection. " Thirdly. It will readily admit of additions, when they shall become necessary, from the extent of the lot westward on v/hich the building stands. "Fourthly. It will enable the students to pass with ease from one teacher to another, without exposing themselves in a long walk in bad weather ; and, lastly, it will establish a rela- tionship and uniformity between the accomm.odations of the medical sciences and those respectable and decent apartments in which other branches of science are taught in the Uni- versity. " The building now occupied by the Professors of Anatomy and Chemistry, your petitioners conceive, may be rented for a sum 'nearly equal to that which arises from the rent of the rooms which are the objects of the petition." This petition appears not to have met a favorable reception on the part of the Board of Trustees, and in 1806 a new propo- sition was submitted to the Board, by which the medical pro- fessors held themselves responsible for the interest of a sum to torj, and sometimes the Anatomical Hall. ^ Ninth Street, at the time, was upon the extreme verge of the city. THE UXIVEBSITY OF PEXXSYLVAXIA. 209 be expended in their behalf in the erection of apartments suita- ble for the medical lectures. This proposition was acceded to, and an addition was made to the building in Ninth Street, in which the lectures were delivered, while the room which had been occupied by Dr. Eush and Dr. Barton, on the second floor of the main building, was appropriated for the Museum. The new apartments were occupied in 1^07, and. here Dr. Shippen took part in the course which was the last in which he was eogaged. Dr. Wistar thus refers to Dr. Shippen in this connection: ''Last winter (1807) he delivered the intro- ductory lecture, though very infirm, and unlike what he had formerly been. Yet he was much roused by the appearance of the class in the new theatre, and feelingly described his emo- tions upon comparing these with his original set of students forty years before." In 1817, the Medical Hall was further enlarged, and on Nov. 4th, 1828, it was "resolved that the present Medical Hall is, in the -opinion of the Committee (to whom the subject had been re- ferred), inconvenient in several respects, and as it is incapable of being so altered as to afford accommodations suitable to the flourishing condition of the school, it is deemed advisable to erect a new building." In 1829, the Trustees determined to remove all the buildings, and to substitute for them upon the same lot the two buildings now constituting the Medical Hali and that for the other departments of the University. The ]\[edical Hall was planned and built under the super- vision of the Faculty. It contains three large lecture rooms, a spacious museum, rooms for anatomical purposes, and small apartments for the use of the professors and for the business of the institution. The corner-stone of this building was laid on the occasion of the commencement of 1829. The following is the account of the ceremonies at the time published: — "At a Medical Commencement, held March 21st, 1829, in the saloon of the Masonic Hall, Chestnut Street, the Degree of Doctor of Medicine was conferred on one hundred and seven gentlemen, who had passed the examination by the Medical Faculty. On the same occasion the corner-stone of the new Medical Hall was laid, and an inscription to the following effect, along with the list of graduates, was deposited; a suita- 14 210 MEDICAL DEPARTMENT OF ble address being delivered to the graduates and the public in the Masonic Hall by the Eev. William H. Delancej, D.D., Provost."^ 1 INSCKIPTIOK. UNIVERSITY OF PENNSYLVANIA. Trustees. The GoYERNOE, OF THE State {ex officio)^ President of the Board. Rt. Rev. William White, D. D,, Kicholas Biddle, Edward Burd, Zaccheus Collins, William Rawle, LL.D., P. S. Duponceau, LL. D., Benjamin R. Morgan, Joseph Hopkinson, LL. D., Horace Binnet, LL. D., Jaimes Gibson, William Meredith, Joseph R. Ingersoll, Benjamin Chew, Rev. Philip F. Mayer, D. D., Rev. James Wilson, D. D., Philip H. Nicklin, ' Robert Waln, Rt. Rev. Henry U. Onderdonk, D.D., John Sergeant, LL. D., John C. Lowber, Thomas Cadwalader, Robert Walsh, Jr., LL. D., Charles Chatjncey, Rev. Thomas H. Skinner, D. D. Joseph Reed, Becretafy. Professors of the Collegiate Department. The Rev. William H. Delancey, D. D., Provost, Professor of Moral Philosophy. Robert Adrian, LL. D., Yice Provost, and Professor of Mathematics. The Rev. Samuel B. Wiley, D. D., Professor of Languages. Alexander Dallas Bache, A. M., Professor of Natural Philosophy and Chemistry. The Rev. Edward Rutledge, A. M., Assistant Professor of Moral Phi- losophy. Professors in the Medico2 De'partment. Philip Syng Physick, M. D., Professor of Anatomy. Nathaniel Chapman, M. D., Professor of the Institutes and Practice of Physic and Clinical Medicine. William Gibson, M. D., Professor of Surgery. John Redman Coxe, M. D., Professor of Materia Medica and Pharmacy. Robert Hare, M. D., Professor of Chemistry. Thomas C. James, M. D., Professor of Midwifery. • William E. Horner, M. D., Adjunct Professor of Anatomy. William P. Dewees, M. D., Adjunct Professor of Midwifery. Samuel Jackson, M. D., Assistant to the Professor of the Institutes an^ Practice of Medicine and Clinical Medicine. William E. Horner, Dean. Andrew Jackson, President of the United States. John C. Calhoun, Vice-President. John Marshall, Chief Justice of the United States. THE UXIVEKSITY OF PENXSYLVAXIA. 