438 ILLINOIS STATE ACADEMY OF SCIENCE 



such as medicine, surgery, and obstetrics; the clinical 

 records of patients, free and pay, to be the basis for such 

 review and analysis. 



4. That accurate and complete case records be writ- 

 ten for all patients and tiled in an accessible manner 

 in the hospital, a complete case record being one, ex- 

 cept in an emergency, which includes the personal his- 

 tory; the physical examination with clinical, pathologi- 

 cal, and X-Eay findings, the treatment, medical and sur- 

 gical ; the medical progress ; the condition on discharge, 

 with final diagnosis; and in case of death, the autopsy 

 findings when available. 



5. That clinical laboratory facilities be available for 

 the study, diagnosis, and treatment of patients, these 

 facilities to include at least chemical, bacteriological, 

 serological, histological, radiographic, and fluoroscopic 

 service in charge of trained technicians. 



The first rule relates to the organzation of the attend- 

 ing hospital men. The organization of the attending 

 physicians of any hospital, if such organization is neces- 

 sary, ought to be effected among those physicians inde- 

 pendently of the management of the hospital, if it is for 

 their medical uplift. 



There are certain inherent fundamental rules with 

 which it is necessary for every hospital to compel the 

 medical profession to comply, but it is not necessary for 

 the hospital to enter into an organization with the medi- 

 cal profession to determine these rules, such as those 

 relating to the admissions of infectious diseases and the 

 like. 



The second rule relates to the competence of the at- 

 tending staff. My contention is that whatever relates 

 to the competence of a physician concerns the department 

 of the government which licenses him to practice and 

 does not concern the authorities of the hospital, who 

 often times are laymen and are not competent to pass 

 on the professional qualifications of physicians. 



The third regulation refers to the supervision of the 

 professional work in the hospital. To justify such super- 

 vision, it must be presumed that the stamp of efficiency 



