w* / iJ / o? o^ zm v. (DMririr 3dsWp l§iii§§) UNDER THE CARE OF JOSEPH WARRINGTON, M. D, Printed by Howell Evans, South Fourth Street. 1851. I J.-- /.?-3>/- / THE OBSTETRIC INSTITUTE ©IF IFKIDLADEILIPIKIOA,, UNDER THE CHARGE OF JOSEPH WARRINGTON, M. D. L DESIGN OF THE OBSTETRIC INSTITUTE, 1. To furnish Obstetric aid to such indigent females at their own homes, aa apply for the benefit of the Philadelphia Dispensary, Lying-in Charity and Nurse Society. 2. To supply practical facilities to gentlemen pursuing the study of Medicine, for attaining to present and future usefulness in their profession, by a close pre- liminary training, and a subsequent attendance as accoucheur in ordinary, upon those who may require obstetric aid from the Dispensary, &c, &c. 3. To qualify Nurses for their especial duties in the sick-room, with particular reference to obstetric cases, and to impress them with a due sense of the relation they hold with the Physician, in the management of such patients. II. QUALIFICATIONS OF CANDIDATES FOR ADMISSION INTO THE INSTITUTE, 1. Gentlemen, who produce from a Professor, preceptor, or some other respon- sible person, a certificate, that they sustain a good, moral character, that they are diligent in the study of Medicine, and that they have attended at least one full course of Lectures, included in the Curriculum of a degree-conferring School, are eligible to admission to the instructions and practical advantages of this Insti- tute,—provided they procure their tickets, and regularly enter the class within five days from the commencement of either of the courses of Lectures indicated in page 7, of this announcement. 2. The Principal reserves the right to receive Graduates in Medicine, at later periods of the course, whenever the complement of sixteen pupils has not boen made up within the time above specified. III. ORGANIZATION OF THE INSTITUTE. J. WARRINGTON, M. D., Principal. — M. D., Senior Assistant. Junior Assistants } Practising Pupils,—limited to sixty-four per annum ; and, as nearly as possi- ple, sixteen to each course. (1) 2 IV, DUTIES OF PUPILS. 1. To give regular and punctual attendance upon the practical instructions of the Institute. Absence from a lecture will require explanation, since each meet- ing of the class is regarded as a professional appointment; and no pupil can be expected to have the management of actual cases, unless he shall have been pre- sent at, and shared in all the practical exercises upon the models to the satisfac- tion of the Principal. 2. To make one or more visits to the patients under his care, during the latter periods of pregnancy, to give such instructions in relation to their persons and positions as the nature of the case may require; and promptly to obey a request to attend upon the labor, unaccompanied, except by the Principal or a duly recognised assistant. 3. To summon to his aid, at as early a period as practicable, an assistant or the Principal, whenever he is embarrassed in reference to the management of the case under his care, especially if the life of the mother or child is involved in the slightest danger. 4. To inform the Principal in person or by note, of the delivery, as soon as possible after its occurrence, and furnish a summary account of the condition of the mother and child, at the date of such communication. 5. To visit his patients daily, or more frequently for at least five days, and then once in two days until after the tenth day from the period of confinement. To embrace every suitable opportunity to make himself acquainted with the actual condition of the puerperal woman and her child, with such other matters as apper- tain to the professional superintendence of the affairs of the nursery. 6. To enter, as soon as practicable, under appropriate heads, in the Tabular Reports, the results of his observations, and to write at length a history of the case as observed by him, through its whole progress. 