211 The medical lectures of tlie session 1829-30 were delivered in the new building, and the first class of medical graduates issued from its walls in 1830. The history of the Medical Department of the University of Pennsylvania is here brought to a close. The author has en- deavored to present a clear exposition of the circumstances connected with the rise and progress of this School of Medi- cine, and at the same time to give a succinct account of the lives and labors of the illustrious members of the Profession whose reputation is inseparably connected with it. In this narrative, omission has designedly been made of any extended exposition of the character and services of the dis- tinguished men still living, who have so greatly added to the strength and contributed to the prosperity of the school ; who have retired from the scene of their usefulness, and who now enjoy the reward of consciousness that their talents and acquire- ments have been employed honorably and effectively in the cause of science and humanity. They now continue in connec- tion with the University in the honorary position of emeritus professors. Their distinctive qualities and merits will be the theme of the future historian. From the uniform success which has attended the career of the medical school of the University, assurance is given that the responsible charge which has been transmitted from generation to generation has been faithfully preserved; that the trust committed to its professors has always been regarded John Andrew Shulze, Governor of the Slate of Pennsylvania. John B. Gihson, Chief Justice. George M. Dallas, Mayor of the City of Philadelphia. " TJiis inscription, deposited March 21st, A. D. one thousand eight hun- dred and twenty-nine, commemorates the layingof the corner-stone of the new Medical Hall, sixty-four years after the original organization of the Medical Faculty by Drs. Morgan and Shippen ; the institution having in the meantime conferred the degree of Doctor of Medicine upon upwards of two thousand gentlemen educated within its walls, who, dispersed in dif- ferent quarters of the United States, have thus extended the blessings of sound medical instruction, and in many instances organizing themselves into new schools of medicine, have thus made the University of Pennsyl- vania the parent' of Medical Science in the United States." ) 212 UNIVERSITY OF PENNSYLVANIA. as a sacred one, and that as such it has been emulously cherished. Nearly eight thousand pupils have graduated from the halls of the institution, and have diffused the blessings of their calling throughout the length and breadth of these United States. But another mission has been assigned to this ancient school of medicine; it has been the nursery of teachers. De- riving its descent from the University of Edinburgh, and more remotely through that institution from the University of Ley- den, the Medical Department of the University of Pennsylvania has in turn become the parent of numerous schools of medicine, and has thus been the means of transferring the facilities of acquiring and cultivating medical science from the Old World to the New. To the compeers which have been brought into existence by its own and other instrumentalities and which are engaged in laudable and honorable efforts to disseminate true learning and science, and to improve the efficiency and main- tain the exalted character of the Medical Profession, the Uni- versity should ever extend a cordial sympathy. The reputa- tion acquired by them, is reactive. It is only by mutually sustained energy that the good of mankind can be successfully promoted. APPE?