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Kansas.-University of Kansas, School of Medicine.....
Maryland. Johns Hopkins University, Medical Department
Massachusetts.-Medical School of Harvard University......

Michigan.-University of Michigan, Department of Medicine and Surgery.
Minnesota.-University of Minnesota, Medical School
Missouri.-University of Missouri, School of Medicine.
Washington University Medical School..

Nebraska.-University of Nebraska, College of Medicine.
New Hampshire.-Dartmouth Medical School...................

New York.-Columbia University, College of Physicians and Surgeons.

Cornell University, Medical College..

Syracuse University, College of Medicine.

North Carolina.-Leonard Medical School.....

Wake Forest College School of Medicine..

North Dakota.-University of North Dakota, School of Medicine.
Ohio.-Western Reserve University, School of Medicine..

Medical College of the University of Cincinnati..

Pennsylvania.-University of Pennsylvania, School of Medicine..
University of Pittsburgh, School of Medicine.

South Dakota.-University of South Dakota, College of Medicine.
Utah.-University of Utah, School of Medicine
Wisconsin.-University of Wisconsin, Medical School..

Requirement in force.

1909

1893

1900

1909

1907

1910

1912

. 1909

. 1910

1910

1908

1910

1914

1908

1907

1901

. 1913

1910

1913

1909

1910

.. 1910

The following 50 colleges require, in addition to a four-year highschool course, one year of college work in physics, chemistry, biology, and a modern language, the requirement beginning in the year given:

Alabama-University of Alabama, School of Medicine...
California College of Physicians and Surgeons, Los Angeles..

District of Columbia-George Washington University, Medical School.
Georgia-Atlanta Medical College...............

College of Medical Evangelists...

University of Georgia, Medical Department..

Illinois-Bennett Medical College...........

Chicago College of Medicine and Surgery..
Hahnemann Medical College and Hospital...

Kentucky University of Louisville, Medical Department..

Louisiana-Tulane University of Louisiana, School of Medicine.

Maine Medical School of Maine.....

Maryland-College of Physicians and Surgeons..

University of Maryland, School of Medicine..

Massachusetts-Boston University, School of Medicine..
Tufts College Medical School......

Michigan Detroit College of Medicine and Surgery....

University of Michigan, Homeopathic Medical College....... Mississippi-University of Mississippi, Department of Medicine.. Missouri-St. Louis University, School of Medicine...

American Medical College..

Kansas City Hahnemann Medical College...

Nebraska-John A. Creighton Medical College...

In force.

1914

1914

1914

1914

1914

1914

1914

1914

1914

1914

1910

1912

. 1914

. 1914

1914

1914

1914

. 1912

. 1914

. 1910

1914

1914

1914

New York-Albany Medical College.

Fordham University, School of Medicine..

Long Island College Hospital................

University and Bellevue Hospital Medical College.
University of Buffalo, Medical Department.....

North Carolina-University of North Carolina, School of Medicine...
Ohio-Ohio State University, College of Medicine...........
Oklahoma-University of Oklahoma, School of Medicine..
Oregon University of Oregon, Department of Medicine..
Pennsylvania-Hahnemann Medical College and Hospital..
Jefferson Medical College.....

Medico-Chirurgical College of Philadelphia..

Temple University, Department of Medicine..
Woman's Medical College of Pennsylvania..........

South Carolina-Medical College of the State of South Carolina..
Tennessee-Vanderbilt University, Medical Department.............

University of Tennessee, College of Medicine...

University of West Tennessee, College of Medicine and Surgery.

Texas Texas Christian University, School of Medicine......
University of Texas, Department of Medicine..
Baylor University, College of Medicine...

Southern Methodist University, Medical Department..

Vermont-University of Vermont, College of Medicine..
Virginia-Medical College of Virginia...............

University of Virginia, Department of Medicine..
West Virginia-West Virginia University, School of Medicine.
Wisconsin-Marquette University, School of Medicine........

