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Full text of "The bulletin of the School of Medicine of the University of North Carolina [serial]"

The 



BULLETIN 



)1. 1 



October, 1953 



No. 1 




IE SCHOOL OF MEDICINE - THE MEDICAL FOUNDATION 
COOPERATION WITH THE WHITEHEAD SOCIETY 
HE UNIVERSITY OF NORTH CAROLINA - CHAPEL HILL 



] I 



To Members of the Medical Society of the State of North Carolina 




/^<^ cio^ a^ ^aun fr^^te . . - 



TELEPHONE COLLECT 
5-5341 - DURHAM 

If you have any prob- 
lems in connection with 
disability insurance we 
invite you to call this of- 
fice collect. We'll do our 
best to help you - and 
there is no obligation on 
your part. 

Below is the accident and health 
plan established by the state so- 
ciety for its members in 1940. 

PLANS AVAILABLE 



Accidental Dismemberment Accident and 
Death Benefits, Up to Sickness Benefits 



Annual Semi-Annual 
Premium Premium 



$5,000.00 


$10,000.00 


$ 50.00 weekly 


$ 90.00 


$45.50 


5,000.00 


15,000.00 


75.00 weekly 


131.00 


66.00 


5,000.00 


20,000.00 


100.00 weekly 
($433.00 per month) 


172.00 


86.50 



Members under age 60 may apply for $10.00 per day extra for 
hospitalization at premium of only $20.00 annually, or $10.00 semi- 
annually. 



For Application or Further Information Write or Call 

J. L. Crumpton, State Mgr. 

Professional Group Disability Division 
BOX 147, DURHAM. N. C. 



Representing — Commercial Insurance Company of Newark, N. J. 



THE BULLETIN 

of the School of Medicine 

in cooperation with the Whitehead Society 

and the Medical Foundation 

of the University of North Carolina 

Vol. 1 October, 1953 No. 1 

IN THIS ISSUE 

Head Hiinting of a Less Classical Type Kenneth M. Brinkhous, M.D. 2 

Admissions Policy E. McG. Hedgpeth, M.D. 5 

A New and Yet an Old School W. R. Berryhill, M.D. 6 

With the Faculty 1 

Student Activities 12 

Alumni Notes 15 

Editorials 16 

Editorial Committee 

ERNEST CRAIGE, M.D. HUGH C. HEMMINGS 

C. E. FLOWERS, JR., M.D. JAMES L. D. LAMM 

A. T. MILLER, JR., M.D. HARRY L. JOHNSON, JR. 

W. REECE BERRYHILL, M.D. 

W. D. HUFFINES 

C. SYLVESTER GREEN 



Address all inquiries and communications to C. Sylvester Green, 101 
Medical Science Building — or Box 31, Chapel Hill, N. C. 

Published four times a year — October, December, February, and April — 
at Chapel Hill, N. C. Application for entry as second-class matter is pending 
at the Post Office at Chapel Hill, N. C. 



S0J2 



A Word to Fre.shmen 

Head Hunting Of A Less Classical Type 

By Kenneth M. Brinkhous, M.D. 

Medical educators have now abandoned the idea that anyone 
who meets the minimum entrance requirements for medical 
school should be given an opportunity to start his studies. 

This system has been replaced by another to which all of you 
have recently been subjected. This is the gentle art of head hunt- 
ing. It has accomplished one very fine thing for the individual in 
his medical studies. The cause of excessive anxieties, based largely 
on fear, present under the old system, has disappeared. You are 
probably better able to judge than I if the emotional trauma has 
merely been transferred to the pre-medical years, what with the 
necessity of maintaining a high average if favorable considera- 
tion is to be received from any admissions committee. 

Now that the hunt is over, it seems to me that the stage is well 
set for you to take full personal advantage of the educational 
opportunities here. I suppose your problem is no different from 
that in other graduate education in the University — the greatest 
possible self-development, with a view to developing your latent 
abilities to the fullest (1) to observe and (2) to evaluate ac- 
curately that which you observe. Evaluation usually is based on 
the application of basic principles you will learn particularly in 
your first and second years. The curriculum you will follow has 
been designed to afford you multiple and diverse opportunities to 
observe and evaluate in the laboratories and autopsy room, in the 
hospital and clinics, and for some of you perhaps in the home. 

Some of you will have the inclination and opportunity to gain 
experience in the research laboratories. This type of experience 
you will find most rewarding. It gives one a much better under- 
standing of the nature of medical knowledge; how laboriously it 
came about, the joy of personally adding to it by your own ef- 
forts, and to know at first hand the type of observations on which 
commonly-held concepts are based. 



Dr. Brinkhous is Professor of Pathology in the U. N. C. School of Medicine. 

This is a condensation of the Whitehead Society address he delivered to 

the entering class on September 18, 1953 



V 



HEAD HUNTING OF A LESS CLASSICAL TYPE 



Current medical knowledge has two characteristics worthy 
of comment — it is enormous in quantity, and it is evolving con- 
stantly and at a seemingly increasing tempo. Some reference 
might be made to the changing subject matter in medicine. It is 
often said that one of the great functions of Universities is to 
preserve a generally accepted body of knowledge. This is un- 
doubtedly done by the libraries insofar as there is any such uni- 
versally accepted body of knowledge. What is vastly more 
important is to maintain an environment in which the true nature 
of knowledge can be studied, tested and extended. 

One avenue used in introducing you to medical knowledge is 
the use of textbooks — probably your first contact with recorded 
medical knowledge. This procedure is a necessary evil, since it is 
just a physical impossibility to go back and look up the basic data 
in all the fields in which you study. But you will have that oppor- 
tunity in a few restricted fields. In several courses you will prob- 
ably be assigned projects or topics in the library. After one has 
^pent spare time for several weeks reading all one can find about 
> subject, it is usually a bit disconcerting to go back to the text- 
book and see how inadequately the same material is treated there. 
Something seems to happen to material once it appears in print — 
it becomes sacred, and the printed word is used as evidence. Some 
sage has given this oft-repeated advice to medical students: 
"Never accept authority for fact." 

The dynamic state of medical knowledge is often a matter of 
great concern and bewilderment to the novice in medicine. If 
knowledge were as tenuous as made out, how could it possibly be 
made the basis of the successful practice of medicine? The saving 
grace, for the student, is that there are certain well established 
basic principles which change very slowly. Mendel's ideas on 
dominant and recessive characteristics have stood up for roughly 
a century; there's been some temporizing, such as the use of such 
terms as variable expressivity, but the principle remains almost 
intact. Numerous other examples could be given. 

There are always those pragmatic individuals who point out 
that they wish their instruction was just a bit more practical, 
especially in their first two years. This is a common fallacy about 
teaching — that it should be directed solely to practical work. No 
sooner is the course of study in progress than practical life has 
moved on. The product is as dated as a last year's copy of Time 
magazine. 

In just a few days you will be impressed with the other char- 



THE BULLETEV 



acteristic of medical knowledge — its enormity. You will also be 
impressed when you look in at the medical library where they 
receive every year over 600 different journals, most of which 
come out every month or even more often. This growth has been 
of relatively recent origin. Just over 100 years ago, Johannes 
Muller, a famous pathologist, taught the courses in anatomy, 
physiology and pathology and found time for considerable re- 
search and writing besides. But we don't have to go that far afield 
to see an example of the change which has come about. Dr. J. B. 
Bullitt, now professor emeritus of pathology, in his early years 
at Carolina taught pathology, bacteriology, histology, preventive 
medicine and clinical microscopy. Today, these subjects are taught 
in five different departments with 30 different teachers. This 
situation may seem appalling, but it has at least one consequence 
that is all to the good — your teachers are in fact merely fellow 
students. 

Another consequence of this large and ever increasing body 
of knowledge is speciaHzation of the medical graduate. The mem- 
bers of the class of 1920 — physicians who now are about 60 years 
old — specialized to only a limited extent — roughly one-third of 
them. 

Contrast this with the graduates 20 years later, those physicians 
now in their middle 30's, the figures are reversed — less than one- 
third do not specialize. 

You will have a better attitude toward your work, will get a 
better education and become a better physician if you postpone 
any decision about whether or not to specialize until late in your 
studies. I wouldn't consider research as specialization, because 
there it would seem the opposite holds — if you plan to try your 
hand at it, you should do so as early as possible. 

During your career as a student, you may wonder from time 
to time if you really are being introduced to a proper sampling of 
medical knowledge. Some people are saying that medicine is no 
longer a natural science, but is a social science — and thus the 
emphasis should change to such things as social medicine, econom- 
ics, and so forth. One should beware of substituting wisdom of 
the old-time physician for a mess of technical pottage. Others 
point out that the population is aging and that more emphasis 
should be placed on gerontology, oncology, and the like. Is ade- 
quate attention being given to biophysics or to physical medicine? 
The curriculum has become the focal point for bringing about 
changes in the character of medical practices, with wider recog- 



HEAD HUNTING OF A LESS CLASSICAL TYPE > 

nition that this is one of the main ways, through medical school 
education, that medical science is translated into practice. You 
cannot lose sight of your purpose here — that is to become a well- 
rounded and well-educated medical man, and this means a thor- 
ough grounding in the basic medical sciences and in human be- 
havior. 

I envy you a great deal, starting out in this old school with 
its tradition of sound teaching — and in this new school, with its 
viewpoint of furnishing the best possible environment to become 
personally acquainted with the whole spectrum of human mala- 
dies and maladjustmnets. In this case, unlike in more classical 
types of head hunting, the hunted are in line for many feasts of 
medical knowledge — let us hope the feasting will go on through 
your life and that after you get your Doctor of Medicine degree 
in 1957, you will continue all your professional life as a scholar — 
the real meaning of the word Doctor. 



Admissions Policy 



A siaiemeni by E. McG. Hedgpeth, M.D., Chairman, Committee 

on Admissions 

Students are admitted to the School of Medicine of the Uni- 
versity of North Carolina through the Admissions Committee. A 
student wishing to apply for admission writes to the Dean's Of- 
fice and requests an application blank and a catalog. This is 
usually done during the fall of the year prior to the time the stu- 
dent expects to enter the School of Medicine. Each application is 
studied carefully by the Admissions Committee and each appli- 
cant is interviewed personally by the members of the Admissions 
Committee. 

Whereas academic performance In undergraduate school is 
certainly important for entrance to the School of Medicine, it 
is by no means all-important. Personal integrity, character, moti- 
vation, sincerity of purpose, personality, and other personal quaH- 
fications weigh heavily in the selection of our students. Definite 
preference is given to North Carolina students and the Admis- 
sions Committee tries diligently to select students they feel will 
make good physicians in North Carolina. 

Many more students apply than we are able to accommodate. 
Though the selection is highly competitive, great care is given to 
the over-all evaluation of the individual as a potential doctor. 



Medical Progress at Chapel Hill 

A New And Yet An Old School 

By W. Keece Berryhill, M.D. 

Never since medical instruction began at the University of 
North Carolina in 1879 has so much of fundamental importance 
taken place in any twelve-month period as during the past year. 
Understandably there were problems and difficulties incident to 
the opening of the hospital, the organization of the cHnical serv- 
ices, and the intern and resident programs — but on the whole the 
year was an exciting and genuinely satisfying one. 

I would like to pay tribute to the patience, the loyalty, an(f 
the understanding of the medical faculty, the intern and resi- 
dent group, and the student body, all of whom carried on their 
work in a superb fashion throughout the year. 

As the 71st session of the School of Medicine begins, a brief 
progress report to the alumni and other friends seems in order. 
In September, 1952, the hospital opened for patients with 78 
beds activated. In October, 1953 (13 months later) 210 beds are 
available for patients and the current schedule of activation calls 
for 300 beds to be opened by January 1, 1954. 

During the first twelve months of operation 3,687 bed pa- 
tients were admitted from 90 -odd counties of the state, and there 
were approximately 30,000 visits to the outpatient department. 

The Building Program begun in 1949 is nearing completion. 
The south wing of the Medical Science Building is almost ready 
for occupancy. This will provide enlarged teaching and research 
laboratory facilities and staff offices for the departments of Bac- 
teriology, Physiology, Biological Chemistry, and enlarged animal 
quarters. 

Funds in the amount of $150,000 were provided by the 1953 
General Assembly for the necessary equipment for this area. 

The Psychiatric Wing of the Memorial Hospital is scheduled 
to be opened in the summer of 1954. In the meanwhile one of the 
general medical wards in the hospital has been converted into a 



Dr. Berryhill has been a member of the faculty of the U. N. C. School 
of Medicine since 1933; and its Dean since 1941 



A NEW AND YET AN OLD SCHOOL 7 

temporary psychiatric facility. The North Carolina Hospitals 
Board of Control provided in excess of $1,000,000 for this 75- 
bed unit with facilities for alcoholic patients as well as psychi- 
atric. It will provide space for an ambulatory psychiatric clinic, 
offices for the Department of Psychiatry, research laboratories 
and facilities for service and private patients. 

The 100-bed Gravely Sanatorium for Tuberculosis has been 
completed, was dedicated on October 7, and will open for patients 
on November 1. This building is adjacent to the Memorial Hos- 
pital and is connected to it by a tunnel. 

The 1953 General Assembly appropriated $40,000 to complete 
the necessary basic equipment for the Cancer Research Labora- 
tories. The funds ($200,000) for the construction of this space 
were provided three years ago by a grant from the United States 
Public Health Service, which incidentally are the only Federal 
funds invested in the construction of the University Medical Cen- 
ter. 

In addition, $25,000 was made available by the 1953 General 
Assembly to remodel a portion of the Medical Science Building to 
provide an additional large lecture room and research laboratories. 
This will greatly relieve the pressure for lecture room space for 
both medical and dental students. 

For the first time in 43 years the University School of Medi- 
cine has four classes of students, but this is the first time in history 
that the junior and senior classes have been taught in Chapel liiU. 
In 1902-10 the clinical years of the School were given in Raleigh. 
The total enrollment of medical students is 226— distributed by 
classes as follows: Seniors, 48; Juniors, 59; Sophomores, 59; Fresh- 
men, 60. All but four of these are from North Carolina. 

With the enlargement of the basic science laboratories and the 
full activation of the hospital scheduled for 1954 it will now be 
possible to admit larger classes in the future. The special faculty 
Committee on Admissions, of which Dr. E. M. Hedgpeth is Chair- 
man, is already at work interviewing applicants for the 1954 
freshman class. In 1953 there were 261 completed applications — 
largely from residents of North Carolina — from which number 
only 60 could be selected because of space limitations in the basic 
science laboratories. 

For some years there has been a great need for a better organ- 
ized counseling and guidance program for medical students and 
for premedical students in the University. It is a source of great 



THE BULLETIN 



satisfaction to ail of us that this year at last we have been able to 
initiate such a program under the general direcion of Dr. F. 
Douglas Lawrason, who joined the staff this summer as Assistant 
Dean and Assistant Professor of Medicine. Dr. Lawrason is a 
graduate of the University of Minnesota, was formerly a member 
of the Department of Medicine at Yale, and for the past two years 
has been with the Division of Medical Science of the National Re- 
search Council. In addition to these duties, Dr. Lawrason will 
succeed Dr. W. L. Fleming as Chairman of the Faculty Commit- 
tee on Medical Education. 

The research efforts of our entire staff are expanding rapidly. 
In the past year there were 112 reports of research projects pre- 
pared by members of the faculty and 104 papers presented by 
the staff at various medical meetings. This is only a pointer as to 
what we may expect in the next few years. 

The Continuation Education program, under the general di- 
rection of Dr. W. P. Richardson, Assistant Dean in charge of this 
very important phase of the School's activity, is expanding rapidly 
into new fields of educational service for the profession of the 
state. 

During the week of October 5 representatives of the Council 
on Medical Education and Hospitals of the American Medical As- 
sociation and of the Association of American Medical Colleges 
visited the School of Medicine for the purpose of making a final 
inspection looking toward approval as a four-year School of Medi- 
cine. Their comments on the high quality of the educational pro- 
gram and the excellence of the faculty and of the medical library 
and the plant were most complimentary and gratifying. Final ap- 
proval will become official at the next meeting of each organiza- 
tion. In the meanwhile the Council on Medical Education and 
Hospitals has already announced that the 1954 graduates of the 
University of North Carolina School of Medicine should be con- 
sidered on the same basis as graduates of all other approved schools 
of medicine in regard to appointments for hospital internships. 

Looking ahead there are many unfilled needs for the School 
of Medicine. Some of these are physical, such as more office and 
laboratory space for the clinical departments, and for Pathology. 
Some relief in this area could come through the much needed 
building for the School of Public Health that would greatly en- 
hance that school's work and at the same time lessen the con- 
gestion in the present Medical Building. 



A NEW AND YET AN OLD SCHOOL 



Further, there is a critical need for a building to house ambula- 
tory and convalescent patients. Such a facility conveniently lo- 
cated at the hospital should be a sound investment for private 
capital. A very pressing need for the state is the establishment of 
a real rehabilitation center in Medicine, Surgery, Orthopaedics, 
Neurosurgery, Otolaryngology, Ophthalmology and Psychiatry. 
There are very able staff especially interested in the rehabilita- 
tion of the handicapped person. We have an excellent Physio- 
therapy Department headed by the exceptionally able Miss 
Margaret Moore, but we need additional physical facilities. In 
the past few months gifts from Miss Grizzelle Norfleet of 
Winston-Salem, the Kiwanis Club of Chapel Hill and a few 
Chapel Hill friends, totalling $6,000 will make possible the devel- 
opment of an outdoor gymnasium or recreational area for better 
training of the physically handicapped. Along with facilities for 
and support of a rehabilitation program, there is a need for in- 
dustrial medicine. 

The need for housing for medical students is acute. "WTiite- 
-4iead Dormitory, originally built for and promised to the School 
of Medicine, for its students, is now used by students of Medicine, 
Dentistry, and Public Health. Many medical students are housed 
wherever they can find a haven. This is not good for morale. 
Whitehead Dormitory should be returned to the use of the medi- 
cal students, or the name of the building changed; unless a new 
dormitory for medical students can be erected. The latter would 
take time even if funds were available. 

The Alumni Association, under the able leadership of Dr. 
M. D. Bonner, class of 1928, continues to provide further in- 
spiration and support for the school. To all the alumni the School 
and the University owe genuine gratitude. 

Finally, we're on our way. These bimonthly reports from the 
School through the Bulletin should keep us all better informed 
and more aware of our progress, our aims and our problems. Our 
potentials are great. To achieve these will require patience, under- 
standing and hard work on the part of all. 

The year 19^4 will mark the 75th anniversary of the begin- 
ning of medical instruction at the University. Plans are underway 
for a fitting celebration of this event. We hope all of our alumni 
and friends will visit the Medical School during this year. 




WITH THE 
FACULTY 



New Faculty Members 

Since the close of the last academic 
year the following new fuUtime fac- 
ulty members have arrived in Chapel 
Hill, Dean W. Reece Berryhill has 
announced: 

Dr. Kerr L. White, Assistant Pro- 
fessor of Medicine; graduate of Mc- 
Gill University School of Medicine; 
comes to us from McGill University, 

Dr. James W. Woods, Assistant 
Professor of Medicine; a graduate of 
Vanderbilt University School of Medi- 
cine, Dr. Woods has been in the pri- 
vate practice of internal medicine in 
Durham since 1948. 

Dr. Harry R. Brashear, Jr., Instruc- 
tor in Orthopaedic Surgery, comes to 
the University from the University of 
Pennsylvania School of Medicine; he 
received his A.B. and M.D. degrees 
fro.n the University of California. 

Dr. Frank C. Winter, Assistant 
Professor of Surgery and Head of the 
Division of Ophthalmology; a grad- 
uate of Stanford University School of 
Medicine, Dr. Winter comes to the 
University from the Wilmer Institute 
at Johns Hopkins University School 
of Medicine. 

Dr. Ira Fowler, Instructor in Ana- 
tomy. Dr. Fowler comes from North- 
western University where he received 
his Ph.D. degree. 

Dr. Robert Gordon Murray, In- 
structor in Surgery (Ophthalmology) ; 
a graduate of the University of To- 
ronto School of Medicine, Dr. Murray 



formerly held a position on the teach- 
ing staff of the University of Sas- 
katchewan. 

Dr. F. Douglas Lawrason as Assis- 
tant Dean and Assistant Professor of 
Medicine. A graduate of the Univer- 
sity of Minnesota and of the Yal? 
University School of Medicine, Dr. 
Lawrason has held teaching appoint- 
ments at both of theif! institutions; 
more recently he has been associated 
with the National Research Council 
in Washington. 