(DIX. A. — page 57. "Dr. Shippen's course of An'atomical Lectures will begin on Thnrsday, the 14tli of November, 1765. It will consist of sixty lectures, in which the situation, figure, and structure of all the Parts of the Human Body will be demonstrated on the fresh subject; their respective uses explained, and their Diseases, with the Indications and Methods of Cure, briefly treated of; all the necessary Operations in Surgerj^ will be performed, a Course of Bandages given, and the whole will conclude with a few plain and general directions in the Practice of Midwifery. Each Per- son to pay six Pistoles. " Those who incline to attend the Pennsylvania Hospital, and have the Benefit of the curious anatomical Plates and Casts there, to pay six Pistoles to that useful Charity. " A Course of Lectures on the Materia Medica, by John 3Iorgan, M. i)., F. P. S., and Professor of Medicine in the College of Philadelphia. Price, Four Pistoles. "This Course will commence on Monday', the 18th day of Xo- vember, and be given three times a week, at the College, viz., [Mondaj's, Wednesday's, and Frida3^s, at three o'clock in the afternoon, till finished, which will last between three and four months. '• To render these lectures as instructive as possible to students of Physic, the Doctor proposes, in the course of them, to give some useful Observations on Medicine in general, and the proper manner of conducting the study of Physic. The authors to be read in the Materia Medica will be pointed out. The various Substances made use of in Medicine will be reduced under Classes suited to the principal Indications in the cure of Diseases. Simi- lar virtues in different Plants, and their comparative powers, will be treated of, and an Enquir}' made into the different Methods 214 APPENDIX. which have been used in discovering the Qualities of Medicines ; tlie virtues of the most efficacious will be particularly insisted upon; the Manner of preparing and combining them will be shown by some instructive Lessons upon Pharmaceutic Chemis- try: This will open to students a general Idea both of Chemistr3^ and Pharmacy. To prepare them more effectually for under- standing the art of prescribing with Elegance and Propriety, if time allows, it is proposed to include in this course some critical Lectures upon the chief Preparations contained in the Dispensa- tories of the Royal College of Ph3'sicians at London and Edin- burgh. The whole will be illustrated with many useful Practical Observations on Diseases, Diet, and Medicines. "jS^o person will be admitted without a Ticket for the whole course. Those who propose to attend this course are desired to applj^ to the Doctor for Tickets, at least a week before the Lec- tures begin. A Dollar will be required of each student, to matriculate, which will be applied in purchasing Books for a Medical Librar}^ in the College for the Benefit of the Medical Students. John Morgan. " P. S. Two convenient lower stores to be let by Dr. Morgan, under his dwelling on Water Street, near Walnut Street, where Mr. Mease lately lived, at a very reasonable rate." B. — page 91. " Commencement of the College of Philadelphia, June 28, lt69. " The Degree of Bachelor of Medicine was conferred on James Armstrong, Josias Carroll Hall, John Hodge, John Houston, Thomas Pratt, Alexander Skinner, Myndert Yeeder, and John Winder. " The Medical Exercises were the following: — " An oration in honor of Medicine, by Mr. Hall. " A Forensic Dispute, w^hether Medicine hath done most good or harm in the world, by Messrs. Alexander Skinner and John Hodge. " An oration on the most probable method of obtaining a good old age, by Mr. John Winder. " In the composition of these exercises the young gentlemen gave full proofs of learning, as well as a thorough acquaintance with their subjects and the History of Physic, and they were APPENDIX. 215 honored with the close atteutiou and warm approbation of the audience. Mr. Skinner's part of the Forensic Dispute, in par- ticular, seemed to afford singular entertainment, from the candid freedom which he took with his own Profession, and the very humorous manner in which he attempted to prove that Medicine had done more harm than good in the world; which Position of his was, however, very seriously and fully replied to by Mr. Hodge. To this succeeded a very solemn and interesting charge, in which the Provost addressed himself chiefly to the graduates in the arts, adding, with respect to the graduates in Ph3^sic, that he had prevailed on a gentleman of their own Profession, whose precepts would receive Dignit}^ from his ^^ears and experience, to la}^ before them what he thought requisite as w^ell for the honour of the College, as for promoting their own future honour and usefulness in life. This part was accordingl}^ performed b}^ Dr. Thomas Bond, in a manner so truly feeling and affectionate that it could not fail to make a serious impression on those for whom it was designed." — Pennsylvania Gazette^ J^^ly 6, 1*769. C. — page T5. The following is the announcement of the course under the organization of the Faculty at the date specified: — ■ "College of Philadelphia, Oct. 13, 1769. " Dr. Rush's lutroductoiy Lecture to his course of Chemistry will be delivered publickly at the College on Monda}-, the 30th inst., at 11 o'clock in the Forenoon. "Dr. Morgan's Course of Lectures on the Theoiy and Prac- tice of Physic will begin on Monday, the 30th inst., at 3 o'clock in the afternoon. '• Dr. Bond's Course of Clinical Lectures will begin on Tuesday, the 31st inst., at 11 o'clock in the forenoon, at the Pennsylvania Hospital. " Dr. Kuhn's Course of Materia !Medica will begin on