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The opportunities for clinical instruction at the University have
within the last few years been very greatly increased. The erection
and equipment of the University Dispensary and the careful consideration
of the needs of the community in this respect have built up an
out-patient department vastly in excess of the apparent possibilities
of the city, moreover, this material is utilized for purposes of instruction
to a much greater extent than is usually done in clinical teaching.
The amphitheatre is so arranged that no student is over fifteen feet
from the clinical chair or operating table (as the case may be), and
each can thus understand and appreciate all that is shown him. For
the purpose of still more definite instruction, the whole class is called
up in successive small sections to examine special cases and conditions,
the students being questioned later on the knowledge so obtained.
There is a daily clinic at the Dispensary, in each case occupying the
entire afternoon, distributed through the week as follows:

Monday,	Dr. Buckmaster,	Medical.
Tuesday,	Dr. Nelson,	Surgical.
Wednesday,	Dr. Buckmaster,	Medical.
Thursday,	Dr. Magruder,	Physical Diagnosis.
Friday,	Dr. Hedges,	Ophthalmic.
Saturday,	Dr. Randolph,	Genito-urinary.

During the past year nearly three thousand distinct cases were
treated before the students at the clinical lectures. Of these, about
six hundred each were medical, surgical, or eye and ear cases, some
five hundred were gynecological cases, and over four hundred were
cases of genito-urinary disease. In addition to the work at the Dispensary,
the class have seen in sections numerous important surgical
operations outside under the care of the clinical teachers, and a large
number of the class have been in a similar manner brought into intimate
contact with cases of serious illness of various kinds. In obstetrical
work, about fifty per cent. of the class have been able to see at
least one case each, while some members have had as many as eight
or nine cases; it is believed that more systematic arrangements can
now be made, and that in the future each member of the class can
have one or more cases during the session. Regular attendance upon
the daily clinics is required in the last year of the course.

There are appointed each year from among the best students of the
senior class in medicine a limited number of young men to serve as
clinical assistants at the Dispensary. While there is no pecuniary

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emolument connected with these positions, they afford exceptional
opportunities for the acquisition of valuable practical knowledge.

It is with great pleasure that the Medical Faculty announce
the fact that in the immediate future the means of clinical
instruction will be much advanced by the erection and equipment
of a permanent Hospital, for which an appropriation has
been made by the Visitors of the University. This building will
be begun as soon as its structural arrangements can be carefully
worked out, and will be completed and brought into use in as
short a time as is compatible with good workmanship—in ample
time for the instruction of the class entering next session.