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 0
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This system has been replaced by another to which all of you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.
CLEARLY the best!
Haemo-Sol's sparkling clarity means
minimum rinsing for "C.P." surfaces. Deli-
cate tests call for the chemically pure
glassware assured 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.
Tor more complete
leansing without
esidue — use Haemo-Sol.
jterature and sainples on re-
■ix^st. Write us regarding your
pecific cleaning prohlems.
y^EINECKE & COMPANY,
INC. O 225 Varick Street, New York 14
WINCHESTER
Just a Few of the MANY
Items Carried in Stock
Reception Room Furniture Diagnostic Equipment
Consultation Room Furniture Laboratory Supplies
Examining & Treatment Surgical Instruments
Room Furniture Fracture Equipment, Splints
Short Wave Diathermys X-ray Equipment & Supplies
Scientific Equipment
Serving Physicians, Hospitals,
Health Departments
and Related Institutions
WINCHESTER
Winchester Surgical Supply Co.
119 East 7th Street
Charlotte, N. C.
Winchesler-Ritch Surgical Co.
421 West Smith Street
Greensboro, N. C.
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"
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 0
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 0 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.
CLEARLY the best!
Haemo-Sol's sparkling clarity means
minimum rinsing for "C.P." surfaces. Deli-
cate tests call for the chemically pure
glassware assured 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.
For more complete
cleansing without
ifesidue — use Haemo-Sol.
tMerature and samples on re-
quest. Write us regarding your
specific cleaning problems.
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O 225 Varick Street, New York 14
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Sturdily constructed and easily con-
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Two of many fine Everest & Jen-
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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 0 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'
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