Wednes- da}', the first of November, at 11 o'clock in the forenoon. '•Dr. Shippen's Course of Anatoni}^ and Surgery will be given on Wednesday, the first of Xovember, at six o'clock in the evening. '• Those gentlemen who propose to attend these lectures are desired to call on the respective Professors for Tickets of Admis- 216 APPENDIX. sion, any time before the coarse commences." — Pennsylvania Gazette. D. — page 75. " Minutes of Board of Trustees, May 20, Ittl. " Agreed to the explanation made by the Faculty of the Clause for examining the Candidates for a Doctor's Degree in Physic, which is as follows : — " That such Candidates be examined on their Theses before the day of Commencement, and on that day, immediately before re- ceiving their Degrees, they be asked a few Questions in Latin on the subject of their Thesis, which they are to answer in the same language. " It is the order of the Trustees that the Fee for the Degree of Doctor in Physic, be to the Provost one Guinea, and one Guinea to each of the Medical Professors, and that the Public Commence- ment be held on Friday, June 28th. " It is ordered that all the Fees on Degrees be paid or settled for before the conferring of Degrees. " At the Commencement June 28th, Ittl, the Degree of Bache- lor of Physic was conferred on Benjamin Alison, Jonathan Easton, John Kuhn, Frederick Kuhn, Bodo Otto, Robert Pot- tinger, and William Smith. ''Messrs. Jonathan Elmer, of ^. J.; Jonathan Potts, of Potts- grove, Pa. ; James Tilton, of Dover ; and Mcholas Way, of Wil- mington, then presented themselves, agreeably to the Rules of the College, to defend, in Latin, the Dissertations printed for the Degree of Doctor in Physic. " Mr. Elmer's Piece, ' De Causis et Remediis sitis in Febribus,' was impugned by Dr. Kuhn, Professor of Botany and Materia Medica. "Mr. Potts, 'De Febribus intermittentibus, potissimum ter- tianis,' was impugned by Dr. Morgan, Professor of the Theory and Practice of Physic. "Mr. Tilton's 'De Hydrope' was impugned by Dr. Shippen, Professor of Anatomy. " Mr. Way's ' De Yariolarum Insitione' was impugned by Dr. Rush, Professor of Chemistry, "Each of the candidates having judiciously answered the ob- jections made to some parts of their Dissertations, the Provost conferred upon them the Degree of Doctor of Physic, with par- APPENDIX. 217 ticular solemnitj^, as the highest mark of literary honour which they could receive in the Profession. " Dr. Morgan, who was appointed to that part of the Business, entered into a particular account of those Branches of study which the Medical Gentlemen ought still to prosecute with unre- mitted Diligence, if the}'' w^ished to be eminent in their Profession, lading down some useful rules for an honourable practice in the Discharge of it. He observed that the ' oath' which was pre- scribed by Hippocrates to his Disciples had been generally adopted in Universities and Schools of Physic on like occasions, and that laying aside the form of oaths, the College, which is of a free spirit, wished onl}^ to bind its Sons and Graduates by the ties of Honour and Gratitude, and that therefore he begged leave to impress upon those who had received the distinguished Degree of Doctor, that as they were among the foremost sons of the Insti- tution, and as the Birth Day of Medical Honours had arisen upon them with auspicious lustre, thc}^ would, in their practice, consult the safety of their Patients, the good of the community, and the dignit}^ of their Profession, so that the Seminar}^ from which they derived their Titles in Physic, might never have cause to be ashamed of them." E. — page 81. *^* " It has given Dr. Shippen much pain to hear that not- withstanding all the caution and care he has taken to preserve the utmost decency in opening and dissecting dead bodies, which he has persevered in chiefly from the motive of being useful to mankind, some evil-minded persons, either w^antonly or mali- ciously, have reported to his disadvantage that he has taken up some persons who are buried in the Church Burying Ground, which has distressed the minds of his worthy Fellow Citizens. The Doctor, with much pleasure, improves this opportunity to declare that the Report is absolutely false, and to assure them that the bodies he dissected were either of persons who had wil- fully murdered themselves, or were publickly executed, except now and then one from Potter's field, whose death was owing to some particular disease, and that he never had one body from the church or an}' private Burial Place." — Pennsylvania Gazette^ Oct. 31, 1705. 218 APPENDIX. F.— page 120. Number of Graduates from 1^68 ^o 1810. It is impossible to present a complete list of the students attending lectures in the College and University prior to 1810. 