Vol. 1. Part 8 FEBRUARY, 1921 Number 8 Bulletin OF THE National Research Council INTELLECTUAL AND EDUCATIONAL STATUS OF THE MEDICAL PROFESSION AS REPRESENTED IN THE UNITED STATES ARMY By Margaret V. Cobb and Robert M. Yerkes Published by The National Research Council of The National Academy of Sciences Washington, D. C. 1921 Announcement Concerning Publications of the National Research Council The Proceedings of the National Academy of Sciences has been designated as the official organ of the National Research Council for the publication of accounts of research, committee and other reports, and minutes. Subscription rate for the “Proceedings” is $5 per year Business address: Home Secretary, National Academy of Sciences, Smith- sonian Institution, Washington, D. C. The Bulletin of the National Research Council presents contributions from the National Research Council, other than proceedings, for which hitherto no appropriate agencies of publication have existed. The “Bulletin” is published at irregular intervals. The sub- scription price, postpaid, is $5 per volume of approximately 500 pages. Numbers of the “Bulletin” are sold separately at prices based upon the cost of manufacture (for list of bulletins see third cover page). The Reprint and Circular Series of the National Research Council renders available for purchase, at prices dependent upon the cost of manufacture, papers published or printed by or for the National Research Council (for list of reprints and circulars see third cover page). Orders for the “Bulletin” or the “Reprints and Circulars” of the National Research Council, accompanied by remittance, should be addressed: Publication Office, National Research Council, 1701 Massachusetts Avenue, Washington, D. C. BULLETIN OF THE NATIONAL RESEARCH COUNCIL Vol. 1, Part 8 FEBRUARY, 1921 Number 8 INTELLECTUAL AND EDUCATIONAL STATUS OF THE MEDICAL PROFESSION AS REPRESENTED IN THE UNITED STATES ARMY By Margaret V. Cobb and Robert M. Yerkes CONTENTS Summary 458 Historical statement 462 Methods and materials 464 The records 464 Group examination alpha 466 The Scott rating scale 468 Data concerning medical officers 468 Intelligence of medical officers 469 Quantitative differences 469 Psychographs 473 Age of medical officers 482 Education of medical officers 487 Professional experience of medical officers 488 Geographical facts and relations 491 Population and intelligence 494 Earnings of medical officers 496 Earnings and location 496 Earnings and population 497 Earnings and intelligence 497 Earnings, experience and military rank 501 Earnings and specialty 503 Military relations and specialty of medical officers 504 Military appointment and intelligence 504 Military assignment, specialty and promotion 505 Military rank and its relations 505 Membership of medical officers in medical societies 509 Data concerning medical schools 509 Geographical classification 509 Classification of the medical schools by size 512 Classification of the medical schools by entrance requirements 517 Classification according to rating of American Medical Association 522 Classification by medical sect 525 Comparison of schools 529 458 STA TUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES SUMMARY I. Records Records for approximately 2500 medical officers constitute the material for the statistical investigation herein reported. II. Concerning Medical Officers 1. Intelligence.—The intelligence rating of medical officers is lower than that of other arms of the service with the exception of the Dental and Veterinary Corps. It is practically the same as that of the Quartermaster Corps. When the results of intelligence examination are considered by tests instead of for the total' examination, it appears that the scores differ widely for the several arms of the service. The psy- chograph (curve representing measurements for eight types of test which constitute army group-examination) for medical officers differs strikingly from that for artillery officers or that for engineers. This is still true of the medical group when it is broken into special- ties. The psychographs of the several special medical groups have a very obvious family resemblance. These differences in the relative degree of development or strength of intellectual functions for the professions of medicine and en- gineering may prove to have vocational or educational values, or both. The importance of further research is clearly indicated. 2. Factors affecting the intelligence status of medical officers.—■ Chief among the factors whose responsibility for the relatively low standing of medical officers has been suggested are: Age, habits of deliberateness and accuracy developed by professional training and experience, characteristics of the tests which render them easier for engineers than for medical officers, and method of military selection. It has been shown by statistical analysis that age is significant. The military data indicate that median score of medical officers for army intelligence examination a diminishes from 277 points at 25 years to 258 at 30 years, 255 at 40 years and 223 at 50 years. Since about half of the group of medical officers in question are over 35 years of age, and 35% are above 40 years, and since also the average age of officers of other arms of the service is from 6 to 8 years less than that of medical officers, it is obvious that the relatively low intelligence rating of the medical group is partly ST A TUS OF MEDICAL PROFESSION IN ARMY: COBB A ND YERKES 459 due to more advanced age. The form of the psychograph also changes with age. Neither professional training and experience nor the charac- teristics of the tests importantly influence, so far as analysis in- dicates, the intellectual rating of the medical group. Method of selection, on the other hand, appears to be responsible to at least as great an extent as is age for the unsatisfactory intelli- gence of medical officers. Whereas, for most other arms of the service candidates for commission were sent to officers’ training schools and there subjected to rigorous training and systematic examinations which tended to eliminate the intellectually incom- petent, appointments to the Medical Corps, because of the im- perative need for large numbers of medical officers, were made directly on the basis of age, certification by the American Medical Association, experience (and sometimes professional examination), prior to enrollment in the medical officers’ training camp. This difference in procedure undoubtedly worked to the disadvantage of the Medical Department, so far as the intelligence of its officers is concerned. In the Medical Corps experience and professional reputation counted heavily. In the other arms of the service mili- tary educability and adaptability under the eye of instructors with whom rested the power of recommendation counted most of all. Given identical age groups and similar methods of military selec- tion, it seems probable that the intellectual status of the Medical Corps would differ little from that of the Engineers or Artillery. The psychographs for these groups might, however, differ extremely, thus indicating either primary differences in intellectual consti- tution or differences induced by professional training and ex- perience. 3. Education.—The typical medical officer is a high school graduate with about four years’ professional training. He has devoted more of his life to schooling than has the officer of any other arm of the service. His median length of schooling is 15.8 years, whereas that of the Engineer is 15.3 and of the Quartermaster 12.4. 4. Experience.—In general the medical officer is more experienced than any other type of officer. The medical group studied reported 11.07 years of experience. This fact gives point to the statement made above that experience was an important consideration in the appointment of medical as contrasted with other officers. 460 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 5- Geographical relations.—When classified by section of the country from which they were graduated or certified, or in which they practiced, these medical officers exhibit substantial differences in intelligence, earnings and experience. Generally speaking, the northeast, the central and the northwest sections of the country show superiority over the south and south central sections. Intelligence and earnings vary also with the population of the community in which the medical officer (as civilian, of course) practices. The order of increasing values for intelligence is rural, urban, metropolitan; that for earnings, rural, metropolitan, urban. 6. Earnings.—The annual earnings reported by these medical men vary signally with geographical location, population of com- munity, professional specialty, experience and medical school. The correlation between intelligence and earnings is extremely low. 7. Military relations— Medical officers of the Regular Army Medical Corps and of the National Guard achieved somewhat higher intelligence ratings than those of the Medical Reserve Corps. Intelligence is highly correlated with rank in the Medical Corps. This indicates, to the credit of the Medical Department, that su- perior intelligence tends to dominate in the rank of major and above. Promotion also depends to a significant degree on intellectual capacity, as is indicated by the intelligence ratings of promoted versus non-promoted officers. The data of this report justify the statement that the Medical Corps obtained the services of the ablest as well as the weakest men of the profession. Had the latter been eliminated by a rigorous procedure of intelligence tests, combined with professional exami- nation, the status of the group would undoubtedly have compared favorably with that of any other professional group in the army. 8. Membership in societies.—The typical medical officer of this group claims membership in two or three medical societies, one of which is usually the American Medical Association. III. Concerning Medical Schools i. Classification.—More than 130 medical schools are repre- sented by the 2507 medical officers statistically considered. The numbers from these schools vary from 1 to 118. Grouping of the schools for statistical purposes was necessitated by the small number of individuals from most institutions. Five classifications have been made: By geographical location, by size (number of stu- STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 461 dents registered in 1916-1917), by entrance requirements, by American Medical Association rating, and by medical sect. 2. Geographical classification.—The intelligence ratings and earn- ings of graduates from schools in different sections of the country correspond in general to the same information for the medical men resident in those sections. j. Classification by size.—The schools represented in the medical group were separated according to size into 8 divisions ranging from those having less than 50 students in 1916-1917 to those having 400 or more. The men graduated from the larger institutions make, on the whole, a somewhat higher intelligence rating on ex- amination alpha than those graduated from the smaller. Earn- ings, on the other hand, are not closely correlated with the size of the school. 4. Classification by entrance requirements.—This classification was made on the basis of requirements enforced in 1916-1917. The intelligence of the medical officer is highly correlated with the standard of entrance requirements of the school from which he was graduated. The median score, in army examination alpha, of graduates from schools requiring but one year of college work in addition to high school graduation is 118.7, whereas that of gradu- ates from schools requiring more than 3 years of college work is 154.2, a difference of 35.5 points. The earnings reported by men from schools with high entrance requirements are also strikingly larger than those from schools with low entrance requirements. 5. Classification according to rating of the American Medical Association.—-The difference in median alpha scores, between graduates of schools rated “A” by the American Medical Associa- tion and those rated “C,” is 17.3 points, which, though significant, is less than half as great as the difference between schools of the highest and lowest entrance requirements. The difference in earn- ings between classes “A” and “C” is comparatively small. 6. Classification by medical sect.—In both intelligence scores and earnings the graduates from homeopathic schools stand as much above the eclectic schools as the class “A” schools are above the class “C” schools. Graduates from “regular” schools fall approxi- mately half way between the other two. 7. Comparison of schools.