7. To render to the Principal, in a neat and perspicuous style, the tabular reports, and a minute detail of all the cases which have been under his care, on the alternate pages of thesis paper, with a title page after the following manner: 3&ecorti of (Eases ASSIGNED ME BY DR. WARRINGTON, DURING MT CONNECTION WITH THE PHILADELPHIA OBSTETRIC INSTITUTE, IN THE MONTHS OF ------, -------and-------, 18 BY OF 8. And to return to the Principal the names of all patients, whom, with his consent, he may decline to attend, that they may be distributed to other members of the class. V. PRIVILEGES OF PUPILS, 1. To attend all the lectures given during their period of engagement in the practice of the Institute, beside the instructions and exercises of their prepara* tory course. 3 2. To receive a Diploma, after the following form:— €jjb (Dhshtrir 3iisiiiiib, FOR THE Practical training of Physicians and Nurses in their duties to pregnant, partu- rient, and puerperal Women, and to their young children : BASED UPON The Obstetric Department of the Philadelphia Dispensary,—founded in 178G ; the Philadelphia Lying-in Charity,—incorporated in 1832; the Philadelphia Nurse Society,—established in 1839;—for supplying appropriate Obstetric Aid to indigent females at their own houses. ©fniss fg to ©eirtiifg, That--------------------------------, M. D., has attended-----full course of Practical Instructions,-----course of Exer- cise upon Obstetric Models in my Lecture room, and, under my supervision, has had the management of patients, deriving aid from the above Institutions at their own houses, during a period of------months. Joseph Warrington, M. D., Principal. Philadelphia,------------18 The above diploma is granted as an award of merit, for the faithful discharge of duties assigned by the Principal, and assumed by the pupil. It may also be signed and sealed by the President or a Vice President and at- tested by the Secretary of the Lying-in-Charity, in testimony of the approbation of the Managers of said Charity; Provided, the pupil has obtained the title of I\L D. from a legalized Medical School, and has presented to the Principal a clinical record of the cases that have been under his care, satisfactory to the Principal and the signing officer. It is neatly executed on map paper, covering an area of about 15 by 22 inches, and involves no pecuniary expense on the part of the recipient, except when fur- nished upon parchment, at a cost of two dollars. VI, MANNER IN WHiCH THE DIPLOMA IS FORFEITED, Neglect of regular attendance upon the preparatory courses of Lectures, or omissions to fulfil the duties to patients assigned by the Principal and assumed by the pupil, renders the latter liable to have the remaining cases withdrawn, and the Diploma withheld, at the option of the Principal. VII. JUNIOR ASSISTANTS, [a) Who may become Junior Assistants. Pupils who have complied with the regulations of the Institute during two terms, consecutive, or nearly so, may become candidates for the office of Junior Assistant. (6) How they are chosen. Whenever more than two candidates present for Junior Assistants they shall com- pete for the office, by a test of their qualifications in the presence of the Principal of the Institute, and two Physicians, nominated by the Managers of the Dispen- sary, or of the Lying-in-Charity. The examination shall be conducted orally and in writing. Two negative votes will reject the candidate. But if the essays be creditable, the fact shall be publicly announced to the members of the Institute. 4 VIII, DUTIES OF THE JUNIOR ASSISTANTS. 1. Either of them to hold himself in readiness to substitute the practising pupils, in attendance upon patients during their absence, to relieve them if the labor be so protracted that they have need of rest, and to aid them in any embarrassment, in the management of cases of simple labor. 2. To apprise the Senior Assistant, or in his absence, the Principal, of the pro- bable nature of the case, should they discover anything abnormal in it. 3. To aid the practising pupil in making distinct notes of the cases, in which they have been associated, and if desired, to fill up such details as may appear to him to have been omitted by the pupil. IX, PRIVILEGES OF JUNIOR ASSISTANTS, 1. The Junior Assistants shall have the privilege of attending all the lectures and exercises upon the models, intended for the instruction of the classes, with whom they are associated. 2. The fact of the faithful performance of their duties, may, if desired by them/ be inserted on their Diplomas over the signature of the Principal. X, SENIOR ASSISTANT, (a) Who may become a Senior Assistant. 