Dr. William E. Loring, Assistant 
Professor of Pathology. Dr. Loring 
received his M.D. degree at the Col- 
lege of Physicians and Surgeons of 
Columbia University in 1946; his 
most recent teaching appointment was 
in the Department of Pathology at 
the Yale University School of Medi- 
cine. 

Dr. David W. Abse, Associate Pro- 
fessor of Psychiatry. Dr. Abse re- 
ceived his Doctorate in Medicine at the 
University of Wales. He was formerly 
clinical director of the State Hospital 
in Raleigh. 

Dr. John H. Schwab, Instructor in 
Bacteriology. Dr. Schwab comes to 
the University from the University of 
Minnesota, where he recently received 
his Ph.D. degree. 

Dr. David P. Jones, Instructor in 
Medicine. Dr. Jones is a graduate of 
Liverpool University Medical School. 
He comes here from the Institute of 
Neurology in London. 



WITH THE FACULTY 



11 



At Work in the Field 

Dr. C. H. Burnett, head of the De- 
partment of Medicine, has recently 
been appointed to the Advisory Com- 
mittee of the Division of Biology and 
Medicine of the Atomic Energy Com- 
mission, reappointed to the Sub-Com- 
mittee on Shock of the National Re- 
search Council, and to the Scientific 
Advisory Committee of the Armed 
Forces Institute of Pathology. 

Dr. James C. Andrews, Professor 
of Biochemistry and Nutrition and 
head of that department, is conduct- 
ing a program of research on the 
mechanism of the formation of renal 
calcuU, financed by a five-year grant 
from the U. S. Public Health Serv- 
ice. 



Dr. T. C. Butler, head of the De- 
partment of Pharmacology, attended 
the fall meeting of the American So- 
ciety for Pharmacology and Experi- 
mental Therapeutics in New Haven, 
Connecticut, Sept. 7-9. At this meet- 
ing Dr. Butler presented a paper en- 
titled "Some Generalizations Concern- 
ing the Effects of N-Methylation in 
Derivatives of Barbituric Acid, Hy- 
dantoin, and Oxazolidinedione." 

Dr. Edward C. Curnen, head of the 
Department of Pediatrics, has recently 
been appointed to the committee on 
Immunization and Therapeutic Pro- 
cedures for Acute Infectious Diseases 
of the American Academy of Pedi- 
atrics. 



Dr. James A. Green of the Depart- 
ment of Anatomy spent the past sum- 
mer at the Oak Ridge National Lab- 
oratories doing research on the effects 
of radiation upon the ovaries and on 
the production of ovarian tvunors in 



Dr. R. A. Ross read a paper en- 
titled "A Review of 1,000 Maternal 
Deaths in a Rural State" at the Ameri- 
can Gynecological Society at Lake 
Placid, New York, in June. He par- 
ticipated in the Post Graduate Ob- 
stetrical Seminar at Saluda, North 
Carolina in August, 19 J 3. In Sep- 
tember, 1953, he was on the program 
of the American Association of Obste- 
tricians and Gynecologists at Hot 
Springs, Virginia. He is scheduled to 
attend the American College of Sur- 
geons meeting in Chicago in October, 
where he will be moderator of a panel 
on "Toxemias of Pregnancy" and read 
a paper on "What Constitutes Con- 
servative Pelvic Surgery for Pelvic In- 
flammatory Disease?" He was visit- 
ing lecturer at James "Walker Me- 
morial Hospital in "Wilmington, North 
Carolina, October 14 through October 
16, 1953. At the Southern Medical 
Association in Atlanta in October he 
will be moderator of a panei on "Pelvic 
Mahgnancy." 

Doctors John H. Ferguson, Jessica 
H. Lewis and A. T. Miller, Jr., of the 
Physiology Department attended the 
XlXth International Physiological 
Congress in Montreal August 31 -Sept. 
4. Dr. Ferguson was Chairman of a 
Section on Blood Coagulation and gave 
a paper entitled "The two-stage 'pro- 
thrombin' assay in study of bleeding 
and clotting disorders." Dr. Lewis also 
gave a paper in this Section entitled 
"Prothrombin, proaccelerin and pro- 
convertin in blood coagulation." 



Dr. Ernest H. Wood, professor of 
radiology, attended the recent meeting 
of the Neurosurgical Society of 
America at Colorado Springs, where 
he was a participant in the program of 
scientific presentation. Dr. Charles A. 
Bream, associate professor, addressed 
the Cumberland County Medical So- 
ciety in Fayetteville in September. 




STUDENT 
ACTIVITIES 



Partrick at SAMA Meet Name Student Officers 



The 195 3 convention of the Stu- 
dent American Medical Association 
met June 15-17 at the Edgewater 
Beach Hotel in Chicago. This was the 
first convention at which UNC has 
been represented. Neal Partrick attend- 
ed. 

The SAMA was founded in Chicago 
in 1950 to meet the need of united 
opinion of medical students in the 
United States. At present, 62 medical 
schools are members of the organiza- 
tion, Partrick reported. 

"SAMA is a young, growing, or- 
ganization and has made some mis- 
takes. But I am convinced that we will 
reap dividends by participating ac- 
tively. The organization is based on 
sound principles and is designed to fill 
a definite need. The officers elected 
this year are conscientious, outstanding 
boys that will do a good job." 



Cox on Year's Leave 

George Elton Cox, 22-year-old son 
of Mr. and Mrs. George D. Cox of 
Winterville, a graduate of the first 
two years of medicine at the Medical 
School of the University of North 
Carolina, and a recipient of a Life In- 
surance Research Fellowship for the 
year 1953-54, is taking a year's leave 
from his regular medical studies to do 
advanced study in pathology and to 
assist Dr. C. B. Taylor in research on 
diet and arteriosclerosis. 



Officers have been elected for the 
Whitehead Society and the three indi- 
cated medical classes. These officers 
will serve during the school year, 
1953-1954: 

Whitehead Society: President: Wil- 
liam Davis Huf fines; Vice President: 
Charles Leonidas Herring; Secretary: 
Thomas Phillip Moore; Treasurer: 
John Thaddeus Monroe, Jr. 

Senior Class: President: Hugh Car- 
roll Hemmings; Vice President: Allen 
Spencer; Secretary: Sara Ann Lip- 
pard; Treasurer: Malcolm Fleishman; 
Whitehead Society Representative: 
Steve Wilson. 

Junior Class: President: Harvey Ad- 
ams; Vice President: Presley Zachery 
Dunn, Jr.; Secretary: Palmer Friend 
Shelburne; Treasurer: Robert Griffin 
Brame; Whitehead Society Represen- 
tative: Rodney Leonard McKnight. 

Sophomore Class: President: Adam 
Tredwell Thorp, Jr.; Vice President: 
Malcolm McLean; Secretary: Robert 
Louis Murray; Treasurer: Joseph Iver- 
son Riddle; Whitehead Society Repre- 
sentative: Laurence ElUott Earley. 

Honor Council: George Elton Cox, 
Chairman; Ely Jackson Perry, Jr.; 
David Maurice Anderson; Samuel Bal- 
four Joyner; Francis Asbury Stewart; 
William Robert Purcell; Robert Peel 
Holmes. 

Officers of the Freshman Class will 
be named later and annoimced in this 
space then. 



STUDENT ACTIVITIES 



13 



Gets Fox Scholarship Revised Autopsy Dato. 



Dean W. Reece Berryhill, of the 
School of Medicine, has announced 
that the Dr. Dennis Luther Fox Me- 
morial Scholarship has been awarded 
to Hugh C. Hemmings, Mt. Airy for 
the year 195 3- J4. 

Mr. Hemmings is a Senior and has 
been prominent in all phases of stu- 
dent life. Dean Berryhill in making the 
award stated, "We are all proud that 
Mr. Hemmings is to be the first recipi- 
ent of this memorial scholarship made 
available through the Medical Founda- 
tion." 

The scholarship, with a cash value 
of $200, to be awarded annually, was 
established this year by Dr. Dennis 
Bryan Fox, Albemarle, an alumnus of 
the School of Medicine, in honor of his 
-Jate uncle, Dr. Dennis Luther Fox. 

In a brief statement. Dr. Fox asked 
only that it be given to "a resident of 
North Carohna, of good moral char- 
acter, and with manifest scholastic 
abihty." It is open to a student in the 
School of Medicine in any of the four 
classes. 



Student Govemment 

In the spring of 1952, when the 
four-year medical school was fast be- 
coming a reality, it was felt that the 
previous student organization would 
not be adequate for the needs of the 
student body and that a new govern- 
ment, able to represent the students 
and to handle the problems unique to 
them should be established. 

The Whitehead Society, whose char- 
ter required every student enrolled to 
be a member, logically provided the 
basic material and was transformed 
into the Medical School Association. 
Its offices, previously honorary posi- 
tions, were made into elective posi- 
tions and the organization supplied 



The work that Ted Chandler, a 
Junior, did this summer will be much 
appreciated by future student pro- 
sectors. He has been revising the pres- 
ent methods of autopsy case reporting 
in order to decrease the time required 
for the prosector to report cases and 
to decrease the amount of stenographic 
work. 

There was evolved a front sheet for 
statistical data, i.e. age, sex, etc., a 
check sheet with name and weight 
blanks of all tissues and organs and 
a key which would indicate if the 
organ was examined, was normal, was 
abnormal either grossly or microscop- 
ically, was absent, etc. and another 
sheet of summarized data of anatom- 
ical findings, chemical or bacteriolog- 
ical data. 



The Senior Medical Class seems 
well pleased with the "farming out" 
several of the services have instituted 
this year. 

Those hospitals participating in the 
program are Watts Hospital for Ob- 
Gyn, Butner and State Hospital in 
Raleigh for Surgery, Goldsboro, Kin- 
ston, Morganton and Butner for Psy- 
chiatry. 



with a semi-legislative, semi-executive 
group, also elective. 

This latter group is the Whitehead 
Council, composed of the Whitehead 
officers, the president of each class, 
and a special representative from each 
class, a total of 12 persons. The Coun- 
cil's responsibilities include the ap- 
propriation of funds collected as part 
of the student fees of each medical 
student, the arrangement of all func- 
tions sponsored by or in the name of 
the students, and other necessary 
duties. 




ALUMNI 
NOTES 



Alumni Officers 

The Medical Alumni Association 
continues to be an increasing factor 
in the total medical advances at Chapel 
HUl. 

At the annual meeting last April, 
the following officers were elected: 

President, M. D. Bonner, James- 
town; Vice President, Verne H. Black- 
welder, Lenoir; Secretary, W. Howard 
Wilson, Raleigh. 

Counsellors were named, with term 
expiring the year indicated: 19 J4, Fred 
C. Hubbard, N. Wilkesboro, and R. 
Henry Temple, Kinston; 195 5, J. B. 
Caldwell, Gastonia, and Russell O. 
Lyday, Greensboro; 1956, C. C. Hen- 
derson, Mt. OUve, and Robert P. 
Noble, Raleigh. 

The Alumni Association has as its 
major project the enlistment of all 
alumni in the program of Medical 
Foundation, with the stated objective 
of "Every Alumnus contributing ev- 
ery year to the Medical Alumni Fund 
of the Medical Foundation." 

This Medical Alumni Fund is ad- 
ministered by a special committee ap- 
pointed by the president of the Alum- 
ni Association. Known as the Projects 
and Grants Committee, the following 
serve as members: Shahane R. Taylor, 
Greensboro; W. M. Coppridge, 
Durham; Roy B. McKnight, Char- 
lotte; M. D. Bonner, Jamestown; and 
Verne H. Black welder, Lenoir; with 
Dean W. Reece Berryhill, Chapel Hill, 
as consultant. 



District Alumni Set-Up 

For promotion of the interests of 
the Alumni Association, the State of 
North Carolina has been divided into 
twenty districts. 

In each district an alumnus has been 
asked to serve as a special representa- 
tive for the Medical Foundation, to 
the end that all of the alumni may be 
encouraged to participate in this pro- 
gram. 

Those district chairmen named by 
President Bonner, are as follows: 

One — T. P. Brinn, Hertford; Two 
— J. Gaddy Matheson, Ahoskie; Three 
— J. L. Winstead, Greenville; Four — 
Adam Thorp, Rocky Mount; Five — 
Ben F. Royal, Morehead City; Six — 
Charles P. Graham, Wilmington; Sev- 
en — T. J. Taylor, Roanoke Rapids; 
Eight — Chauncey Royster, Raleigh; 
Nine — Hugh A. McAlhster, Lumber- 
ton; Ten — ^A. H. London, Jr., 
Durham; Eleven — Ralph S. Garrison, 
Hamlet; Twelve — Kenneth B. Ged- 
die. High Point; Thirteen — W. T. 
Raby, Charlotte; Fourteen — Harry L. 
Johnson, Elkin; Fifteen — David L. 
Pressly, States ville; Sixteen — George 
Rowe, Marion; Seventeen — ^F. C. Hub- 
bard, N. Wilkesboro; Eighteen — Hey- 
ward C. Thompson, Shelby; Nineteen 
— John Barber, Ashe ville; Twenty — 
Ralph S. Morgan, Sylva. 



"A GREAT university has a dual 
fimction, to teach and to think." 

Osier 



ALUMNI NOTES 



15 



Visiting Committee 

A valuable committee of Alumni in 
its service to the School of Medicine, 
is the Visiting Committee, appointed 
by the President of the Alumni Asso- 
ciation, and the Dean of the School 
of Medicine jointly. 

The committee for 19J3-54 is com- 
posed of the following prominent phy- 
sicians of the State: 

Zach D. Owens, Elizabeth City; 
Frank Wood, Eden ton; Sellars M. 
Crisp, Greenville; Corbett Howard, 
Goldsboro; Ben F. Royal, Morehead 
City; Donald B. Koonce, Wilmington; 
T. J. Holt, Warrenton; Oscar S. 
Goodwin, Apex; Glen E. Best, Clin- 
ton; S. M. Carrington, Oxford; Mary 
Margaret McLeod, Sanford; Shahane 
R. Taylor, Greensboro; Roy B. Mc- 
CKnight, Charlotte; F. A. Blount, Win- 
ston-Salem; B. Whitehead McKenzie, 
Salisbury; W. H. Kibler, Morganton; 
F. C. Hubbard, N. Wilkesboro; B. H. 
Kendall, Shelby; Joseph R. Westmore- 
land, Canton; and Ralph Morgan, 
Sylva. 



Fellows in Surgery 

There were five graduates of the 
School of Medicine of the University 
of North Carolina, in the Hst of 30 
North Carolina physicians and sur- 
geons, recently earning fellowships in 
the American College of Surgeons. 

The list announced following the 
recent meeting in Chicago, included: 
James D. Piver, M.D., Durham; Dor- 
othy N. Glenn, M.D., Gastonia; Ken- 
neth L. Cloninger, M.D., Newton; Ira 
W Rose, M.D., Rocky Mount; Phil L. 
Barringer, M.D., Windsor. 

October 17 was the date of the an- 
nual meeting of the Medical Founda- 
tion. The BULLETIN will carry de- 
tailed reports on that meeting in the 
December issue. 



Heads Foundation 

Since its organization in May, 1949, 
the Medical Foundation has been ex- 
tremely fortunate in its leadership. 
Major L. P. McLendon, Greensboro, 
honored alumnus of the University, 
has been its president. 

Major McLendon is a member of 
the University's Board of Trustees, 
and chairman of that Board's special 
committee on Medical Affairs. He 
has sparked the plans and develop- 
ments of the Foundation from the 
very beginning. 

Other officers serving with him, 
have shown comparable devotion. 
Those now serving as officers, and as 
members of the Executive Committee, 
are as follows: 

Vice Presidents: James H. Clark, 
Elizabethtown; Dr. Clarence Poe, 
Raleigh; D. Hiden Ramsey, Asheville; 
Paul F. Whitaker, M. D., Kinston. 
Secretary: Shahane R. Taylor, M.D., 
Greensboro; Treasurer: William M. 
Coppridge, M.D., Durham; Assistant 
Treasurer, Claude E. Teague, Chapel 
Hill. 

Executive Committee: Paul B. 
Bissette, Sr., Wilson; Harry L. Brock- 
mann, M.D., High Point; Geo. L. 
Carrington, M.D., Burlington; Col- 
Uer Cobb, Jr., Chapel Hill; Marshall 
Y. Cooper, Henderson; William M. 
Coppridge, M.D., Durham; J. C. Cow- 
an, Jr., Greensboro; Claude F. Gad- 
dy, Raleigh; George Watts Hill, 
Durham; C. Knox Massey, Durham; 
L. P. McLendon, Greensboro; Roy B. 
McKnight, M.D., Charlotte; William 
H. Ruff in, Durham; Shahane R. Tay- 
lor, M.D., Greensboro; W. Frank 
Taylor, Goldsboro. The late Britt M. 
Armfield, Greensboro, served on this 
committee prior to his death last 
month. C. Sylvester Green, Chapel 
Hill, is Executive Vice President. 

The principal office is at 101 Medi- 
cal Building, Chapel Hill. 



Editorials 

To Serve the People 

The School of Medicine of the University of North CaroHna 
has been the recipient of an abundant consideration by the Gen- 
eral Assembly of North Carolina. Through the past eight years 
several millions of dollars have been made available to create at 
Chapel Hill a medical center, excellent, modern, and consecrated 
to serving and improving the health of the people of North Caro- 
lina. 

There is a spirit at Chapel Hill that must emanate for good 
to the entire State. It is a spirit of sincere, intelligent, untiring 
desire to place the facilities of medical education, medical re- 
search, and medical services within reach of all people of the 
State. That spirit inspires the administration, the faculty, the 
staff, and the students. It will be obvious to all who come to 
Chapel Hill. 

The State has given the University's medical center its man- 
date. That mandate is proudly accepted. Through the years its 
contributions must, and they will, register a singleness of pur- 
pose: to serve the people of North Carolina. 

Designed to Inform and Inspire 

The BULLETIN makes its first appearance. It is designed as 
a medium of cordial communication among the faculty, the staff, 
and the students of the School of Medicine of the University of 
North Carolina. 

It is designed to convey to the alumni of the School of Medi- 
cine interesting data about the program of medical activities at 
Chapel Hill, and to help these alumni keep in touch with each 
other in their mutual concern for progress at Chapel Hill. 

It is designed to tell laymen everywhere what is available at 
Chapel Hill and what is needed in the field of medicine and health. 

It is designed to serve the Medical Foundation as a medium 
through which opportunities of service may be presented to the 
end that the total health of all North Carolina may be enhanced. 

With that sort of pattern, the BULLETIN is not a scientific 
magazine per se, nor a news journal only. It is hoped to combine 
these features in a thoroughly readable Httle magazine that will 
be read regularly and eagerly by our friends everywhere. 



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OUR THANKS to the 

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Your encouragement and friendly cooperation during 
our first 20 years have been important factors in the 
success of our service. We shall strive to merit your 
continued confidence. 



The Blue Cross Plan 
HOSPITAL CARE ASSOCIATION 

DURHAM, NORTH CAROLINA 
"First and Finest in Tar Heel Health Service" 



Sec. 34.66 P. L. & R. 
U. S. Poslage 

PAID 

CHAPEL HILL. N. C. 
Permit No. 24 



Tlx 

BULLETIN 



December, 1953 



No. 2 




RCH IN PROGRESS: studying the living kidney by means of a Knisley-tvpe quartz rod illuminator, 
live frog. 1 he experiment is being conducted by Dr. C. W. Gottschalk of the Department of Medicine. 



iE SCHOOL OF MEDICINE - THE MEDICAL FOUNDATION 
J COOPERATION WITH THE WHITEHEAD SOCIETY 
^E UNIVERSITY OF NORTH CAROLINA - CHAPEL HILL 



To Members of the Medical Society of the State of North Carolina 




^^ cio^e ^^ Cfaun fo/iaKC . . , 



TELEPHONE COLLECT 
5-5341 - DURHAM 

If you have any prob- 
lems in connection with 
disability insurance we 
invite you to call this of- 
fice collect. We'll do our 
best to help you - and 
there is no obligation on 
your part. 

Below is the accident and health 
plan established by the state so- 
ciety for its members in 1940. 