In force.

1914

1914

1914

1912

1914

1910

1914

1914

1910

1914

1914

1914

1914

1914

1914

1914

1914

1914

1914

1910

1913

1914

1912

1914

1910

1911

1914

Five of the medical colleges reported in the above list as now requiring one year of collegiate work for admission have announced that all students admitted in the session of 1915-16 and thereafter will be required to have completed two years of collegiate work. They are:

University of Alabama, School of Medicine.
Ohio State University, College of Medicine.
Woman's Medical College of Pennsylvania.
Medical College of Virginia.

Marquette University, School of Medicine.

That the low-standard colleges are the ones which are disappearing and that the colleges with more reasonably high standards are increasing is clearly indicated by chart 1 and the figures accompanying it. Chart 2 shows the increase of higher standard colleges by percentages. Whereas in 1904 less than 3 per cent of the medical colleges in the United States were requiring one or more years of collegiate work for admission, this year 83 per cent have adopted that standard, and 5 others have definitely announced the requirement to begin in 1915. As shown by the heavier shading, the number of medical colleges requiring two or more years of collegiate work for admission has increased from 2.5 per cent in 1904 to 33.7 per cent in 1914, and

CHART 2.-ENTRANCE REQUIREMENTS TO MEDICAL COLLEGES.

Showing percentage increase by years in the number of colleges requiring (light shading) one year and heavy shading) two or more years of collegiate work for admission. Unshaded portion of chart shows proportion requiring a high-school course, or less, for entrance.

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The special campaign for higher standards of preliminary education began in 1904. All colleges were urged to adopt a requirement of a year devoted to physics, chemistry, and
biology, in addition to a four-year high-school education, and to make this requirement effective January 1, 1910. In June, 1912, a resolution was passed that no medical college
would be retained in class A which had not adopted this higher entrance standard by January 1, 1914. The results of these measures are seen in the above chart. Many of the
university medical schools have voluntarily exceeded the minimum requirement and have adopted two years of collegiate work, including courses in physics, chemistry, and
biology.

several others have announced the requirement to begin in 1915. The adoption of higher requirements by medical colleges is leading to the adoption of similar requirements by State medical licensing boards.

STATE REQUIREMENTS OF HIGHER PRELIMINARY EDUCATION.

Twenty-five States have now adopted requirements of preliminary education in addition to a standard four-year high-school education. These States, the number of college years required, and the time the higher requirement becomes effective are given in Table 4.

TABLE 4.-States requiring higher standard of preliminary education.

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It is worthy of comment that the adoption of higher standards of preliminary education by State licensing boards has invariably followed and not preceded the adoption of such requirements by the colleges in those States, showing that the action by the colleges was voluntary and not forced. This is perhaps the best guaranty that the higher standards will be enforced and that the change will be permanent.

As shown in chart 3, the number of States adopting higher standards has increased steadily since 1907. Now 25 States have adopted the requirement of one or more years of work beyond a four-year high-school education, including college courses in physics, chemistry, and biology, and 7 of these require two years of collegiate work, including the sciences named.

[graphic]

CHART 3.-STATE BOARD REQUIREMENTS OF PRELIMINARY EDUCATION.

Showing the percentage increase by years in the number of States in which (light shading) one year and (heavy shading) two years of collegiate work have been adopted as the minimum standard of preliminary education.

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Early in the campaign for higher entrance requirements for medical schools, January 1, 1908, was mentioned as the date when the requirement should begin. It was found that readjustments would not permit of a general adoption of the higher standard at that time and another date was fixed at January 1, 1910. Several States followed the action of their respective State universities and fixed the requirement of preliminary education at two years of collegiate work rather than one. The action of the American Medical Association in making the requirement of at least one year of collegiate work in addition to a high-school education as essential for a class A rating after January 1, 1914, has been supported by legal action in several States. The effects of the various steps alluded to can be seen in the above chart.

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