1. Pupils who have received the Diploma of this Institute, and satisfactorily discharged the duties of Junior Assistants, during two consecutive terms, may become candidates for the office of Senior Assistant. (J) Ifow they are appointed. 2. If more than one candidate presents for the office of Senior Assistant, the concours shall be conducted as in case of Junior Assistants, except that the stand- ard of acquirements shall be of a higher order, in the case of the Senior, than of the Junior Assistant. XI. DUTIES OF THE SENIOR ASSISTANT. 1. To hold himself at all times, ready to respond to a call from a Junior Assist- ant, either to aid in diagnosis, respecting labor, or the presentation, or position of the child, or the necessity of manual or instrumental aid. 2. To apprise the Principal immediately on the occurrence of any accident, or in his absence, either of the consulting accoucheurs of the Philadelphia Dispen- sary, whose decisions in the case shall be duly respected. 3. To see that all such cases are fully and regularly recorded. 4. To report daily to the Principal the state of the patients, in whom he has been interested. 5. To render such assistance in the lecture-room and at the exercises of the practising pupils and Junior Assistants, on the models, as may be necessary. 6. To attend whenever possible at the place of meeting of the patients, appli- cants for the benefits of this Institute, and assist in the registry and distribution of them to the practising pupils. 7. To assist, if required, in the instruction and training of the Nurses under the direction of the Principal and the managers of the Philadelphia Nurse Society. 8. And to have supervision of the reports of individual cases in which he has been interested, as entered in the record book, and see that the Tabular state- ments are properly made out. 5 XII. PRIVILEGES OF THE SENIOR ASSISTANT, 1. The Senior Assistant shall have the privilege of controlling the judgment and actions of Juniors and practising pupils, in regard to unsettled points of Obstetric practice, unless his views differ from those of the Principal or the consulting accoucheurs of the Philadelphia Dispensary, in which case either of them shall be the umpire. 2. The faithful discharge of duty of the Senior Assistant, may be declared upon his Diploma, attested by the Principal. XIII, THE PRINCIPAL Exercises the entire supervision of all cases under the charge of the Institute, and he alone, or in conjunction with the Managers of the several corporations on which it is based, holds all the assistants, pupils, nurses and patients, amenable for any omission of duty, or commission of impropriety. XIV, MODE OF TEACHING, (a) It is the aim of the Principal to make his instructions to his classes, as demonstrative and practical as possible—hence, part of each course is occupied in a brief review of the Anatomy of the female organs of re-production, the different pelvic viscera, illustrated by diagrams, and wet preparations of the organs removed from the pelvis, as well as the relations they hold to each other, and to the pelvis within which they are included; the development of the uterus for the accommodation of the ovum ; the study of the pelvis as the canal through which the ovum must pass,—leading thus to an examination of its form, axes, diameters, attitudes, planes, &c. (6) The mode of action of the uterine and accessary powers in the parturient effort, [labor,]—the influences of the os uteri, the vagina and pelvis in changing the direction of the foetus, in the course of its expulsion, [mechanism of parturi- tion,] the study of the different surfaces of the foetus, and the mode of diagnosti- cating its various presentations and positions at the upper part of the pelvis,—the various deviations, in presentation and position of the foetus, and the mode of rectifying them, are all taught demonstratively and practically upon the models. The Medical and Surgical means to be used in cases of tardy, difficult and impracticable parturition; as well as the various details of duty of the physician and nurse in the chamber of the parturient and puerperal female, and the neces- sary attention to the infant, are regarded as important items in the course of Instructions. The