PLANS AVAILABLE 



Accidental Dismemberment Accident and 
Death Benefits, Up to Sickness Benefits 



Annual Semi-Annual 
Premium Premium 



$5,000.00 


$10,000.00 


$ 50.00 weekly 


$ 90.00 


$45.50 


5,000.00 


15,000.00 


75.00 weekly 


131.00 


66.00 


5,000.00 


20,000.00 


100.00 weekly 
($433.00 per month) 


172.00 


86.50 



Members under age 60 may apply for $10.00 per day extra for 
hospitalization at premium of only $20.00 annually, or $10.00 semi- 
annually. 



For Application or Further Information Write or Call 

J. L. Crumpton, State Mgr. 

Professional Group Disability Division 
BOX 147, DURHAM, N. C. 



Representing — Commercial Insurance Company of Newark, N. J. 



THE BULLETIN 

of the School of Medicine 

in cooperation with the Whitehead Society 

and the Medical Foundation 

of the University of North Carolina 

Vol. 1 December, 1953 No. 2 

IN THIS ISSUE 

Page 
That By Which The School Grows Great C. H. Bnrnett, M.D. 2 

, The Other Half of the Job W. P. Richardson, M.D. 6 

"Providing the 'Over-and-Above' C. Sylvester Green 8 

Variations on a Theme Myrl Ebert 10 

With the Faculty 1 2 

Student Activities 14 

Alumni Notes H 

Editorials 16 

Editorial Committee 

ERNEST CRAIGE, M.D. HUGH C. HEMMINGS 

C. E. FLOWERS, JR., M.D. JAMES L. D. LAMM 

A. T. MILLER, JR., M.D. HARRY L. JOHNSON, JR. 

W. REECE BERRYHILL, M.D. 

W. D. HUFFINES 

C. SYLVESTER GREEN 



Address all inquiries and communications to C. Sylvester Green, 101 
Medical Science Building— or Box 31, Chapel Hill, N. C. 

Published jour times a year — October, December, February, and April — 
at Chapel Hill, N. C. Entered as third-class matter at the Post Office at 
Chapel Hill, N. C. 



The Role of Research in the School of Medicine 

That By Which The School Grows Great 

By C. H. Burnett, M.D. 

Medical education is expensive. The budget of a good school 
of medicine appears at first glance to be astronomical, and out 
of proportion to that of other graduate schools. 

There are many reasons for this high cost of medical educa- 
tion, but one of the chief of these can be traced to the fact that 
in any medical school of recognized excellence a majority of the 
members of the faculty are spending a significant proportion of 
time in research. In view of the mounting costs of training a 
physician, one might ask whether medical faculties should not be 
assembled whose sole responsibilities would be teaching, and in 
the clinical years the care of patients as a part of this teaching 
assignment. By so doing smaller faculties would be possible, and 
great sums of money saved not only by virtue of the smaller 
number of personnel required, but because expensive equipment 
and ancillary personnel would not be necessary. This argument 
might be extended by pointing out that there is already more 
medical research being carried out than ever before in the large 
established schools of medicine, in many institutions supported by 
the Federal Government, and in pharmaceutical industrial labora- 
tories. Why not simply keep abreast of this great surge of investi- 
gation and pass it on to the student second-hand? 

Any thoughtful individual recognizes at once the danger of 
this point of view. It was primarily because such a philosophy 
had previously been adopted that Abraham Flexner, reporting on 
the status of medical education in 1910, recommended the closing 
of many medical schools. These schools were discontinued largely 
because the members of the faculties were engaged primarily in 
teaching and the practice of medicine; in most no research at all 
was being carried out. Modern medical education may be said to 
have begun at this time, with the realization that physicians can- 
not be properly trained without an alert, inquisitive faculty en- 
gaged in research. The development of such faculties in medical 



Dr. Burnett is Professor of Medicine, and Chairman of the Department of 
Medicine in the School of Medicine at Chapel Hill. 



THAT BY WHICH THE SCHOOL GROWS GREAT 3 

schools, almost all of them in close proximity with their parent 
universities, has resulted in a series of advances in medicine never 
before paralleled in history. The benefits to mankind from this 
progress are incalculable. The development of antibiotics, the 
growth of modern surgery, and the development of the x-ray as 
a diagnostic and therapeutic tool serve as examples; the list could 
cover the entire space devoted to this report. 

The aim of the expanded School of Medicine of the Universi- 
ty of North Carolina was stated in the mandate given it by the 
people of the State: to work towards improvement of health of all 
of the citizens of the state. There are compelling reasons why re- 
search, a great deal of it and in many areas, must continuously 
be done if this mandate is to be carried out. One of the first 
steps in its accomplishment must be the training of doctors, not 
only more doctors but better doctors. There is also the responsi- 
bility of providing opportunities for doctors already in practice 
to acquaint themselves periodically with recent medical advances. 
-Experience has repeatedly demonstrated that the provision of a 
faculty competent to provide such services should be composed of 
individuals who are themselves acquiring new facts, new ideas, 
new techniques, and applying them to the practice of medicine. 
In the highly competitive market of academic medicine today it 
is impossible to obtain or hold competent teachers unless they can 
pursue research problems in their fields of interest. 

An additional and parallel responsibility the medical center at 
Chapel Hill has is that of providing medical services which are 
not available to a patient in his local community. The ability to 
furnish these services depends largely on the qualifications of the 
physicians in the medical center. The child with congenital heart 
disease referred to Chapel Hill will receive the best possible care 
only if there are men on the staff actively engaged in the develop- 
ment of the best diagnostic techniques and methods of correcting 
surgically these defects. 

Research should require no justification. The integral and 
inseparable part it plays in the development and continued growth 
of any great medical school needs only frequent reaffirmation, 
especially to those not intimately acquainted with its import. 

The real problem in the medical school today is how to get 
research done. The man bent upon an investigative career has two 
enemies constantly to fight — money and time. Money for research 
is either not included or is grossly inadequate in the budget of 
most medical schools; this is true of the School of Medicine of the 



THE BULLETIN 



University of North Carolina. Such a man, therefore, must seek 
support, with what aid the Department Head and Dean can 
furnish, from outside agencies. The sources of this support cur- 
rently in effect at the School of Medicine are compared with the 
total appropriation from the Legislature for this fiscal year in the 
table below.* These figures demonstrate that the appropriated 
budget is augmented by 31 per cent to pay for practically all 
research in progress. 

Obtaining a grant requires a detailed statement by the pros- 
pective investigator of the plan of research, an estimate of the 
funds required, and of the manner in which they will be used. 
A certain proportion are of the contract type; here the investi- 
gator agrees to carry out a specific project. Eighty-two per cent 
of the research grants originate from Federal funds. Practically 
all are awarded on the annual basis, although in many provision 
is made for renewal if funds are appropriated by Congress. 

In addition to the constant uncertainty over funds the in- 
vestigator must continually fight for time to carry out research. 
His teaching schedules are heavy; if he is on the clinical staff, 
patient care is added. The large medical school of today is so 
complex and interrelated that administrative duties are required 
of practically all the faculty. Administering the research grant 
itself may be very time-consuming because in some frequent and 



"SOURCES OF FUNDS FOR SCHOOL OF MEDICINE, UNC 



1953-54 BUDGET 
(Appropriated by Legislature) 
Personnel $ 799,231 

Non-Personnel 106,900 



$ 906,131 



Other grants include Jane Coffin 
Childs, Fund, American Cancer Soc- 
iety, The Research Corporation, The 
Dental Foundation of N. C, The Car- 
negie Foundation, National Founda- 
tion for Infantile Paralysis, American 
Heart Association, N. C .Heart As- 
sociation, Geigy Company, Inc., 
Burroughs Wellcome Company. 



RESEARCH GRANTS Nov. 


1, 1953 


(Majority are for one year only) 


Atomic Energy 

Commission $ 


10,S35 


Office of Naval 
Research 


15,659 


Department of the Army 
Department of Defense 


44,214 


U. S. Air Force 
National Institutes of 


23,335 


Health-Public Health 




Service 


135,623 


Other (See note col. 1) 


51,506 


$ 


281,172 



THAT BY WHICH THE SCHOOL GROWS GREAT J 

lengthy progress reports are required. The individual who is 
fundamentally determined to do research, however, overcomes 
the time obstacle; lights in the laboratory at midnight attest to 
this. 

Many thoughtful individuals are concerned about the future 
of the medical investigator. There is always the possibility that 
the group of men deciding whether his proposal should be re- 
newed will be guided by conderations other than its excellence. 
Since the great majority of such funds come from the Federal 
Government, many are concerned that all research could be con- 
trolled by a small group with political power. It should be added 
that this latter danger has not so far materialized. Most Federal 
grants are passed on by scrupulously objective and scientifically 
competent civilian boards. Many such grants are of the project 
type in that the investigator agrees to follow a set pattern to 
answer a specific question. Such a commitment tends to prevent 
following the unexpected and exciting lead, the one that may 
Jead far from the original stated purpose. Yet it has been the 
-chance finding presented to an alert and observant investigator 
that has resulted in some of the greatest scientific discoveries. 

There are no good answers to these problems. Research will 
continue to be a necessary part of the program at the School of 
Medicine of the University of North Carolina. There is every 
reason to believe it will become increasingly expensive. Modern 
medical research requires expensive and elaborate instruments. 
Most problems are so complex that several men with specialized 
knowledge are required for their solution. It seems likely that 
Federal support will continue to furnish the main source of funds 
for research. However, it is to be hoped that it will not be neces- 
sary to depend entirely on the Federal Government and various 
national foundations. There are many problems peculiar to the 
State of North Carolina which must be solved by research if we 
are to carry out our mandate from the people of the State. Sources 
within the state must be continually sought for. Alumni of the 
institution can be invaluable in assisting us in obtaining these 
funds. 

The program at the Division of Health Affairs at the Uni- 
versity of North Carolina involves education, service to the 
people, and research. In the press of supplying the first two the 
last must not be ignored, for without research we can neither 
properly train doctors nor adequately care for patients referred 
to us. 



Continuation Education 

The Other Half of the Job 

By W. P. Richardson, M.D. 

The provision of postgraduate programs and consultation 
services to the physicians of the state was one of the primary 
responsibihties laid upon the University of North Carolina's 
School of Medicine in the report of the National Committee for 
Medical School Survey. It was that survey which set forth the 
blueprint on which the expansion program in the Division of 
Health Affairs is based. 

The School of Medicine takes this charge very seriously, and 
is giving top priority to the development of a continuation edu- 
cation program which, in conjunction with other programs avail- 
able in the state, will really meet the educational needs of North 
Carolina physicians. 

The University's medical continuation education program was 
first inaugurated in 1916 at the request of the North Carolina 
Medical Society. It was one of the first such programs in the 
country, and has been widely acclaimed and copied as a pattern 
for reaching physicians in rural sections. The plan has gone 
through considerable evolution with the years, but the basic 
principles have remained the same. The programs at the present 
time are sponsored cooperatively by the School of Medicine and 
the various county medical societies. 

Coincident with the expansion of the School of Medicine to 
four years and the development of a large clinical faculty numer- 
ous developments are being planned. The six-week programs in 
various communities of the state will be continued in cooperation 
with those medical groups which request them, but beginning 
with the current year half of the speakers will come from the 
school's own faculty. 

It is also planned to develop a series of courses to be given at 
Chapel Hill. The first of these, an institute on Diagnostic and 
Therapeutic Measures Applicable to Office Practice, was held last 



Df. Richardson is Profe&sor of Preventive Medicine and Assistant Dean in 
Charge of Continuation Education ... ... 



THE OTHER HALF OF THE JOB 7 

April with a registration of 5 5 physicians. This program was en- 
thusiastically received, and a similar one is being planned for 
next April. 

Consideration is being given to the need for brief intensive 
courses on specialized topics, both for general practitioners and 
for specialists. Such courses will not be expected to attract the 
numbers who come to the more general programs, but for the 
smaller numbers who need them they will represent a real oppor- 
tunity. 

Since no plans for continuation education will succeed except 
as they coincide wtih the recognized needs and desires of those 
they are designed to reach, studies are now in progress to de- 
termine the kinds of programs needed and desired by analysis of 
records of past courses and by securing expressions from the 
physicians of the state by means of questionnaires. On the basis 
of these studies, combined with Information acquired through 
personal contacts in conjunction with present programs, future 
planning will be developed to meet the needs not now being met 
through other channels. 

Continuation education for physicians is only one segment of 
the problem pointed up by the National Committee. Those pro- 
fessional groups which participate in medical care need similar 
educational assistance, and since their services to the patient are 
closely Integrated with those of the physician it is fitting that 
there be some integration in meeting their educational needs. 
The School of Medicine's program of continuation education 
Is in a period of development and transition, due to the expansion 
of the undergraduate program and clinical faculty, and efforts are 
being directed at finding new and more effective ways of meet- 
ing the continuing educational needs of the practicing physicians 
of the state. Medical knowledge is advancing at a phenomenal 
rate, and the physcian who graduates today grounded In the most 
up-to-date medical knowledge and concepts will be hopelessly 
behind tomorrow unless he has systematic opportunity to keep 
abreast of new developments. 

The job of the School of Medicine is, therefore, only half done 
when it confers Its M.D. degrees. It is to the other half of the 
job, the provision of a continuing program of refresher courses 
and postgraduate Instruction for physicians In practice, that the 
continuation education program Is dedicated. 



The Medical Foundation at Work 

Providing The *Over-And- Above' 

By C. Sylvester Green 

"Dedicated to the health of all North Carolina" is the mean- 
ingful slogan of the Medical Foundation of North Carolina, In- 
corporated. 

Since its organization in mid- 1949, and its beginning of opera- 
tions in January, 1950, the Medical Foundation has made its ap- 
peal to hundreds of donors who have seen in it, and with it the 
opportunity to make a personal and lasting contribution to the 
progress of medical education, medical research and medical serv- 
ices. 

The one agency through which the Foundation primarily 
works is the great medical center at the University of North 
Carolina, and to a large degree through the School of Medicine 
in that six-facet center. 

The Medical Foundation was a product of the lay and profes- 
sional interest generated in behalf of good health during the early 
1940's. That interest corralled the people of North Carolina in 
a vast and impressive movement that provided a beginning rem- 
edy for the woeful deficiencies in health in the Tarheel State. 

Successive General Assemblies from 1945 have voted large 
sums of money for the advance of health in the State. Through 
its own, tax-supported agency the State gives encouragement and 
assistance to communities wanting to expand or inaugurate 
medical facilities: hospitals, clinics, health centers; and in many 
other ways serves the people of the State. 

The Medical Foundation is a privately-supported, philan- 
thropic agency, incorporated, and operating under its own elect- 
ed Board of Directors. Its charter gives it extensive rights in all 
fields of health, but by inference and statement indicates its major 
objective to use the vast and new facilities of the University of 
North Carolina as media for serving the health of the people 
of the State. 

"Within the structure of the Medical Foundation there are 



Mr. Green is the Executive Vice President of the Medical Foundation of 
North Caroliiia, Incorporated 



PROVIDING THE OVER-AND-ABOVE 



several branches of emphasis and interest. Major among these is 
the Medical Alumni Fund, supported by the former students of 
the School of Medicine. This group has been especially active, and 
of approximately 1,500 living former students, more than one- 
third now participate in the giving program to the Fund. 

The second branch is a comparable School of Nursing Fund, 
established in 1953, designed to provide scholarships for students 
in the School of Nursing, and ultimately to provide working 
funds for special projects in that School. 

In addition, the accumulating endowment of the Medical 
Foundation comes primarily from memorial gifts. Although some 
of its income is designated much of it is made available for general 
uses at the direction of the Foundation's Board of Directors. 

During its four years of operation, the Medical Foundation 

has received gifts in cash and in kind approximating $200,000. 

Further, it has received indicated intentions of contributions to 

its funds, over a period of ten years, totalling in excess of 

-$400,000. 

^ The Medical Foundation is, then, a private receptacle for spe- 
cial gifts, whereby donors may control their interests, and provide 
with their funds monies for special projects that would not and 
could not be financed with tax appropriations or other normal 
sources of income. The Medical Foundation seeks to provide the 
"over-and-above" that will make the facilities at Chapel Hill 
better than average, and through these facilities find ways to 
serve the total health of the people of North Carolina. 

Its program is specific, but it is elastic. Anything that will 
encourage medical education comes within its scope. There is a 
need for scholarships, teaching fellowships, special professorships, 
library expansion, teaching materials. There is a dire need for 
funds for research, since all monies so used must come from ex- 
traneous sources. Through research the educational efforts grow. 
Through research the third facet of the medical program — ^name- 
ly, medical services — is given impetus. 

These three — medical education, medical research, medical 
services — provide the avenues of operation for the Medical Foun- 
dation, the avenues for the special gifts of those alike concerned 
with increasing health for all of the people of the State. Where 
will one find any greater challenge to generosity, with such cer- 
tain dividends? 



Browsing Ainong the New Books 

Variations On A Theme 

By Myrl Ebert 

Medical literature continues to pour from the presses with a 
disconcerting speed and volume — a veritable diarrhea of print — 
to the consternation of the harassed physician, who scarcely has 
time to peruse his personal journal subscriptions. 

Herein lies the value of the book review, the digest and ab- 
stract periodical, and other such abbreviated aids. 

Of special interest to the surgeon are two recent monographs 
so well presented, illustrated, and organized as to warrant more 
than passing consideration. Smith's Surgery of pancreatic neo- 
plasms covers its subject with facility and thoroughness. Intro- 
duced by a history of pancreatic surgery and a classification of 
pancreatic tumors, the text evaluates with great care problems of 
diagnosis and surgical treatment. It is documented by thirty-nine 
personally attended cases which appear in detail as an appendix. 

lason's Gastric cancer summarizes the accumulated literature 
about a more widely discussed, though equally enigmatic, prob- 
lem. Despite prudent selectivity, the lengthy bibliography testi- 
fies to the wide-spread interest in this subject. These titles can be 
recommended for student and physician, as well as for surgeon. 

Ftmdamentals of clinical orthopedics, by Peter Casagrande, 
and Gould's Pathology of the heart differ from the aforemen- 
tioned titles in more than subject matter. The extensive and spe- 
cific treatment of their respective subjects tends toward reference 
usage, or service to the specialist. 

Walter Grey, of "mechanical turtle" fame, has just published 
a fascinating popularization of the study qf electroencephalogra- 
phy, wherein he gives an accurate account of the history, diffi- 
culties, and methods of electrical measurement of brain waves — 
and with real literary merit. In his Living brain, Grey demon- 
strates what new tools for biological research can achieve in ex- 
ploration of the mind, and inquires into similarities of the brain 
and machine. 

As for the lighter vein (there is fun in reading) , let the physi- 

Miss Ebert is the Librarian of the Division of Health Affairs Library, 
University of North Carolina 



VARIATIONS ON A THEME 1 1 

cian look into Ostlere's Doctor in the house, a light, joyous ac- 
count of the English medical student's labor and play in attaining 
the British equivalent of an M.D. It will, no doubt, remind the 
readers of his own early struggles, confusions, the pride of his first 
stethoscope and ward patient, the first baby delivered (without 
benefit of policeman or cabbie) , plus some amorous meanderings. 
Then, getting closer to home, let the same medico skim Dr. 
Mary Sloop's delightful, warmhearted tale of pioneering in medi- 
cine and public health in the mountains of North Carohna. The 
Doctors Sloop, husband and wife, have spent forty years with 
the descendants of early settlers in western North Carolina, work- 
ing under primitive conditions, eventually bringing health, educa- 
tion, roads, and progress to the mountain folk of Crossnore, North 
Carolina. Their story and the story of "their" people has all the 
humor and pathos of fiction. 

Dr. Thad P. Sears has issued a readable, instructive epistle for 
the layman and physician as an introduction to the Atomic Age. 
^Deeply concerned for the education and preparation of the man 
in the street, Dr. Sears has set forth in brief, the pertinent es- 
sentials of atomic physics, the significance of radioactivity, the 
use of isotopes, the atomic bomb, and organization and methods of 
civil defense. With its extensive documentation, this book is sure 
to profit all who read it. 



Books mentioned: 

Smith, Rodney. The survey of pancreatic neoplasms. Baltimore, 

Williams & Wilkins, 1953. 
lason, Alfred Herbert. Gastric cancer. New York, Grune & Strat- 

ton, 1953. 
Casagrande, Peter A. Fundamentals of clinical orthopedics. New 

York, Grune & Stratton, 1953. 
Gould, Sylvester Emmanuel, editor. Pathology of the heart. 