—A detailed comparison (table 43) of the graduates of the 18 schools which were represented in the medical group by more than 35 students each shows that the 462 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES median intelligence rating is A for seven schools. Median earn- ings of $5000 or over are reported by the graduates of eight schools. The southern schools on the whole show lower scores, less school- ing, lower earnings and fewer promotions than the northern. HISTORICAL STATEMENT The psychological examination of officers in the United States Army very promptly indicated that the intellectual status of medical officers was less satisfactory than that of officers of several other arms of the military service. Colonel Henry A. Shaw, of the Reg- ular Army Medical Corps, invited the attention of the Surgeon General to this fact in a report, submitted November 16, 1917, which he based upon observation of the psychological service and data of examination at Camp Lee, Virginia.1 Table 1, quoted from Colonel Shaw’s report, indicates the re- markable differences in frequency of A and also of A and B grades, that is, very superior and superior intelligence, for officers of different arms of the service. Thus, for medical officers there are 27% of A grades; for engineers, 66%. Colonel Shaw remarks: Comment on these figures is unnecessary. They speak for themselves. The only question is whether or not they represent a true state of affairs. With reference to the comparative efficiency of the officers of the various arms of the service I am not in a position to judge. I am of the opinion, however, that the order of mentality as shown by the psychological scores is fairly close to the truth. It is reasonable to believe that the engineers have succeeded in attaching to their corps a larger number of technically trained young men than any other branch of the service. It is also prob- able that the officers’ training camps have drawn into the commissioned grades a larger number of college-trained men than either the Quartermaster or the Medical Corps. The psychological findings, Colonel Shaw’s comment thereupon and his recommendations to the Surgeon General aroused the critical interest of the medical profession. It was variously sug- gested that differences in age, education, basis of selection, or ap- plicability of the intelligence tests might be responsible for the relatively unsatisfactory showing of medical officers. Because of the general interest in these results and the discussion which they provoked, their later correction or confirmation became im- portant. 1 On November 19 Colonel Shaw transmitted to the Surgeon General a special report on the psychological ratings of medical officers. This report is quoted entire in “Psy- chological Examining in the United States Army’’ (official report), Memoirs of the Na- tional Academy of Sciences, 15 (22-23). (In press.) STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 463 It is proposed to present in this report results which were secured during 1917 and 1918 in a large number of army camps and which undoubtedly represent fairly the officer personnel of the army with respect alike to its medical component and the other arms of the service. Colonel Shaw’s report, by contrast, was based upon pre- liminary results in only one camp. Distribution of intelligence (Letter grades A to D) in different arms of the military service1 Table 1 Letter grades All officers Percent Medical Corps Percent Engineers Percent Artillery Percent Infantry Percent Quarter- master Corps Percent A 44 27 66 57 44 40 B 32 33 29 31 38 32 C 24 40 5 12 18 28 D 0 0 0 0 0 0 Although approximately 43,000 officers were given psychological examination, the Division of Psychology of the Surgeon General’s Office, because of limited resources, was able to use only about 15,000 of these records for statistical purposes. Of the 15,000 about 3000 were the records of medical officers. The intelligence measurements available for these men were studied by the aid of the Hollerith method and a very brief and general statement on the status of medical officers was prepared for the official report to the Surgeon General concerning psychological examining in the army (see tables 2 and 3 herewith). While this work was in progress Dr. Robert H. Halsey of New York suggested to the Chief of the Division of Psychology the importance of arranging for a careful and thorough-going study of the data on medical officers which were available in army records. Following this suggestion, the Division of Psychology secured the cooperation of the Division of Medicine and Related Sciences of the National Research Council, which supplied adequate funds for the work. It was promptly arranged that Miss Margaret V. Cobb, under the supervision of the Chief of the Division of Psychology of the Sur- 1 The letter grades are defined on page 467. The data of this table were obtained with army group-examination a, which was later revised and designated examination alpha, given to 1,166 officers, Camp Lee, Va. Percentages are taken from Table 1, p. 22, of the official report cited above. 464 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES geon General’s Office, should conduct this special inquiry for the National Research Council and the Surgeon General of the Army. METHODS AND MATERIALS The statistical study of medical officers reported below was con- ducted in accordance with the following general plan and with the data which are hereafter enumerated. From the 3000 records of medical officers which were immediately available for use in the office of the Surgeon General, selection was made on the basis of completeness of information. This selectional process reduced the group to about 2500. There is every reason to believe that this group fairly represents the medical profession as it existed in the United States Army during the war, and it is probable that it also fairly represents the medical profession of the United States of America. The following important items of information concerning each Sample Record Name NG RA (RC) NA USA Rank Lt. Col. Residence Pop. of community 475,367 Age 44 High sch. 0 1 (2) 3 4 Col. 0 1 2 (3) 4 5 Med. col. 0 1 2 3 (4) 5 6 Jefferson Medical College, Philadelphia, Pa. Yr. grad. 1899 Years of education: 17 Pre-med. 13 Med. 4 Training: Hospital Clinical Alpha Scott ratings Certification, Indiana ’01 Test Score 1st 2nd 3rd 4th 5th Years experience, 19 Societies, Los Angeles Co. 1 8 12 10 9 Med. Soc.; California State 2 8 15 12 12 Med. Soc.; Clin, and Pathol. 3 12 15 12 12 Med. Soc.; Am. Acad. Med. 4 34 15 12 12 Sciences; Am. Med. Ass. 5 18 40 32 30 6 12 Specialty, Internal medicine 7 8 13 35 Assignment, Permanent Staff Total 140 97 78 75 Promotions, Maj. to Lt.-Col. Rating A Professional examination, Qualified Annual earnings, $42,500.00 Station, Camp Lewis STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 465 individual were available in the files of the Surgeon General’s office: name, residence, age, rank, promotions and military assignment, pre-medical education, medical education, medical school, hospital experience, intelligence grade, Scott rating, place of certification, years of medical experience, membership in medical societies, specialty and annual earnings. These several items were assembled for statistical purposes on a single record card, such as appears in the accompanying sample records of four medical officers. These samples are presented to indicate the nature and arrangement of the information which was available and the contrast among medical officers. Sample Record Name NG RA (RC) NA USA Rank Captain Residence Pop. of community 745,988 Age 39 High sch. 0 1 2 (3) 4 Col. 0 1 2 3 4 5 Med. col. 0 1 2 3 (4) 5 6 Baltimore Medical College, Baltimore, Md. Yr. grad. 190G Years of education: 15 Pre-med. 11 Med. 4 Training: Hospital, Yes Clinical Alpha Scott ratings Certification, Indiana, ’06 Test Score 1st 2nd 3rd 4th 5th Michigan, ’07 Years experience, 12 1 10 12 12 Societies, St. Louis Med. Soc.; 2 12 12 12 Acad, of O., L. and O.; Ind. 3 9 9 12 State Med. Soc.; Mo. State 4 23 12 12 Med. Soc. 5 12 24 30 6 7 Specialty, Ear, nose and throat 7 24 Assignment, Eye, ear, nose and 8 Total Rating 30 127 B 69 78 throat Promotions, 0 Professional examination, Qualified Annual earnings, $4000.00 Station, Camp Sherman Of the items of information available those of primary importance in this study are: Intelligence, pre-medical education, medical education, medical school attended, experience, geographical loca- tion, population of community and earnings. 466 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Sample Record Name NG RA (RC) NA USA Rank Lieutenant Residence Pop. of community 200 Age 42 High sch. 0 1 2 3 (4) Col. 0 1 2 3 (4) 5 Med. col. 0 1 2 3 (4) 5 6 Marquette University, Milwaukee, Wisconsin Yr. grad. 1910 Years of education: 20 Pre-med. 16 Med. 4 Training: Hospital, None Clinical Alpha Scott ratings Certification, Wisconsin, '10; Minnesota, ’ 11 Test Score 1st 2nd 3rd 4th 5th Years experience, 8 1 K a Q o 7 Q Societies, Red River Valley o o o £7 Med. Ass.; Minn. Med. Ass.; 2 6 6 6 10 10 7 A. M. A. 3 3 6 6 9 7 10 4 10 6 9 8 10 6 Specialty, General Practice 5 1 24 16 22 24 23 6 7 Assignment, Field Service 7 5 8 11 Promotions, 0 Total 48 48 46 57 58 55 Professional examination, Barely satisfactory Rating C Annual earnings, $700 (country practice) Station, Camp Lewis An attempt will be made to exhibit the principal facts with re- spect to these various data concerning medical officers, the relations of these facts among themselves, and their significance for medical education and professional activity. For the benefit of readers who are not familiar with the army method of psychological examining or the Scott rating scale, a brief explanation of each will be given at this point. Group Examination Alpha The psychological examination given to the officers whose ratings are used in this report is known as examination alpha.1 It was used for the examination of soldiers by groups and consisted of eight separate tests, the time limit on which was so short that 1 Complete description of methods of psychological examining used in the army may be found in “Army Mental Tests,” Henry Holt and Company, New York, 1920; or in “Psychological Examining in the United States Army” Memoirs of the National Acad- emy of Sciences, 15. (In press). STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 467 Sample Record Name NG RA (RC) NA USA Rank Captain Residence Pop. of community 5,468 Age 51 High sch. (0) 1 2 3 4 Col. (0) 1 2 3 4 5 Med. Col. 0 1 2 (3) 4 5 6 Kentucky School of Medicine, Louisville, Ky. Yr. grad. 1892 Years of education: Pre-med. Med. 3 Training: Hospital Clinical Alpha Scott ratings Certification, Ohio, ’96 Years experience, 26 Test Score 1st 2nd 3rd 4th 5th Societies, Jackson Co. Med. Soc.; Ohio State Med. Soc. 1 1 7 2 3 9 Specialty, X-ray, rheumatism, 3 4 7 skin and blood diseases 4 1 10 Assignment, General Service 5 1 15 6 1 Promotions, 0 7 3 8 5 Professional examination, —• — Qualified Total 19 45 Annual earnings, $900 Rating D Station, Camp Greenleaf very few men could finish a given test. These several tests are describable by title as: Test i, oral directions; test 2, arithmetic; test 3, practical judgment; test 4, opposites; test 5, disarranged sentences; test 6, number series completion; test 7, analogies; test 8, information. The examination required approximately fifty minutes. Papers were scored by the use of stencil-keys and the ratings were wholly objective. Although a numerical score was assigned to each man, for convenience of classification letter grades were also used in the army. The maximum score for the exam- ination was 212 points and the letter grades used were as follows: Intelligence grade Meaning of grade Range of score A Very superior intelligence 135-212 points B Superior intelligence 105-134 points c+ High average intelligence 75-104 points c Average intelligence 45-74 points c— Low average intelligence points D Inferior intelligence 15-24 points D— Very inferior intelligence 0-14 points 468 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES The Scott rating scale1 is a plan for the rating of officers by their superiors. Each individual is rated, in accordance with definite directions, on five groups of characteristics, namely: physical qualities, intelligence, leadership, personal qualities, general value to the service. The total number of points allowed for these five categories is ioo, distributed as follows: 15 for each of the first four groups, 40 for the last. Comparison of the Scott ratings of medical officers, made during the assembling of the data for this report, indicated surprising inconsistencies between the ratings given to the same officer at different times. It was at first proposed to obtain an exact ex- pression of this seeming unreliability of the ratings in order that safe decision might be reached concerning the value of these data. But before statistical analysis could be made an unpublished report on the Scott ratings prepared by H. O. Rugg became avail- able.2 The statements of this report clearly indicated the unde- sirability of using the Scott ratings for comparison with the other data of this report. They appear on the sample record cards on pages 464-467, but no statistical use has been made of them. The results of professional medical examination in the army were not available when this work was undertaken. They would un- doubtedly have value and it is regretted that they could not be included with the other materials. The Scott Rating Scale DATA CONCERNING MEDICAL OFFICERS Analysis of the records of approximately 2500 medical officers supplies data for the following general description of the group 1 Detailed description of the Scott rating system and its results in the army is available in “The Personnel System of the United States Army: Vol. I, History of the Per- sonnel System; Vol. II, The Personnel Manual.” War Department, Washington, 1919. 