courses are so arranged that by the time the minds of the pupils have been fully impressed with these topics, they have opportunities and occasions to exer- cise their knowledge, by attendance upon cases which are assigned to their care. To relieve them from the pressure of such responsibility as is incident to the initial practitioner in his entrance upon his duty, each one has the privilege of having associated with him a Junior Assistant of the Institute, who has had the advantage which the experience of two previous terms of practice has afforded him, and who may in turn demand the aid or experience of the Senior, who is in all cases, expected to notify the Principal, or a consulting accoucheur of the Dispensary, of any special difficulty. Thus in some instances liable to occur, the pupil, Junior and Senior Assistants may be associated with the Principal, in such cases as require Manual or Instrumental aid. Observations of several years past, have fully demonstrated the advantage which the attainment to, and exercise of the office of Assistants have given to the several successful candidates. Those who have held the relation, have subsequently become well established in Obstetric and general practice in the situations in which they have located. (c) The balance of the course of Practical Instructions, if any time be left, is 6 employed in lectures on such diseases of women and children as are likely to engage the attention of an Obstetric practitioner. (d) A portion of each course of the lectures is occupied in instructing in their especial and appropriate duties as nurses to the sick, but particularly to obstetric patients, such women as for their intelligence, and apparent suitableness for the performance of their duties in the Nursery, as after an examination by a com- mittee of Ladies of the Nurse Society, have been recommended by them to the instructions and service of the Principal in carrying out the designs of the Institute. In these instructions the male members of the class participate. The attention of gentlemen who reside at a distance from Philadelphia, and who wish to become connected with this Institute, is invited to this circumstance, as it is strongly probable that it would advance not only the interests of the Physician, but also that of the patients in the district in which he hereafter intends to settle for practice, if, during his stay in this city he could secure the education of one or more nurses, who would be willing to locate in his neighbor- hood. Each Nurse, upon her having received a course of instruction and faith- fully attended patients under the direction of the Principal and the Mana- gers of the Nurse Society, obtains a neat certificate, signed by the Principal and such of the Lady Visitors as are satisfied with her performance. XV, FACILITIES FOR IMPARTING OBSTETRIC KNOWLEDGE, (a) The Miscellaneous Cabinet. Care has been taken to supply the Cabinet with every variety of means of illus- tration which the counsels of friends and pupils at home or abroad could suggest; and they consist of mannekins, one of full size, for the demonstration of the pro- per positions of the parturient and puerperal female, others representing the abdomen, pelvis, and thighs,—with a number of foetuses and placentae, &c, all manufactured by the best Philadelphia Artists in this department, to the special order of a late Professor of Obstetrics, and the Principal himself.—A great variety of Obstetric Instruments, some of them manufactured by the late celebrated Bots- chan, of London, under the supervision of Professor Davis,—as well as by our Artists, are kept for illustration and use. A standing order is in the hands of one of our most extensive Surgical Instrument Makers, to supply the Cabinet with a specimen of every improvement or new invention of importance, in this department. (6) The Anatomical Cabinet Contains many specimens, illustrative of the Anatomy, Physiology and Pathology of the generative apparatus, including a series of ova and foetuses, from the earliest stage up to the complete intra uterine development. Constant accessions are being made to this part of the means of illustration, and the Principal avails himself of this opportunity, gratefully to acknowledge the kindness of several of his pupils and friends, in presenting to him a number of valuable specimens.