Springfield, 111., C. C. Thomas, 1953. 
Grey, Walter. Living brain. New York, Norton, 1953 
Ostlere, Gordon (Richard Gordon, pseud.). Doctor in the house. 

London, M. Joseph, 1952. 
Sloop, Mary T., and LeGette Blythe. Miracle in the hills. New 

York, McGraw-Hill, 1953. (Mayflower Cup Winner. 1953) 
Sears, Thad P. The physician in atomic defense. Chicago, Year- 
book,. 1953. . . . 




WITH THE 
FACULTY 



FACULTY PROMOTIONS 

Faculty promotions announced re- 
cently include: Dr. James A. Green to 
Assistant Professor of Anatomy; Dr. 
Harold F. Parks to Assistant Professor 
of Anatomy; Dr. Carl Gottschalk to 
Instructor in Medicine; Dr. John B. 
Graham, '40, to Associate Professor of 
Pathology; Dr. George D. Penick, '44, 
to Assistant Professor of Pathology; 
Dr. Margaret C. Swanton, '44, to As- 
sistant Professor of Pathology; Dr. 
David R. Hawkins to Assistant Pro- 
fessor of Psychiatry; Dr. Warner L. 
"Wells to Assistant Professor of Sur- 
gery; Dr. Charles Bream to Associate 
Professor of Radiology; Dr. Charles 
E. Flowers, Jr., '43, to Associate Pro- 
fessor of Obstetrics and Gynecology. 



Dr. K. M. Brinkhous, Professor of 
Pathology, spoke to the New York 
Academy of Medicine on "Hemo- 
philia" on October 23. 



A news note in the Chapel Hill 
Weekly recently reported the death 
of Mrs. Richard Henry Whitehead in 
Charlottesville, on September 24 . 

Mrs. Whitehead was the widow of 
the late distinguished Dr. R. H. White- 
head, first dean of the School of Medi- 
cine at Chapel Hill. Dr. Whitehead 
went to the deanship of the Univer- 
sity of Virginia's School of Medicine 
in 1905. He died in 1916. 

"The people of Chapel Hill who 
were here in the 1890's and the early 
1900's remember Mrs. Whitehead as a 
gentle, lovely woman." 



BERRYHILL RECOGNIZED 

Dean W. Reece Berryhill, '25, was 
elected to membership on the Execu- 
tive Council of the Association of 
American Medical Colleges at the As- 
sociation's annual meeting in Atlantic 
City in October. Others attending 
from Chapel Hill were Drs. Douglas 
Lawrason, Henry T. Clark, and Osier 
Peterson. 

Dean Berryhill gave a talk at the 
50th Anniversary of the Mecklenburg 
County Medical Society — November 2. 
He also spoke before the Burke County 
Medical Society in Morganton, Nov- 
ember 30. 



Dr. Ernest Craige, of the Depart- 
ment of Medicine, was a guest speaker 
at the annual meeting of the Pee Dee 
Medical Association in Florence, S. C, 
in October; his topic was "Manage- 
ment of Rheumatic Fever and Rheu- 
matic Heart Disease". 



Dr. Charles H. Burnett, Chairman 
of the Department of Medicine, lec- 
tured on "The Treatment of Renal 
Insufficiency" at the University of 
Virginia School of Medicine recently. 
Dr. Louis G. Welt, also of the Depart- 
ment of Medicine, gave a lecture on 
"The Renal Regulation of Electrolytes 
and pH" on this same series there on 
October 5. 



Dr. George C. Ham, Professor of 
Psychiatry, was the guest speaker at 
the Fourth District Medical Society 
meeting in Goldsboro, No^nBmber 11. 



WITH THE FACULTY 



13 



STUDYING SULFUR 

Dr. J. C. Andrews is interested in 
certain phases of the biochemistry and 
metabolism of sulfur compounds. He 
published in the June number of the 
Journal of the Elisha Mitchell Society 
a paper on the Decarboxylation of 
Cysteic Acid. He also has in press a 
paper in Spanish in the Anals of the 
Academy of Science of Guatemala on 
an analytical method for the estima- 
tion of taurine. Dr. Andrews was sent 
in both 1944 and 1948 by the State 
Department as Exchange Professor in 
the University of San Carlos of 
Guatemala and still maintains close 
relations with the scientific and medi- 
cal personnel of that country. 

Dr. C. E. Flowers, Jr gave a 
jjaper at the Southern Medical As- 
sociation in Atlanta, Georgia, on Oc- 
tober 28, 1953, on "Diabetes Mellitus 
and Pregnancy." 



Dr. Kerr L. White discussed the 
"Diagnosis of Cardiac Pain" at the fall 
meeting of the Second District Medical 
Society. 



Dr. Ira Fowler has recently come 
from Northwestern University to join 
the staff as Instructor in Anatomy. 

Dr. Leonard Palumbo presented 
a paper at the Southern Medical As- 
sociation in Atlanta, Georgia, on Oc- 
tober 27, 195 3, on "Squamous Celled 
Carcinoma of the Vagina." 

A new arrangement for the teach- 
ing of Histology has been put into 
operation this year. The class is 
divided into three groups of twenty 
students. Each group occupies a 
small laboratory in the newly en- 
larged north wing of the building, 
and each group will have its own 
teacher. 



PHARMACOLOGY 

Drs. I. M. Taylor and T. H. But- 
ler participated in a postgraduate 
course in medicine, sponsored by the 
School of Medicine and the Exten- 
sion Division of the University of 
North Carolina, October 7, 195 3, 
Morganton, N. C. The topic of dis- 
cussion was "Special Uses and Problems 
of Some Newer Drugs." 

Dr. T. Z. Csaky, Assistant Professor 
of Pharmacology, attended the 19th 
International Physiological Congress in 
Montreal, August 31. At this meeting 
Dr. Csaky presented a paper entitled 
"The Use of Glucose-monomethyl 
Ethers in the Study of Carbohydrate 
Metabolism." 

CARDIAC TRAINING 

The U. S. Public Health Service 
has recently renewed and increased its 
financial support of a cardiac train- 
ing program under the supervision of 
Dr. Ernest Craige. Dr. Carl Gott- 
s chalk was a trainee in this program 
last year, and Dr. Mitchell Sorrow, 
Chief Resident in Medicine, North 
Carolina Memorial Hospital, 1952-53, 
is currently working with Dr. Craige 
in this program. 

Dr. Paul F. Whitaker, of Kinston, 
spent two weeks during October in 
the School of Medicine as Visiting Pro- 
fessor of Medicine. 



CANCER RESEARCH 

Approval by the Atomic Energy 
Commission for the clinical use of 
various radioisotopes has been obtained, 
with Dr. "William H. Sprunt, assistant 
professor, designated by the Commis- 
sion as "official user" for the Hospital. 
An active program for cancer research 
and therapy has been initiated in the 
Hospital and the Medical School, par- 
ticularly with Gold ^^^ and Phos- 
porus ^^. 




STUDENT 
ACTIVITIES 



OBSTETRICAL TRAINING 

Fourth year students have been sent 
to Robeson County Hospital in Lum- 
berton for a period of two weeks where 
they had obstetrical training under Dr. 
Hugh McAllister and his staff, and to 
Watts Hospital in Durham for a period 
of two weeks where they had similar 
training under Dr. Eleanor Easley, 
chief of the service, and her staff. 
Both Dr. McAllister and Dr. Easley 
have been appointed to the faculty 
with the rank of Clinical Instructor. 



Senior Class members have been 
busy preparing and submitting interne- 
ship applications in order to meet the 
Matching Plan deadline of December 
16. Personal interviews have been 
granted by Dean Berryhill and As- 
sistant Dean Lawrason, and the stu- 
dents have expressed gratitude for the 
fine assistance given them. 



The 12 -month training program for 
X-ray technicians began on April 1, 
1953, with the appointment of two 
students. Two additional candidates 
have been selected for the class beginn- 
ing October 1, 1953. These appoint- 
ments will be made every six months. 
The training received will qualify 
students upon completion of the course 
for registry by the American Society 
of X-ray Technicians. 



The Senior medical students will 
have individual pictures in "The 
Yackety Yack." This makes June, and 
an M.D. seem much nearer. 



SUMMER WORK 

During the summer, many Caro- 
lina students were active in some 
of the research projects in progress 
here. Hugh Hemmings, from Moimt 
Airy, held a Polio Foundation Fellow- 
ship and worked with Dr. E. C. Cur- 
nen in an epidemiological family study 
of Coxsackie virus infections. 

Harold Roberts, a junior from San- 
ford, worked with Dr. George Penick 
in several projects including cold in- 
juries in normal and hemophiliac dogs 
and subjects, and formulating special 
stains for fibrin. Results were pub- 
lished in the Air Force Project Report. 

Frank Morrison, Jr., a Hazelwood 
Junior, was a research assistant for Dr. 
K. M. Brinkhous in a joint research 
project with the University of Mis- 
souri, concerning comparative studies 
of canine, human and swine hemo- 
philia. 



Representatives of Memorial Hospi- 
tal, Greenville, S. C, were on campus 
late in November, and entertained the 
Seniors from both Carolina and Duke 
at a private party at the Carolina Inn. 



"TO STUDY the phenomena of 
disease without books is to sail an un- 
charted sea, while to study books with- 
out patients is not to go to sea at all." 

Osier 

"IT IS astonishing with how little 
reading a doctor can practice medi- 
cine, but it is not astonishing how 
badly he may do it." 

Osier 




ALUMNI 
NOTES 



McNAIRY FUND 

Dr. Verne Blackwelder, '27, has es- 
tablished the McNairy Student Aid 
Fund in honor of his aunt, Dr. Caro- 
lyn McNairy, of Lenoir. This is an 
annual award of $500 to be given as 
a scholarship or loan to one or more 
needy medical students. It is the wish 
of Dr. Blackwelder that this fund be 
kept flexible and be awarded by the 
dean of the Medical School as a scholar- 
ship or loan at the discretion of the 
dean. 

Two members of the junior class 
have been awarded McNairy scholar- 
ships from this fund for this academic 
year. They are Alexander G. Webb, 
Jr., Rocky Mount, and James "W. 
Hayes, III, Wilson. 



This past Summer a new wing at 
the Western Sanitorium, Black Moun- 
tain, was dedicated with appropriate 
ceremonies and named the Julian A. 
Moore Wing, honoring Dr. JuUan A, 
Moore, '16, Asheville. 



Dr. Lowell Brittain, '50, has recent- 
ly gone into general practice in Hunt- 
ersville, N. C. 



Dr. Charles E. Flowers, Sr., '11, has 
become medical director of the State 
prisons system, effective November 1. 
For 34 years Dr. Flowers did general 
practice in Zebulon • 



Dr. Edward C. Sutton, '49, has en- 
tered general practice in Rockingham, 
N. C. 



KISTLER PORTRAIT 

The library of the Division of 
Health Affairs has been the recipient 
of many considerations by the family 
of the late Charles Edmund Kistler, 
prominent alumnus of Morganton. 
They have continued generosities be- 
gun by Mr. Kistler himself. A portrait 
of the late Mr. Kistler was presented 
to the library on October 3 1 , and is 
hanging in the Ubrary that now bears 
his name. 



Dr. Kenneth W. Wilkins, '43, has 
opened his office for the practice 
of Obstetrics and Gynecology in 
Goldsboro, N. C. 



Dr. Roger A. Smith, '45, has joined 
Dr. M. N. Estridge in the practice of 
Neurological Surgery in San Bernar- 
dino, California. 



Dr. Richard H. Phillips, '43, is now 
Assistant Professor of Psychiatry at the 
State University of New York College 
of Medicine in Syracuse. 



ALUMNI LISTS 

Through 1951, 68 classes have been 
registered in the School of Medicine, 
with a total of 2094 students. 

There are today 1468 living alumni 
in 60 of these classes. 

It is planned to publish the class 
rolls in subsequent issues of the BUL- 
LETIN, for general information, and 
in order to enHst corrections where 
these are needed. Watch for the first 
lists next issue. 



Editorials 

Through the Doctors to the People 

Inherent in the administration of the School of Medicine of 
the University of North CaroHna is the sense of obHgation it 
owes to the people of the State of North Carolina. This obliga- 
tion would be met with any and all kinds of service it is possible 
to render. 

The School of Medicine is already serving the doctors of the 
State: through its program of continuation education, its research, 
and its services. Numerous State and national medical meetings 
are being held at Chapel Hill. Doctors are invited and always 
welcome at numerous clinical conferences and lectures. , 

From these contacts the School of Medicine seeks to extend 
through the doctors its services to the people of the State. Its 
laboratories, its library, its classrooms, its clinics, its multiple hos- 
pital services: all of these are dedicated to the single end of serving 
the people of North Carolina. 



Specifics Only You Can Provide 

There is no lack of things alumni and other friends may do 
for the School of Medicine. It is the privilege of the Medical 
Foundation to make these "specifics" known. 

Recently the administration and officials of the Medical 
Foundation worked out a sheet of fifteen such "specifics" that 
cost all the way from $50 to $100,000: from microfilm equip- 
ment for the library to supervoltage Roentgen therapy apparatus 
for the greater control and treatment of cancer. 

Not a single one of these specifics can be provided with tax 
appropriations. They must all come from the friends of the 
School. Every cent contributed by the alumni to the Medical 
Alumni Fund, and all monies given by others is being dedicated 
to making this School of Medicine the growing and serviceable 
institution it is intended to be. Money is well invested when 
invested in the School of Medicine at Chapel Hill. 



CLEARLY the best! 



Haemo-Sol's sparkling clarity means 
minimum rinsing for "C.P." surfaces. Deli- 
cate tests call for the chemically pure 
glassware assux'ed by Haemo-Sol's ready 
solubility and complete rinsability. 
Haemo-Sol is economical, too, 
because the solution is 100% 
effective and may be re-used 
repeatedly. Will not etch glass. 




I'or more complete 
leansing without 
esidue — use Haemo-Sol. 
At^rature and samples 011 re- 
uest. Write us regarding your 
pecific cleaning problems. 

VIEINECKE & COMPANY. INC. 



225 Varick Street, New York 14 



WINCHESTER 

pauses to thank you for the 

CORDIAL RELATIONSHIP we have 

enjoyed through the past years 

and to wish you a MERRY CHRISTMAS 

and a NEW YEAR filled with HAPPINESS 

and PROSPERITY. 



^ 




WINCHESTER 



Winchester Surgical Supply Co. Winchester-Ritch Surgical Co. 
119 East 7th Street 421 West Smith Street 

Charlotte. N. C. Greensboro. N. C. 



1!^ 



OUR THANKS to the 

DOCTORS of NORTH CAROLINA 




Your encouragement and friendly cooperation during 
our first 20 years have been important factors in the 
success of our service. We shall strive to merit your 
continued confidence. 



The Blue Cross Plan 
HOSPITAL CARE ASSOCIATION 

DURHAM. NORTH CAROLINA 
"First and Finest in Tar Heel Health Service" 



3547 Requested 



Sec. 34-65(e) P. L. & R. 
U. S. Postage 

PAID 

CHAPEL HILL. N. C. 
Permit No. 24 



The 

I BULLETIN 



February, 1954 



No. ^ 




'VL EDUCATION: Dr. Jolm i; (iialiam, Associate Professor of Pathology, and Markle Scholar, with 
lof dental and medical students in the new Pathology Laboratory of the U. N. C. School of Medicine. 

iE SCHOOL OF MEDICINE - THE MEDICAL FOUNDATION 
I COOPERATION WITH THE WHITEHEAD SOCIETY 
-IE UNIVERSITY OF NORTH CAROLINA - CHAPEL HILL 



To Members of Ihe Medical Society of Ihe State of North Carolina 




;4^ cio^e a^ t^ccn foAaae . . . 



TELEPHONE COLLECT 
5-5341 - DURHAM 

If you have any prob- 
lems in connection with 
disability insurance we 
invite you to call this of- 
fice collect. We'll do our 
best to help you - and 
there is no obligation on 
your part. 

Below is the accident and health 
plan established by the state so- 
ciety for its members in 1940. 

PLANS AVAILABLE 



Accidental Dismemberment Accident and 
Death Benefits, Up to Sickness Benefits 



Annual Semi-Annual 
Premium Premium 



$5,000.00 
5,000.00 
5,000.00 



$10,000.00 
15,000.00 
20,000.00 



$ 50.00 weekly 
75.00 weekly 
100.00 weekly 
($433.00 per month) 



$ 90.00 
131.00 
172.00 



$45.50 
66.00 
86.50 



Members under age 60 may apply for $10.00 per day extra for 
hospitalization at premium of only $20.00 annually, or $10.00 semi- 
annually. 



For Application or Further Information Write or Call 

J. L. Crumpt-on, State Mgr. 

Professional Group Disability Division , 
BOX 147. DURHAM. N. C. 



Repx'esenting — Commercial Insurance Company of Newark, N. J. 



THE BULLETIN 

of the School of Medicine 

in cooperation with the Whitehead Society 

and the Medical Foundation 

of the University of North Carolina 

Vol. 1 February, 1954 No. 3 

IN THIS ISSUE 

Page 

Medical Education Is a Continuum Nathan A. Womack, M.D. 2 

Differential Diagnosis In Hemorrhagic Disease 

Jessica H. Lewis, M.D., and John H. Ferguson, M.D. 6 

Medical Progress at Chapel Hill W. Recce Beryhill, M.D. 8 

With the Faculty 1 

Alumni Notes 13 

Student Activities 1 5 

Editorial 16 

Editorial Committee 

ERNEST CRAIGE, M.D. HUGH C. HEMMINGS 

C. E. FLOWERS, JR., M.D. JAMES L. D. LAMM 

A. T. MILLER, JR., M.D. HARRY L. JOHNSON, JR. 

W. REECE BERRYHILL, M.D. 

W. D. HUFFINES 

C. SYLVESTER GREEN 



Address all inquiries and communications to C. Sylvester Green, 101 
Medical Science Building— or Box 31, Chapel Hill, N. C. 

Published -four times a year — October, December, February, and April — 
at Chapel Hill, N. C. Entered as third-class matter at the Post Office at 
Chapel Hill, N. C. 



The Profession for the Idealist 

Medical Education Is A Continuum 

By Nathan A. Womack, M.D. 

Medical education, once of interest only to the physician and 
the would-be physician is now of great public concern. For 
medical education is intimately related to the health problems 
of our country. They are its reason for being, and while 
the number of physicians and their distribution are of great 
interest to the medical educator, he would also add to this the 
excellence and the effectiveness of the medical care rendered by 
the physician. He is not only bothered about the availability of 
medical care but he is also deeply concerned with its quality. 
At times medical schools have been accused of conspiring to 
prevent the graduation of more students. Actually, they have 
incerased their enrolment from 21,379 in 1940-41, to 27,076 
in 1951-52. 

To the teacher of medicine the education of a physician may 
be divided roughly into four phases: (a) that preceding entrance 
into medical school, (b) the medical education leading to the 
acquisition of a doctorate degree, (c) graduate education such as 
is spent as an intern or resident, and finally (d) the postgraduate 
education which is a continuation of study under guidance while 
engaged in a busy practice. Medical education is therefore a con- 
tinuum. As long as scientific medicine advances, the education of 
a physician cannot become static. 

This discussion will relate primarily to the second phase, 
namely, the undergraduate education in the medical school. This 
does not discount, however, the importance of the other three. As 
a matter of fact, perhaps the most important is probably the 
first, for this has to do with the moral and intellectual background 
upon which a medical education is superimposed. 

It is not within the realm of everyone who would wish to do 
so to become a physician. Medicine is an exacting profession. It 
requires much of a student. That physician who fails to measure 
up to its high standards must sooner or later feel the condemna- 

Dr. Womack is professor of Surgery in the U. N. C. School of Medicine, 

and head of surgery in the North Carolina Memorial Hospital. Dr. WomMck 

is a native of Reidsville, and an alumnus of hoth the undergraduate college 

and the School of Medicine ('22) of the University of North Carolina. 



MEDICAL EDUCATION IS A CONTINUUM 



tion of his colleagues and of society, if such standards are to sur- 
vive. Historically, this has been true, for these standards have 
survived. Historically, also, care has always been used in the choice 
of students of medicine. 