'No catalogues are in existence to which to refer for information, and all that can be known of the progressive prosperity of the School is derived from the annual registration of the graduates. For a long time no regular minutes of the Faculty of Medicine appear to have been kept, and our source of knowledge of the affairs of the Medical Department is the record of the Board of Trustees. The system of rotation in the office of Dean was not calculated to secure the methodical transcription of the business operations of the Faculty, which is now desirable in determining points of historical interest, and, until the appointment of Dr. Horner as permanent Dean, perfect regularity in the preservation of all the minutiae connected with attendance and graduation, was not introduced. The following summary may be regarded as correct Avith reference to the graduates within the period specified above ; it was carefully prepared by Drs. Wood and Horner, and introduced into the sketcli of the Medical Department published with the general list of graduates.^ A. D. 1768, Graduates " 1769, " 1770, " " 1771, " " 1773, " " 1780, " " 1781, " " 1782, " . . 10 A. D 1783, Graduates . . 4 . . 8 " 1784, 8 . . 1 u 1785, 9 . . 7 1786, 4 3 ;; 1787, 5 . . 3 li 1788, 6 . . 2 a 1789, 3 . . 8 It will be perceived that there is a deficiency from HIS to 1*180. This was the period of the political troubles, which occu- pied the attention of the country, and of the most stirring events of the Revolution. In the College. In the University. . D. 1790, Graduates ^ . 5 A. D. 1790, Graduates . . 12 " 1791, " . . 5 " 1791, " . . 1 ' The General Catalogue of Graduates was published in 1839, and re- vised in 1845. APrEXDIX. In the TTniversifij from 1T92 to 1810. A. D. 1702, Graduates . . 6 '• 1793, " . . 10 " 1794, " . . 8 " 1795, " . . 4 " 1796, ■ " . . 4 " 1797, " . . 14 " 1798, " . . 12 " 1799, " . . 8 " 1800, " . . 10 " 1801, " . . 10 A. D. 1802, Graduates " 1803, '■' " 1804, " 1805, " " 1806, " 1807, " 1808, " " 1809, " " 1810, " From 1810 to the present date, the lists of students o-raduates have been carefully recorded; the following summary : — A. D. 1810-11, Matriculates " 1811-12, " 1812-13, " " 1813-14, " " 1814-15, " " 1815-16, " " 1816-17, " 1817-18, " " 1818-19, " " 1819-20, " ." 1820-21, " " 1821-22, " " 1822-23, " " 1823-24, " " 1824-25, " " 1825-26, " '• 1826-27, " " 1827-28, " " 1828-29, " 1829-30, " 1830-31, " '■ 1831-32, " " 1832-33, " '^ 1833-34, " " 1834-35, " 1835-36, " 1836-37, " 1837-38, " 1838-39, " 1839-40, " 184^-41-, " 1841-42, 406 387 349 345 319 388 436 465 422 330 325 357 455 424 487 440 441 409 362 421 410 386 367 432 390 398 405 380 403 444 412 363 Graduates 219 . 22 . 15 . 13 . 24 . 21 . 31 . 60 . 63 . 65 and of is tlie 63 70 61 62 44 70 74 87 102 78 66 77 101 96 111 114 131 133 109 127 151 134 117 145 135 132 162 157 158 163 166 114 220 A. D. APJ ^ENDIX. 1842-43, Matriculates . 350 Graduates . . 117 1843-44, u . 424 u . 153 1844-45, (( . 446 a . 164 1845-46, (( . 462 u . 168 1846-47, u . 411 ;( . 163 1847-48, (( . . 508 u . 174 1848-49, u . . 499 (( . . 190 1849-50, ii . 439 " . 178 1850-51, u . 466 u . 167 1851-53, (( . 410 u . 151 1852-53, u . 431 . u . . 166 1853-54, (( . 463 ii . . 177 1854-55, (( . 426 a . 178 1855-56, u . 372 " . 142 1856-57, u . 454 u . . 154 1857-58, (( . 435 u . . 145 1858-59, (( . 409 (( . . 142 1859-60, u . . 528 i(. . 173 1860-61, a . . 465 u . . 176 1861-62, ;( . . 309 u . 92 1862-63, ;( . 319 ii . 78 1863-64, u . 401 ii . . 101 1864-65, a . 425 u . 117 1865-66, u . . 520 (( . . 164 1866-67, u . . 468 u . 156 1867-68, a . . 408 u . 153 Gr. — page 195. P?^ofessors of the University connected Hospital. 1. John Morgan, with the Pennsylvania 2. Adam Kuhn, 3. James Hutchinson, 4. William Shippen, Jr., 5. Benjamin Rush, ..." 6. Caspar Wistar, . . . " 7. Philip Syng Physick, . " 8. Benjamin Smith Barton, " 9. John Redman Coxe, . " 10. Thomas C. James, . . " from 1773 to " 1778 to '• 1774 to " 1782 to . " 1777 to " 1779 to " 1778 to " 1791 to . " 1783 to . " 1793 to . " 1794 to 1798 to 1802 to 1807 to 1783,1 ^^^'^• 11 mos 1798,} 2^^^^- 6 mos 1778,| 1793,; 1802,1 l^y^'^- 11 mos 1813, 29 yrs. 10 mos. 1810, 16 yrs. 5 mos 1816, 22 yrs. 1 mo. 1815, 17 yrs. 6 mos. 1807, 4 yrs. 9 mos. 1832, 25 yrs. 10 mos. APPEXDIX. 221 11. John Syxg Dorset, . from 1810 to 1818, 8 yrs. G mos. 12. Hugh L. Hodge, 13. George B. Wood, 14. Jacob Randolph, 15. George W. Xorris, 16. William Pepper, IT. Joseph Carson, 1832 to 1854, 22 yrs. 1835 to 1859, 24 ^ts. 1835 to 1848, 12 3'rs. 10 mos. 1836 to 1863, 21 yrs. 1842 to 1859, IT yrs. 1849 to 1854, 5 yrs. 18. Francis Gurney Smith, " 1859 to 1864, 5 3TS. Professors of the University connected with the Almshouse. [Philadelphia Hospital.] Adam Kuhn, 1TT4-1TT6 Benjamin Rush 1TT4-1TTT Samuel P. Griffitts, .... 1T88-1T89 Caspar Wistar, 1T88-1T90 William Shippen, Jr 1T89-1T90 Thomas C. James, 1T9T-1821 Philip Stng Physick, .... 1801-1805 Benjamin Smith Barton, . . . 1804-1805 T c T^ (1805-1811 John Syng Dorse y, < ' (1814-1818 Xathaniel Chapman, (1805-1815 '' ' ■ ' *ll822-1832 William Gibson, 1821-1840 William E. Horner, .... 