—He moreover, cherishes the hope that, either in their private relations, or as members of the Obstetric Society, not only his former, his present, but his future pupils will, as oppor- tunities offer, and inclinations prompt, continue their favors, that thereby the mate- rials for thorough instruction by this species of demonstration, may become com- plete. (c) The Pictorial Cabinet. The drawings used in aid of the practical instructions, are numerous, and can be so arranged, as, in conjunction with the wet preparations and the models, to make a strong impression upon the understanding of the pupils. They are mostly colored after nature, and hold a definite relation to the size of the adult and foetal subjects. The dimensions of each figure are such, that it can be readily seen from any point of the room occupied by the class. 7 XVI, TIME DEVOTED TO LECTURES, 1. The regular courses of Practical Instructions in Obstetric Medicine, commence on the 14th of February—6th of May—5tli of September—and 24th of November, of each year, provided, that when these dates fall on Sabbath, the first lecture of the course will be given on the following Monday. Each Course continues about 10 weeks, and includes 60 lessons, not only on the great principles of the Science, but the practical details of the Art of Obstetric Medicine—and these, when the pupil is believed to be prepared, are verified by opportunities of observing cases. The members of each class, formed at the com- mencement of the Course, have in regular rotation, the patients of the Dispensary, Lying-in-Charity and Nurse Society assigned them for their care and attendance, with the aid of the assistants, if necessary, and under the supervision of the Principal. 2. The term of engagement in the practice in connection with each course of in- struction is about three months—and commences on the 16th of April, 16th of July, 16th of October and 16th of January, of each year. XVII. FEE. 1. For each pupil, thirty dollars, money current in the banks of Philadelphia, to be paid on entrance to either of the courses of instructions and practice. 2. The payment of fifty-five dollars upon first entrance, secures to the pupil the privilege of attending two consecutive courses of instructions and practice; by which he may become eligible to promotion to the offices of Junior and Senior Assistants, agreeably to Articles VII and IX, of this announcement. The pupils attaining to these offices, are exempted from any further payment of fees for their connection with the Institute. XVIII. SUCCESS OF THE INSTITUTE, The Obstetric Institute was commenced in June 1837, and since that time the Prin- cipal has given four courses each year to advanced pupils or recent graduates in Medicine, who had attended under his supervision many hundred Obstetric cases, some of whose histories have been carefully recorded, and in the aggregate supply a considerable amount of material for clinical illustration in the preparatory courses. In his arduous and responsible enterprise of preparing the Medical Student for entering upon the practical duties of the accoucheur, through the portals of Ob- stetric experience, the Principal has been occasionally cheered by concurrent testimonies of many former pupils, distributed throughout various sections of our extended country, respecting the value of these courses of instruction, as contribu- ting essentially to their success in obtaining practice as Physicians. Young gentle- men who are ambitious to superadd to the knowledge they may acquire from books and their Professors, the practical advantages which may be obtained by a full compliance with the disciplinary regulations of the Obstetric Institute, are not only brought more or less before the notice of thirty-six gentlemen, twelve of whom are Managers of the Philadelphia Dispensary; twenty-four Officers and Directors of the Philadelphia Lying-in-Charity: and twelve Ladies, Visiting Managers of the Nurse Society, who give personal attentions to a large number of patients deriving the benefits of the Institute, but by the exercise of their daily duties towards the patients under their care, and their almost constant relation with intelligent