It is easily apparent that the selection of a student for medi- 
cine is a complex problem. There is no single standard by which 
any safe prognostication is possible. In spite of the criticism given 
the high consideration of grades, it is the experience that perform- 
ance in college does give some clue to basic preparation, intelli- 
gence and industry. A personal interview, particularly with sev- 
eral different individuals, will usually reveal fairly well the 
motivations of the student; and the reason the student wishes to 
become a physician will often determine the type of physician he 
would become. Psychologic tests of aptitude, while at first crude 
and only of vague help with a particular student, are now growing 
in accuracy and give great promise of the future. The character 
and integrity of the student must be of the highest order. There 
" is no place for the dishonorable, for the mercenary in medicine. 
It is still the profession for the ideahst. This information about a 
candidate becomes possible from a background knowledge of a 
student and his family. 

When a student possesses all these qualities, his selection is 
easy. Unfortunately, too often only to a certain extent does a 
student possess all of these qualities, and it is here that an admis- 
sions committee assumes its importance; for a single individual 
to select an entire class is too great a job and responsibility and he 
is not nearly as effective in the discrimination necessary as is a 
group of individuals with different interests and different per- 
sonalities. It is a great financial loss both to the student and to the 
school for there ever to be a failure in the course of medical edu- 
cation. Furthermore, the tragic psychic effect on the student who 
fails is often of long duration. No longer can a school demonstrate 
its high standards by pointing to the number of students it fails, 
for a school must always be responsible for any student allowed to 
enter medical school who fails to measure up to required perform- 
ance. 

By and large the faculty of a medical school determines its 
educational policy and the quality of the teaching. The faculty 
is responsible for the research, and together with the graduates, 
determines the reputation of the school. Faculty appointment in 
a medical school carries with it the classification of rank similar 
to other schools in the university. One exception is the term 



THE BULLETIN 



''clinical" which often precedes the title, such as "CHnical Pro- 
fessor." This denotes part-time service frequently invaluable to 
the school but all too often on a voluntary or part-pay basis. The 
true full-time teacher of medicine has his entire earned income 
derived from the medical school. The income from practice 
reverts to the medical school after certain expenses and salary 
commutations are made. This is the arrangement at the University 
of North Carolina. 

Full-time faculties who can devote all of their energy and 
thought to teaching have demonstrated their worthwhileness to 
such an extent that during the past ten years their number has 
increased over 50 per cent. In spite of this their number is inade- 
quate in most schools. This is due primarily to the relative inade- 
quacy of salaries when compared to that earned in private prac- 
tice or in pharmaceutical or industrial research. It must be^ 
assumed that the teacher of a clinical subject must himself be a 
clinician beyond the ordinary. On the other hand an extraordinary 
clinician may not necessarily be a good teacher. It is the ability to 
kindle enthusiasm in the student that is most important. This 
obviously requires an abundance of enthusiasm for teaching on 
the part of the instructor. It also requires curiosity. Since the 
curious mind is rarely satisfied with the status quo, a good teach- 
ing mind is generally productive, either in the laboratory or on 
the wards. 

If a good student is placed in intimate contact with a good 
teacher frequently during the day, the curriculum loses much of 
its importance. It is the log on which Mark Hopkins and the 
student sat. If that log is either too large or too small, it is uncom- 
fortable. During the first two years the curriculum is so arranged 
that the normal and abnormal morphology and function of the 
human body is studied. During the last two years this informa- 
tion is applied to the sick individual. One of the problems that 
confronts us in this type of teaching is that it is primarily ana- 
lytical. We study the component parts and their functions in 
order to understand the whole. It becomes obvious that integration 
should be a fundamental requirement in medical curriculum. 
This is by no means easily obtained, and at the present time there 
are many medical schools trying different pedagogic technics in 
order to bring this type of integration about. It is quite easy to 
provide the undergraduate with a fairly detailed background of 
human morphology and function. Furthermore, the more com- 
mon alterations of these phenomena that constitute the diseased 



MEDICAL EDUCATION IS A CONTINUUM 



State can be easily demonstrated in particular patients as they pre- 
sent themselves. Nevertheless, it will be impossible for the under- 
graduate to encounter patients demonstrating all of the vagaries 
of illness in his four years of school, and it will be necessary there- 
fore for him to have available reference to previous experience of 
others and a knowledge of when and how to use this reference. 
To present much of such clinical experience as a series of inse- 
quential lectures not related to a particular patient is often 
ineffective. It is far better for the student to learn to inform 
himself under guidance for he must eventually be his own teacher. 
In the beginning this will require considerable time, persuasion 
and patience on the part of the teacher. The effort is well Justi- 
fied. 

If then it is to be our goal to graduate students with sound 
basic background capable of self instruction, it is important that 
they develop early an attitude of psychic discomfort when con- 
fronted with phenomena that to them are inadequately explained. 
Such an attitude, if properly nourished, cannot but lead to the 
development of a mature mind, one capable of knowing, one 
capable of doubting. The growth and development of these two 
qualities in one interested in medicine and one who has had a 
broad general experience in basic education will result in a gradu- 
ate who will be able to synthesize and coordinate his experience. 

It can easily be seen that there is but little place for the 
lecture room and the formal discourse in medical education; 
especially is this true in the clinical years. In this way it differs 
from practically every other educational discipline. One cannot 
increase the number of students in a class simply by adding chairs. 
It is also obvious that as the size of the class increases, the effec- 
tiveness of teaching decreases. It is far more effective education 
to have many medical schools with fairly small classes than a few 
huge medical centers each with large classes. 

Finally, in the teaching of a medical student must come the 
knowledge of the impact of disease on society. The illness of a 
single person is never limited to that individual. It affects his im- 
mediate family and often his entire community. The medical 
student must come to know the effects of bad economy on 
health. Poverty, bad housing and poor nutrition are intimately 
concerned with the frequency of disease, and the problem of 
therapy. The physician of today can no longer exclude himself 
from deep concern over the welfare of society. 



New Mechanisms in Blood Coagulation 

Differential Diagnosis In Hemorrhagic Disease 

By Jessica H. Lewis, M.D., and John H. Ferguson, M.D. 

Hemorrhagic diseases may be classified into three main 
groups: Vascular Purpura, Platelet Purpura and Plasma Purpura. 

Vasular purpura results from an abnormal blood vessel wall. 
Thus, this category includes Hereditary Hemorrhagic Telangiec- 
tasia, Scurvy, Shonlein-Henoch purpura, bleeding associated 
with aneurysms, arteriosclerosis, syphilis, etc., and probably the 
non-thrombocytopenic purpuras associated with infections, toxins 
and allergies. As the etiological factors vary so greatly, no labora- 
tory test is specific and the diagnosis is usually established by 
identification of the primary disease and exclusion of other pos- 
sible causes of bleeding. 

Platelet Purpura may be of two general types: thrombocyto- 
penic or thrombocytopathic. Thrombocytopenic purpura is char- 
acterized by a low platelet count, poor clot retraction, prolonged 
bleeding time and a high serum prothrombin content (indicating 
poor utilization of prothrombin during clotting) . Determina- 
tion of the etiology of thrombocytopenia, whether idiopathic or 
secondary to bone marrow disease, splenic disease or peripheral 
thrombosis, is important in predicting the prognosis and choosing 
the treatment, Thrombocytopathic purpuras are usually congeni- 
tal, often familial, diseases in which the number of platelets is 
normal but one or more of the platelet factors is decreased. Plate- 
lets are known to contain vasoconstrictor, clot refraction, throm- 
boplastic, accelerator, and aggiiltination factors. Thus, a patient 
may show one or more of the following: prolonged bleeding time, 
deficient clot retraction, increased serum prothrombin due spe- 
deficient clot retraction, increased serum prothrombin due 
specifically to platelet rather than plasma factor deficiency, 
decreased platelet accelerator or a positive tourniquet test. It 
should be noted that a positive tourniquet test may also result 
from defective capillaries (e.g. Scurvy, etc.). 

The many recent investigations concerning plasma factors 



Dr. Lewis is a Research Associate in Physiology and Dr. Ferguson is 
Professor of Physiology in the U. N. C. School of Medicine 



DIFFERENTIAL DIAGNOSIS IN HEMORRHAGIC DISEASE 7 

have allowed us to identify seven specific hemorrhagic diseases 
due to deficiencies of these plasma factors. Afibrinogenemia is a 
rare disease, usually congenital, which may be readily identified 
by complete absence of clot formation, even on addition of potent 
thrombin. Two newly recognized diseases, PTC (Plasma Throm- 
boplastin Component) deficiency and PTA (Plasma Thrombo- 
plastin Antecedent) deficiency are similar in many respects to 
AHG deficiency (Hemophilia). These three, which we have 
called the plasma thromboplastiti deficiency group, are usually 
characterized by prolonged clotting time, high residual serum 
prothrombin content and normal Quick test, i.e. normal clotting 
in the presence of tissue thromboplastin. Differentiation among 
the three is accomplished by two techniques: 1) assessment of the 
effects of adding plasma fractions, known to contain one of the 
factors, on the patient's clotting mechanism and 2) titration of 
the PTC, and AHG contents of the patient's plasma. For the 
latter tests, we have developed relatively simple methods for assay 
of AHG and PTC, which involve addition of patient's plasma to 
samples of frozen plasma from known cases of Hemophilia or 
PTC deficiency and determination of the recalcif ication time and 
residual serum prothrombin content. Unfortunately, we have not 
had an opportunity to study a patient wih PTA deficiency. 

Prolongation of the usual prothrombin time (Quick test) 
may be due to either Hypoprothrombinemia, Hypoproconverti- 
nemia, or Hypoproaccelerinemia. These three deficiencies may be 
either congenital or acquired and are usually characterized by pro- 
longed clotting time, prolonged Quick test and increased serum 
prothrombin (in the last two). Differentiation between the 
three may be readily determined by simple assays of the patient's 
plasma content of prothrombin, proconvertin and proaccelerin. 
These assays require various substrates, each deficient in the fac- 
tor to be tested but high in the other two factors and fibrinogen. 

In addition to a plasma factor deficiency, plasma purpura 
may be caused by an excess concentration of a coagulation inhib- 
itor. The presence of such an inhibitor may be determined rather 
simply but identification of its properties and site of action are 
often extremely difficult. 

Our plans for the future include continuation of research 
concerning the basic mechanisms involved in normal blood coagu- 
lation, as well as study of all available patients suffering from 
bleeding or thrombotic tendencies. 



The Dean Reports to Alumni and Other Friends 

Medical Progress At Chapel Hill 

By W. Keece Berry hill, M.D. 

While there will undoubtedly be many problems ahead in 
1954, the year began in a big way with the encouraging news of 
the gifts of Mrs. Lee B. Jenkins of Kinston, in the amount of 
$5,000 through the Medical Foundation to establish the Lee B. 
Jenkins Lectureship in the School of Medicine, and a grant from 
the National Cancer Institute of the National Institutes of Health 
in the amount of $21,208 for additional equipment for the 
Cancer Research Laboratories. 



Confirmation has now been received from the Council on 
Medical Education and Hospitals of the American Medical Asso- 
ciation that at its last meeting the Council voted "that your insti- 
tution be given full approval as a four-year school of medicine. 
This action was taken on the basis of the survey that was recently 
completed. . . wish to congratulate you on behalf of the Council 
on Medical Education and Hospitals for the very fine and stimu- 
lating development that is taking place in your institution and to 
wish for you and your colleagues continued success in your efforts 
to furnish the best possible opportunities for the basic study of 
medicine." 

In addition, the Secretary of the Association of American 
Medical Colleges has officially reported, "Our Executive Council 
at its last meeting, unanimously voted the school into full mem- 
bership in the Association as a four-year school of medicine. May 
I take this opportunity to congratulate the University and the 
Medical School on the splendid accomplishments of the last three 
years." 

This official approval of the complete teaching program and 
facilities of the school — faculty, laboratories, library and clini- 
cal — by the two responsible accrediting agencies in Medical Edu- 
cation in the U.S. gives an authoritative answer to the queries that 
have been raised as to the adequacy of the cHnical material avail- 



Dr. Berryhill is professor of Medicine, and Dean of the School of Medicine 
of the University of North Carolina. 



MEDICAL PROGRESS AT CHAPEL HILL 



able, the variety of disease states admitted to the hospital, the 
number of acute surgical and medical conditions, and the accident 
service. 

In this connection it may be of interest to report that the 
obstetrical service — the last to be activated — in the first 12 
months of operation had an average of more than one delivery 
daily. Students and house staff have additional training and 
experience in obstetrics through an affiliation between the School 
of Medicine and the obstetrical departments at the Watts Hos- 
pital in Durham and the Robeson County Memorial Hospital at 
Lumberton. 

As a part of the general experience in hospitals, at least 
through central North Carolina, in recent months the census at 
the Memorial Hospital declined somewhat in late November and 
December. This gave us some unfavorable and, in some instances, 
critical publicity for the University. The situation gradually 
improved in January and as this is written the hospital census is 
-204. 

It usually takes some time for new doctors to build up prac- 
tices in their communities. New hospitals and new medical insti- 
tutions are in a similar situation. This is particularly true of the 
1950's in contrast to the 1930's, because of the large increase in 
hospital beds and improved medical facilities — not only in the 
Piedmont area of the State, as some of the recent newspaper arti- 
cles have stressed — but throughout North Carolina: the ultimate 
objective of the Good Health Program. As we look back on the 
accomplishments of 17 months of operation, we're doing very 
satisfactorily. With the very competent staff in all fields of medi- 
cine now gathered here, we face the future with confidence. 



On January 28, all of the officers and counsellors and a large 
number of the Visiting Committee of the Medical Alumni Asso- 
ciation came to Chapel Hill for their quarterly meeting. The 
attendance, spirit and enthusiasm of the alumni was most gratify- 
ing. Reports on recent developments in and progress of the Medi- 
cal School and Hospital were presented. Plans for the annual 
Alumni Day tentatively set for April 15, were discussed. Dr. 
M. D. Bonner, the President of the Association, was authorized to 
appoint a committee to make plans for a special celebration of the 
75 th anniversary of the beginning of the School of Medicine in 
1879, for the fall of 1954. 




WITH THE 
FACULTY 



FACULTY APPOINTMENTS 

Dean W. Reece Berryhill has an- 
nounced the following additions to the 
faculty. 

Gordon Shelton Dugger, Instructor 
in Surgery (Neurosurgery) ; A.B., 
'41, University of North Carolina; 
UNC Medical School, 1942-43; M.D., 
June 1945, Johns Hopkins; Interned 
at N. C. Baptist Hospital in Winston- 
Salem; two years in U.S. Army. Came 
to UNC from Montreal Neurological 
Institute. 

Christopher T. Bever, Associate 
Professor of Psychiatry; A.B., Har- 
vard '40; M.D., Harvard '43; Attend- 
ed Washington School of Psychiatry; 
Diplomate of the American Board of 
Psychiatry and certified by the Wash- 
ington Psychoanalytic Institute; dur- 
ing past few years he has been actively 
engaged in clinical work in St. Eli- 
zabeth's Hospital (Washington) and 
the Montgomery County Mental Hy- 
giene Clinic in Rockville, Maryland, 
as director. Dr. Bever will be the 
director of the Psychiatric Out-Patient 
Research Training and Treatment 
Center here. 

Recent appointments to the part- 
time staff include: Dr. Matthew H. 
Grimmett, Concord, Clinical Instruc- 
tor in Pediatrics; Dr. Roy Allen Hare, 
Durham, Clinical Instructor in Medi- 
cine; Dr. Jean C. McAlister ('31), 
Greensboro, Clinical Instructor in Pe- 
diatrics; Dr. Mary Margaret McLeod 
('32), Sanford, Clinical Instructor in 
Pediatrics; Dr. Carl N. Patterson, 
Durham, Clinical Consultant in Divi- 



JENKINS LECTURESHIP 

Dean W. Reece Berryhill of the 
School of Medicine of the University 
of North Carolina has announced the 
establishment of the Lee B. Jenkins 
Lectureship in Medicine. 

Mr. and Mrs. Lee B. Jenkins, Kins- 
ton, have advised the local School o4 
Medicine official that they have de- 
posited with the Medical Foundation 
a principal sum of $5,000 for this pur- 
pose. 

Income from this special endow- 
ment will be used to bring to Chapel 
Hill each year an eminent scholar, 
teacher or research scientist for one or 
more lectures. ' 



DEANS ON TRIP 

Dean Berryhill was in Chicago, 
Feb. 5-6, attending the meeting of the 
Executive Council of the Association 
of American Medical Colleges. He was 
named to that Council last October. 

Dr. Douglas Lawrason and Dr. W. 
P. Richardson, assistant deans of the 
School of Medicine, joined Dean 
Berryhill in Chicago, for the meeting 
of the Council on Medical Education 
and Hospitals of the American Medi- 
cal Association, Feb. 8-10. 

sion of Otolaryngology, Department 
of Surgery; Dr. Edwin A. Rasberry, 
Jr. ('39), Wilson, Clinical Instructor 
in Medicine; Dr. Thomas S. Royster, 
Jr., Henderson, Clinical Instructor in 
Surgery; Dr. Samuel F. Ravenel, 
Greensboro, Clinical Professor of 
Pediatrics. 



WITH THE FACULTY 



11 



AT CHAPEL HILL 

A conference on Industrial Health 
will be held at N. C. Memorial Hos- 
pital, Chapel Hill, N. C. on March 
12, 1954. The conference is designed 
primarily for physicians who are pro- 
viding part-time health and medical 
services to industrial estabHshments. 

The conference will be sponsored 
by the School of Medicine of the Uni- 
versity of North Carolina in coopera- 
tion with the Committee on Industrial 
Health of the North Carolina Medical 
Society. 

The School of Medicine of the Uni- 
versity of North Carolina announces 
a three-day intensive postgraduate 
medical course designed primarily for 
general practitioners to be held at 
Chapel Hill April 13, 14, 15. 

The course is similar to the one 
held last year and is entitled "Impli- 
cations of Newer Diagnostic and 
Therapeutic Techniques." 

Further information on each of 
these conferences may be had by writ- 
ing Dr. W. P. Richardson, School of 
Medicine, Chapel Hill, N. C. 



PSYCHIATRY 

Dr. George C. Ham was elected to 
membership in the American Psy- 
choanalytic Association, and attended 
the Mid-winter meetings in New York. 

At the request of Governor WiUiam 
B. Umstead, Dr. Ham also attended 
the meeting of the State representa- 
tives of the Regional Project on 
Mental Health Training and Research 
in Nashville, Tennessee on February 
1-2, to help plan the implementation 
of the mental health resolution of the 
Southern Governors' Conference. 

Dr. D. Wilfred Abse, associate pro- 
fessor of Psychiatry, lectured on Jan- 
uary 12, at Duke University at the 
Seminar of Psychotherapy on the sub- 
ject of "Psychological Implications of 
Shock Therapy." 



SURGERY 

Dr. Warfield M. Firor, Johns Hop- 
kins School of Medicine, lectured on 
"Cancer Cell Development," January 
18, and conducted surgical rounds for 
the students. 

Dr. Evarts A. Graham, first Visit- 
ing Professor of Surgery here, himself 
a distinguished professor of Surgery, 
Washington University, lectured on 
"Cancer of the Lung", Feb. 2, con- 
ducted surgical rounds with staff and 
students, and led combined staff con- 
ference on Feb. 3 on Bronchiectasis. 

Dr. Colin G. Thomas attend a meet- 
ing of the Society of University Sur- 
geons, Rochester, New York, Feb. 10- 
13. 

Dr. R. Beverly Raney, attended a 
meeting of American Academy of 
Orthopedic Surgeons, Chicago, Jan- 
uary 22-29. Dr. Raney was Chairman 
of the Instructional Courses Com- 
mittee. 

Dr. H. Robert Brashear attended a 
meeting of the American Academy of 
Orthopedic Surgeons and a meeting of 
Hand Society, Chicago, January 21- 

27. 

Dr. A. Price Heusner attended a 
meeting of Southern Neurosurgery 
Society, Baltimore, January 2 8-29. 



Claude L. Yarbro, instructor, and 
Dr. Carl E. Anderson, associate pro- 
fessor of Biological Chemistry and 
Nutrition, attended the meetings of 
the Southeastern Section of the Society 
for Experimental Biology and Medi- 
cine in Charleston, S. C, Friday, Jan- 
uary 22. They presented a paper joint- 
ly on "Metabolism of Acetal Phos- 
phatides." 



Dr. James W. Woods of Chapel 
Hill, Assistant Professor of Medicine, 
was elected president of the Durham- 
Orange County Heart Association at 
its recent annual business meeting. 