1821-1845 Samuel Jackson, 1822-1845 Hugh L. Hodge, 1822-1835 Jacob Randolph, 1 832-1 83T Henry H. Smith, 1854-185T R. A. F. Penrose, 1854-1868 Joseph Carson, 1 855-1 85T Alfred Stille, 1865 H. — page 133. The first Societ}' established in Philadelphia originated with Dr. Morgan, and a number of other practitioners, including Dr. J. Kearsley, Jr., Gerardus' Clarkson, James A. Baj-ard, Robert Harris, and George Glentworth. It was called the ^'Philadelphia Medical Society.^'' To this Association reference must have been made by Dr. Rush in a letter to Dr. Morgan, in 1 T68, when he says: 222 APPENDIX. " B}^ means of Dr. Huck's and Dr. Franklin's friends, I have been introdnced to Sir John Pringle, and have the honour of belong- ing to a Medical Society, which meets every Wednesday evening at his house. The plan of it is not unlike the Medical Society 3^ou have established in Philadelphia ; it consists of only eight or ten, who are all Sir John's particular friends." Tlie Society in which Dr. Morgan and the gentlemen mentioned were interested, did not survive the Revolution, when another Association was formed, entitled the ^'-American Medical Society.''^ With respect to this we have met with the following notice : — " The American Medical Society will meet at the College on Monday, Nov. 2d (IV 83), at 1 o'clock in the evening. Henry Stuber, /Sec." Four other Societies subsequently came into existence. The College of Physicians was organized in lt87, and was the third body of medical men associated for medical improvement. Next came the Philadelphia Medical Society, the Academy of Medi- cine, and the Medical Lyceum, which latter, in 1816, was merged into the Medical Society. The Philadelphia Medical Society was instituted in 1789, was first incorporated in 1792, and re-chartered in 1827. It was in- tended " for the purpose of mutual improvement in the science of medicine, and for the promoting of medical knowledge." It consisted of Junior and Honorary members ; the first-mentioned pertaining to the class of students. The exercises consisted of papers on medical subjects, and debates upon them, in which all were permitted to participate. This Society, after a spirited career of sixty years, ceased an active existence in 1846. Be- sides Drs. Rush and Barton, two other Professors of the Univer- sity were elected to the oflftce of President. Dr. Physick suc- ceeded Dr. Barton in 1815, and Dr. Chapman succeeded Dr. Physick in 1837. It was the fourth Medical Society organized in this cit}'', and was evidently founded in imitation of the Edin- burgh Medical Society. INDEX Aeernetht, Mr., 178 Abrogation of College charter, 89 Accessory course of lectures, 191 Ad eundem footing, 105, 148 Advertisement of Dr. Shippen -with re- gard to midwifery, 113 Agnew, Dr. D. Hayes, 196 Albinus, 31 Aldricks, Director, 22 Allen. Dr. Harrison, 193 Almshouse, 196 Alston. Dr., of Edinburgh, 78 American Philosophical Society, His- tory of, 32 American Society, 32 American Medical Society, 222 American Journal of Medical Sciences, 178 Anatomy, Dr. Cadwalader's lectures on, 40 Dr. Hunter, of Newport, lectures on, 40 Dr. Shippen's lectures on, 40 Announcement of Dr. Shippen's lec- tures in 1862, 40 First, of the medical lectures in the College, 1765, 56 lectures of 1767, 61 Auxiliary Faculty, 191 Bachelor of Medicine, degree of, con ferred by College in 1768. 68 conferred in New York in 1769, 68 abolition of degree of, 98 Baldwin, Dr. William, 131 Bird, Dr. John, 29, 30 Bard. Dr. Samuel, 68 Birthez, doctrines of, 176 Barton, Dr. Benjamin Smith, appointed Professor of Natural History and Botany, 93 elected Professor of Materia Medi- ca, 108 elected to the Chair of Practice, 125 sketch of his life, 126 Barton, Dr. William P. C, 130, 135 Birtram, John, 33 William, 90 Beck, Dr., on medical honors, 67 Bell, Dr. John, of Philadelphia, 157 John, of Edinburgh, 186 Sir Charles, 186 Bigelow, Dr. Jacob, 130 Black, Dr. Joseph, 85 Boerhaave, 30 Bond, Dr. Thomas, 29, 30, 91 letter to the Committee of Safety, 88 clinical lectures in the Pennsylva- nia Hospital, 57 Bond, Dr. Phineas, 29, 33 Borgetta, Dr Maria Bernardus, 91 Botany, Dr. Kuhu appointed Professor of, 65 Botanical Garden, Bartrams, 130 of the University, 135 Cadwalader. Dr. Thomas, 29, 31 Caldwell, Dr. Charles, 198 Carson, Dr John, elected Professor of Chemistry, 101 Dr. Joseph, elected Professor of Matei'ia Medica and Pharmacy, 179 Caldwell, Dr. Charles, 135 Cl'.almers, Dr., 25 Chapman, Dr. Nathaniel, appointed with Dr. James to teach obste- trics, 115 appointed Professor of Materia Medica, 125 appointed I'rofessor of Practice, 13 sketch of ills life, 172 Church, Dr. John, 198 Clayton, Dr., 25 Clossy, Dr. Samuel, 68 Clinical instruction, 195 in Hospital 196 in .Alnishou.se, 196 Coldeu, Cadwallader, 25 224 IXDEX. Coleman, Willinra, 33 College of Philadelphia, foundation of, 52 revival of, 92 union of with the