Nurses, selected by, and in the employment of the Society of Ladies, they are in a marked degree prepared to perform the functions of Physicians, in the neighborhoods in which they settle for practice, with a business-like manner which inspires the confidence of their patients in their professional abili- ties. 8 As this plan herein described, contemplates a succession of elevations in office from that of Pupil up to Senior Assistant Obstetric Physician in this Institute, the wish is hereby expressed, and the hope entertained by the Principal, that in the event of his death or resignation, the Boards of Managers of the several co- operative Institutions, which have through the intervention of the present Prin- cipal been concentrated upon this school, will elect a successor from amongst those who shall have attained to the station of Senior Assistant,—and that this election shall proceed upon the same ground as that adopted in relation to Junior and Senior Assistants. OBSTETRIC SOCIETY. In 1843 several members of the class organized themselves into an Association, for mutual improvement in Obstetric Medicine. They constituted the Principal, their President, with whom the Constitution and By-Laws are deposited. A num- ber of interesting and instructive communications have been read at its meetings. The plan of the Society is, that it consists of President, Secretary, Resident Mem- bers, Corresponding or Non-resident Members, Fellows and Honorary Members. Gentlemen desirous of connecting themselves with the Obstetric Institute, can apply to Dr. Warrington, at his residence, No. 229 Vine Street, Franklin Square, from 2 to 3, or 6 to 7, P. M. CATALOGUE OF PUPILS OP THE OBSTETRIC INSTITUTE. Those marked D, having complied with the requisitions of the Institute, and have received, or are entitled to its Diploma. The last three classes on the list, have not generally had time to complete their courses in the Institute. 1st Course, September 1837. Joseph Peace, M. D.,........v..Pa. Joseph Cottman.............n.. Md John R. Atkinson,..........n.. Engd. Edmund S. Janes,.............Pa- 2d Course, December 1837. Virling Kersey,.............n . . Ind. John C. Carper,............n. . Va. Joseph Daniels,.............v. .Va. Willets,.............n.. N.J. 3d Course, May 1838. William L. Stamps,..........d .. Va. Thomas Wood,.............n. . Ohio. Richard M. Cooper,.............N.J. John J. Reese,.............v..Pa. teh Course, September 1838. James W. Kerr,.............n.. Pa. John K. Sharon,............n . . Ohio. 5th Course, December 1838. E. H. Stiles, M. D.,..........n.. Miss. Peter Eppes, M. D.,.........n.. Va. Matthew H. Clarke,.........v ..Pa. Robert H. Taliaferro,........v. .Va. Thomas Gouldin,...........v..Va. 6th Course, March 1839. John H. Harrison,..........n.. Miss. Anthony E. Stocker,........d .. Pa. Benjamin W. Wood,........n.. Ky. 1th Course, May 1839. Ephraim J. Bee,............v.. N.J. Francis Drinker,............v. .N. J. George L. Newbold,........v.. N.J. Edmund Lang,.............n. . 2V. r Andrew Bruce..............-d. .Pa. A. D. Chaloner,.............n. Pa. William A. Booth...........v. Tenn. Elisha J. Lewis,...............Pa. 8th Course, September 1839. Eli H. Moore,................Va. John R. Justice,.............d . N. C. William H. Muller,..........n. Pa. Edward Hartshorne..........d . Pa. 9th Course, December 1839. Maurice Fitzgibbon, M.D.....n. N. C Smith Fuller, ....'..........u .Pa. William H. Marr,...........d . Pa. James Houston Gamble,......r>. Ireland Thomas W. Harris,.........n . Tenn. John M. Clarke,............o.N. C. Joseph D. Mason,...........d . Tenn. 10th Course, March 1840. Cor. C. Van Wyck,.........v.N. Y. Lewis M'Knight,............n . N. J. John P. Cunan,............n . Pa. John Livingston Ludlow,.....v.Pa. 11th Course, January 1840. James Mitchell, Jr...........i). Pa. Benjamin F. Hendon,........D.Ala. Henry Selden, M. D..........n .Va. Lucas Gee, M. D............d.Miss, 11th Course, September 1840. John N. Smith,.............v.S. C. . John F. Hammond,..........v.S. C. John Henry Parrish,.........d . Ala. John T. Foster,.............d . Ala. Isaac M. Hunting,...........n. Ala, 0) U' 1 i'' 10 13lh Course, December 1840. Mann A. Page, M. D.........d .. Va. William Phillips, M. D...........Va. William