2 Dr. Rugg finds, after checking the ratings as to agreement of successive ratings with one another and as to their agreement with psychological and other objective tests and other measures supported by accepted practice in the army, that “prior to October the validity of ratings which were recorded on officers’ qualification cards may be seri- ously called in question,” and later adds “the probability is not great that the October ratings which were studied are much more valid as measures of officers’ ability in the army than wrere the July ratings.” There were average differences between the first and second quarterly ratings, even when made by the same officer, of nine points on the scale (this is at least one-sixth of the usual range of the scale); when different officers made the ratings average differences were from nine to seventeen points. Even among especially careful ratings he finds the variability of judgment to be “so very great that the probability is very remote that a single rating located an officer in his proper group” (i. e., proper fifth of the range of the scale). This was true also under standardized experimental conditions. STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 469 in terms of age, geographical origin, intelligence, education, pro- fessional experience, earnings, membership in medical societies and specialty. The average medical officer of the group studied is a man 37 years of age, practicing somewhere in the United States in a town of ap- proximately 12,000 population, whose intelligence as measured by army examination alpha is of grade B (alpha score 129 points). Following a high school education, he was graduated, after a five- year medical course, in 1907, from a college of 250 students. His annual earnings are reported as $4318.00. He is a member of two or three medical societies, the chances being even that one of these is the American Medical Association. There is also an even chance that he claims no specialty other than his general or surgical prac- tice and that he was not promoted during his service in the army. Intelligence of Medical Officers Quantitative differences.—It would have surprised no one had the medical officers of the United States Army, during the war, ranked with the best of the arms of the service in intellectual ability; their failure to make a relatively good showing naturally evoked com- ment both within and without the profession and aroused specula- tion as to the reasons. The principal facts concerning the in- tellectual status of military officers are summarily presented in tables 2, 3 and 4 of this report. For more detailed information Percentage distribution of psychological grades for examination alpha of officers of different arms of the service.1 Table 2 Arm D C— c + C B A A and B No. of cases Engineers 0.3 2 4 13 8 83 0 96 8 1026 F. Artillery 1 1 5 9 23 0 70 0 93 0 1523 Sanitary Corps 2.0 8 2 31 6 58 2 89 8 98 Field Sig. Bn 0.3 0.3 2.2 9.0 24.1 64.1 88.2 357 Mach. Gun Bn 0.4 2.2 10.7 30 1 56 5 86 6 495 Infantry 0 3 3 0 12 2 28 5 56 0 84 5 6942 Quartermaster 0.9 5.2 15 7 30 2 48 0 78 2 Medical 0 6 5 2 17 6 32 9 43 6 76 5 3180 Dental 0.2 0.2 4.0 20.4 41.1 34.1 75.2 423 Veterinary 0.4 7.9 30.8 38.7 22.1 60.8 98 1 Official report, table 397, p. 852. 470 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES and discussion reference should be made to the official report on psychological examining cited on page 462. The proportions of the several letter grades for the chief army corps or arms of the service appear in table 2. They are arranged in order of diminishing number of A and B grades. The remarkable difference in the frequency of superior and very superior intelligence in the Medical Corps as compared with the Engineer Corps demands explanation. Over twice as many of the officers of the latter ]ENGINEER5 ARTILLERY INFANTRY Q. M. MEDICAL DENTAL VETERINARY BELOW OR Fig. 1. Comparison of officers by arms, showing percentages in each letter grade. Combined data from Camps Devens, Dix, Lee and Taylor. Engineers, 336; Artillery, 680 Infantry, 2,050; Quartermaster Corps, 470; Medical, 639; Dental, 116; Veterinary, 54. This is fig. 22, p. 518, Official report on psychological examining. group as of the former achieved the highest letter rating, A. Figure i presents graphically these data summarized for purposes of rough comparison. Table 3 renders available to anyone who may wish to study the data the distribution of scores in psychological examination alpha for more than 15,000 army officers. The median scores for these several distributions are of special interest and importance in this report. Except that Field Artillery and Sanitary Corps are STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 471 Median No. cases.. . 200-212 190-199 180-189 170-179 160-169 150-159 140-149 130-139 120-129 110-119 100-110 90-99 80-89 70-79 60-69 50-59 40-49 30-39 20-29 10-19 0-9 Score CO CO bo 6942 to • • • OOOhmW^OiOOOWMMO'O^OO • • • tOCO- F. Artillery 4^ O o> 496 O' • O • OHHWUOiOWCOHHCOtn^tSO to- - 4*- • © O 00 4* 4* Oi CD -4 Cn 05 CO 00 OS tO Machine Gun Bn. 162.1 1026 • • • • OO- ©O^tOOO^MtOCOOOCntNS©*-1 .... i_* h-> • co 4* 4- 05 oi to co to oo m >—1 © o to Engineers 148.9 357 • • OOOO^HWOJCnCiOCHOCitOOOMOSM • • CO 00 CO CO 4 4 4* I— C5 O 4“. to 05 t—‘ t—i *4 00 *4 4 Field Signal Bn. t—‘ CO CO 05 756 • • H M H H • • oooHMCoaioicociHMtooooMbOHO • • CO © CO H* CO to 4 1—© © Oi 4 4 H-* © <1 © 1— Quartermaster Corps 129.3 3180 • • ©©©i-‘tOCO4©00>—‘i—‘i—‘©©*4©CO©- ■ • i—* CO *4 4-. to © CO 05 © O 05 05 -4 O 03 05 I—1 bo ■ Medical Corps 122.9 423 • OO- © © I-1 to © -4 to CO to © I—1 © © to © • • • to to • *41 © © 4 © 00 CO 00 © © © <1 © *4 • ' Dental Corps 116.5 253 . . . . h-1 ‘ h-L • • • • • O to CO Ox CO CO oo CO 05 CD CD 05 fcO O O • • • ■ • • 00 4 to to ►— 4*. CO 45- to I—1 1—1 O 4 00 00 • • Veterin ary Corps 4*> © 00 Sanitary Corps 156.3 co 4^ to to H-* to © © 00 CO © © © © 1—1 to H-* I—‘ to CO © *4 © 00 -4 © *4 4- t— Chaplains and School for Chaplains 139.6 • • © © O O H-1 to CO 4 © 00 O 1— 1— H- © *4101 to © • • h-‘ to 4 © 4 O © © *4 © CO 00 © © 4 © O ►-* CO Total 15148 H*t0C0©*4Ot0©*40000©tO-‘004©4©©|—‘CO^J4©©©^i—‘*4000 Total numbers Percentage distribution of alpha scores of officers in different arms of the service (from 16 camps)1 Table 3 1 Data obtained from Official Report, tables 392-397, pp. 848-852. 472 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES reversed, their order of increasing magnitude is identical with the order of increasing A and B grades in the arms of the service. The distribution of alpha scores for the group of 2507 medical officers whose records constitute the material of this special report, as presented in table 4, agrees closely with that for the somewhat larger group of medical officers in table 3. The median scores of the two groups, it will be noted, differ by one-tenth point. In connection with these distributions and median scores, the attention of the reader is invited to the very considerable differ- ences in the intellectual status of the several corps (medical, dental, veterinary, sanitary), which are included in the Medical Depart- ment of the United States Army. The relation of these differences to the data for other arms of the service is significant, and in the following pages an attempt will be made to indicate what appear to be the chief reasons for the wide variations in intelligence among the principal corps. Table 4 Alpha distribution of 2507 medical officers Alpha score Number Percentage 200-204 3 0.1 190-199 22 0.9 180-189 77 3.0 170-179 131 5.3 160-169 195 7.8 150-159 250 10.0 140-149 267 10.6 130-139 287 11.4 120-129 276 11.0 110-119 285 11.4 100-109 227 9.1 90-99 171 6.8 80-89 121 4.9 / 0—/ 9 76 3.1 60-69 53 2.1 50-59 37 1.5 40-49 19 0.8 30-39 7 0.2 20-29 2 0.1 10-19 i 0.0 Total 2507 Median 129.2 ST A TUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 473 The quantitative differences in intelligence of groups of army officers indicated by total scores in examination alpha are undoubt- edly important, but they are by no means so interesting either professionally or educationally as are the contrasts which appear when the results for examination alpha are presented by tests instead of by total scores. In the following section the data of examination are presented by tests, in order to indicate charac- teristic intellectual differences in the principal arms of the service. Psycho graphs.—Examination alpha consists of eight separate tests (see page 467) which measure several types of intellectual function. The maximum score for the entire examination is 212 points distributed as follows among the tests: Test 1, 12 points; test 2, 20 points; test 3, 16 points; test 4, 40 points; test 5, 24 points; test 6, 20 points; test 7, 40 points; test 8, 40 points. The records of a group of approximately 15,000 officers of all arms of the ser- vice and of a group of approximately 3000 medical officers have been analyzed by tests in order that comparison might be made of the performance of medical officers on the several types of test with that of officers in general. The data for this comparison appear in tables 5, 6 and 7. Of these, table 5a gives the percentage distri- bution of scores for each alpha test of officers of all arms of the ser- vice, and table 5b the percentage of individuals achieving not more than the indicated score. This table serves as a standard with which the data for special groups may be compared. Table 6 similarly gives the percentage distribution of scores on each alpha test for medical officers. At the bottom of each table the median score for each test is entered. The data by tests for the principal arms of the service are con- veniently arranged in table 7, which gives the median score (50th percentile) on each test of examination alpha for seven special groups of officers as contrasted with the total officer group. For convenience of comparison the median score of “all arms” of the service is taken as the 50th percentile, and the results for the several special groups are expressed in terms of the percentile dis- tribution of “all arms.” For example, the median score for medical officers on test 1 (8.7) falls at the 29.5 percentile on the distribution of scores of officers of all arms; the median for test 2 falls at the 36th percentile, etc., as indicated in table 7, and also in figure 2. The surprising differences in performance for the several arms of the service on the separate tests of examination alpha are 474 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Table 5a Percentage distribution of scores on each alpha test of approximately 15,000 officers of all arms Score Test number 1 2 3 4 5 6 7 S 40 2.4 1 0 0.7 39 0.3 1 5 2.4 38 3.6 1 8 3.8 37 0.9 2 3 5.4 36 3.7 2 6 6.5 35 2.1 2 5 7.0 34 3.9 2 9 7.4 33 2.9 3 0 7.6 32 4.5 3 0 7.1 31 3.8 3 2 6.5 30 5.0 3 1 6.3 29 4.4 3 2 5.4 28 5.3 3 7 4.8 27 4.7 3 6 4.3 26 5.4 3 9 3.4 25 4.7 3 6 3.2 24 5.0 7 0 3 7 2.5 23 4.2 1 4 3 4 2.1 22 4.5 8 8 3 2 2.0 21 3.8 3 5 2 9 1 .8 20 0 0 3.4 9 0 0 4 2 7 1.5 19 1 3 2.8 5 1 0 2 2 3 1 .6 18 2 6 3.0 9 0 2 2 2 1 1.1 17 5 4 2.1 5 9 2 8 2 3 0.9 16 6 8 4 6 2.1 7 9 4 2 2 2 1.0 15 8 6 7 5 1 .8 5 7 5 9 2 0 0.8 14 10 9 8 8 1.6 7 0 6 6 2 3 0.7 13 12 8 11 6 1.3 5 3 8 6 2 3 0.6 12 9 5 14 2 12 6 1.1 5 5 12 0 2 5 0.4 11 18 6 13 0 12 3 0.9 4 1 13 4 2 3 0.4 10 20 6 9 9 12 6 0.8 3 8 13 2 2 5 0.2 ' 9 17 9 5 2 11 3 0.6 2 6 10 4 2 5 0.2 8 13 0 4 5 9 0 0.6 2 0 7 0 2 4 0.1 7 8 7 1 8 5 4 0.3 1 4 4 9 2 4 0.1 6 6 0 1 4 2 4 0.4 1 0 3 0 2 0 0.0 5 3 0 0 8 0 8 0.3 1 0 1 6 2 0 0.0 4 1 5 0 4 0 4 0.3 0 7 1 0 1 7 0.0 3 0 8 0 _2 0 0.2 0 5 0 6 1 3 0.0 2 0 3 0 1 0 1 0.2 0 5 0 6 1 0 0.0 I 0 1 0 0 0 1 0.1 0 2 0 7 0 6 0 0 0 0 0 0 2 1.2 1 1 0 8 0 6 0.1 Median 9 9 12 9 11 6 26.5 17 0 11 5 23 6 31.7 Maxi- mum 12 20 16 40 24 20 40 40 ST A TUS OF MEDICAL PROFESSION IN ARMY: COBB A ND YERKES 475 Table 5b Percentile distribution of scores on each alpha test of approximately 15,000 officers of all arms Score Test number 1 2 3 4 5 6 7 8 40 100.2 100.1 99.9 39 97.8 99.1 99.2 38 97.5 97.6 96.8 37 93.9 95.8 93.0 36 93.0 93.5 87 .6 35 89.3 90.9 81.1 34 87.2 88.4 74.1 33 83.3 85.5 66.7 32 80.4 82.5 59.1 31 75.9 79.5 52.0 30 72.1 29 67.1 73.2 39.2 28 62.