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222 the laboratory equipment, (3) greatly to improve the organization and conduct of the clinical courses. The trustees have formally committed themselves to this policy. It would appear necessary for some years to regard the needs of the Indianapolis department as a first lien on the increasing income of the university, if the university is to make good the ideals indicated by its entrance requirement. It can do Indiana no greater service in any direction. That done, Indiana will be one of the few states that have successfully solved the problem of medical education.

Population, 2,192,608. Number of physicians 3,624. Ratio, 1: 605.

Number of medical schools, 4.

DES MOINES: Population, 89,113.

(1) . Organized in 1882 as an independent school, it became a university department in 1900.

Entrance requirement: A four-year high school education.

Attendance: 106.

Teaching staff: 16 professors and 29 of other grade; total, 45. There are no wholetime teachers. Student assistants are employed in the laboratories.

Resources available for maintenance: The school is practically dependent on its fees, the volume of which is not large,—for the funds of the university are slender to permit any considerable allotment to the medical department. The total budget of the department was $12,417, of which $9505 came from student fees, $1239 from interest.

Laboratory facities: Modest laboratories, whose condition speaks well for the conscientiousness of those in charge, are provided for chemistry, anatomy, pathology, and bacteriology. The provision for physiology is somewhat more slender.

Clinical facilities: The school conducts clinics by courtesy at two hospitals, where instruction given in a demonstrative way for some twelve to fifteen hours weekly. The opportunities are in every respect inadequate: the time is too short, the amount of material available too little, and the opportunities. open to students too limited. A fair amount of obstetrical work is obtained. The school owns and controls a small dispensary, fairly well equipped and painstakingly conducted.

Date of visit: April, 1909.