Coles, M.D.........n. . Va. John Midgly Johnston,.......d. .Engd. Moses Mears Bagg,.........d . . N. Y. 14th Course, March 1841. Jimes W. Phillips,..........v.. Tenn. M. P. Hutchinson,...........v.. Pa. Andrew Augustus Henderson,.n . .Pa. Nathan Allen, M. D.........n.. Mass. Nicholas T. Sorsby, M.D.....d..Ala. 15th Course, June 1841. Samuel L. Hollingsworth,___d .. Pa. M. P. Hutchinson,..........v. .Pa. Monroe Bannister,..........n . . Va. John Alricks, M. D..........d. .Md. Francis West, Jr...........n. .Va. 16th Course, September 1841. Cornelius C. Van Wyck, M. D. n . . N. Y. Nathaniel Stockwell,____. ... d . . Miss. M. P. Hutchinson,..........d .. Pa. James A. Dozier............t> . . Ala. Robert B. Tunstall,.........v. .Va. Hallowell Old,.............d .. Va. Joseph M. Heard,...........d. .Ala. Samuel Chamberlain,........i>. . Md. 17th Course, December 1841. \. L. C. Magruder,.............Ms*. M. P. Hutchinson, M.D......v. .Va. William H. Macon, M.D.....n.. Va. Rufus Holden, ............».. Can. Benjamin Fleet, M.D.......i). . Va . 18th Course, March 1842. CorneliusC. Van Wyck, M.D.n. .JV. Y. Thomas J. Anderson, M.D. .n. .Ala. James Mitchell, M. D.............Pa. Wiley Jenkins,.............n. .Miss. 19th Course, June 1842. William T. Cormick, M. D... d. . Va. James C. Brandon,..........ir. .Miss. Thomas H. Laird,..........v. .Va. Flavius A. Byrd,...........tj. .Ala. William N. Raines,.........v. .Va. John R. Wilson,...........n. .Va. 20^ Course, September 1842. Thomas W. Mason,.........n. .Ala, Simeon J. Eddins,..........n.. Ala. Benjamin F. Jones,.........n.. Ala. Thomas C. Arrington,.......d .. N. C. 21st Course, December 1842. M. P. Hutchinson, M. D .... .n..Pa. George B. Twitchell,........V..N.H. 22d Course, February 1843. John F. Bird,..............v..Pa. M. P. Hutchinson, M. D......n.. Pa. William T. Eldridge,........d. . Va. 23d Course, June 1843. William M. Wilson,.........v. .Va. John J. Wilson, M. D...........S. C. Daniel C. Holliday,.........d. .Miss. Robert S. Woddrop, M.D........Pa. John W. Snovvden,..........n. . Pa, 24th Course, September 1843. William L. Antony,........d. .Ala. Edmund D. Hammond,......n . . Pa. James Belt,...............d . . Va. Franklin Scammon,........n. . Maine, Joseph Parrish,............n. ,N. J. 25th Course, November 1843. Joseph H. Lctherman,..........Pa. Thomas H. Allison,........n. . Pa. Joseph Gibbons,............d . . Pa. Thomas E. Hatch,.........v..N. H. Columbus C. Cunningham,.....Ala. Joseph Priestly,............n . . Pa. John L. Burrus, M. D........v. .Va. 2Uh Course, March 1844. Newton L. Smith,.............Ala. Groves Caldwell,..............Ala. George F. Tyrrell,..........d .. Va. Theodore B. Horwitz, M. D...n..Md. Joseph Thomas Hearne, M. D. .d . .Ala. John L. Burness, M.D.......d. . Va. Benjamin F. Fox,..........d. .Miss. 21th Course, June 1844. John B. Sherrerd,..........v.. N.J. Robert King Stone,.........n. .D.C. Lewis Johnstone,..........n.. N. Sco. I R. J. Farquaharson, M. D.... d .. Tenn. 3) ■-■ //( 11 John J. Wilson,M.D.........v..S. C. Richard Clark,.................Ala, James MDowell, M. D.......d .. Va. 28th Course, September 1844. Thomas Y. Bannister,.......d. . Va. Henry Hartshorne,..........d .. Pa. John H. Thompson, M. D......n. . Pa. Hugh J. Davis,.............n. .N. C. John R. Winslow,..........n.. IV. C. 29th Course, December 1844. Jacob R. Ludlow,...........d .. N. J. James J. Barclay, M. D......v. .S. C. Gharles L. Knowlton,.......d . .Mass. Samuel W. Blanchard, M. D. .d . .Maine. Frederick Robie, M. D.......n.. Maine. 30th Course, March 1845. William A. Love,..........n. .S. C. John W. Snowden,.........d .. Timothy Thorp,............n. .Ala. Thomas J. Workman,.......n. .. . Ala. Benjamin H. Deacon, M. D. .d. .N. J. Benjamin Hensly, M. D........Ky. 32d Course, September 1845. Caspar Wister,............n.. Pa. John A. Campbell,........n.. Va. Abraham B. Duke,............Ky. John H. Thompson, M. D... d .. Pa. William A. M'Clure,.......n.. Tenn. Henry H. Farmer,.........o. .Va. Ellwood Wilson, M.D......n. .Pa. 33d Course, December 1845. A. J. Copeland,............n. .Maine. Ellwood Wilson, M. D......d. .Pa. George D. Colony,.........n.. IV. H. Thomas Wistar White,.....d ., Va. Schuyler A. Hart,.............Va. John H. Jones,...........d .. Va. 3