-7 70.0 33 .8 27 57.4 66.3 29.0 26 52.7 62.7 24.7 25 47.3 58.8 21 .3 24 42.6 100.0 55.2 18.1 23 37.6 93.0 51 .5 15.6 22 33.4 91.6 48.1 13.5 21 28.9 82.8 44.9 11.5 20 00.0 25.1 79.3 100.1 42.0 9.7 19 69.9 21 .7 70.3 99.7 39.3 8.2 18 98.6 18.9 65.2 99 5 37.0 6.6 17 96.0 15.9 56.2 97.3 34.9 5.5 16 90.6 99.9 13.8 50.3 94.5 32.6 4.6 15 83.8 95.3 11.7 42.4 90.3 30.4 3.6 14 75.2 87.8 9 .9 36.7 84.4 28.4 2.8 13 64.3 79.0 8.3 29.7 77.8 26.1 2.1 12 100.0 51.5 67.4 7.0 24 4 69.2 23.8 1.5 11 90.5 37.3 54.8 5.9 18.9 57.2 21 .3 1.1 10 71 .9 24.3 42.5 5.0 14.8 43.8 19.0 0.7 9 51 .3 14.4 29.9 4 .2 11.0 30.6 16.5 0.5 8 33.4 9.2 18.6 3.6 8.4 20.2 14.0 0.3 7 20.4 4.7 9.6 3.0 6.4 13.2 11.6 0.2 6 11.7 2.9 4.2 2.7 5.0 8.3 9.2 0.1 5 5.7 1 .5 1 .8 2.3 4.0 5.3 7.2 0.1 4 2.7 0.7 1.0 2.0 3.0 3.7 5.2 0.1 3 l .2 0.3 0.6 1 .7 2.3 2.7 3.5 0.1 2 0.4 0.1 0.4 1.5 1 .8 2.1 2.2 0.1 1 0.1 0.0 0.3 1.3 1 .3 1 .5 1 .2' 0.1 0 0.0 0.0 0.2 1 .2 1.1 0.8 0.6 0.1 Median 9.9 12.9 11 .6 26.5 17.0 11 .5 23.6 31*7 Maxi- mum 12 20 16 40 24 20 40 40 476 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Table 6 Percentage distribution of scores on each alpha test of approximately 3,000 medical officers Score Test number 1 2 3 4 5 6 7 8 40 1.7 0.4 0.8 39 0.4 0.9 2.3 38 3.5 0.6 4.2 37 1.0 1.3 5.7 36 4.0 1.9 7.2 35 2.4 1.5 6.6 34 3.5 1.7 7.2 33 3.3 1.9 7.1 32 4.9 2.0 6.3 31 3.7 2.0 5.9 30 3.9 2.1 5.9 29 4.4 2.4 4.7 28 5.1 2.3 4.7 27 4.7 2.7 3.8 26 4.6 3.2 3.6 25 5.0 2.5 3.2 24 5.3 4.4 3.4 2.3 23 4.4 1.5 3.2 2.2 22 4.2 7.0 3.2 1.9 21 4.2 3.4 2.7 2.0 20 0.1 3.1 6.9 0.2 2.5 1.9 19 0.5 2.6 5.6 0.3 2.5 1.9 18 1.1 2.6 9.0 0.6 2.3 1.1 17 2.3 2.3 6.3 1.0 2.5 1.0 16 4.0 2.5 2.0 8.1 2.0 2.5 1.3 15 5.6 5.2 1.5 6.2 2.9 2.3 1.2 14 8.3 7.4 1.6 7.1 4.3 3.3 0.9 13 11.9 9.6 1.2 5.8 5.7 3.3 0.9 12 3.6 14.7 11.7 1.1 5.7 10.2 3.3 0.3 11 8.5 13.3 11.0 0.9 4.4 13.6 2.8 0.4 10 15.1 13.6 13.2 0.9 4.2 15.7 3.5 0.3 9 18.2 9.5 13.1 0.6 3.4 12.7 3.3 0.3 8 17.2 6.0 11.6 0.6 2.4 10.4 2.7 0.1 7 13.8 4.3 7.8 0.5 1.7 7.2 3.8 0.2 6 11.0 2.4 3.6 0.4 1.3 4.6 3.3 0.1 5 6.3 1.2 1.4 0.3 1.3 2.4 3.4 0.1 4 3.6 0.7 0.7 0.3 0.9 1.3 3.3 0.1 1.9 0.2 0.4 0.3 0.7 1.0 2.5 0.0 2 0.6 0.2 0.2 0.1 0.8 1.2 2.1 0.0 1 0.3 0.1 0.1 0.2 0.2 1.2 1.5 0.0 0 0.0 0.0 0.3 2.4 1.7 1.7 1.2 0.1 Median. . . . 8.7 11.9 10.8 26.3 16.3 10.4 17.7 31.6 Maximum.... 12 20 16 40 24 20 40 40 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 477 Fig. 2. Psychographs for representative groups of military officers. Recruits --- / Veterinary Corps Dental Corps \ Medical Corps Chaplains — Fiftieth Percentile Infantry Artillery Engineers 1. Oral directions 5. Disarranged sentences 6. Number series completion 8. Information 2.' Arithmetic 3. Practical judgment 4. Opposites 7. Analogies Test 478 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Table 7 Median (50th percentile) score on alpha tests of officers in different arms of the service, compared with standard group of officers of all arms. Arm of the service Test 1 Test 2 Test 3 Test 4 Test 5 Test 6 Test 7 Test 8 Total Medical officers (Percentile reached) 8.7 (29.5) 11.9 (36.0) 10.8 (40.0) 26.3 (49.0) 16.3 (44.5) 10.4 (36.0) 17.7 (34.0) 31.6 (49.0) 129.3 Infantry (Percentile reached) 10.1 (53.0) 12.9 (50.0) 11.8 (52.0) 26.0 (47.5) 17.0 (50.0) 11.6 (52.0) 24.2 (52.5) 31.2 (47.0) 139.8 Artillery (Percentile reached) 10.7 (66.0) 13.9 (63.0) 12.3 (59.0) 28.6 (60.0) 17.0 (50.0) 12.5 (64.0) 26.2 (59.5) 33.0 (59.5) 149.5 Engineers (Percentile reached) 11.0 (?2.0) 15.1 (76.5) 12.7 (64.0) 29.1 (62.5) 19.9 (70.0) 13.9 (77.0) 31.0 (76.5) 34.2 (67.5) 162.1 Dental (Percentile reached) 8.9 (32.0) 11.4 (29.5) 10.7 (39.0) 23.7 (36.5) 15.2 (38.0) 10.0 (30.5) 18.3 (35.5) 28.7 (32.5) 122.9 Veterinary (Percentile reached) 8.8 (30.5) 11.4 (29.5) 9.8 (27.0) 20.5 (23.0) 13.8 (29.0) 9.9 (29.5) 16.6 (32.0) 23.8 (15.0) 116.5 Chaplains (Percentile reached) 9.8 (47.5) 12.1 (39.0) 11.7 (51.0) 33.0 (80.0) 18.0 (56.5) 10.7 (39.5) 25.3 (56.5) 34.0 (67.0) 156.3 All arms (Percentile reached) 9.9 (50.0) 12.9 (50.0) 11.6 (50.0) 26.5 (50.0) 17.0 (50.0) 11.5 (50.0) 23.6 (50.0) 31.7 (50.0) 139.6 (.50.0) Maximum score for test 12 20 16 40 24 20 40 40 212 visualized in figure 2, which indicates, among other things, that the score of medical officers is in no case as high as the median score of all arms of the service which is represented in the figure by the heavy 50th percentile line. The curves of figure 2 are known as psychographs. It is peculiarly interesting to note that the psycho- graph of medical officers is very nearly the inverse of that for en- gineers. In other words, where the engineer tests particularly well the medical officer tests poorly, and conversely. The psychograph for the infantry corresponds most nearly to the standard. This is partly because it is by far the largest special group in the total and therefore affects the standard most markedly. The chaplains’ psychograph is notable because of the extreme variation in scores; thus on test 4 (opposites) the chaplains achieve a median score which is much higher than that of any other group, whereas on tests 2 (arithmetic) and 6 (number series completion) they fall considerably below the median for all officers. It is worthy of note that for only three groups, namely, the medical, dental and veterinary, do the psychographs as a whole fall below the standard for comparison. STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 479 In order to discover whether the psychograph for medical officers presented in figure 2 is really characteristic of the professional group, the group was subdivided according to the principal special- ties represented, of which there are nine, as listed in table 8. Of these, seven are represented in figure 3. This figure shows a strik- ing resemblance among the psychographs of the special medical groups and justifies the statement that the medical psychograph is characteristic of the professional group. The fact that the Test Oral „ directions'' Arithmetic _ Practical judgment Opposites Geni to-urinary,- .Eye, ear, nose, and. throat, Surgery, Roentgenology, Gynooology and obstetrics,- H Internal medicine, I Mental and nervous, I All medical officers, Disarranged sentences Number series- completion Analogies — Information - Fig. 3. Psychographs for medical specialists. 480 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES “mental and nervous” group stands well above the others is ex- plainable on the basis of difference in the method of selection for appointment to the military service. It happens that the neuro- psychiatric specialists were carefully selected and recommended to the Medical Department by a special committee which operated under the auspices of the National Committee for Mental Hy- giene. The presumption is that the efforts of this committee eliminated a large proportion of intellectually low grade and pro- fessionally incompetent men. On the chance that the psychograph for the medical profession Test 1. Oral directions 2. Arithmetic Older medical All medical Younger medical 3. Practical judgment 4. Opposites 5. Disarranged sentences 6. Number series completion 7. Analogies 8. Information Fig. 4. Psychographs for age-groups of medical officers. STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 481 might vary significantly with age, the data for two small groups of medical officers were assembled for comparison. The one of these groups consisted of 140 individuals aged 26 years or less, the other of 144 individuals aged 50 years or more. The psychographs of Median (50th percentile) scores on alpha tests of specialists within the medical profession, compared with standard group of officers of all arms Table 8 Median score on alpha tests Specialty No. Total cases 1 2 3 4 5 6 7 8 alpha Anesthesia 35 9.1 11.1 10.1 26.8 15.6 11.1 13.5 31.6 130.8 (Percentile reached) (35.0) (25.5) (31.0) (51.5) (40.0) (45.5) (25.0) (49.0) Eye 46 9.1 12.0 11.3 27.8 16.6 10.8 19.0 34.3 140.0 (Percentile reached) Eye, ear, nose and (35.0) (37.5) (46.5) (56.5) (47.0) (41.0) (37.0) (68.5) throat 175 8.5 11.5 10.6 26.5 16.3 10.1 14.9 32.1 128.3 (Percentile reached) Genito-urinary dis- (27.0) (30.5) (37.5) (50.0) (44.5) (31.5) (28.5) (53.0) eases 77 8.4 11.8 11.1 24.2 16.4 9.8 16.3 31.7 124.4 (Percentile reached) Gynecology and (25.0) (35.0) (44.0) (38.5) (45.5) (28.0) (31.0) (50.5) obstetrics 88 9.1 11.9 10.7 26.7 16.2 10.4 15.8 31.7 128.1 (Percentile reached) (35.0) (36.0) (39.0) (51.0) (44.0) (36.0) (30.0) (50.5) Internal medicine 178 9.2 12.5 11.7 28.8 17.8 10.8 22.8 33.2 143.6 (Percentile reached) Mental and ner- (37.0) (44.5) (51.0) (61.0) (55.0) (41.0) (47.0) (61.0) vous diseases 54 9.8 13.2 12.4 29.0 17.9 11.7 24.6 33.1 143.0 (Percentile reached) (47.5) (54.0) (60.0) (62.0) (56.0) (54.0) (53.5) (60.0) Roentgenology 54 8.8 12.0 11.0 26.3 18.2 11.0 20.0 33.3 136.0 (Percentile reached) (30.5) (37.5) (42.5) (49.0) (58.0) (44.0) (39.5) (62.0) Surgery 640 8.7 11.8 10.8 25.8 16.2 10.3 18.0 31.2 127.4 (Percentile reached) (29.5) (35.0) (40.0) (46.5) (44.0) (33.5) (35.0) (47.0) All medical officers 3165 8.7 11.9 10.8 26.3 16.3 10.4 17.7 31.6 129.3 (Percentile reached) (29.5) (36.0) (40.0) (49.0) (44.5) (36.0) (34.0) (49.0) Eye, ear, nose and throat, promoted 35 9.6 11.7 10.9 29.5 18.2 10.7 16.6 33.1 (Percentile reached) Eye, ear, nose and (34.0) (33.5) (41.5) (64.5) (58.0) (39.5) (32.0) (60.0) throat. Not known to be pro- moted 140 8.1 11.4 10.5 25.9 15.5 9.9 14.0 31.6 (Percentile reached) (21.0) (29.5) (36.5) (47.0) (39.5) (29.5) (26.0) (49.0) 482 STA TUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES these two medical groups (as appears in figure 4) differ in two obviously important respects. That for the younger group closely approximates the 50th percentile standard and is similar in form to the psychograph for infantry officers. That for the older group falls even farther below the standard than the psychograph for all medical officers and its form is an accentuation of the peculiarities of the medical psychograph which has been considered in an earlier paragraph. Comparison of figures 2 and 4 indicates a certain similarity be- tween the psychograph of chaplains (figure 2) and that of older med- ical officers (fig. 4). The median age of the chaplains is 31.8 years. It is possible that a group of engineers of approximately the same age as the medical officers would yield a psychograph similar to theirs and radically different from that of the army engineers. It appears, then, that age may influence the form of psychograph. The influence of language habits, in relation to age, appears in the results for the “opposites” test. The score for this test, as also for the “information” test, is larger for the older medical officers. The psychographs of such professional groups as medical, vet- erinary, engineer, chaplains, may prove to have either educational or vocational significance, or possibly both. Should further inquiry indicate that they are characteristic of the student groups which enter the several types of school, respectively, it would seem that they might serve as partial basis for vocational advice. If, on the contrary, they are the product of professional training and experience, they should prove useful in connection with educational methods. In any event, it is clear that this subject deserves fur- ther and immediate attention, since it may possibly yield informa- tion which will serve to improve the status of the medical profession either through more satisfactory selection of medical students or through their more effective training. Age of Medical Officers It was early suggested that greater age of medical officers might be responsible for their relatively low intelligence rating. The facts presented on pp. 480, 481 and in this section wholly justify this surmise. In the first place it appears from table 9 that the median age of officers of the Medical Corps is 37.6 years, whereas that of all officers is 28.8. The nearest approach to the median age of medical ST A TUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 483 Table 9 Age distribution of officers. Figures are percentage distributions for different arms of the service1 Age-group (years) Number of cases Arm 20 and less 21-22 23-24 25-20 27-28 29-30 31-40 41-50 51-60 Median age Infantry 0.3 8.9 19.8 19.7 15.1 11.1 20.0 4.7 0.4 27.2 6812 Artillery 0.1 11.3 23.4 20.4 15.6 12.2 15.3 1.7 0.0 26.5 1507 Machine gun battalions 0.0 10.6 21.2 18.9 16.2 8.5 19.9 4.7 0.0 26.9 493 Engineers 0.1 6.7 16.9 17.2 16.0 12.2 25.6 4.5 0.5 28.1 984 Field Signal Corps 0.3 5.5 14.7 16.4 13.2 13.5 27.9 8.6 0.3 29.0 350 Quartermaster Corps 0.1 4.0 13.2 15.4 16.6 12.4 25.0 11.9 1.1 29.1 747 Medical Corps 0.0 0.0 2.2 4.8 7.3 8.1 42.0 30.1 5.6 37.6 3090 Dental Corps 0.0 3.9 16.8 25.0 16.8 14.2 17.2 6.0 0.0 27.5 413 Veterinary Corps 0.0 3.2 13.6 16.7 22.0 15.1 26.7 2.4 0.4 28.5 251 All officers 0.2 6.4 15.2 15.9 13.8 10.9 25.8 10.6 0.1 28.8 15385 officers is that of the Quartermaster Corps, 29.1. It thus appears that the median medical officer is approximately 9 years older than his median military associate. That intelligence is related to age has been demonstrated by the analysis of mental measurements made in the army. In general the intelligence rating tends to diminish with age. That this is due to age alone and not to selectional processes operating in con- nection with age is by no means certain. The above statements are based upon such data as are reproduced in the accompanying tables 10 and 11. No special study, in addition to the comparison instituted in figure 4, has been made of the relation of age to in- telligence in the particular group of medical officers under consider- ation. From table 10 it appears that there is no regular or sig- nificant decrease in intelligence rating from 20 to 26 years. There- after to the age of 60 there is a marked decrease. The median for the age group 31 to 40 years (within which the age of medical officers falls) is 133 points, whereas that for the age group of officers in general is about 143 points. Particularly significant are the data of table 11 for the large group of medical officers examined at Camp Greenleaf with army examination a. It should be mentioned 1 Official report, table 372, p. 818. 