IIavin« thus roughly sketched what is wanted in the way of medical education by different classes of students-the article for which there is a market, let us next consider briefly what an university may wisely attempt to provide in this direction. Some suggestions on this point may perhaps be obtained from an examination of the condition of affairs as regards medical education in the University of Oxford. The Corporation of Oxford bas a little more than half the number of inhabitants possessed

more »

... y the city of Now Haven, and its relations to London are, in many respects, similar to those of New Haven with tbo cities of New York and Boston. For a number of years it has been urged by some physicians in England, that the University of Oxford with her great resources, has not been doing as much for medical education as she should have done, and that it is her duty to establish and maintain a,completely organized medical school of the usual pattern, using tho small local hospital and dispensary facilities for the clinical side of the work. On the other hand, other physicians, of whom my friend Sir Henry Acland may bo taken as tho representative, maintain that it is much better that Oxford should use her resources in giving a broad foundation of literary and scientific culture, including, for those who propose to study medicine, the means of special instruction in general biologyand in comparative and human anatomy, physiology and pathologyand that the men thus prepared should go to the great Hospital Medical Schools of London to obtain their clinical training, alter which, they may return and pass their final examinations and obtain the coveted degreo of Doctor of Medicine from the University. There is no doubt that this can be done, aud that a great part of the scientific foundation of a complete medical training can be furnished by a well-equipped university, with little or no reference to clinical instruction at the same time and place. This, for example, is the course followed by many of the students in the Medical Department of tho University of Virginia, and it seems to me that there is also no doubt that the men who go through such a course of training, followed by clinical training in a great city, will have a botter course of instruction, a wider experience, and a better chance of seeing and appreciating the methods of great clinical teachers, than would tluse who obtained their clinical ¡is well as their scientific training, in the small town, or than those who obtain all their instruction in a school devoted exclusively to medical studies. Upon this last point I need not dwell, for Dr. Welch, in his address before you in 1888, lias clearly pointed out the advantages of giving to a medical school an university atmosphère, and of making the union of the school and the university close and intimate. It should be noted, however, that the more true this is, the more it is the duty of an university to maintain such a school, because educational work which cannot be, or is not, done so well