.12 



THE BULLETIN 



BULLITT HONORED 

January 18, 1954 was the Eightieth 
Birthday of the modest and beloved 
Dr. James Bell Bullitt, emeritus Pro- 
fessor of Pathology. That afternoon 
a group of the young ladies who work 
in the various offices of the School 
of Medicine Building gave a surprise 
party in Dr. BuUitt's honor. Every- 
body around the building dropped in 
to extend congratulations to Dr. Bul- 
litt and share in the accolades be- 
stowed upon him. He was presented 
with a beautiful smoking jacket as a 
gift. The party was attended also by 
Mrs. BuUitt and their son, James B. 
Bullitt, Jr. and his wife. It was a 
worthy gesture of appreciation to a 
man who since 1913 has been a vital 
part of the program of medical edu- 
cation at Chapel Hill. 

When the University of North 
CaroHna Chapter of Phi Beta Kappa 
held its winter initiation a few weeks 
ago, they invited Dr. BuUitt to make 
the address. In his own personal and 
intimate style. Dr. Bullitt advised the 
new crop of PBK's that neither money 
nor fame, nor power alone can bring 
success. Each has its value but suc- 
cess comes only from a balanced blend 
of many powers involved in "work 
and play and love and worship." 
IntelUgence and industry must be 
added to generous, kind, and cheerful 
sociability "if you would be leaders 
among men." 



M.F. AIDS BASICS 

A special research aid fund for the 
basic sciences in the School of Medi- 
cine has been made available through 
the Medical Foundation. 

The amount provided, $1200., will 
be used for the production of special 
publications, the purchase of appara- 
tus for research, and to make avail- 
able money for a number of small 
projects in the basic sciences for which 
there are no other sources of revenue. 



MEDICINE 

Dr. J. M. Sorrow, (Fellow) has re- 
ceived a grant for $300 from the 
North Carolina Heart Association for 
"Quinidine Study Fund." 

Dr. C. C. Fordham, Jr. (second 
year assistant resident) has been ap- 
proved for a traineeship by the Na- 
tional Institute of Arthritis and Me- 
taboHc Diseases of the National In- 
stitute of Health for the period July 
1, 1954 to June 30, 1955. 

Dr. L. G. Welt attended meet- 
ings of the American Federation for 
Clinical Research and Southern Society 
for Clinical Research in New Orleans, 
Jan. 29-30. There he presented a paper 
entitled, "A Study of Renal Tubular, 
Phenomena Under the Influence of 
Carbonic Anhydrase Inhibitor." Dr. 
D. T. Young (chief medical resident) 
attended the same meetings. 

Dr. Ernest Craig presented a paper, 
"Rheumatic Fever" before the month- 
ly meeting of the staff of Pittman 
Hospital, Fayetteville, Jan. 26. 

Dr. Thomas W. Farmer spoke on 
"Neurologic Problems in General 
Practice" at the Robeson County 
Memorial Hospital, Lumberton, Jan- 
uary 4. 

Dr. David P. Jones was the prin- 
cipal speaker at the Edgecombe Medi- 
cal Society, Rocky Mount, Jan. 13. 
His topic was "Principles of Neurolo- 
gical Examination." 

Dr. Isaac M. Taylor spoke on 
"Management of Patients with Rheu- 
matoid Arthritis," at the Greenville 
(S.C.) County Medical Society on 
Jan. 5. 



Several " representatives from the 
School of Medicine attended the Pub- 
lic Relations Conference sponsored by 
the Medical Society of North Caro- 
lina and held in Raleigh on February 
12. Doctor Donald B. Koonce (A.B., 
'2 5) Wilmington, is chairman of the 
Sponsoring Committee. 




ALUMNI 
NOTES 



ALUMNI DECEASED 

Dr. George H. Sumner, '21, 



of 



Asheboro, North Carolina, Randolph 
County Health Officer died December 
13. After leaving the University of 
North Carolina he completed his medi- 
cal education at Tulane and Harvard. 
In 1928 he established the Randolph 
County Health Department and had 
been its chief officer since that time. 
^ Dr. W. R. McCain, '95, long a pro- 
minent figure in the medical profes- 
sion in North CaroUna, died in High 
Point, January 10. After leaving the 
University of North Carolina he com- 
pleted his medical studies at Maryland 
and Harvard, practiced in Waxhaw 
from 1897 to 1922, then went to 
High Point, retiring from practice 
there in 1949. 



AT SURGEONS MEETING 

A number of alumni and staff 
members participated in the sectional 
meeting of the American College of 
Surgeons held in Charlotte, February 
1-3. Among these were Dr. Nathan 
A. Womack ('22), Professor of Sur- 
gery; Dr. Raymond M. Wheeler ('41), 
of Charlotte; Dr. S. A. Wilkins, Jr. 
('36), of Emory University; Dr. Ro- 
bert A. Ross ('20), Professor of Ob- 
stetrics and Gynecology. 

Serving on the local committee on 
arrangements were Dr. C. Lowry 
Pressly ('41), Dr. Claude B. Squires 
('17), and Dr. McChord WilUams 
('35). 



ACTIVE IN A.G.P. 

Among officers for the current year 
in the North CaroUna Academy of 
General Practice several alumni are 
included. Dr. Milton Clark ('35), 
Goldsboro is President-elect. Dr. Wil- 
Uam E. Selby ('32), Charlotte is Vice 
President and Dr. Glen E. Best ('35), 
Clinton, Dr. WiUiam C. Hunter 
('26), Wilson, and Dr. Fred G. Pat- 
terson ('35), Chapel Hill are District 
Representatives on the Board of Di- 
rectors. 



Dr. Leonard Fields ('27) Chapel 
Hill, has been elected Vice President 
of the Durham-Orange County Medi- 
cal Society. Drs. R. B. Lindsey ('38) 
and W. G. Morgan ('29) of Memorial 
Hospital are designated as alternate 
delegates to the State Medical Society. 
Other staff members included on this 
list are Dr. K. M. Brinkhous, Dr. Roy 
A. Hare, Dr. Louis G. Welt and Dr. 
Paul Bunce. 



Dr. Max M. Norvich, '39, is prac- 
ticing orthoepedic surgery in Newark, 
N. J. He recently published an article 
on athletic injuries in high school and 
prep school athletics in the New Jersey 
Medical Journal. He is medical advi- 
sor on athletic injuries for the public 
school system in Newark. 

Dr. Dean F. Winn, '45, is a Captain 
in the Army Medical Corps. His ad- 
dress is 2 5 th Station Hospital, APO 
2 34, c/o Postmaster, San Francisco, 
California. 



14 



THE BULLETIN 



MORE ALUMNI NOTES 

Dr. Clayton Brantley (B.S. - '37) 
has recently located in Durham and is 
associated with Dr. W. Raney Stan- 
ford ('17) in the practice of internal 
medicine. Dr. Brantley and his family 
moved from Texarkana, Texas. They 
were the subject of an interesting fea- 
ture article in a recent issue of The 
Durham Sun. 



Dr. George F. Tucker, '49, is lo- 
cated in the practice of general medi- 
cine in Zebulon. He has taken over the 
office of another alumnus, Dr. Charles 
E. Flowers, Sr., class of 1911, who has 
recently become the Medical Director 
of the State Prison. 



Dr. Isaac V. Manly, '44, until re- 
cently on the resident staff of the 
North Carolina Memorial Hospital, 
has opened his office for the practice 
of surgery in Raleigh; he is located 
at 2021 Clark Avenue. 



Dr. Thomas E. Whitaker, '46, is 
practicing medicine in Greenville, 
South Carolina. 

Dr. Jerry Allen, '42, has completed 
his surgical training and is in practice 
in Springfield, Missouri. 

Dr. E. G. Goodman, '38, is in the 
Navy Medical Corps, stationed at the 
Naval Hospital, Bethesda, Maryland. 

Dr. Lewis E. Jones, '45, is a Major 
in the Medical Corps of the U. S. Air 
Force. He is in the Research Office of 
the Surgeon General of the Air Force. 

Dr. James B. Greenwood, '43, will 
complete his tour of duty with the 
Army Medical Corps this year and 
hopes to return to renew his practice 
in Charlotte this summer. He and his 
family are now at Guam. 

Dr. G. Walker Blair, '45, is prac- 
ticing internal medicine in Burlington, 
N. C. He has an appointment as clini- 
cal instructor in medicine at the 
School of Medicine at Chapel Hill. 



Dr. Ernest Ribet, '45, is on the staff 
of the McGuire V. A. Hospital in 
Richmond. 

Dr. Carroll H. Lippard, '44, is prac- 
ticing Obstetrics and Gynecology in 
Lynchburg, Virginia. He is married 
and has three children. 

1st. Lt. H. T. Broadstreet, '48, is in 
the Army Medical Corps, stationed at 
Camp Gordon, Georgia. 

Dr. Walter C. Hilderman, '40, is 
practicing general surgery in Char- 
lotte. His address is 134 Middleton 
Drive. 

Dr. John W. Sawyer, '50, is an as- 
sistant resident in medicine at the 
Medical College of Virginia Hospital 
in Richmond. , 

Dr. Weldon H. Jordon, '45, com- 
pletes his training in internal medicine 
in the Medical College of Virginia 
Hospital, Richmond, in June; he is 
planning to open an office in Fayette- 
ville. 

Dr. J. Vincent Arey, '44, is in the 
Army Medical Corps, stationed at 
Mineral Wells, Texas. 

Dr. Margaret Swanton, '44, Assist- 
ant Professor of Pathology, is featured 
in an illustrated atricle entitled "Be- 
hind-the-Scenes, M.D." in the current 
issue of Community Health. Anyone 
desiring a copy may write the Hos- 
pital Saving Association, Chapel Hill. 

Here's a quote from the article: 
"The hospital pathologist is a prac- 
ticing doctor whom the patient never 
sees, but upon his diagnosis of the case 
depends the course of treatment." 



The Hospital Care Association with 
headquarters in Durham has recently 
celebrated its Twentieth Anniversary 
with some splendid public relations 
meetings and publications all of which 
promise increasing service in the years 
ahead. Mr. George Watts Hill alumnus 
of UNC and long-time friend of 
medical education at Chapel Hill is a 
director of this group. 




STUDENT 
ACTIVITIES 



SENIOR CLASS 

Many seniors have recently visited 
widely scattered hospitals for inter- 
views concerning internships. 

Neal Partrick, a Senior, recently 
attended a meeting of SAMA com- 
mittee on post graduate training at 
Chicago, lUinois. 

Seniors are involved in selecting a 
standard ring and key for the Medical 
School. 



FRESHMAN-SOPHOMORE 

Both medical fraternities Alpha 
Kappa Kappa and Phi Chi finally got 
around to having rush functions after 
a delay of over a month. 

Freshmen officers elected before the 
Christmas holidays include JuUus 
Green of Thomas ville, President; Ben 
Wilcox of Charlotte, Vice President; 
Jim Thorp of Rocky Mount, Secre- 
tary; Bill Littlejohn of Morganton, 
Treasurer; and Jerry McMahon of 
Asheville, Whitehead Society Repre- 
sentative. 

Many of the sophomores are now at- 
tempting to find work in hospitals and 
other appropriate places for the 
months of July and August. State 
Boards in June will prevent employ- 
ment during most of that month. Any 
alumni connected with hospitals 
throughout the state where help is 
needed or desired in the emergency 
room, OPD, etc., will help greatly by 
passing this word back to the students. 
Contacts may be made through Dean 
Berryhill's office. 



JUNIOR CLASS 

Here are some interesting statistics 
on the Medical Students. Going by 
classes the average age is 22 for the 
Freshmen, 2 3 for the Sophomore, 24 
for the Junior, and 26.5 for the Senior. 

Other Statistics: 
Year Married Veteran 

1st 7 % 7 % 

2nd 37.5% 12 % 

3rd 49 % 18.6% 

4th 56 % 58 % 

The figures indicate a trend appa- 
rent in other Medical School — more 
settled students and earlier marriages. 
This is perhaps the student's answer 
to one of the more troublesome prob- 
lems of medical education — the long 
period of training. 

Incidentally, 22% of the Junior 
Class are left handed. 

Herman Lineberger and Dot Jones, 
and George W. Brown and Eunice 
Fischer are the newest editions to the 
married roster. Congratulations. 

Next in order are engagements — Le- 
land Averitt and Betty Dalehite. 
Several others are to be announced 
shortly. After this summer there will 
be fewer bachelors at UNC. 

Mr. and Mrs. Rodney McKnight 
announce the arrival of Rodney, Jr., 
and the Joe Riddles', Don Pressley's, 
and the Alan Cronland's also have new 
additions. 

Many sophomores and juniors plan 
summer work in various hospitals 
throughout the state as externs. 



16 



THE BULLETIN 



M.F. SCHOLARSHIPS 

Four new scholarships for students 
in the School of Medicine here have 
been made available though the Medi- 
cal Foundation. 

At a meeting of the Projects and 
Grants Committee of the Foundation 
last week, officers of the Foundation 
were instructed to make available four 
annual scholarships, with a cash value 
of $2 5 each, from funds of the Medi- 
cal Alumni Fund of the Foundation. 
The Fund is accumulated with gifts 
made by the medical alumni of the 
local institution. 

Jurisdiction as to the awarding of 
the scholarships will be left with Dean 
W. Reece Berryhill who had told the 
group that there is an increasing need 
for such scholarship aid to medical 
students. 



STUDENTS 

Members of the Whitehead Society 
of the University of North Caroilna 
Medical School were guests of the 
Morehead Planetarium management 
Saturday night, Jan. 16, at 8:30 
o'clock, for the new show, "The Hea- 
vens Tonight." 

The Whitehead Society is com- 
posed of all students in the University 
Medical School. Bill Huffines, Greens- 
boro, is president. 



The Old Well in front of South 
on the main campus at the University 
is getting a face lifting. This tradi- 
tional symbol continues to serve its 
design, expressed by President Alder-^ 
man in 1897. He called it, "a little 
temple, designed to add a little beauty 
to the old campus." 



Editorial 



Adding a Word on Admissions 

This is the time for admissions. Schools of medicine through- 
out the country are now closing their class of 1958 for admission 
next Fall. It may be that too few colleagues and entirely too few 
laymen are adequately appreciative of the job an admissions com- 
mittee must do. Too often serving on the committee like virtue 
is its own reward. 

An admissions commitee must be composed of men of 
unusually good judgment, and men who are willing to spend five 
to ten hours a week for several months during the school year in 
studying the problems of selection. 

This committee's action must not be hampered by too many 
restrictions relating to place of birth, residence, religion, sex 
and the like. Where such restrictions are enforced rigidly the 
quality of student selection must necessarily fall. Above all, no 
admissions committee should have its action hampered by pressure 
groups, close friends or mutual acquaintances of the candidate. 

A wise admission brings its vindication and its compensation 
as the student finds his place in the work of the school and meas- 
ures up adequately to the highest expectations there, and later in 
the practice of his profession. 



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'MORE HOSPITALS . 
DOCTORS . . 



. MORE 
MORE INSURANCE" 



These were the three main objectives when North Carolina launched its Good 
Health program in 1946. The original state health commission called them "the 
mutually indispensable legs" of the long-range health improvement plan. 'We 
cannot have enough doctors without more hospitals," said the commission, "nor 
enough hospitals without greater popular ability to pay for hospital service . . . 
and such ability to pay on the part of the poorer half of our population is 
impossible without insurance." 



What Has Been Accomplished 



MORE HOSPITALS 

Expansion of the University medical 
school at Chapel Hill to a full four- 
year program was the state's answer 
to the doctor shortage. Of the 166 stu- 
dents now enrolled all but four are 
from North Carolina. The first class of 
these home-grown and home-trained 
doctors will be graduated in June. 



MORE DOCTORS 

More than 150 local hospital projects — 
new hospitals, additions to old hos- 
pitals, nursing quarters, health centers, 
and other health facilities — have been 
built in all sections of the state. The 
nuinber of counties without any hos- 
pital beds has been reduced from 33 to 
17. By 1956 approximately 7200 new 
hospital beds will have been opened in 
the Tar Heel State. 



AND MORE BLUE CROSS! 



As the Hospital 
Care Association 
begins its 21st year 
of service, we re- 
new our determ- 
ination to provide 
the best possible 
protection at the 
lowest practicable 
cost. To this end 
we request the 
continuing cooper- 
ation of the State's 
medical profession. 



Through an accel- 
erated enrollment 
prograiTi in both 
the urban and ru- 
ral areas of the 
state. Hospital Care 
Association of Dur- 
ham has been meet- 
ing this third great 
need of the Good 
Health Plan. Since 
the program was 
launched member- 
ship in Durham 
Blue Cross has 
MORE THAN DOU- 
BLED! Over a 
Quarter - Million 
people are now 
covered, and pay- 
ments to hospitals 
and doctors exceed 
$31,2 million a year. 



the Blue Cross plan 
The HOSPITAL CARE ASSOCIATION Inc. 

DURHAM, NORTH CAROLINA 
"First and Finest in Tar Heel Health Service" 




3547 Requested 



Sec. 34-65(e) P. L. & R. 
U. S. Postage 

PAID 

CHAPEL HILL. N. C. 
Permil No. 24 



The 

BULLETIN 



April, 1954 



No. 4 




BLOOD BANK of the North Carolina Memorial Hospital. Miss Grace Peele, senior technician, on 
ping and cross matching blood. This is one of tlie many medical services available at Cliapel Hill. 

-IE SCHOOL OF MEDICINE - THE MEDICAL FOUNDATION 
J COOPERATION WITH THE WHITEHEAD SOCIETY 
rIE UNIVERSITY OF NORTH CAROLINA - CHAPEL HILL 



To Members of. the Medical Society of the State of North Carolina 




^^ cCo^e a^ Cfoun fi/iaac . . . 



TELEPHONE COLLECT 
5-5341 - DURHAM 

If you have any prob- 
lems in connection with 
disability insurance we 
invite you to call this of- 
fice collect. We'll do our 
best to help you - and 
there is no obligation on 
your part. 

Belo^v is the accident and health 
plan established by the state so- 
ciety for its members in 1940. 

PLANS AVAILABLE 



Accidental Dismemberment Accident and 
Death Benefits, Up to Sickness Benefits 



Annual Semi-Annual 
Premium Premium 



$5,000.00 


$10,000.00 


$ 50.00 weekly 


$ 90.00 


$45.50 


5,000.00 


15,000.00 


75.00 weekly 


131.00 


66.00 


5,000.00 


20,000.00 


100.00 weekly 
($433.00 per month) 


172.00 


86.50 



Members under age 60 may apply for $10.00 per day extra for 
hospitalization at premium of only $20.00 annually, or $10.00 semi- 
annually. 



For Application or Further Information Write or Call 

J. L. Crumpf-on, State Mgr. 

Professional Group Disability Division 
BOX 147. DURHAM, N.C. 



Representing — Commercial Insurance Company of Newark, N. J. 



THE BULLETIN 

of the School of Medicine 

in cooperation with the Whitehead Society 

and the Medical Foundation 

of the University of North Carolina 

Vol 1 April, 19 54 No. 4 

IN THIS ISSUE 

Page 

Patient Care in Medical Education John T. Sessions, Jr., M.D. 2 

Is a Student Advisory Program Needed? F. Douglas Lawvasoii, M.D. 4 

Apercu — For Collateral Reading Myrl Ebcrt 6 

With the Faculty 8 

Alumni Notes 1 1 

Student Activities 1 3 

Editorial 16 



Editorial Coramittee 

ERNEST CRAIGE, M.D. HUGH C. HEMMINGS 

C. E. FLOWERS, JR., M.D. JAMES L. D. LAMM 

A. T. MILLER, JR., M.D. HARRY L. JOHNSON, JR. 

\V. REECE BERRYHILL, M.D. 

W. D. HUFFINES 

C. SYLVESTER GREEN 



Address all inquiries and communications to C. Sylvester Green, 101 
Medical Science Building— or Box 31, Chapel Hill, N. C. 

Published jour times a year — October, December, February, and April — 
at Chapel Hill, N. C. Entered as third-class matter at the Post Office at 
Chapel Hill, N. C. 



Eventual Goal of the Medical Student 

Patient Care in Medical Education 

By John T. Sessions, Jr., M.D. 