484 57M TUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES that the median scores of this table are much larger than those of previous tables because the maximum score for examination o is 414 points, whereas that for examination alpha is 212 points. These medians indicate that a medical officer above 30 years of age is at a disadvantage in the intelligence examination a, as com- pared with an officer under 30 years of age. Finally, the following Table 10 Relation of age to intelligence for 15,385 officers given examination alpha1 Intelligence rating 20 and less 21-22 23-24 25-26 27-28 29-30 31-40 41-50 51-60 60 up A 66.8 66.9 63.6 60.3 60.3 57.4 49.1 40.0 34.0 62.5 B 29.2 24.7 27.7 28.3 25.9 28.1 30.1 31.4 32.7 25.0 c+ 4.2 6.5 7.8 9.7 11.1 11.6 15.5 21.1 21.2 0.0 C 1.5 1.2 1.8 2.2 2.4 4.9 6.4 10.2 12.5 c— 0.1 0.1 0.1 0.1 0.6 0.7 2 0 D 0 1 0 3 D— Median 150 146 146 147 143 141 133 125 120 140 Number of cases 24 985 2,330 2,434 2,101 1,665 3,963 1,635 240 8 Percent of total num- ber of cases 0.2 6.4 15.2 15.9 13.8 10.9 25.8 10.6 1.6 0.1 coefficients of correlation between age and score in examination a are offered in justification of the conclusion that age is negatively correlated to a significant degree with intelligence rating:2 5,404 medical officers, Camp Greenleaf —0.192 2,475 medical officers, Camp Greenleaf, 21-30 years. —0.063 (P. E. 0.013) 3,267 medical officers, Camp Greenleaf, 30-60 years. —0.192 (P. E. 0.011) 146 medical officers, Camp Devens —0.011 308 infantry officers, Camp Devens —0.120 Four principal causes have been suggested for the relatively low intelligence rating of medical officers. These are, first, lack of agility and speed in the examination because of age; second, ten- dency to work carefully and accurately as a result of professional training and experience; third, special characteristics of tests ren- dering them easier for men of mathematical and mechanical training 1 Official report, table 366, p. 814. 2 Ibid., p. 817. 5774 TUS OF MEDICAL PROFESSION IN A RMY: COBB AND YERKES 485 Table 11 Relation of intelligence to age of 5,742 medical officers, Camp Greenleaf, given examination a1 2,475 of draft age Statistical measurement Age 21 22 23 24 25 26 27 28 29 30 Median Number of cases 232 11 273 52 269 132 273 241 277 303 267 376 265 361 266 352 261 338 258 309 3,267 over draft age Statistical measurement CO A CO CO CO 1 CO iO CO 1 Tf CO CO 1 CO CO 05 CO 1 00 CO 5 A CO 1 i be JD ’o C 8 bfi a o P4 ment >> U B bfO u d | Tuberculosis | Venereal diseases General service Field service Reconstruction, Division of Hospitals, and Aviation Assignment same Percentage Assignment different Percentage Total, assignment known Assignment not known Total 1 1 9 14 5 1 o 0 31 100 31 4 35 Gynecology and obstetrics 1 6 2 i 25 1 15 11 1 0 0 63 100 63 24 87 20 2 7 4 1 20 59 14 41 34 12 46 1 4 114 2 1 1 1 26 13 2 114 69 51 31 165 29 194 2 40 2 4 1 5 3 40 70 17 30 57 20 77 Internal medicine 1 3 2 1 98 1 i 2 4 18 7 98 71 40 29 138 41 179 Mental and nervous diseases 4 1 1 19 2 2 1 19 63 11 37 30 24 54 13 1 1 13 87 2 13 15 1 16 1 30 5 2 1 30 68 15 32 45 9 54 Surgery 4 8 5 25 20 6 285 95 42 4 285 58 209 42 494 146 640 Tuberculosis 1 5 9 5 2 2 9 37 5 15 62.5 24 10 34 Venereal diseases 1 1 3 3 2 1 3 27 8 73 11 1 12 General practice 2 2 20 3 2 71 1 4 4 57 3 74 96 11 270 60 180 40 450 233 683 Miscellaneous 24 6 3 0 0 40 1 1 3 1 22 6 4 17 15 94 85 111 52 163 Not known 6 3 6 5 2 8 1 6 24 5 18 2 86 86 147 233 Total 36 21 48 144 51 261 21 48 43 415 18 5 398 214 31 918 52 836 48 1754 753 2507 Specialty different j No H5 14 '46 10 11 163 2 35 13 130 9 2 224 118 31 from assignment \ % 42 67 96 7 22 62 10 73 30 31 50 40 56 55 100 Relation of military assignment to specialty in civil life Table 31 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 507 2 2 £Q s a o -'2 2 c 5 o 3 i+ » a p cr*~3 re jz. wloSS^WLg- a a 2 fio ! P SP P f» oJliq’d o fj "W c z ft ft o ■d •-» o pJW 2.01 • o i lag.* o j? /) rf. p r A i P CL 2.0 o 1/5 Qrq • a< : § 3 3. a : eg q.|g O : g*. E Cfl V M P Q.a< n ■ P S' cn •o o 2. p* 3 o r+ • o r+ ; » T> rt> (A 2 S Sip ’• I* o : « »•: §■ £ C • p a, tn 3 C/J c/> . (a sr. ft . n> . 2. a- “ o . £ v ■ : : 2 h-1 CO CO »-* CO—1 Wa*M to Assignment different 00 4^ CO CO O CO >— CO © CO O C5 05 N 00 o S2 4^ co iP cn Cn 4l 4*. tO hJ Assignment not known © Oi COOWOOOICOOO c: Ci Oi to f- Oi to CO to to to to Ha to CO to H to H H Percentage of total promoted to C5 CO O N to CO 562 Op co Cn S CD vl C c 14 10 125 i—1 1—1 CO 1 © cn co oo o co Number of promotions Relation of promotion in the army to assignment and specialty (percentages) Table; 32 508 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES vilian life, depended primarily on age, length of experience and earnings in civil life. Table 33 presents the median values by rank of medical officers, for intelligence, experience, schooling and earnings. Table 33 Rank of medical officers and intelligence, experience, schooling and earnings Median values Lieutenant Captain Major and above All medical officers Intelligence 128 134 149 129.2 Experience 7.71 15.76 17.67 11.07 Schooling 15.80 15.80 15.73 15.8 Earnings $3728 $5451 $5916 $4318 Table 34 Distribution of alpha scores of medical officers of different ranks Alpha score Lieutenant Captain Major and above Total 200-204 1 2 3 190-199 12 7 3 22 180-189 34 32 a 77 170-179 72 46 13 131 160-169 114 62 19 195 150-159 146 86 19 251 140-149 151 94 21 266 130-139 170 98 19 287 120-129 165 100 11 276 110-119 184 91 10 285 100-109 144 75 7 226 90-99 113 53 7 173 80-89 73 46 i 120 70-79 45 30 i 76 60-69 33 19 i 53 50-59 24 13 37 40-49 13 6 19 30-39 6 1 i 20-29 1 1 2 15-19 1 1 Total 1501 863 143 2507 Median 128 134 149 129.2 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 509 Membership of Medical Officers in Medical Societies In the group of officers studied, 1964 individuals reported mem- bership in medical societies of the United States. The number of societies reported ranges from 1 to 7. Over 25% of those report- ing held membership in three medical societies. Over 50% report membership in one or two societies. Membership in no medical society was reported by 237 officers. Of the 1964 officers report- ing membership in medical societies, 50.7% were members of the American Medical Association. The median intelligence score of those reporting themselves as members of the American Medical Association is 128.2; that of non-members, 129.8. Over 130 medical schools are represented by this group of 2507 medical officers. The number of men from a single school was, in most cases, small, the largest number being 118 from Rush Medical College. Only 18 schools were represented by as many as 35 in- dividuals. Statistics for these 18 schools are given later. In general, it was necessary, if reliable figures were to be obtained, to consider schools by groups. They were grouped first according to location. The geographical groups thus obtained yielded information which confirms geographical data already presented. The schools were next grouped by size. Certain statements may be made con- cerning the large schools as compared with those which have few students. They were then grouped according to entrance require- ments. Groupings were also made according to the rating of the school by the American Medical Association, and according to the medical sect followed. The groupings obtained on these different bases have been compared as to score in intelligence ex- amination alpha, income reported and length of experience. DATA CONCERNING MEDICAL SCHOOLS Geographical Classification The geographical grouping of states is that previously used for grouping medical officers (table 16). Geographical Grouping of Medical Schools NORTHEAST University and Bellevue Hospital Medical College Boston University School of Medicine. Bowdoin Medical School. University of Buffalo Department of Medicine. College of Physicians and Surgeons, Boston. 510 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Columbia University College of Physicians and Surgeons. Cornell University Medical College. Dartmouth Medical School. Fordham University School of Medicine. Medical School of Harvard University. Long Island College Hospital. New York Homeopathic Medical College and Flower Hospital. Eclectic Medical College of the City of New York. Syracuse University, College of Medicine. Tufts College Medical School. Union University. University of Vermont College of Medicine. Yale University School of Medicine. ATLANTIC: Baltimore University School of Medicine. Hahnemann Medical College and Hospital of Philadelphia. Jefferson Medical College of Philadelphia. Johns Hopkins University Medical Department. Maryland Medical College. University of Maryland School of Medicine and the College of Physicians and Sur- geons. Medico-Chirurgical College of Philadelphia. University of Pennsylvania School of Medicine. University of Pittsburgh School of Medicine. Temple University Department of Medicine. Medical College of Virginia. University of Virginia Department of Medicine. SOUTH CENTRAL: University of Chattanooga Medical Department. University of Louisville Medical Department. University of Nashville Medical Department. North Carolina Medical College. Medical College of the State of South Carolina. University of the South Medical College. Southwestern Homeopathic Medical College and Hospital. University of Tennessee College of Medicine. Vanderbilt University Medical Department. SOUTHERN: University of Alabama School of Medicine. University of Arkansas Medical Department. Hospital Medical College, Eclectic, Atlanta. Baylor University College of Medicine. Emory University School of Medicine. Georgia College of Eclectic Medicine and Surgery. University of Georgia Medical Department. Mississippi Medical College. University of Oklahoma School of Medicine. Physio-Medical College of Texas. Southern Methodist University Medical Department. ST A TUS OF MEDICAL PROFESSION IN ARMY: COBB A ND YERKES 511 Medical Department of the Texas Christian University. University of Texas Department of Medicine. Tulane University of Louisiana School of Medicine. NORTH CENTRAL: Cincinnati College of Medicine and Surgery. Eclectic Medical College, Cincinnati. University of Cincinnati College of Medicine. Cleveland Homeopathic Medical College. Detroit Homeopathic Medical College. Detroit Medical College. Grand Rapids Medical College. Medical Department Hamline University. Marquette University School of Medicine. University of Michigan Medical School. University of Michigan Homeopathic Medical School. Milwaukee Medical College. Minneapolis College of Physicians and Surgeons. University of Minnesota Medical School. University of Minnesota College of Homeopathic Medicine and Surgery. Ohio State University, College of Medicine. Saginaw Valley Medical College. Toledo Medical College. Western Reserve University School of Medicine. Wisconsin College of Physicians and Surgeons. CENTRAL: Chicago College of Medicine and Surgery. Dearborn Medical College. Ensworth Medical College. Hahnemann Medical College and Hospital of Chicago. Hering Medical College. University of Illinois College of Medicine. Indiana Eclectic Medical College. Indiana University School of Medicine. Physio-Medical College of Indiana. State University of Iowa College of Medicine. State University of Iowa College of Homeopathic Medicine. Jenner Medical College. John A. Creighton Medical College. University of Kansas School of Medicine. University Medical College of Kansas City. Eclectic Medical University, Kansas City. Lincoln Medical College. Chicago College of Medicine and Surgery, School of Medicine of Loyola University. Homeopathic Medical College of Missouri. National Medical University, Chicago. National University of Arts and Sciences, St. Louis. University of Nebraska College of Medicine. Northwestern University Medical School. Rush Medical College. Sioux City College of Medicine. 512 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YEIiKES Kansas City Hahnemann Medical College. St. Louis University School of Medicine. Washington University Medical School. WESTERN: University of California Medical School. Hahnemann Medical College of the Pacific. University of Southern California (College of Physicians and Surgeons). University of Southern California Medical College. California Eclectic Medical College. University of Colorado School of Medicine. Leland Stanford Junior University School of Medicine. University of Oregon Medical School. College of Physicians and Surgeons of San Francisco. Distribution of alpha scores of men who were graduated from schools in each section is similar to that shown in table 17. This is naturally the case, as the groups of men from schools in different sections overlap to a large extent the group of doctors practicing in these sections so that many members of the group are identical. I11 other words, the majority of the doctors attended school in the same state in which they are practicing; they usually hold certificate from that state, or from the state in which their school is situated. It is interesting to find that on the whole the schools, good or poor, large or small, of a given section of country, did represent fairly well the intelligence level of the medical profession in that section. Difference in the earning power of graduates from schools of these groups are again so closely similar to the difference shown in table 22 that they need not be again presented. The South central group of states is again the lowest in the median pay received by doctors graduated from schools within its borders. The differ- ences are somewhat smaller than those of table 22 and are doubt- less partially due to the fact that graduates of these schools are also largely practicing in these states. Classification of the Medical Schools by Size When graded according to size the schools represented fall into the classification which follows. (The figures were taken from the American Medical Directory for 1918, which gives the number of students registered in 1916-17.) 