THE ASSISTANT PHYSICIANS.-1. The Assistant Physicians shall reside in the Hospital and under, the direction of the Physician-in-Chief and Superintendent, shall devote their whole time to its service, and carry out to the best of their abilities, all the instructions of that officer.

2. They shall prepare and superintend the administration of all medicines prescribed for the patients; preserving in a book provided for the purpose, every prescription, with the name of the patient, and shall keep or assist in keeping such records, and performing such other duties as may be required by the Physician-in-Chief and Superintendent.

3. They shall be as much as possible among the patients, visiting them regularly every morning and evening, and as often as they can at other hours, and do all in their power to contribute to their comfort and welfare; they shall have a general supervision of the attendants, and shall promptly report to the Physician-in-Chief and Superintendent, all instances of neglect or of improper conduct on the part of any one connected with the Institution, that may come to their knowledge.

4. It shall also be the duty of one of the Assistant Physicians to attend at the Out-Patient Department on Pine Street for consultation on Mental and Nervous diseases.

5. They shall not absent themselves from the Hospital without the knowledge and consent of the Physician-in-Chief and Superintendent, and the Attending Managers.

THE STEWARDS.—1. Under the instructions of the Physician-in-Chief and Superintendent, the Stewards shall have a general oversight of the buildings, grounds, and farm, and shall see that they are at all times kept in perfect order and repair, and that all persons employed about the same perform their duties faithfully.

2. Under the direction of the Physician-in-Chief and Superintendent and subject to the instructions of the Attending Managers, they shall purchase furniture, fuel, clothing, stores, and all other necessary articles, and shall be responsible for their safe keeping and economical use.

3. They shall collect all moneys due the Institution for board of patients, etc., as they become due, and shall keep plain and accurate accounts of the receipts. and expenditures. They shall furnish transcripts thereof, approved by the Attending Managers, to be laid before the Board at each of their stated meetings. They shall also keep a regular register of the names and of the dates of admission and discharge of every patient.

4. Subject to the authority given to the Physician-in-Chief and Superintendent, and under his instructions, they shall hire, pay, and discharge all persons employed about the premises.

5. They shall pay particular attention to the quality of the provisions provided for the use of the Institution, and the manner in which they are cooked and served. They shall visit the dining-rooms during meals, and see that all things appertaining to them are disposed in a neat and becoming manner, that good order and perfect cleanliness are preserved in every part of the house coming under their notice, shall promptly report to the Physician-in-Chief and Superintendent all instances of neglect or improper conduct that they may observe, and, as far as practicable, see that the warming and ventilation of the buildings are properly regulated.

THE MATRONS.-It shall be the duty of the matrons to have the immediate charge of the housekeeping. They shall observe the manner in which the attendants and others perform their duties and report to the Physician-in-Chief and

Superintendent any instance of neglect or improper conduct coming under their notice. They shall have the general oversight and direction of the domestics, and shall superintend and direct the cooking and distribution of food, and, in conjunction with the Stewards, shall see that the supply is abundant, varied, wellcooked, and neatly served, in all the dining-rooms of the establishment, which they shall visit as often as possible at the hours for meals. They shall also see that the bedding, clothing, etc., of the patients are always kept clean and in good order. They are expected to devote their whole time to the service of the Institution, and under the instructions of the Physician-in-Chief and Superintendent, to spare no efforts to promote its prosperity.

GENERAL RULES.-All persons engaged, in any way, about the Institution, shall be careful to conform to the regulations made for the government of the Hospital, and at all times do what they can to promote its prosperity. No smoking of tobacco by any thus employed, shall be allowed within the enclosures, nor in the vicinity of the barns or other outbuildings; nor shall any persons be employed who are addicted to the use of spirituous liquors.

All lights, except in the wards, entries, Steward's, Matron's, and Physicians' rooms, are required to be extinguished at ten o'clock P. M. No reading in bed at night is to be allowed, either by patients or by any person connected with the establishment in any capacity.

ADMISSION OF PATIENTS.-I. Before any patient can be admitted into this Hospital, a request in writing to that effect from some near relative or friend, and a certificate of said patient's insanity, signed by two respectable graduates of medicine, shall in all cases be required, in the mode prescribed by the laws of Pennsylvania.

2. Neither idiots nor persons having mania-à-potû, shall be received into this Hospital.

3. A limited number of insane persons in indigent circumstances, whose cases are recent, and such as are believed to offer a fair chance of cure, shall be admitted as patients by the Attending Managers, for a period not exceeding three months for each case, and shall be treated without any charge. If promising favorably, and on the recommendation of the Physician-in-Chief and Superintendent, the period may be extended at the discretion of the Board. Security for the removal of such patients when discharged, and for their clothing whilst in the Hospital, shall be required of some responsible resident of the city of Philadelphia, or its vicinity. The number of these patients shall from time to time be regulated by the Board of Managers, and is now fixed at fifty.

4. Patients paying board may be admitted by any member of the Board of Managers, under the following rules.

5. The rate of board shall be regulated by the pecuniary ability of the patient, or of the friends of the patient, and the class of accommodations required. The lowest rate shall be nine dollars per week. They shall not be admitted for a less period than three months, for which time the board shall be required to be paid in advance at the time of admission; and if taken away uncured before the expiration of that period, contrary to the advice and consent of the Physician-in-Chief and Superintendent of the Hospital, the amount as above paid in advance shall be considered forfeited, and no part thereof shall be returned. Four weeks' board shall be retained in all cases. All payments shall be made quarterly in advance. Security of some responsible resident of the city of Philadelphia, or its vicinity, shall in all cases be obtained, for the payment of board and all other expenses whilst in the institution, and for the performance of the foregoing conditions.