University, 97 of Physicians, 221 Colman, Rev. Benjamin, 21 Colonists of North America, 18 Commencement of 1768, 69 of 1769, 71 of 1771, 75 Cooper, Dr. Thomas, 135 Sir Astley, 186 Coxe, Dr. John Redman, elected Pro- fessor of Chemistry, 108 transferred to the Chair of Materia Medica, 142 sketch of his life, 156 Cullen, Dr. William, 82, 128 Cummings, Dr., 198 Currie, Dr. James, 45 Darlington, Dr. William, 130 De Lancey, Rev. Wm. H., Provost, 210 Degree of M. B., College of Philadel- phia, 67 of M. D., 71 of M.D., University of Edinburgh, 80 Degrees in Pharmacy, 145 in Medicine, 66 rules for 59, 95, 117 Des Cartes, 122 De Costa, Dr, Joannes Franciscus, 91 Dewees, Dr. William P., appointed Ad- junct Professor of Obstetrics, 148 elected Professor of, 163 sketch of his life, 161 Difficulties of filling the professorships in the University in 1781-82, 90 Dispensary, Philadelphia, 102 Clinics, 202 Dorsey, John Syng, elected to the Chair of Materia Medica, 133 elected to the Chair of Anatomy, 142 sketch of his life, 142 Drummond, Mr., 78 Early medical teaching, 39 Edinburgh, foundation of the Univer- sity of, 79 EfiFects of the American Revolution on the College, 85 Evans, Dr. Cadwalader, 29 Ewing. Rev. Dr. John, Provost, 90 Examinations for degrees, 68 mode of, 115 Faculty, Medical, of College in 1769-70, 75 Faculty of University in 1835, 164 1869, 193 of University of Edinburgh in 1768, 85 Fees in College for medical instruction, 65 Fothergill, Dr. John, 37-41 Foulke. Dr. John, 89 Fox, Dr. George, case of Csesarean sec- tion, 188 Franklin, Dr., 33, 52 Garden, Dr., 25 Garden, Botanical, 130, 135 Gastric origin of fever, 178 Gaubius, 31 Gerhard, Dr. William, 202 Gibson, Dr. AVilliam, appointed Pro- fessor of Surgery, 144 sketch of his life, 185 Mr. Joseph, 111 Godfrey, Thomas, 33 Godman, Dr. John D., 178 Gordon, Thomas F., 22 Graduates first in Medicine, 69 Graduation, rules for, 117 Graeme, Dr. Thomas, 29, 36 Gratuitous studentships, 146 Gregory, Dr. John, 83, 85 Green Box, 116 Green House, Dr. Barton's, 131 Green Room, 199 Grifhtts, Dr. Samuel P., appointed Pro- fessor of Materia Medica and Pharmacy, 93 sketch of his life, 1 02 Hare, Dr. Robert, appointed Professor of Chemistry'', 142 sketch of his life, 165 Hartshorne, Dr. Henry, 193 Hayden, Dr. F. V., 193 Hays, Dr Isaac, 178 Hewson, Mr. William, 48 Dr Thomas T., 135 Hodge, Dr. Hugh L., appointed Pro- fessor of Obstetrics, 160 resignation of, 189 Home, Dr. Francis, 85 Honors, first medical, QQ Hooper, Dr., 31 Hope, Dr. John, 85 Hopkinson, Thomas, 33 Horner, Dr. William E., appointed As- sistant to Dr Physic, 144 appointed Adjunct Professor of Anatomy, 144 INDEX. 225 Horner, Dr. William E , appointed Pro- fessor of xVuatomy, 149 sketch of his life, 182 Horstield, Dr. Thomas, 131 Hosack, Dr. David, on medical honors, 67 Hospital, Pennsylvania, 36 Howard, Thomas, 21 Hunter, Dr. William, of Newport, 40 Dr. William, of London, 48 Mr. John, 48 Hutchinson, Dr. James, elected Pro- fessor of Chemistry and Materia Medica in the University, 94 sketch of his life, 99 Instruction, clinical, 195 Jackson, Dr. Samuel, appointed As- sistant Professor, 149 elected Professor of the Institutes, 160 resignation of, 189 James, Dr. Thomas Chalkley, elected Professor of Midwifery, 114 sketch of his life, 154 Johnson, Dr. William P., 202 Kalm, Professor, 24 Kearsley, Dr. John, 28 ' Dr. John, Jr., 29 Kuhn, Dr. Adam, elected Prof, of Ma- teria Medica and Botany, 64 elected Professor of Practice in the University, 93 sketch of his life, 64 La Roche, Dr. Rend, 53 Lecture term altered, 171 Lectures, Dr. Shippen's, 40 clinical, in Hospital, 57, 194 in Almshouse, 196 of Dr. Smith, Provost, 62 accessory course, 191 Leib, Dr., 197 Leidy, Dr. Joseph, elected Professor of Anatomy, 185 Letsom, Dr., 127 Leyden, University of, 30, 80 Lining, Dr., of S. C, 25 Location of Almshouse, 199 of College buildings, 205 of University buildings, 207 Logan, James, 40 Magill, Mr., 78 McKenzie, Dr., 49 McClung, Dr. James, 00 Mease, Dr. James, 145 15 Medal awarded to Dr. Morgan, 58 Medical teaching in America, first, 39 Middleton, Dr. Peter, 24, 68 Midwifery, separation from Anatomy, 144 Miller, Dr. Edward, 178 Mitchell, Dr., of Virginia, 25 Mobs in Edinburgh and Philadelphia, 81 Monro, Mr. Alexander, 78 Monteith, Dr., 78 Moore, Dr. Samuel Preston, 36 Morgagni, 46 Morgan's, Dr. John, Address, 44 elected the Professor of Theory and Practice of Physic, 53 sketch of his life, 44 death of, 93 Moyes', Dr., lectures, 102 Museum, Wistar and Horner, 140, 184 Nancrede, Dr. Joseph, case of Ccesarean section, 188 National Pharmacopoeia, 103 Natural History, Dr. Barton appointed Professor of in College, 93 Natural Science professorships, 135 Newcomb, Mr. Daniel, permitted to at- tend lectures on ad eundem footing, 105 Norris, Dr. George W., elected Clinical Professor, 203 North American Medical and Surgical Journal, 178 Number of professorships in 1811, 116 Nuttall, Mr. Thomas, 