0-49 students Grouping of Schools by Size University of Alabama School of Medicine, Mobile. University of Arkansas Medical Department, Little Rock. STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 513 Dartmouth Medical School, Hanover, N. H. State University of Iowa College of Homeopathic Medicine, Iowa City. Lincoln Medical College, Eclectic, Lincoln, Nebraska. Eclectic Medical University, Kansas City, Missouri. University of Michigan Homeopathic Medical School, Ann Arbor. 50-99 students Baylor University College of Medicine, Dallas, Texas. Boston University School of Medicine, Boston, Mass. Bowdoin Medical School, Medical Department of Bowdoin College, Brunswick and Portland, Maine. Eclectic Medical College, Cincinnati, Ohio. College of Physicians and Surgeons, Boston, Mass. University of Colorado School of Medicine, Boulder and Denver. Georgetown University School of Medicine, Washington, D. C. University of Georgia Medical Department, Augusta. Hahnemann Medical College and Hospital of Chicago, 111. University of Oklahoma School of Medicine, Norman and Oklahoma City. College of Physicians and Surgeons of San Francisco, Calif. Medical College of the State of South Carolina, Charleston. Temple University Department of Medicine, Philadelphia, Pa. Medical Department of the Texas Christian University, Fort Worth. University of Vermont College of Medicine, Burlington. Yale University School of Medicine, New Haven, Conn. 100-149 students University of California Medical School, Berkeley and San Francisco. University of Southern California College of Medicine, Los Angeles. Hahnemann Medical College of the Pacific, San Francisco, California. College of Physicians and Surgeons (Medical Department of the University of Southern California), Los Angeles. Lelancl Stanford Junior University School of Medicine, Palo Alto and San Francisco, California. University of Kansas School of Medicine, Lawrence and Rosedale. Kansas Medical College, Topeka. John A. Creighton Medical College, Medical Department of the Creighton University, Omaha, Nebraska. Jenner Medical College, Chicago, 111. Hahnemann Medical College and Hospital of Philadelphia, Pa. George Washington University Medical School (National University Medical De- partment), Washington, D. C. University of Louisville Medical Department, Louisville, Ky. (Hospital College of Medicine, Medical Department, Central University of Kentucky; Kentucky School of Medicine; Kentucky University Medical Department; and Louisville Medical College). University of Nebraska College of Medicine, Omaha, Neb. University of Pittsburgh School of Medicine, Pittsburgh, Pa. Syracuse University College of Medicine, Syracuse, N. Y. Union University Medical Department (Albany Medical College), Albany, N. Y. University of Virginia Department of Medicine, Charlottesville. Washington University Medical School, St. Louis, Missouri. St. Louis Medical College, St. Louis, Missouri. Missouri Medical College, St. Louis, Missouri. 514 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 150-199 students University of Buffalo Department of Medicine, Buffalo, N. Y. Cornell University Medical College, Ithaca and New York City, N. Y. Detroit College of Medicine and Surgery, Detroit, Mich. Indiana University School of Medicine, Bloomington and Indianapolis. Medico-Chirurgical College of Philadelphia, Pa. New York Homeopathic Medical College and Flower Hospital, New York City. Vanderbilt University Medical Department, Nashville, Tenn. 200-249 students University of Illinois College of Medicine, Chicago. Northwestern University Medical School, Chicago. 250-299 students St. Louis University School of Medicine, St. Louis, Mo. Fordham University School of Medicine, New York City. Long Island College Hospital, Brooklyn, N. Y. University of Minnesota Medical School, Minneapolis. University of Texas Department of Medicine, Galveston. Tulane University of Louisiana School of Medicine, New Orleans. 300-399 students Medical School of Harvard University, Boston, Mass. Johns Hopkins University Medical Department, Baltimore, Md. University of Michigan Medical School, Ann Arbor. Tufts College Medical School, Boston, Mass. 400 or more students University and Bellevue Hospital Medical College, New York City. Columbia University College of Physicians and Surgeons, New York City. Jefferson Medical College of Philadelphia, Pa. University of Pennsylvania School of Medicine, Philadelphia. Rush Medical College, Chicago, 111. Unclassified University of Cincinnati College of Medicine, Cincinnati, Ohio. Emory University School of Medicine, Atlanta, Georgia. Chicago College of Medicine and Surgery, School of Medicine of Loyola University, Chicago, 111. State University of Iowa, College of Medicine, Iowa City. Marquette University School of Medicine, Milwaukee, Wis. University of Maryland School of Medicine and the College of Physicians and Sur- geons, Baltimore, Md. Ohio State University College of Medicine, Columbus. University of Oregon Medical School, Portland. University of Tennessee College of Medicine, Memphis. Medical College of Virginia, Richmond. Western Reserve University School of Medicine, Cleveland, Ohio. Extinct Hospital Medical College, Eclectic, Atlanta, Georgia. ST A T US OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 515 Atlantic Medical College, Baltimore, Md. Baltimore University School of Medicine, Baltimore, Md. California Eclectic Medical College, Los Angeles, Calif. Chattanooga Medical College, Chattanooga, Tenn. Cincinnati College of Medicine and Surgery, Cincinnati, Ohio. ' Cleveland Homeopathic Medical College, Cleveland, Ohio. Dearborn Medical College, Chicago, 111. Detroit Homeopathic Medical College, Detroit, Mich. Ensworth Medical College, St. Joseph, Mo. Georgia College of Eclectic Medicine and Surgery, Atlanta. Grand Rapids Medical College, Grand Rapids, Mich. Hering Medical College, Chicago, 111. Indiana Eclectic Medical College, Indianapolis. Physio-Medical College of Indiana, Indianapolis. University Medical College of Kansas City, Mo. Maryland Medical College, Baltimore. Milwaukee Medical College, Milwaukee, Wis. University of Minnesota College of Homeopathic Medicine and Surgery, Minne- apolis. Homeopathic Medical College of Missouri, St. Louis. Mississippi Medical College, Meridian. University of Nashville Medical Department, Nashville, Tenn. National Medical University, Chicago, 111. National University of Arts and Sciences, Medical Department, St. Louis, Mo. Eclectic Medical College of the City of New York. Saginaw Valley Medical College, Saginaw, Mich. Sioux City College of Medicine, Sioux City, Iowa. University of the South Medical College (Sewanee Medical College), Sewanee, Tenn. Southern Methodist University Medical Department, Dellas, Texas. Kansas City Hahnemann Medical College, Kansas City, Mo. Southwestern Homeopathic Medical College and Hospital, Louisville, Ky. Toledo Medical College (Medical Department Toledo University), Toledo, Ohio. Wisconsin College of Physicians and Surgeons, Milwaukee, Wis. The first question is whether the men graduated from the larger institutions are a more intelligent group than those from the smaller schools. Table 35 shows that on the whole they are. Differences are not very large, and the variations are rather irregular. The lowest group of schools with less than 50 students is represented by only 59 individuals, too few for reliability. In figure 7 the three lowest groups, including all those from schools with less than 150 students, are compared with the groups from schools with 300 or more students each. This large-attendance group, including nine different schools, stands out as distinctly above the others in intelligence. The earnings reported by graduates from schools of different size fall in a manner which is irregular and almost impossible to inter- pret. It seems obvious that other factors than the size of the 516 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Fig. 7. Intelligence of graduates of large and small medical schools. Schools under 150 students, ; schools with 300 or more students, , Secrci school have an important influence on the type of student, so that the influence of size is obscured. Some of the groups contain so few schools that they are not representative geographically, and probably not in other ways. For instance, schools having from 200 to 249 students are represented only by the University of Illinois STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 517 Table 35 Distribution of alpha scores of graduates from schools of different size Alpha score Number of students Ex- tinct schools Unclas- sified schools Total 0 to 49 50 to 99 100 to 149 150 to 199 200 to 249 250 to 299 300 to 399 400 or more 200-204 1 1 i 3 190-199 1 1 3 1 2 3 8 1 2 22 180-189 1 8 10 4 5 3 13 21 2 10 77 170-179 3 11 12 9 7 7 22 42 4 14 131 160-169 6 16 28 11 19 15 25 39 13 23 195 150-159 5 16 40 22 16 15 19 63 13 41 250 140-149 4 19 41 23 34 17 27 40 20 41 266 130-139 4 21 40 22 23 27 25 45 21 61 289 120-129 9 14 45 27 26 16 19 40 19 61 276 110-119 6 20 38 30 17 23 17 47 22 64 284 100-109 4 9 41 22 17 17 14 26 16 60 226 90- 99 6 18 29 17 4 13 1 19 13 52 172 80- 89 5 6 22 15 6 9 3 8 16 31 121 70- 79 2 6 15 8 2 9 2 7 8 17 76 60- 69 3 10 3 3 1 1 4 8 20 53 50- 59 i 2 8 2 1 2 3 4 14 37 40- 49 i 6 1 1 2 8 19 30- 39 3 1 1 2 7 20- 29 1 1 2 10- 19 1 1 Total. . . 59 170 393 218 180 178 192 413 183 521 2507 Median 126.3 133.5 124.7 123.6 135.9 127 145.4 142.2 120.5 119.1 129.2 College of Medicine and Northwestern University Medical School, both in Chicago. The experience of the different groups is uneven and interferes with direct comparison. Table 36 indicates the dis- tribution of earnings and median experience in the groups of schools of different size. Classification of the Medical Schools by Entrance Requirements As it was impracticable to ascertain the entrance requirement of each school for every year in which a member of the group of medical officers entered it, classification has been made on the basis of the entrance requirement guaranteed as enforced in the year 1916-1917. This information was contained in a personally cer- tified letter to the Surgeon General of the Army from a responsible school official of each college. It is obvious that this method of 518 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Distribution of earnings of graduates from schools of different size Table 36 Annual earnings Number of students Unclas- sified schools 0 to 49 50 to 99 100 to 149 150 to 199 200 to 249 250 to 299 300 to 399 400 and above Extinct schools Total $30,000 and over 2 1 1 3 1 8 25,000 1 1 1 4 20,000 . * 1 2 3 1 3 9 18,000 1 2 3 1 7 16,000 1 1 1 1 1 5 14,000 2 1 3 3 2 10 2 23 12,000 1 1 4 2 7 3 1 8 4 4 35 10,000 2 3 14 4 5 6 8 18 4 11 75 9,000 1 3 3 5 2 2 7 2 5 30 8,000 1 3 5 7 5 9 6 11 5 12 64 7,000 2 2 13 6 6 2 2 14 2 10 59 ' 6,000 2 13 18 14 11 15 13 20 13 23 142 5,000 4 18 25 12 15 11 11 25 15 34 170 4,000 8 15 37 17 9 13 11 28 14 49 201 3,000 13 17 51 24 21 19 19 36 26 71 297 2,500 2 11 16 15 3 6 10 15 12 29 119 2,000 2 12 38 9 6 12 8 17 13 38 155 1,500 1 7 11 4 3 11 2 7 6 14 66 1,000 1 3 10 4 3 7 8 1 12 49 500-999 1 5 3 1 1 1 2 4 18 Earnings not known 19 61 139 90 79 63 83 176 64 197 971 Total. . . 