6. When special attendants are desired they are always to be provided by the Physician of the Hospital, and the charge therefor to be added to the board.

ADMISSION OF VISITORS.-The Board of Managers-recognizing the duty of shielding the insane from all improper exposure, and regarding their right of protection from the gratification of an idle curiosity on the part of strangers just as great, while residents of a hospital, as in their own dwellings-have adopted the following regulations for the admission of visitors:

1. Visitors are not to be admitted before 10 o'clock A. M., after sunset, nor on the First day of the week. They are not to be admitted on the afternoon of Seventh day (Saturday) unless on special business with the Attending Managers, or one of the officers of the house.

2. All parts of the Hospital not occupied by patients may be shown and explained during the hours for the admission of visitors.

3. No visitor, unless in company with a Manager, can be taken into the wards, without permission from the Physician-in-Chief, or, in his absence, from an Assistant Physician; and when visitors are allowed in the wards, they must always be accompanied by one of these officers, by the Steward or Matron, or by some person delegated by the Physician for the purpose.

4. As this Hospital cannot be allowed to become a resort for idle curiosity, it is hoped that the friends of patients, and all others, will carefully avoid prolonging their visits unnecessarily. And those employed in the care of patients, or in the domestic departments, are to avoid inviting company to the Hospital.

5. The Pleasure Carriages and other contrivances for the amusement of patients, are not to be used by visitors; nor are they to enter the museums or to pass through the pleasure grounds, except by special permission.

6. It is expressly forbidden to furnish any inmate of this Hospital with tobacco in any form; or to deliver to, or receive from a patient, any letter, parcel, or package, without the knowledge and approbation of the Physician.

7. Funds for the use of the patients are to be placed in the hands of the Stewards, to be used only under the direction of the Physician.

8. Under ordinary circumstances, carriages are not to enter the enclosures. When for any purpose they have been taken to the centre buildings, they are neverjto be left standing there; and drivers are always expected to remain with their vehicles outside of the gateway.

OFFICERS OF THE PENNSYLVANIA HOSPITAL.

At the 143d Annual Meeting of the Corporation, held 5th month 7th, 1894, the following Contributors were elected to serve as Managers for the ensuing year:

Attending Physicians—J. M. Da Costa, M. D.; MORRIS LONGSTRETH, M. D.; ARTHUR V. MEIGS, M. D.; MORRIS J. LEWIS, M. D.

Attending Surgeons—THOMAS G. MORTON, M. D.; JOHN H. PACKARD, M. D. : JOHN ASHHURST, JR., M. D.; RICHARD H. HARTE, M. D.

Resident Physicians—THOMAS A CLAYTOR, M. D.; THOMAS F. BRANSON, M. D.; JOHN H. GIBBON, M. D.; JAMES P. HUTCHINSON, M. D.; FRANCIS R. PACKARD, M. D.; THOMAS S. KIRKBRIDE, Jr., M. D.

Pathologist, Curator, and Microscopist-HENRY M. FISHER, M. D.

Dispensary Physicians-HENRY M. FISHER, M. D.; FREDERICK A. PACKARD,

M. D.; JOSEPH LEIDY, M. D.; J. ALLISON SCOTT, M. D.

Dispensary Surgeons-W. BARTON HOPKINS, M. D.; WALTER D. GREEN, M. D.; ROBERT G. LE CONTE, M. D.; THOMAS S. K. MORTON, M. D.

Eye and Ear-GEORGE C. HARLAN, M. D.; PETER N. K. SCHWENK, M. D.
Throat and Nose-ALEXANDER W. MACCOY, M. D.

Gynecological-T. HEWSON BRADFORD, M. D.; J. MONTGOMERY BALDY, M. D. Mental and Nervous-A. R. MOULTON, M. D.; HENRY B. NUNEMACHER, M. D.; ELI E. JOSSELYN, M. D.; HORACE PHILLIPS, M. D.

Steward-JONATHAN G. WILLIAMS,

Clerk and Librarian-DANIEL D. TEST.
Apothecary-JOSEPH Y. TAYLOR, Ph. G.
Matron-MARY R. SATTERTHWAITE.
Head Nurse-ELIZABETH S. COLLIER.

DEPARTMENT FOR THE INSANE.

Physician-in-Chief-JOHN B. CHAPIN, M. D.

DEPARTMENT FOR MEN.

First Assistant-A. R. MOULTON, M. D.

Second Assistant-HORACE PHILLIPS, M. D.

Steward-GEORGE Jones.

Matron-HANNAH P. SAEGER.

DEPARTMENT FOR WOMEN.

First Assistant-H. B. NUNEMACHER, M. D.

Second Assistant-E. E. JOSSELYN, M. D.

Gynecologist-A. VICTORIA SCOTT-HAENSLER, M. D.
Steward-GEOrge Jones.

William Shippen.

1778

William Shippen, Ji

1779

James Hutchinson.

1780

1783

James Hutchinson
John Morgan.

Benjamin Rush.

1784

1791

John Foulke.

1793 Casper Wistar.

1794

Philip Syng Physick.