152 Biochemical Bulletin [Sept. 



Unforseen difficiilties have greatly delayed the ptiblication of 

 this the initial number of the Bulletin. This issue contains much 

 of the material in oiir hands on the first day of September. For the 

 sake of convenience this number of the Bulletin is dated Sep- 

 tember, 1911. The December number is in press and will be ready 

 for distribution before Christmas. 



With the signing of the agreement between Columbia Uni- 



versity and the Presbyterian Hospital, medical education in New 



York enters upon a new phase. In direct consequence of this union 



Columbia University it will become possible in the future for the clini- 



and the Presbyte- cal teaching of medicine to reach the scientific 



nan Hospital ^^^^ pedagogic efficiency long since achieved in the 

 laboratory courses of the first two years of the medical curriculum. 

 Despite all the evident advantages of the relationship, it is improb- 

 able that the accomplishment of this long desired opportunity will 

 result in any immediate and remarkable change in medical teaching, 

 for similar relations between hospitals and medical schools have 

 existed elsewhere and the graduates of the College of Physicians 

 and Surgeons have not suffered in competition with those from such 

 schools. The new arrangement will simplify the question of obtain- 

 ing teaching material, and will concentrate Instruction in one place. 

 Greater opportunities, however, only bring greater responsibilities. 

 An organic, not merely a physical, union must be the final goal. A 

 new generation of medical and surgical teachers will have to be 

 developed; a new generation of hospital managers may come, be- 

 fore the füll realization of this great opportunity is possible. A 

 medical millenium, though announced by the sanguine, is hardly at 

 band. Nor will the new arrangement prevent Columbia from enter- 

 ing into relations with other hospitals, of a different and somewhat 

 less intimate nature. With the increasing number of students which 

 may shortly be expected, wider clinical facilities will be required, 

 and no doubt some of the tentative agreements now in force, per- 

 mitting the admission of students to the hospitals of New York, 

 will be continued and extended. The pressing need of opportuni- 

 ties for postgraduate instruction, which is entirely different from 

 the teaching of undergraduates, also demands that the university 