59 170 393 218 180 178 192 413 183 521 2507 Median $4000 $4233 $3922 $4294 $5500 $4423 $4682 $5240 $4107 $3915 $4318 Median score 126.3 133.5 124.7 123.6 135.9 127 145.4 142.2 120.5 119.1 129.2 Median years’ experi- ence 8.8 11.01 12.97 10.81 9.08 9.65 9.4 12.13 13.48 10.18 11.07 classification is unsatisfactory since many of the poorer schools have ceased to exist or have increased their entrance requirements, whereas better schools have made less radical changes. The lowest requirement reported is one year of college work in addition to high school graduation and certain science requirements. ST A TUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 519 The highest requirement (the Johns Hopkins Medical School only) is graduation from college. Grouping of Schools by Entrance Requirements One year of college work University of Arkansas Medical Department. Baylor University College of Medicine. University an4 Bellevue Hospital Medical College. Eclectic Medical College, Cincinnati. Detroit College of Medicine and Surgery. Emory University School of Medicine. Fordham University School of Medicine. George Washington University Medical School. University of Georgia Medical Department. Hahnemann Medical College and Hospital of Philadelphia. John A. Creighton Medical College. University of Louisville Medical Department. Chicago College of Medicine and Surgery, School of Medicine of Loyola University. Long Island College Hospital. University of Maryland School of Medicine and the College of Physicians and Sur- geons. New York Homeopathic Medical College and Flower Hospital. University of Oregon Medical School, and Willamette University Medical Depart- ment. St. Louis University School of Medicine. Temple University Department of Medicine. University of Tennessee College of Medicine. Medical Department of the Texas Christian University. Tulane University of Louisiana School of Medicine. Union University (Albany Medical College). Vanderbilt University Medical Department. University of Buffalo Department of Medicine. Two years of college work University of Alabama School of Medicine. Boston University School of Medicine. Bowdoin Medical School. University of California Medical School. Medical Department of the University of Southern California. University of Cincinnati College of Medicine. University of Colorado School of Medicine. Columbia University College of Physicians and Surgeons. Dartmouth Medical School. Georgetown University School of Medicine. Hahnemann Medical College and Hospital of Chicago. University of Illinois College of Medicine. Indiana University School of Medicine. State University of Iowa College of Medicine. State University of Iowa College of Homeopathic Medicine. University of Kansas School of Medicine. Jefferson Medical College of Philadelphia. Marquette University School of Medicine. 520 ST A TUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES University of Michigan Medical School. University of Michigan Homeopathic Medical School. University of Minnesota Medical School, and Medical Department Hamline Uni- versity. University of Nebraska College of Medicine. Northwestern University Medical School. University of Oklahoma School of Medicine. University of Pittsburgh School of Medicine. University of Pennsylvania School of Medicine. Rush Medical College. Syracuse University College of Medicine. Medical College of the State of South Carolina. University of Texas Department of Medicine. University of Virginia Department of Medicine. Medical College of Virginia. Yale University School of Medicine. Washington University Medical School. Three years of college work Cornell University Medical College. Leland Stanford Junior University School of Medicine. Western Reserve University School of Medicine. More than three years of college work Johns Plopkins University Medical Department. Medical School of Harvard University. Unclassified College of Physicians and Surgeons, Boston. Jenner Medical College. Eclectic Medical University, Kansas City. Lincoln Medical College. Minneapolis College of Physicians and Surgeons. Ohio State University College of Medicine and Ohio Medical University. Medico-Chirurgical College of Philadelphia. College of Physicians and Surgeons of San Francisco. Tufts College Medical School. University of Vermont College of Medicine. Extinct As listed on pages 514, 515. Distributions of median alpha scores of these groups of schools with different entrance requirements are shown in table 37. The decided differences between the medians show that the entrance requirement is an important factor in determining the intelligence of the students graduated. The higher the requirements the more intelligent the group. The difference between the lowest group and the highest (medians 118.7 and 154-2) is as great as that between the geographical section showing the lowest intelligence and that showing the highest. No other classification exhibits as great differences in alpha scores as this. STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 521 Table 37 Distribution of alpha scores of graduates from schools with different entrance requirements Alpha score One year college Two years college Three years college Further requirements Extinct Unclas- sified Total 200-204 2 1 3 190-199 3 14 1 3 1 22 180-189 13 40 5 12 2 5 77 170-179 20 78 6 15 4 8 131 160-169 48 102 6 16 13 10 195 150-159 70 133 6 14 13 14 250 140-149 63 144 3 16 20 20 266 130-139 87 133 8 15 21 25 289 120-129 97 126 5 6 19 23 276 110-119 115 111 5 9 22 22 284 100-109 96 91 4 5 16 14 226 90- 99 76 71 13 12 172 80- 89 47 42 16 16 121 70- 79 44 20 8 4 76 60-*69 23 18 8 4 53 50- 59 18 11 1 4 3 37 40- 49 11 5 1 2 19 30- 39 7 7 20- 29 1 1 • 2 15- 19 1 1 Total 839 1142 51 112 183 180 2507 Median.... 118.7 135.9 146.3 154.2 120.5 126.4 129.2 The earnings of graduates from schools in these groups (table 38) show the same tendency to increase with the increase of en- trance requirements, except that the highest group, including the Johns Hopkins Medical School and Harvard Medical School, report on the whole lower earnings than the preceding group. The differences given are striking and show clearly that the grad- uates from medical schools with high entrance requirements earn more than the graduates of other schools. This may be because the schools which have the more advanced educational basis on which to build lead their students to greater specialization, and that as specialists they have a higher earning capacity. That difference in length of previous experience is not mainly responsible for these differences in earnings is indicated by the medians for experience at the bottom of the table. 522 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Table 38 Distribution of earnings of graduates from schools with different entrance requirements Annual salary One year college Two years college More than two years college \ Extinct Unclassified Total $30,000 3 9 12 18,000 2 11 2 i 16 16,000 5 18 2 i 1 27 12,000 9 20 1 4 2 36 10,000 18 41 8 4 4 75 8,000 29 44 7 7 7 94 6,000 59 95 20 T3 10 201 4,000 120 173 18 29 31 371 3,000 110 123 17 25 21 297 2,500 50 39 4 12 14 119 2,000 74 54 6 13 8 155 1,500 29 26 2 6 3 66 1,000 18 19 6 1 5 49 500-999 Salary not 9 8 1 18 known 304 462 69 64 72 971 Total 839 1142 163 183 180 2507 Median . . . $3795 $4807 $5300 $4107 $4150 Median score.... 118.7 135.9 150.9 120.5 126.4 129.2 Median years’ ex- perience. . . 10.47 11.50 9.39 13.48 9.53 11.07 Classification According to Rating of American Medical Association The general excellence of the school or the extent to which it attained the standard of the American Medical Association, as indicated by the rating given by the Association, served as a basis for the following classification. The American Medical Directory of 1918 was used as source of information. Grouping of Schools by Rating of American Medical Association Class A University of Alabama School of Medicine. Baylor University College of Medicine. University and Bellevue Hospital Medical College. Boston University School of Medicine. STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 523 Bowdoin Medical School. University of Buffalo Department of Medicine. University of California Medical School, and Hahnemann Medical College of the Pacific. University of Cincinnati College of Medicine. University of Colorado School of Medicine. Columbia University College of Physicians and Surgeons. Cornell University Medical College. Dartmouth Medical School. Detroit College of Medicine and Surgery. Emory University School of Medicine. Fordham University School of Medicine. Georgetown University School of Medicine. George Washington University Medical School. University of Georgia Medical Department. Hahnemann Medical College and Hospital of Philadelphia. Medical Department Hamline University. Medical School of Harvard University. University of Illinois College of Medicine. Indiana University School of Medicine. State University of Iowa College of Medicine. State University of Iowa College of Homeopathic Medicine. Jefferson Medical College of Philadelphia. John A. Creighton Medical College. Johns Hopkins University Medical Department. University of Kansas School of Medicine, and Kansas Medical College. Leland Stanford Junior University School of Medicine. Long Island College Hospital. University of Louisville Medical Department. Marquette University School of Medicine. University of Maryland School of Medicine and the College of Physicians and Sur- geons. University of Michigan Medical School. University of Michigan Homeopathic Medical School. University of Minnesota Medical School. University of Nebraska College of Medicine. Northwestern University Medical School. Ohio State University College of Medicine. Minneapolis College of Physicians and Surgeons. University of Oregon Medical School, and Willamette University Medical Depart ment. University of Pennsylvania School of Medicine. University of Pittsburgh School of Medicine. Rush Medical College. Medical College of the State of South Carolina. St. Louis University School of Medicine. Syracuse University College of Medicine. Medico-Chirurgical College of Philadelphia. University of Tennessee College of Medicine. University of Texas Department of Medicine. Tufts College Medical School. Tulane University of Louisiana School of Medicine. 524 STA TUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Albany Medical College. Vanderbilt University Medical Department. University of Vermont College of Medicine. University of Virginia Department of Medicine. Medical College of Virginia. Washington University Medical School. Western Reserve University School of Medicine. Yale University School of Medicine. Class B Chicago College of Medicine and Surgery. University of Arkansas Medical Department. University of Southern California Medical Department, and University of Southern California College of Medicine. Eclectic Medical College, Cincinnati. Hahnemann Medical College and Hospital of Chicago. Chicago Homeopathic Medical College. Chicago College of Medicine and Surgery, School of Medicine of Loyola University. New York Homeopathic Medical College and Flower Hospital. University of Oklahoma School of Medicine. Temple University Department of Medicine. Medical Department of the Texas Christian University. Class C College of Physicians and Surgeons, Boston. Jenner Medical College. Eclectic Medical University, Kansas City. Lincoln Medical College. College of Physicians and Surgeons of San Francisco. Extinct As listed on pages 514, 515. Table 39 shows the results with respect to scores on intelligence examination alpha. Here again there are obvious differences between the intelligence levels of the groups. The difference between the median alpha scores of the groups from schools rated C and from those rated A is little more than half as great as between schools requiring one year of college work and those requiring college graduation for entrance, but it is, nevertheless, significant. It is interesting that the schools rated C stand as a group even below those schools in each list which have already become extinct. The extinct group is well below the whole group in intelligence, and also in earnings, although naturally the median experience is greater. The earnings of graduates from schools rated B and C are reported as somewhat lower (table 40) than earnings of those from schools rated A and the differences in experience shown at the foot of table 40 are not such as entirely to account for this. It should STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 525 Table 39 Distribution of alpha scores of graduates from schools differently rated by the American Medical Association Alpha score A. M. A. rating Extinct Total Class A Class B Class C 200-204 3 3 190-199 20 1 1 22 180-189 69 5 1 2 77 170-179 124 3 4 131 160-169 171 10 1 13 195 150-159 221 16 13 250 140-149 234 11 1 20 266 130-139 *249 17 2 21 289 120-129 233 22 2 19 276 110-119 238 20 4 22 284 100-109 199 8 3 16 226 90-99 133 24 2 13 172 80-89 99 4 2 16 121 70-79 60 8 8 76 60-69 43 2 8 53 50-59 33 4 37 40-49 16 1 2 19 30-39 6 1 7 20-29 1 1 2 10-19 1 1 Total 2152 154 18 183 2507 Median.... 130.6 123.3 113.3 120.5 129.2 be noted, however, that the experience of medical officers from schools in group B is less than that of those from schools in the other groups. Classification by Medical Sect Comparisons between schools belonging to different medical sects were started by means of information given in the American Medical Directory for 1918. The institutions calling themselves “regular,” “homeopathic” and “eclectic” were as follows: Grouping of Schools by Medical Sect Regular University of Alabama School of Medicine. University of Arkansas Medical Department. Baltimore University School of Medicine. Baylor University College of Medicine. University and Bellevue Hospital Medical College. 