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THOSE of our readers who are accustomed to the lucubrations of the present writer will not be surprised at seeing Medical Education occupy a prominent position among our subjects discussed. Indeed, so long have we been seriously considering all the different schemes and movements relating to improvement in medical teaching, that we are half afraid that our old readers will be repelled by the title of the present article, and come to the conclusion that, being certainly acquainted with all our views upon that subject, they would do better to turn the leaves until they arrive at something new.

But through the action of the late meeting of the American Medical Association, the position of the whole profession, and especially that of its teaching members, has been so entirely changed as regards this question, that it cannot be uninteresting to any physician, whether practitioner or professor, to inquire what are his interests and responsibilities as determined by the new order of things established at that meeting. To give this subject its proper consideration, we shall find it necessary

to compare the action of the sessions of 1857 and 1858, as well as to give a slight retrospective glance at the views we expressed in former times upon this subject. In this latter department we shall appeal to our readers with the more confidence, as we find the progress of opinion to be in all respects in a direction toward the views expressed in our former writings.

Placing the proceedings of the two meetings side by side, then, we find more of contrast than of analogy in their relations one to another. Perhaps, however, before comparing the proceedings of the two assemblies, it will be expedient to examine the material of which the two were respectively constituted.

The following table represents in parallel columns the numbers from each State present at each meeting, with the exception, that fourteen more were incorporated during the session of the Washington meeting, raising its total number of delegates present to 406.

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The impression derived from a mere glance at this table is, that the profession was much more fully represented at Washington in 1858 than at Nashville in 1857, the preponderance of the former over the latter being in actual numbers in the proportion of two and a half to one. But the details of the representation render this still more apparent: thus, the number of States unrepresented in the Tennessee meeting is nine, viz.: Vermont, Massachusetts, Rhode Island, Delaware, Maryland, District of Columbia, Virginia, North Carolina-including therefore a very large portion of New England and of the Atlantic Southern States. These States sent to the Washington meeting an aggregate of ore hundred and sixteen delegates; while the only States

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