128 Obstetrics, separation from Anatomy, 110 estimation of in Europe, 110 instruction on, in Scotland and England, 111 Dr. Thomas C. James elected Pro- fessor of, 114 made essential for a degree, 115 Owen, Dr. Griffith, 27 Parsons, William, 33 Patterson, Dr. Robert M., 32 Penn, William, 26 Penn, Thomas, Esq., letter to the Trustees of the College of Philadel- phia, 50 Penrose, Dr. R. A. F., elected Professor of Obstetrics, &c., 189 Pepper, Dr. William, elected Professor of Practice, 188 sketch of his life, 189 Petersen, Jan, of Alfendolft, 22 226 INDEX. Petition to the Legislature with regard to irregular practitioners, 105 Pharmacopoeia, National, 103 Philadelphia Journal of the Medical and Physical Sciences, 198 Medical and Physical Journal, 132 Physicians, first, of Philadelphia, 26 Physic, Professorship of Theory and Practice instituted, 53 Physick, Dr. Philip Syng, elected Pro- fessor of Surgery, 104 resignation, and sketch of his life, 149 Pictures, anatomical, donation of by Dr. Fothergill to Pennsylvania PIos- pital, 41 Plummer, Dr. Andrew, 78 Potterfield, Dr., 79 Potts, Dr. Jonathan, letter, 87 graduation, 69-75 Priestley, Dr. Joseph, refusal to accept the Chair of Chemistry, 101 Publication of Dr. Cullen's lectures on Materia Medica, and First Lines, in Philadelphia, 84 Pursh, Frederick, Mr., 126 Qualifications for the Professorship of Chemistry, letter from Faculty, 108 for the Bachelor's degree in medi- cine, 60 for the degree of Doctor of Medi- cine, 60, 95 for the degree of M. D. in the Uni- versity of Edinburgh, 80 Rae, Dr. John, 85 Ramsay, Dr. David, 72, 90, 124 Randolph, Dr. Jacob, elected Clinical Professor, 203 Redman, Dr. John, 29, 36, 53 Reese, Dr. John J., 193 Repeal of the act of the Legislature ab- rogating the charter of the College, 91 Revolution, efi'ects of the American, on the College, 86 ' Rhodes, Samuel, 33 Riollay, Dr. Francis, 178 Rogers, Dr. James B., elected Professor of Chemistry, 181 sketch of his life, 182 Rogers, Dr. Robert E., elected Prof, of Chemistry, 182 Rules for the government of the Medi- cal School of the College, 59 Rush, Dr. Benjamin, elected Professor of Chemistry, 71 Rush, Dr. Benjamin, elected Professor of Theory and Practice in the Col- lege, 93 elected Professor of Theory and Practice of Institutes and Clini- cal Medicine in the University, 104 sketch of his life, 122 Rutherford, Dr. John, 78 Sargent, John, Esq., medal, 58 Services of the Medical Professors and graduates in the American Revolu- tion, 87 Sewell, Dr. Thomas, 21 on piedical honors, 67 Shippen, Dr. William, Sr., 29, 53 Dr. William, Jr., application for professorship, and election, 55 sketch of his life, 84 I, t\ death of, 105 ShoefF, 25 Silliman, Dr., 165 Sinclair, Dr. Andrew, 78 Smellie, Dr., 112 Smith, Dr. William, Provost, 62 reappointment, 92 Dr. James, 68 Smith, Dr. Henry H., elected Professor of Surgery, 188 Smith, Dr. Francis Gurney, elected Pro- fessor of Institutes, 189 Mr. Robert, Professor of Obstetrics in Edinburgh, 111 Society, American Philosophical, 32 American, 34 American Medical, 222 Philadelphia Medical, 222 Somers, Dr., 31 Stacy, Mahlon, 19 Still^, Dr. Alfred, elected Professor of Theory and Practice, etc., 191 Story, Thomas, 27 Studentships, gratuitous, 146 Surgery separated from Anatomy, 104 Tennent, Dr., of Virginia, 25 Dr. John V. B., 68 Thatcher, Dr. Thomas, 21 on medical and clerical professions, 21 Theses, 76, 126 Thomas, Gabriel, 19, 23, 25 Thomson's, Dr. John, Life of Dr. Cul- len, 83 Til ton, Dr. James, 87, 90 Trustees, Medical, of College in 1765, 53 in 1868, 53 IXDEX. 227 University of Edinburgh, 77 of the State of Pennsylvania, 89 of Pennsylvania. 97 of Maryland, 187 buildings, 207 Von Soemmering, 140 Welcome, Ship, 26 Whytt, Dr. Robert, 82 Williams, Rev, Nathaniel, 21 Wilson, Rev. Matthew, 22 Wistar, Dr. Caspar, elected Professor of Chemistry and Institutes in the College, 93 Wistar, Dr. Casper, elected Professor of Anatomy, 107 sketch of his life, 185 Wood, Dr. George B., elected Professor of Materia Medica, 1 60 elected Professor of Pi'actice, etc , 179 resignation of, 188 Dr. Horatio, 193 Woodhouse, Dr. James, elected Pro- fessor of Chemistry, 102 sketch of his life, 107 Young, Dr. Thomas, 85, 111 Zachary, Dr. Lloyd, 29, 36 LINDSAY & BLAKISTON'S NEW ISSUES FOR THE PRESENT SEASON, NOW READY. January, 1869. I. On Chronic Bronchitis, Especially as Connected with Gout, Emphysema, and Diseases of the Heart. Being Clinical Lectures delivered at the Middlesex Hospital, by E. Headlam Greenhow, M.D., Fellow of the Royal College of Physicians, Consulting Physician to the Western General Dispensary, &c., &c. One volume. Octavo. Price, $2.25. The purpose of this volume is to demonstrate the frequently constitutional character of Chronic Bronchitis, and its intimate association with many other diseases, in the re- lation either of cause or of consequence. 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