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Rh use its own teaching hospital and laboratories; for the elaboration of really thorough training in specialties resting on a solid undergraduate education, it may use the great municipal hospitals of the larger cities. But advanced instruction along these lines will not thrive in isolation. It will be but the upper story of a university department of medicine. The postgraduate schools of the i better type can hasten this evolution by incorporating themselves in accessible universities, king up university ideals, and submitting to reorganization on university lines.