The average medical student, who has as his final goal the 
care of patients, has failed at times to associate his studies with the 
problems of sick people, and has therefore temporarily lost some 
of his motivation. Other students have taken the first steps 
towards thinking of people as structures and processes. Disease 
has become a series of still photographs rather than kaleidoscopic 
views of a man interacting with disease processes in the context 
of his socio-economic position, memories and ambitions. Without 
the problems of patient care to serve as a testing ground for con-^ 
tinually assessing the importance of various doctrines, the medical 
curriculum may become rigid or incredibly distorted by the 
influence and ability of faculty members. 

These reasons, among others, account for the present trend 
to inject the patient and problems connected with his care early 
in the medical educational process. People are brought into class- 
rooms and laboratories to illustrate both normal and diseased 
structures and functions. First year students are taught the tech- 
niques of obtaining and evaluating patients' symptoms. Lectures, 
conferences or demonstrations illustrating the correlation of basic 
sciences and clinical medicine are offered in the overwhelming 
majority of medical schools. 

Teaching during the last two years of medical school is con- 
ducted almost entirely against a background of problems in 
patient care. This has remained the case despite rapid advances in 
medical knowledge that might have shifted training from the 
bedside and operating room to the lecture hall and laboratory. In 
fact, realizing the impossibility of transmitting medical knowl- 
edge /'// toto to the student, and appreciating the rapid changes 
that occur in medical belief, many educators have placed greater 
emphasis on student participation in patient care. Under careful 
supervision, junior and senior medical students are given a degree 
of responsibility for the care of patients. Rather frequently the 
incentive and direction afforded by this responsibility convert a 



Dr. Sessions h Assistant Professor of Medicine in the School of Medicine of 
the University of North Carolina at Chapel Hill 



PATIENT CARE IN MEDICAL EDUCATION 5 

desultory student into an assiduous one. Using the problems intro- 
duced by the medical student's patient, an instructor can most 
effectively imbue the curiosity, enthusiasm and techniques of 
study that may encourage the student to continue learning from 
his patients long after his graduation. 

During the nineteenth and early twentieth centuries, patient 
care insofar as medical schools were concerned was an educational 
process in which the faculty supervised the hospital care of a 
limited number of indigent patients by medical students, interns 
and residents. Two factors have altered this situation. As the 
advantages of medical care in a university medical center have be- 
come apparent, a rapidly increasing demand for such services has 
developed. In addition to an increasing problem of care for the 
medically indigent, medical school faculties have undertaken the 
care of progressively larger numbers of private patients. The in- 
corporation of private patient care into the medical education 
program has been beneficial. Remuneration from these patients 
has enabled medical schools to increase the number of full-time 
faculty members. These patients also offer unique opportunities 
for training students in that they demonstrate more frequently 
than indigent patients the incidence and nature of emotional 
problems in medical practice, and the subtle changes of early or- 
ganic disease in observant, articulate people. The student who first 
encountered such patients on entering practice might well feel ill- 
at-ease, resentful, and long to return to hospital wards where 
rare and perplexing diseases prevailed. Private patients may there- 
fore make a valuable contribution to the preparation of students 
for a life of continuing education in the everyday practice of 
medicine. 

Patient care does, and should, play a role of prime impor- 
tance in medical education. Patient care is the eventual goal of 
the medical student, an essential tool of the medical educator, 
and in a small way contributes to the financing of medical educa- 
tion. While realizing the role of patient care in medical education 
and responsibilities of medical schools in medical service to its 
surrounding area, the schools must be vigilant. They must avoid 
becoming more deeply involved in medical service than require- 
ments of an educational program would indicate. Patient care is 
not synonymous with medical education; excessive participation 
by medical schools in medical service can quickly dissipate the 
energies of their staff, and therefore endanger the training of 
medical students. 



Preparing the Way For Faculty Counseling 

Is a Student Advisory Program Needed? 

By F. Douglas Lawrason, M.D. 

Student advisory systems, as established in the under- 
graduate college of many universities, have proved to be of value 
in the orientation and guidance of students in meeting their edu- 
cational responsibilities. The first obligation an advisor has to the 
student is to aid in the selection of courses which, when assimi- 
lated, result in a broad education for the student. The advisor 
also acts as a counselor in problems both academic and personal. 
The advisor guides, encourages and attempts to stimulate the 
student and considers with him the future in the light of the 
student's interests and capabilities. In those instances where an, 
advisory relationship worthy of the name exists between the stu- 
dent and faculty, the student has greatly benefited. 

The need for a student advisory program in the School of 
Medicine is not as self-evident as in the instance of the under- 
graduate college. Assuming the medical student to be a graduate 
student, he should be considered a mature individual who is 
properly motivated and has a clear insight in the goal toward 
which he is working. He has made his choice of a profession. He 
is faced for the most part with a curriculum sharply defined and 
with little prospect of deviating from it. Thus, in this sense the 
need for an advisory program does not carry the same essentiality 
as in the undergraduate college. 

However, the School of Medicine and its curriculum should 
not be inflexible and rigid in their demands on the individual but 
should be so designed as to present a maximum of opportunity to 
each student. The student should be permitted to focus his efforts 
and a reasonable amount of time in the exploration of a scientific 
area of particular interest to him. The opportunity afforded the 
student for experimentation during the period of four years of 
medical school is of critical importance to the scientific develop- 
ment of that individual. Without this opportunity the student 
loses his identity and assumes the monotone of the unstimulated 



Dr. Lawrason /s Assistant Professor of Medicine, and Assistant Dean, of the 

School of Medicine of the University of North Carolina at Chapel Hill. As 

Assistant Dean he is especially concerned with counselling with students. 



IS A STUDENT ADVISORY PROGRAM NEEDED? 5 

and scientifically indifferent medical graduate. Thus, under the 
circumstances of a flexible curriculum, the faculty plays an im- 
portant role in the careful guidance and counseling of the student 
as he is exposed to the multivaried interests of the medical sciences. 
Every spark of scientific interest must be fanned by an alert fac- 
ulty and the student should be urged to explore beyond the cur- 
riculum. 

In this sense, the entire faculty actively participates in the 
advisory system. Oftentimes, however, the student is troubled 
by the work load of an over-crowded curriculum as well as finan- 
cial and personal problems, and, thus, is not a ready substrate for 
scientific projection beyond the immediate demands of the cur- 
riculum. In general, when in need of help, the student seeks the 
guidance of an individual in whom he has gained confidence but 
often hesitates to bother a member of the faculty with his per- 
sonal hardships and the trivialities of existence and survival while 
attending medical school. Particularly during the first and second 
years, the student whose performance is relatively poor frequently 
pauses before approaching his instructors with the implication 
that it is because of such financial or other troubles that he is 
doing poorly. In such cases, a positive advisory program specif- 
ically designed to aid the student in any problem has the advan- 
tage of being available and known to the student as he enters 
medical school. It is possible that under these circumstances there 
will be less hesitation on the part of the student to seek advice; 
and, as a consequence, early minor problems may have less chance 
of developing into issues of major proportions. 

A positive advisory program, especially for the first two 
years of medical school, may have its value in preparing the way 
for the more important scientific advisory activities in which the 
entire faculty participates spontaneously. Accordingly, in the 
Fall of 195 3 an advisory program was established for the fresh- 
man and sophomore classes. It is too early to evaluate the merits 
of success of this program but much is being learned regarding its 
limitations during this first year of its existence. 



SATISFACTORY progress continues on the construction of 
the psychiatric and alcoholic rehabilitation wing of the hospital. 
The present schedule calls for the opening of at least a part of this 
wing in July or August, 1954. This will complete the present 
authorized construction projects in the Medical Center. Mean- 
while, the psychiatric service has a very active out-patient clinic 
and a 22-bed ward in the main hospital. 



Browsing Among the New Books 

Apercu — For Collateral Reading 

By Myrl Ebert 

The excellent groundwork of present-day knowledge and 
research laid down by our pioneers in medicine is so easily for- 
gotten that a couple of recently received titles are highly recom- 
mended as "refreshers." Keith's Menders of the maimed offers an 
examination and a "re-statement of the principles which underlie 
the art of orthopedic surgery" through a presentation of first 
advancements in the treatment of injuries to bone, muscle, tendon 
.md nerve from the 17th to the 20th centuries. Shelley and Crissey 
do a similar service in collecting pioneer works on skin diseases in 
their Classics in dermatology. Both volumes contain biographical 
sketches of the founding fathers of their respective fields. 

Pursuing the historical vein: Dr. Obendorf gives an eye- 
witness account of the growth of psychoanalysis in the United 
States during the past forty years, with a critical exploration of 
differences in development here and abroad. 

To lighten the reading matter, try Bingham, Redlich and 
Levine's unique delineation of present-day psychiatry to the lay- 
man, combining text with the most hilarious cartoons by Peter 
Arno, Partch, Cobean, Steig, etc. The experienced psychiatrist will 
enjoy this whether he reads the text or not — which is elementary, 
as suits the authors' purpose — but sound. However, if pictures 
bore him and he must have words for relaxation, might we suggest 
The ivorld's best doctor stories? This is a collection of twenty-four 
short tales of physicians in literature from the pens of such emi- 
nent authors as Hemingway, Dorothy Parker, Poe, and Balzac. 

There are doctors who read and doctors who write. The fol- 
lowing few guides and references are for the latter: Graves' The 
reader over your shoulder surveys English prose, from Alfred's 
translation of Boethius to Gertrude Stein, with an enumeration of 
forty-one principles of good writing. It is pleasurable and profita- 
ble reading, but in no wise a "handbook" despite its subtitle. For 
such aids, it would be better to use Fishbein's Medical Writing or 
Jordan's Kx for medical writing, both concise compendiums on 



Miss Ebert is Librarian of the Division of Health Affairs Library at the 
University of North Carolina in Chapel Hill 



APERCU FOR COLLATERAL READING 



preparation of the scientific paper. Another excellent and even 
shorter guide to scientific writing is Crowe's article in the Jcffer- 
wu-Hillmau hospital bulletin. Staniland, Massopust, and McComb 
individually introduce the embryonic author to line and photo- 
graphic illustration for publicaticn, while Mainland and Croxton 
assist with statistical presenaton. 

Books Mentioned 

1. Bingham, June. The inside story; psychiatry and everyday 

life. New York, Knopf, 19 5 3. 

2. Crowe, Mildred. "An introduction to the preparation and 

writing of articles for medical journals." Jefferson-Hill- 
man hospital bulletin, 4:60-98, April, 1950. 

3. Croxton, Frederick Emory. Elementary statistics with appli- 

cations in medicine. New York, Prentice-Hall, 195 3. 

4. Fabricant, Noah Daniel and Heinz Werner, eds. The world's 

best doctor stories. Garden City, N. Y., Garden City 
Books, 1951. 

5. Fishbein, Morris. Medical writing, the technic and the art. 

2d ed. Philadelphia, Blakiston co., 1948. 

6. Graves, Robert and Alan Hodge. The reader over your 

shoulder. New York, Macmillan co., 1944. 

7. Jordan, Edwin Pratt. Kx for medical writing . . . Phila- 

delphia, Saunders, 1952. 

8. Keith, Arthur. Menders of the maimed. Philadelphia, Lip- 

pincott, 1951. (Facsimile of original London ed. 1919 — 
Limited ed. no. 42 5) 
8. McComb, Stanley J. The preparation of photographic [prints 
for medical publication. Springfield, 111., Thomas, 19 5 0. 

10. Mainland, Donald. Elementary medical statistics; the princi- 

ples of quantitative medicine. Philadelphia, Saunders, 1952. 

11. Massopust, Leo Carl. Infrared photography in medicine. 

Springfield, Thomas, 1952. 

12. Obendorf, Clarence Paul. A history of psychoanalysis in 

America. New York, Grune & Stratton, 195 3. 

13. Shelley, Walter B. and John T. Crissey, eds. Classics in clini- 

cal dermatology. Springfield, 111., Thomas 19 5 3. 

14. Staniland, Lancelot Norman. The principles of line illustra- 

tration. Cambridge, Harvard University Press, 195 3. 




WITH THE 
FACULTY 



PEDIATRICS 

Dr. Edward C. Curnen will go to 
Atlantic City for the meeting there 
on May 2-3, of the American Society 
for Clinical Investgation. He will go 
on to Buck Hill Falls, Pa., for the 
American Pediatric Society and will 
be joined there by Dr. Harrie H. 
Chamberlin. 

Dr. Curnen has two publications 
now in press: "Coxsackie Virus In- 
fections," Mitchell-Nelson Textbook 
of Pediatrics, W. B. Saunders Co., 
Philadelphia; and "Premiers Isolements 
de Virus Coxsackie Chez Deux En- 
fants Pendant L'Epidemic de 'Myalgie 
Epidemique' A Bruxelles en 19 51." 
(with Mary O. Godenne). Acta 
Paediatrica Belgica. 



Dr. John P. Peters, professor of 
Medicine at Yale, was in Chapel Hill 
the last week in March as Visiting 
Professor of the Departments of Medi- 
cine and Surgery. He spoke at an 
evening lecture on "The Conditioned 
Nature of Edema and Diuresis." At 
the regular Wednesday afternoon 
combined staff conference he dis- 
cussed, "Medical Education's Dilem- 



MEDICINE 

Dr. Ernest Craige will attend the 
Conference of Under-Graduate Car- 
diovascular Program Directors (UHI) 
in Ithaca, New York, on June 1-3. 

Dr. Craige was a member of the 
area committee for the selection of 
Rhodes Scholars this year. 



SURGERY 

Dr. Nathan A. Womack, professor 
of Surgery, was at Yale as Visiting 
Professor of Surgery, April 11-17. 

Dr. Paul L. Bunce, assistant pro- 
fessor of surgery, was made a member 
of the American Urologic Association 
at its Southeastern Section meeting in 
Palm Beach recently. 



PSYCHIATRY 

Dr. G. C. Ham presented a paper 
on "Newer Physical Therapies in 
Psychiatric Treatment: Electro-con- 
vulsive Therapy, Insulin Shock and 
Lobotomy" before the Postgraduate 
Course in Medicine held in Chapel 
Hill, April 14. 

Dr. Ham attended a conference 
sponsored by the Josiah Macy, Jr. 
Foundation on "Medical and Psycho- 
logical Team Work in Treatment of 
the Chronically 111," held at the Uni- 
versity of Texas Medical Branch in 
Galveston, March 28-31. 

Dr. Harley C. Shands will present 
a paper on "Recovery in the Ego Fol- 
lowing Severe Trauma" before a meet- 
ing of the American Psychiatric Asso- 
ciation on May 3-7, 1954; and he will 
present a paper on "Talking to Pa- 
tients" before the General Session of 
the Annual Meeting of the Medical 
Society of North Carolina, on May 4. 

Dr. Christopher T. Bever presented 
a paper on "Psychiatry in East Ger- 
many" before the meeting of the St. 
Elizabeth's Hospital Medical Society in 
Washington, D. C. on April 2 3, 1954. 



WITH THE FACULTY 



PENDERGRASS HERE 

Dr. Eugene P. Pendergrass, '22, 
professor of Radiology at the Univer- 
sity of Pennsylvania, was guest Phi 
Chi lecturer, March 31. His topic was 
"The Roentgen Diagnosis of Men- 
ingiomas." He participated in a panel 
discussion the next day on the topic, 
"Management of Patients With Ad- 
vanced Malignany. 

Dr. Pendergrass is president this 
year of the Radiological Society of 
America, and Dr. J. Rush Shull, '08, 
Charlotte, is vice president of the 
same group. 



TAYLOR MARKLE SCHOLAR 

Dr. Isaac M. Taylor, assistant pro- 
fessor of medicine at Chapel Hill, has 
been awarded a $30,000 grant from 
the John and Mary R. Markle Foun- 
dation of New York. Dr. Taylor is 
engaged in teaching and in research 
in body metabolism. Drs. John B. 
Graham and George D. Penick have 
previously received similar awards as 
Markle Scholars. 



Dr. Zack D. Owens, '28, EHzabeth 
City will be elevated to the presidency 
of the State Medical Society at its 
annual meeting at Pinehurst next 
month. 



Dr. A. C. Dick, '29, Chestertown, 
Md., visited the campus and School of 
Medicine recently. 



PLAN ANNIVERSARY 

Medical education was begun in 
Chapel Hill in the Fall of 1879. In 
recognition of this seventy-fifth an- 
niversary, plans are to hold a special 
celebration in the Fall of 19 54. The 
exact details have not been completed, 
but a special committee is working 
with Dean Berryhill and announce- 
ment will be made as soon as program 
and procedure have been completed. 



RADIOLOGY 

Dr. Ernest Wood read a paper on 
the topic "Myelography," before the 
Philadelphia Roentgen Ray Society in 
Philadelphia, February 4. 

Both Dr. Wood and Dr. Charles 
A. Bream attended the meeting of the 
American Radium Society at Hot 
Springs, Virginia, March 14-16. 

Dr. William H. Sprunt was in 
Washington, D. C, March 11-14 for 
the Eastern Conference of Radiolo- 
gists. 

Two students who began training 
on April 1, 195 3, as student x-ray 
technicians received certification upon 
satisfactory completion of the 12- 
month program on March 31, 1954. 
Miss Amy Haley and Miss Beverly 
Witherington were the first students 
to be accepted for this course, which 
was initiated last spring, and which 
qualifies them for registry by the 
American Society of X-ray Techni-- 
cians. Two students are appointed each 
six months to receive this training. 
Inquiries and applications are becom- 
ing increasingly numerous. 

Members of the attending staff 
will again this summer participate in 
the teaching of 3rd and 4th year medi- 
cal students who of their own voli- 
tion elect to spend some time, be- 
tween completion of summer session 
and beginning of the fall term, in this 
department. Students will have an op- 
portunity to assist with radiographic 
examinations and be present when 
films are interpreted by staff radiol- 
ogists. 



BACK TO G.P. 

Dr. M. I. Fleming, '02, after a 
number of years as radiologist at Park 
View in Rocky Mount, has moved his 
office to Battleboro where he is doing 
general practice, and "having the time 
of his life," he reports. He still lives 
in Rocky Mount. 



10 



WITH THE FACULTY 



POSTGRADUATE COURSES 

The Continuation Education Pro- 
gram of the School of Medicine had a 
very successful session. More than 3 50 
physicians of the State were enrolled. 

Postgraduate courses were offered 
at Morganton, Wilson, Ahoskie- 
Edenton-Elizabeth City, New Bern, 
Salisbury, Lumberton, and Chapel Hill, 
the courses ranging from four to seven 
weeks. 

In addition to eighteen members 
of the faculty of the School of Medi- 
cine and staff of the Memorial Hos- 
pital, others participating were: 

Dr. Brian B. Blades, Professor of 
Surgery, George Washington Univer- 
sity School of Medicine 

Dr. O. S. English, Professor of 
Psychiatry, Temple University School 
of Medicine 

Dr. E. A. Schumann, sometime 
Professor of Obstetrics, University of 
Pennsylvania School of Medicine 

Dr. John Parks, Professor of Ob- 
stetrics and Gynecology, George 
Washington University School of 
Medicine 

Dr. John H. Gibbon, Jr., Professor 
of Surgery and Director of Surgical 
Research, The Jefferson Medical Col- 
lege of Philadelphia 

Dr. S. F. Ravenel, former Dean of 
Southern Pediatric Seminar, Practicing 
Pediatrician, Greensboro, N. C. 

Dr. Louis Krause, Associate Profes- 
sor of Medicine, University of Mary- 
land School of Medicine 

Dr. Bruce Logue, Associate Pro- 
fessor of Medicine, Emory University 
Medical School and Consulting Car- 
diologist, Grady Memorial and Vete- 
rans Hospital, and Cardiologist, 
Emory University Hospital 

Dr. Louis M. Hellman, Professor 
and Chairman of the Department of 
Obstetrics and Gynecology, State Uni- 
versity of New York, New York City 

Dr. H. Page Mauck, Professor of 
Orthopedic Surgery, Medical College 



HANDICAPPED CHILDREN 

Plans for a statewide conference 
on handicapped children, to be held 
at North Carolina Memorial Hospital 
in Chapel Hill May 27-28, were an- 
nounced recently by Dr. J. W. R. 
Norton, State Health Officer, and 
Dr. Charles F. Carroll, State Super- 
intendent of Public Instruction. 

The conference is to be devoted to 
a consideration of needs, resources 
and plans, both medical and educa- 
tional, for North Carolina children 
with various types of handicaps. 



A NEW LOOK 

Landscaping of the area in the front 
of the School of Medicine has been 
completed. Soon it will be a place of , 
beauty. The elevation between the 
building and the street has been 
lowered, all of the old trees have been 
removed, brick walks have been 
laid in a square-U pattern. 