526 STA TUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES College of Physicians and Surgeons, Boston. Bowdoin Medical School. University of Buffalo Department of Medicine. University of California Medical School. University of Southern California College of Medicine. Chattanooga Medical College. Cincinnati College of Medicine and Surgery. University of Cincinnati College of Medicine. University of Colorado School of Medicine. Columbia University College of Physicians and Surgeons. Cornell University Medical College. Dartmouth Medical School. Table 40 Distribution of earnings of graduates from schools differently rated by the American Medical Association Earnings A. M. A. rating Extinct Total Class A Class B Class C $30,000 and over 8 8 25,000 4 4 20,000 8 1 9 18,000 7 7 16,000 4 1 5 14,000 21 1 22 12,000 31 1 4 36 10,000 68 3 4 75 9,000 27 1 2 30 8,000 56 2 1 5 64 7,000 56 1 2 59 6,000 116 11 2 13 142 5,000 149 6 15 170 4,000 175 10 2 14 201 3,000 238 29 4 26 297 2,500 100 5 2 12 119 2,000 131 ii 13 155 1,500 55 5 6 66 1,000 44 3 1 i 49 500-999 17 1 18 Earnings not known 847 64 6 64 971 Total 2152 154 18 183 2507 Median $4385 $3690 $37.50 $4107 $4318 Median score... . 130.6 123.3 113.3 120.5 129.2 Median years’ experience 11.06 7.39 10.71 13.48 11 07 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 527 Dearborn Medical College. Detroit College of Medicine and Surgery. Emory University School of Medicine. Ensworth Medical College. Fordham University School of Medicine. Georgetown University School of Medicine. George Washington University Medical School. University of Georgia Medical Department. Grand Rapids Medical College. Medical Department Hamline University. Medical School of Harvard University. University of Illinois College of Medicine. Indiana University School of Medicine, and Physio-Medical College of Indiana. State University of Iowa College of Medicine. Jefferson Medical College of Philadelphia. Jenner Medical College. John A. Creighton Medical College. Johns Hopkins University Medical Department. University of Kansas School of Medicine, and Kansas Medical College. University Medical College of Kansas City. \ Leland Stanford Junior University School of Medicine. Long Island College Hospital. University of Louisville Medical Department. Marquette University School of Medicine. University of Maryland School of Medicine, and the College of Physicians and Surgeons. Milwaukee Medical College. University of Michigan Medical School. University of Minnesota Medical School. Mississippi Medical College. University of Nashville Medical Department. Maryland Medical College. National University of Arts and Sciences Medical Department. University of Nebraska College of Medicine. Northwestern University Medical School. Ohio State University College of Medicine. University of Oklahoma School of Medicine. University of Oregon Medical School, and Willamette University Medical Depart- ment. University of Pennsylvania School of Medicine. Medico-Chirurgical College of Philadelphia. University of Pittsburgh School of Medicine. Rush Medical College. Saginaw Valley Medical College. College of Physicians and Surgeons of San Francisco. Sioux City College of Medicine. Medical College of the State of South Carolina. University of the South Medical College. Southern Methodist University Medical Department. St. Louis University School of Medicine. Temple University Department of Medicine. University of Tennessee College of Medicine. 528 STA TUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Medical Department of the Texas Christian University. University of Texas Department of Medicine. Toledo Medical College. Tufts College Medical School. Tulane University of Louisiana School of Medicine. Albany Medical College. Vanderbilt University Medical Department. University of Vermont College of Medicine. University of Virginia Department of Medicine. Washington University Medical School. Western Reserve University School of Medicine. Wisconsin College of Physicians and Surgeons. Yale University School of Medicine. Homeopathic Atlantic Medical College. Boston University School of Medicine. Hahnemann Medical College of the Pacific. Cleveland Homeopathic Medical College. Detroit Homeopathic Medical College. Hahnemann Medical College and Hospital of Chicago. Chicago Homeopathic Medical College. Hahnemann Medical College and Hospital of Philadelphia. Hering Medical College. State University of Iowa College of Homeopathic Medicine. University of Michigan Homeopathic Medical School. University of Minnesota College of Homeopathic Medicine and Surgery. Missouri Medical College. National Medical University. New York Homeopathic Medical College and Flower Hospital. Kansas City Hahnemann Medical College. Southwestern Homeopathic Medical College and Hospital. Eclectic Hospital Medical College, Eclectic, Atlanta. California Eclectic Medical College. Chicago College of Medicine and Surgery. Eclectic Medical College, Cincinnati. Georgia College of Eclectic Medicine and Surgery. Indiana Eclectic Medical College. Eclectic Medical University, Kansas City. Lincoln Medical College, Eclectic. Chicago College of Medicine and Surgery, School of Medicine of Loyola University. Eclectic Medical College of the City of New York. Syracuse University College of Medicine. Graduates from homeopathic medical schools made scores on examination alpha as much greater than those made by graduates from schools calling themselves eclectic as are the scores of Class A schools above those of Class C (table 41). The median alpha scores of graduates from “regular” schools fall approximately half way between those of groups from homeopathic and eclectic ST A TVS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 529 schools. It is of course possible that homeopathic physicians were scrutinized with special care before they were commissioned in the army so that they were thus more carefully selected than the “regulars.” The homeopathic group shows the same superiority in the matter of earnings, though this may be partly accounted for by its greater experience. The eclectic group reports lower earnings than the regulars, but this may be accounted for by its relative lack of experience (table 42). Table 41 Distribution of alpha scores of graduates from schools of different medical sects Alpha score Regular Homeopathic Eclectic Total 200-204 3 3 190-199 19 2 1 22 180-189 71 4 2 * 77 170-179 126 5 131 160-169 180 11 4 195 150-159 223 19 8 250 140-149 243 17 6 266 130-139 265 12 12 289 120-129 244 13 19 276 110-119 257 10 17 284 100-109 214 5 7 226 90- 99 148 8 16 172 80- 89 115 2 4 121 70- 79 68 8 76 60- 69 47 3 3 53 50- 59 37 37 40- 49 17 1 1 19 30- 39 6 1 7 20- 29 2 2 15- 19 1 1 Total 2286 112 109 2507 Median 128.5 140.8 117.8 129.2 Comparison of Schools Eight schools are represented by more than 75 graduates each. These groups are considered large enough to yield fairly reliable statistical information. Ten additional schools are represented by from 35 to 60 graduates. The information for these schools, although less reliable, is worthy of presentation. Table 43 gives, for each of these 18 schools, the number of graduates by which 530 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES Table 42 Distribution of earnings of graduates from schools of different medical sects Earnings Regular Homeopathic Eclectic Total $30,000 and over 8 8 25,000 4 4 20,000 9 9 18,000 7 7 16,000 5 5 14,000 20 1 1 22 12,000 32 3 1 36 10,000 69 5 1 75 9,000 28 1 1 30 8,000 60 2 2 64 7,000 54 4 1 59 6,000 123 12 7 142 5,000 158 7 5 * 170 4,000 187 6 8 201 3,000 258 20 19 297 2,500 109 6 4 119 2,000 144 5 6 155 1,500 62 2 2 66 1,000 43 1 5 49 500-999 17 1 18 Earnings not known 889 ‘ 37 45 971 Total 2286 112 109 2507 Median $4350 $4583 $3750 $4318 Median score 128.5 140.8 117.8 129.2 Median yrs. experience 10.11 13.79 7 11.07 a school was represented, median alpha score, pre-medical educa- tion, total education, experience, annual earnings, percentage of the graduates who were members of the American Medical Asso- ciation, percentage known to have been promoted while in the army and information concerning the specialties of graduates. It is not surprising to find that a few schools are seemingly of outstanding excellence. There are, for example, among these 18 medical schools 5 which rank exceptionally high in intelligence of graduates. These 5 constitute two groups, the first of which comprises the Johns Hopkins Medical School and the Medical School of Harvard University, and the second, somewhat lower in intelligence of graduates, the College of Physicians and Surgeons STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES 531 Graduates from: Number students 1917 Entrance req u i r e - ments 1917 Number cases Median alpha score Median pre-medical education Median total educ. Median experience Median earnings Percentage A. M. A. members Percentage pro- moted in army Percentage general practice Percentage eye, ear, nose and throat Percentage internal medicine Percentage surgery Columbia University College of Physicians and Sur- 85500 43.8 21 .3 17.0 8.6 14.3 38.6 geons 491 2 yrs. Col. 79 148.8 15.13 18.42 12.03 Medical School of Harvard University 357 Graduation1 77 153.1 15.32 18 86 11 .25 5000 41 .6 19.5 16.9 12.7 11.3 29.6 University of Illinois College of Medicine 213 2 yrs. Col. 88 129.4 11.83 15.83 9 1 4750 50.0 18.2 34.7 10.7 5.3 37.7 Jefferson Medical College of Philadelphia University of Maryland School of Medicine and the 540 2 yrs. Col. 81 129.2 12.59 16.5 9.83 4722 46.9 33.3 28.1 17.2 10.9 32.8 College of Physicians and .Surgeons 298 1 yr. Col.2 102 116.7 11 .83 15.73 12.05 4944 38.2 24.5 35.6 21.1 7 8 18.9 Northwestern University Medical School 247 2 yrs. Col. 92 139.3 13.24 17.08 9.07 5889 53 .3 19.6 25.3 13.3 3.6 49.4 University of Pennsylvania School of Medicine 585 2 yrs. Col. 81 148.8 13.8 18.09 12.67 5300 54.3 33.3 20.0 13.8 9.2 26 .2 Rush Medical College 567 2 yrs. Col. 118 148.8 15.09 17.58 12.21 5500 50.8 25.4 26.1 8.7 14.1 37.0 AUL COLLEGES 2507 129.2 12.16 16.07 11.07 4318 50.7 22.3 33.3 9.0 8.0 30.0 University and Bellevue Hospital Medical College. . . . 429 1 yr. Col.2 54 126.7 11.88 15.86 15.5 5000 29.6 20.4 20.4 4.1 14.3 40.8 University of Buffalo Department of Medicine 196 1 yr. Col.2 39 122.5 11 .76 15.63 8.88 3000 38.5 7.7 20.6 17.6 8.8 26.5 Johns Hopkins University Medical Department 359 Graduation 35 155.8 15.56 19.44 7.67 52.50 42.9 37.1 22.2 18.5 25.9 11.1 University of Louisville Medical Department Chicago College of Medicine and Surgery, School of 118 1 yr. Col.2 60 113.' 11.70 15.68 8.5 3250 40.0 21.7 45.2 5.8 0 26.9 Medicine of Loyola University 643 1 yr. Col. 60 117.0 11 .69 15.68 4.14 3318 16.0 30.2 3 .8 3 .8 26 .4 University of Michigan Medical .School 322 2 yrs. Col. 47 136.3 13.17 16.86 12.69 4833 48.9 25.5 31.0 16.7 7.1 31 .0 St. Louis University School of Medicine 254 1 yr. Col.2 50 122.5 11.96 15.94 11 .36 5000 52.0 24.0 31.1 22.2 6.7 25.7 University of Tennessee College of Medicine 122 1 yr. Col. 62 93.3 12.15 15.96 11.23 3250 30.6 14.5 54.7 9.4 3.8 22.6 Tulane University of Louisiana School of Medicine.... 267 1 yr. Col. 51 117.5 12.0 16.67 9.00 3875 37.3 21.6 33.3 15.5 2.2 35.6 Vanderbilt University Medical Department 152 1 yr. Col. 41 124.6 12.8 16.5 6.04 3667 46.3 31.7 34.5 6.9 13.8 37.9 1 Harvard requires a bachelor’s degree, or standing in upper third of class during two or three college years. 1 2 yrs. college beginning 1918. Comparison of schools Table 43 532 STATUS OF MEDICAL PROFESSION IN ARMY: COBB AND YERKES of Columbia University, the School of Medicine of the University of Pennsylvania and Rush Medical College. The graduates of the medical schools of Johns Hopkins University and Harvard University present the highest scores on examination alpha and few exceptionally low scores, ioo points being practically the minimum. They also spend relatively more time on their medical training and command large earnings. In the latter re- spect, however, they are surpassed by the graduates of North- western University Medical School, the College of Physicians and Surgeons of Columbia University and Rush Medical College. The earnings reported by the group from Northwestern Uni- versity Medical School are notably high. This is not due to greater experience, for the median (9 years) for the group is two years less than that for the entire group of medical officers. It is not to be explained geographically, for in general schools in the same section show smaller earnings. Probably the unusually large pro- portion of surgeons is largely responsible for the high rank of the school in earnings of its graduates. It is interesting to compare the three Chicago schools from which there is a considerable number of cases: The University of Illinois College of Medicine, North- western University Medical School and Rush Medical College. The alpha medians are 129.4, I39-3> and 148.8, respectively. The median number of years devoted to education is 15.8, 17, 17.6, respectively; the median experience is 9.1, 9.1 and 12.2 years, and the median earnings, $4750, $5889 and $5500. Bulletin of the National Research Council Volume 1 Number 1. The national importance of scientific and industrial re- search. By George Ellery Hale and others. October, 1919. Pages 43. Price 50 cents. Number 2. Research laboratories in industrial establishments of the United States of America. Compiled by Alfred D. Flinn. March, 1920. Pages 85. Price $1.00. Number 3. Periodical bibliographies and abstracts for the scientific and technological journals of the world. Compiled by R. Cobb. June, 1920. Pages 24. Price 40 cents. 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