Oaks, dogwood, and crab apple trees 
have been placed in the center of the 
"U". Gordonias, hollies and other 
flowering shrubs have been planted, 
and the entire area grassed. Light 
standards have been placed along the 
walks. 

of Virginia, and Attending Ortho- 
pedic Surgeon, Crippled Children's 
Hospital and Johnston-Willis Hospi- 
tal, Richmond, Virginia 

Dr. Kenneth Podger, Attending 
Obstetrician, Watts and Duke Hos- 
pitals 

Dr. Waldo E. Nelson, Professor and 
Head, Department of Pediatrics, 
Temple University School of Medicine 
and Medical Director, St. Christopher's 
Hospital for Children, Philadelphia, 
Pa. 

Dr. W. P. Richardson, and his as- 
sociate, Emory Hunt, report a most 
successful year in this work, and al- 
ready plans are being completed for 
a number of such courses in 19S4-5 5. 




ALUMNI 
NOTES 



ALUMNI DAY 

Thursday, April 1 was observed as 
Annual Alumni Day at the School 
of Medicine. It was adjudged a most 
successful event. There were 177 at 
the dinner that evening. 

The program opened with a scien- 
tific session at 2:30 o'clock in the 
afternoon. A symposium on "The 
management of patients with ad- 
vanced malignancy," heard the fol- 
lowing speakers: 

Drs. Colin G. Thomas, Leonard 
Palumbo, Harley Shands, and C. H. 
Burnett of the local faculty, and Dr. 
Eugene P. Pendergrass, professor of 
radiology at Pennsylvania. 

Visitors attended the combined 
clinical conference at 4:15 p.m. where 
the topic was "The management of 
obesity." 

After a social hour at the Chapel 
Hill Country Club, the annual dinner 
was held in Lenoir Hall with Presi- 
dent M. D. (Rabbit) Bonner, as 
toastmaster. 

Speakers in the evening were Dean 
W. Reece Berryhill, Assistant Dean F. 
Douglas Lawrason, and Dr. Nathan 
A. Womack, professor of surgery. 



WANT A CERTIFICATE? 

Would you like to have a Certifi- 
cate in Medicine from the School of 
Medicine? That question is addressed 
to alumni who had two years of medi- 
cine at Chapel Hill prior to 1941. 

In that year, at the instance of 
Dean Berryhill, certificates were 



NEW ALUMNI OFFICERS 

Fred C. Hubbard, M. D., '16, North 
V/ilkesboro, was named on April 1, 
to succeed M. D. Bonner, M. D., '2 8, 
as president of the Medical Alumni 
Association. 

Others named to serve with him 
are: president-elect, Verne H. Black- 
welder, M.D., '27, Lenoir; vice-presi- 
dent, W. Raney Stanford, M.D., '17, 
Durham; secretary, W. Howard Wil- 
son, M.D., '3 5, Raleigh; executive 
secretary, C. Sylvester Green, Chapel 
Hill. 

Counsellors, terms expiring in 1957, 
were named: Charles P. Graham, M.D., 
'3 0, Wilmington, and George C. Rowe, 
M. D., '37, Marion. Other counsellors 
whose term.s expire in 195 5, are J. B. 
Caldwell, M.D., '39, Gastonia; Russell 
O. Lyday, M. D., '18, Greensboro; and 
in 1956: C. C. Henderson, M. D., '12, 
Mount OUve; Robert P. Noble, M.D., 
'0 5, Raleigh. 



awarded at commencement to those 
completing the two years. This prac- 
tice prevailed through 19 51 when the 
last two-year class left Chapel Hill. 

Many alumni who had their work 
prior to 1941 have expressed a de- 
sire for a similar certificate. The School 
of Medicine wants to provide such 
certificates for all wishing them. The 
Records Office is working out the de- 
tails of the copy, and the alumnus 
would be asked to pay only the actual 
cost of the certificate. Drop a card to 
Dean Berryhill if you are interested. 



12 



ALUMNI NOTES 



"RALEIGH" ALUMNI 

The Annual Alumni Day, April 1, 
was made unusually pleasant by the 
presence at Chapel Hill of representa- 
tives of the "Raleigh School of Medi- 
cine." 

This needs to be further identified 
by its official title "The University 
of North Carolina's Department of 
Medicine in Raleigh" which was 
operated from the Fall of 1902 to 
June, 1910. There those who had 
completed two years of basic medicine 
could get the two years of clinical 
work. Degrees were conferred in the 
name of the University. 

There were 79 graduates of that in- 
stitution which had as its moving 
spirit the distinguished Dr. Hubert A. 
Royster, still a dynamic force in 
North Carolina Medicine. No group 
exhibits any finer loyalty to things 
that go on at Chapel Hill in this ad- 
vanced day than do these men who 
had their training more than forty 
years ago. 

Dr. Robert P. Noble '07, is presi- 
dent of the alumni group which has 
an annual meeting on February 22. 
There are 2 5 living alumni, according 
to our records in Chapel Hill. Their 
names and addresses are quoted below 
and if there are any omissions or er- 
rors are noted, drop a card to Box 31, 
Chapel Hill. 

1903: Z. M. Caviness, Raleigh; 
1904: M. C. Guthrie, Chevy Chase, 

Md.; J. H. Stanley, Four Oaks; 
1905: Q. H. Cook, Rich Square; John 

B. Cranmer, Wilmington; L. B. 

Newell, Charlotte; 
1906: A. B. English, Bristol, Tenn.; 

G. A. McLemore, Smithfield; 

J. W. Willcox, Carthage; 
1907: J. A. Ferrell, Raleigh; R. P. 

Noble, Raleigh; I. A. Ward, 

Hertford; A. G. Woodard, 

Goldsboro; W. T. Woodward, 

Erwin, Tenn.; 
1908: W. W. Green, Jr., Tarboro; 



CLASS OF '29 REUNION 

This Commencement is reunion 
time — the 2 5 th, that is — for the Class 
of '29. Dr. Reid Russell Heffner, New 
Rochelle, N. Y., is president of the 
group. Drs. E. McG. Hedgpeth and 
W. G. Morgan, of the UNC Infirmary 
staff are members of that class. 

Dr. Hedgpeth has been "sounding 
out" the members by correspondence 
on plans for some kind of a get-to- 
gether here in June. There are 32 
members of the class, and many of 
them expected back for the reunion 
party. 



MEDICAL ALUMNI FUND 

Retiring President M. D. Bonner, 
M. D., of the Medical Alumni Asso- ' 
ciation reported on Annual Alumni 
Day that during 195 3, 3 09 medical 
alumni contributed a total of §14,- 
063.5 to the Medical Alumni Fund of 
the Medical Foundation. 

Prior to 1953, 489 alumni had con- 
tributed $46,450.62. That makes a 
total of $60,513.12 to January 1 of 
this year. 

These monies have been spent ex- 
clusively for the benefit of the School 
of Medicine for supplements to sala- 
ries, scholarships, and student aid 
grants, purchase of special equipment, 
lectureships, publication of THE 
BULLETIN, promotion of alumni 
interests and activities, and general 
service to the School of Medicine in 
the field of public relations. 

D. W. Harris, Belle Glade, 
Fla.; A. F. Nichols, Roxboro; 

1909: W. H. Braddy, BurHngton; L. 
V. Dunlap, Albemarle; C. S. 
Eagles, Saratoga; F. B. Spencer, 
SaHsbury; W. A. Strowd, Dur- 
ham; 

1910: G. W. Gentry, Roxboro; J. R. 
Hester, Wendell; A. B. Rod- 
riguez, Mariel, P. R., Cuba. 




STUDENT 
ACTIVITIES 



ANNOUNCE INTERNSHIPS 

Internships for members of the 
Class of 1954 of the School of Medi- 
cine at Chapel Hill have been an- 
nounced by the Office of the Dean, as 
follows: 

Anderson, D. M. St. Louis City, St. 
Louis, Missouri. 

Averett, L. S., Allentown, Allen- 
town, Pa. 

Brigman, P. H., Allentown, Allen- 
town, Pa. 

Brown, G. W., The City, Akron, 
Ohio. 

Conkwright, D. D., Navy Hospitals. 

Cowan, L. K., Navy Hospitals. 

DeWalt, J. L. North CaroUna Me- 
morial Hospital, Chapel Hill. 

Diab, A. J. University Hospitals, 
Cleveland. 

Fleishman, M., North Carohna Me- 
morial Hospital, Chapel Hill. 

Fulghum, C. B., Temple University, 
Philadelphia. 

Grant, W. J., North CaroHna Me- 
morial Hospital, Chapel Hill. 

Graves, J. F., St. Lukes, New York 
City. 

Guy, C. L., George Washington 
University, Washington. 

Hemmings, H. C, North Carolina 
Memorial Hospital, Chapel Hill. 

Hines, H. B., The City, Akron, 
Ohio. 

Jones, R. S., Greenville General, 
Greenville, S. C. 

Lineberger, H. P., Hartford, Hart- 
ford, Conn. 



Lippard, S. A., Duke, Durham, 
N. C. 

Mahaffee, W. C, Medical College 
of Virginia, Richmond. 

Moore, B. M., The Queens, Hono- 
lulu. 

Owens, C. H., North Carolina Me- 
morial Hospital, Chapel Hill. 

Parke, J. C, Navy Hospitals. 

Partrick, C. T., Boston City (II 
and IV Med.), Boston. 

Patterson, T. H., Vancouver Gen- 
eral, Vancouver, B. C, Canada. 

Perry, E. J., Pennsylvania, Phila- 
delphia. 

Presley, G. D., North Carolina Me- 
morial Hospital, Chapel Hill. 

Quinn, C. L., Greenville General, 
Greenville, S. C. 

Rickenbacker, J. H., City Memorial, 
Winston-Salem, N. C. 

Robertson, C. G., Geisinger Memo- 
rial, Danville, Pa. 

Robinson, J., North Carolina Me- 
morial Hospital, Chapel Hill. 

Saunders, J. F. S., Medical College 
of Virginia, Richmond. 

Sherrill, H. B., Medical College of 
Virginia, Richmond. 

Spencer, A., Medical College of 
Virginia, Richmond. 

Spillman, L. C, The City, Akron, 
Ohio. 

Swann, N. H., Medical College of 
Virginia, Richmond. 

Thomas, R. P., Roper, Charleston, 
S. C. 

Tomlinson, R. L., Medical College 
of Virginia, Richmond. 



14 



STUDENT ACTIVITIES 



Tyndall, H. D., Allentown, Allen- 
town, Pa. 

Vinson, R. H., State University of 
Iowa, Iowa City. 

Vinson, W. M., Peoples, Akron, 
Ohio. 

Walker, A. D., Peoples, Akron, 
Ohio. 

Ward, J. C, Greenville General, 
Greenville, S. C. 

Weinel, W. H., North Carolina Me- 
morial Hospital, Chapel Hill. 

Williams, E. S., Cincinnati General, 
Cincinnati. 

Williamson, H. G., George Wash- 
ington University, Washington. 

Wilson, S. G., North Carolina Me- 
morial Hospital, Chapel Hill. 

Wilson, V. A., City Memorial, 
Winston-Salem, N. C. 

Wolff, A. D., City Memorial, 
Winston-Salem, N. C. 



The AKK annual picnic was held at 
Brannon's Lake on April 10. 



The Medical Wives held a party at 
the Chapel Hill Country Club on 
April 3. 



Officers of the Senior Class have 
also agreed upon a class ring which 
will be uniform with the University 
ring except that on the sides will be 
placed the degree letters "M.D." and 
the year '"54". 



A senior class key has been designed 
and is available to all members of the 
graduating group. This key resembles 
the usual scholastic fraternity key and 
has at the top of the larger square 
the initials U.N.C. and at the bottom 
School of Medicine. On the center 
square will be the seal of the Univer- 
sity in the upper left hand corner, 
the year "54" in the lower right hand 
corner, and the famiUar caduceus 
spread across the center. It will be a 
most attractive ornament. 



RIGGINS SCHOLARSHIP 

Dr. H. McLeod Riggins, '22, New 
York, has established in the School of 
Medicine the John C. and H. McLeod 
Riggins Scholarship. The first award is 
to be made in the Fall of 1954, and 
the annual value will be $200. 

Both Dr. Riggins and his brother 
are alumni of the University. Dr. 
Riggins has had a distinguished career 
in medicine since finishing his two 
years here. He was a visitor on Annual 
Alumni Day and at that time advised 
Dean Berryhill that he intended to 
establish this scholarship through the 
Medical Foundation. 

The selection of the recipient will 
be made through the Dean's office. 



Hugh Hemmings will be in Chica- 
go May 1-4 attending the SAMA as 
an official delegate from the School 
of Medicine at Chapel Hill. 



Student Faculty Day will be held 
this year on Saturday, May 15. There 
will be a program on the campus in 
the morning at which time the seve- 
ral classes will present their traditional 
skits and that will be followed by a 
picnic that afternoon at Hogan's 
Lake. This is one of the big events of 
the year and the students and faculty 
look forward to it with unusual plea- 
svire. 



Anticipating the participation of 
students of the School of Medicine 
in the University Commencement this 
year for the first time since 1910 as 
full fledged graduates. Senior Medical 
Students have bought invitations in 
which will be included a special card 
detailing items of the commencement 
program of special interest to them. 



The Douglas Conkwrights announce 
the arival of a son; and the Robert 
Thomas' have welcomed a young 
daughter to their home. 



STUDENT ACTIVITIES 



IJ 



WARREN TO SPEAK 

The 19 54 Commencement of the 
University of North Carohna — June 
5-7 — will be marked by the award- 
ing for the first time since 1910 
of the degree of Doctor of Medicine. 

This comes seventy-five years after 
medical instruction was begun here 
in 1879. 

In recognition of this significant 
advance, Chancellor Robert B. House 
has invited to do the commencement 
address Dr. Andrew Jackson Warren, 
head of the Rockfeller Foundation's 
Division of Medicine and PubHc 
Health. The address will b? a part of 
the graduating exercises in Kenan 
Stadium on the evening of June 7. 

Dr. Warren is a native of Person 
County, and completed two years of 
medicine here in 1912. He finished 
medicine at Tulane in 1914 and since 
then has been increasingly successful 
in his profession. He has been with 
the Rockfeller Foundation since 1921. 



MAD STONE GIVEN 

The thoughtful generosity of Dr. 
G. W. Gentry, '10, Roxboro, has re- 
sulted in a most unusual gift for the 
museum of the School of Medicine. 

The famous India Mad Stone, long 
owned by the Pointer family in Per- 
son County, was recently presented 
to the School by Miss Kate Pointer, 
the only surviving member of the 
immediate family. 

A most interesting article in The 
State magazine a few weeks ago re- 
galed the virtues of the mad stone, and 
many incidents of its use and value 
back across more than one hundred 
years. 

In her gift "Miss Kate" honored 
both Dr. Gentry and her family. It 
will be exhibited permanently in the 
museum cases in the office of the 
Dean of the School of Medicine at 
Chapel Hill. 



FOR THE SENIORS 

The members of the Class of 1954 
of the School of Medicine will be 
honored in a special afternoon pro- 
gram on Commencement Day — June 
7. 

Dean Berryhill has announced that 
a program is planned for the Seniors, 
their families, friends, and alumni at 
4 o'clock in the Hospital Auditorium, 
and that a social hour with refresh- 
ments will follow. 



GETS HEART GRANT 

Dr. Edwin P. Hiatt has received a 
grant in aid from the American Heart 
Association for the period from July 
1, 1954-June 30, 1957, to investigate 
"The effect of partial substitution of 
the nitrate ion for the chloride ion on 
circulation and electrolyte balance 
with special reference to hypertension 
and edema". 



ENDORSES ALUMNI FUND 

Dr. Fred C. Hubbard, new presi- 
dent of the Medical Alumni Associa- 
tion has put his hearty endorsement 
on the plan and work of the Medical 
Alumni Fund of the Medical Founda- 
tion. 

He stated that immediate needs are 
for more scholarships, assistance to the 
basic sciences, special library equip- 
ment, more salary supplements, ex- 
panded public relations activities, and 
uncounted miscellaneous provision for 
items for which there is no other in- 
come source. 

"Every dollar given by the medical 
alumni goes into our own Medical 
Alumni Fund," Dr. Hubbard stated. 
"Our continuing objective is 'Every 
Alumnus giving every year to the 
Medical Alumni Fund.' and thereby 
aiding in the continuing expansion of 
the School of Medicine of the Univer- 
sity of North Carolina at Chapel Hill." 



Editorial 

Proper and Abundant Fruits 

"Whoever is to acquire a competent knowledge of medicine 
ought to be possessed of the following advantages: a natural dis- 
position; instruction; a favorable position for the study; early 
tuition; love of labor; leisure. First of all a natural talent is 
required, for when nature is opposed, everything else is in vain, 
but when nature leads the way to what is most excellent, instruc- 
tion in the art takes place which the student must try to appropri- 
ate to himself by reflexion, becoming an early student in a place 
well adapted for instruction. He must also bring to the task a 
love of labor and perseverance, so that the instruction taking root 
may bring forth proper and abundant fruits '"'" "" "" Those things 
which are sacred are to be imparted only to sacred persons," 

This statement was made some 400 years before Christ was 
born. Here is implicit what today we call the humanities and 
here is also the feeling for the suffering of ill people. In our 
present society perhaps we can only add the results of a more 
complex way of living. We now know that sickness involves 
others than the person who is sick. Disease is social in scope as we 
see it today. The medical student must be conscious of the social 
nature of medicine and not be nervous about it because semanti- 
cally the term resembles socialized medicine. 

First Volume Completed 

THE BULLETIN closes its first volume with this issue. The 
four issues have been distributed to all alumni, donors to the 
Medical Foundation, local university faculty, and many others. 

Designed as a means of conveying information about the 
activities of the School of Medicine at Chapel Hill: its faculty, 
its students, its alumni, its services, the editorial staff hope the 
little magazine has proved effective to that end. 

Although it was not started as an experiment, nevertheless 
there would be no wisdom in continuing it unless it is certain 
that it meets a real need, and renders a real service. Our readers 
are the best judges of that. Their expressions and suggestions 
would be most helpful in planning for the next volume of THE 
BULLETIN. Drop a note to the Editor, Box 31, Chapel Hill. 
And come to Chapel Hill to see what is going on here. You will 
be proud! 



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MORE HOSPITALS . 
DOCTORS . . 



. MORE 
MORE INSURANCE" 



These were the three mahi objectives when North Carolina launched its Good 
Health program in 1946. The original state health commission called them "the 
mutually indispensable legs" of the long-range health improvement plan. "We 
cannot have enough doctors without more hospitals," said the commission, "nor 
enough hospitals without greater popular ability to pay for hospital service . . . 
and such ability to pay on the part of the poorer half of our population is 
impossible without insurance." 



What- Has Been Accomplished 



MORE HOSPITALS 

Expansion of the University medical 
school at Chapel Hill to a full four- 
year program was the state's answer 
to the doctor shortage. Of the 166 stu- 
dents now enrolled all but four aire 
from North Carolina. The first class of 
these home-grown and home-trained 
doctors will be graduated in June. 



MORE DOCTORS 

More than 150 local hospital projects — 
new hospitals, additions to old hos- 
pitals, nursing quarters, health centers, 
and ' other health facilities — have been 
built in all sections of the state. The 
number of counties without any hos- 
pital beds has been reduced from 33 to 
17. By 1956 approximately 7200 new 
hospital beds will have been opened in 
the Tar Heel State. 



AND MORE BLUE CROSS! 



Through an accel- 
erated enrollment 
program in both 
the urban and ru- 
ral areas of the 
state. Hospital Care 
Association of Dur- 
ham has been meet- 
ing this third great 
need of the Good 
Health Plan. Since 
the program was 
launched member- 
ship in Durham 
Blue Cross has 
JYIORE THAN DOU- 
BLED! Over a 
Quarter - Million 
people are now 
covered, and pay- 
ments to hospitals 
and doctors exceed 
$3 ',2 million a year. 




As the Hospital 
Care Association 
begins its 21st year 
of service, we re- 
new our determ- 
ination to provide 
the best possible 
protection at the 
lowest practicable 
cost. To this end 
we request the 
continuing cooper- 
ation of the State's 
medical profession. 



the Blue Cross plan 
The HOSPITAL CARE ASSOCIATION Inc. 



DURHAM. NORTH CAROLINA 
'First and Finest in Tar Heel Health Service'