STATEMENT OUTLINING THE IMMEDIATE NEEDS OF THE CHICAGO MEDICAL SCHOOL AND ITS STAKE IN THE PASSING OF FAVORABLE LEGISLATION GRANTING MATCHING FEDERAL CONSTRUCTION FUNDS FOR MEDICAL AND DENTAL SCHOOLS Status of applicant The Chicago Medical School is a not-for-profit institution, chartered in the State of Illinois in 1912. It is accredited by the American Medical Association and the Association of American Medical Colleges. It is managed by a board of trustees consisting of public spirited citizens of several cities, who serve the institution without compensation and who, also, contribute to it financially from time to time. The school is not subject to taxation and all contributions to it are deductible for income-tax purposes. Appended herewith is a copy of the exemption ruling of the Internal Revenue Service. The Chicago Medical School building, located at 710 South Wolcott Avenue, is the discarded, old Francis Williard Hospital, which was converted some 28 years ago into the present medical school quarters. After many years of rehabilitation of the building, we have managed to install workable laboratories in anatomy, physiology, pharmacology, biochemistry, microbiology, and pathology. We have also converted a number of small rooms into combination officeresearch laboratories and a library. In addition, the major part of the basement houses the animal quarters. We have utilized every possible nook and cranny and, in spite of the continued state of repair and total utilization of the space, the quarters are very crowded and inadequate, and it is virtually impossible to keep a qualified staff intact under such adverse conditions. Now, because of the rebuilding of the West Side Medical Center, of which our school is a part, our building, inadequate as it is, is destined for condemnation and demolition, since our land is assigned to the Cook County Hospital. Even now, our need for much large quarters is so urgent that we have been forced to utilize 5 old, discarded 2-story dwellings as working quarters for our staff. It may be added that these dwellings are also destined for demolition because of their total unfitness and possible menace to life. Three of these old buildings belong to the Mount Sinai Hospital and, because of our need for space, we appealed to the hospital to allow us to rehabilitate these buildings on a temporary basis. We were obliged to purchase the two other buildings even though we were aware of their transitory use and possible condemnation. appended photograph.) (See The total area of the present college building is 42,500 square feet while the area of the five 2-story buildings add another 17,500 square feet. In contrast to our totally inadequate and deteriorated physical plant, our equipment is excellent and our qualified and dedicated staff, though working under great stress and limitations, is doing a very creditable job of teaching and research. Considering the size of our present student body (about 270) with the admission of 72 freashmen each year, we are fortunate in having a very substantial staff consisting of voluntary, half-time, and full-time teachers and investigators, numbering nearly 500, of whom 64 are on a full-time basis. Our full-time staff devotes its entire time, effort, and energy to teaching and research and is not allowed to do either private medical practice or consultation, or have any other positions or occupations. We are equally fortunate in having a substantial number of teaching beds, some of which are exclusively assigned to our students while others are used in county and Federal hospitals jointly with other medical colleges. At present, we have the exclusive use of about 360 beds at Mount Sinai Hospital, nearly exclusive use of Michael Reese Hospital (some 950 beds), about 1,400 beds on our own services at Cook County Hospital, and 125 beds at the West Side Veterans' Administration Hospital. Further, considering the facilities of our school, both from the standpoint of the free utilization and abundance of desirable clinical material, and the employment of full-time professors, it is our conviction that, given adequate quarters for the staff and laboratories, we could increase our medical student body from 270 to about 400, or have an annual entering freshman class of 100, which constitutes an increase of about 38 percent over our present enrollment. We fully believe that this increase in the student body will in no way detract from the quality of the teaching program offered to our students. On the contrary, we look forward with confidence to greater advances and further improvement in our preparation of competent physicians and scientific investigators. Plan of applicant The State of Illinois has appointed a Medical Center Commission whose function and responsibility is to rebuild the West Side Medical Center of Chicago and to relocate some of the medical institutions which comprise this center at the present time. For this purpose a vast area surrounding the Cook County Hospital has been set aside for this development. This area occupies about 49 square blocks. In addition to our medical school and the Cook County Hospital, the center contains the University of Illinois Professional Schools (medicine, dentistry, and pharmacy); Loyola Univesity Medical and Dental Schools; the West Side Veterans' Administration Hospital; the Presbyterian-St. Luke's Hospital and other hospitals and institutions dealing with health and welfare, destined for immediate construction or which are now under construction. The Medical Center Commission has allocated a parcel of land, nearly 10 acres in area, for the new Chicago Medical School campus. It is on this site that we propose to build our new medical school. The demolition and clearing of this area is nearing completion and our board * of trustees and faculty are completing plans for a new medical school structure which will have a capacity for 400 medical students, with adequate departments and laboratories to enable the staff to do creditable teaching while pursuing investigative work in their respective basic and clinical sciences. e 0 1 The proposed building will have an area of 240,000 square feet at an estimated cost of $7,200,000. In addition, we estimate that the movable equipment for this medical school will cost $1,200,000. We do not have these funds, nor can we expect to secure them to this extent from private sources now or in the foreseeable future. Our only hope lies in the passing of favorable legislation appropriating Federal capital funds for teaching facilities. It is our experience and conviction that should such Federal funds be granted, society will enthusiastically come to our aid and in voluntary contributions match the Federal funds within the provisions of the statute governing such grants. We have had very satisfying experiences in raising private funds on a matching basis. We have been eminently successful and we are certain of our ability to successfully perform in the future as we have in the past. Respectfully submitted, THE CHICAGO MEDICAL SCHOOL, S STATEMENT FOR CONGRESSIONAL COMMITTEES BY JOHN F. SHEEHAN, M. D., Dean, STRITCH SCHOOL OF MEDICINE OF LOYOLA UNIVERSITY, CHICAGO, ILL. Gentlemen, the basic science departments of the Stritch School of Medicine are housed in an old building, formed by the union of 3 buildings, the newest of which, erected in 1925, is already 33 years old. The oldest section, built in 1876, is now 82 years old. Over the years space has become a critical problem, so much so that one department, the department of pathology, in 1939 moved to an old building on the grounds of the main private teaching hospital of the school, Mercy Hospital, located some 5 miles away from the medical school proper. The total area occupied by the basic science departments, including pathology, amounts to about 67,000 square feet and is definitely inadequate. The quarters for clinical research consist of a completely insufficient number of rooms in two associated private hospitals and in Cook County Hospital. Lack of space is a serious impediment not only to the instruction of medical students and to increase in clinical research but also to the expansion of our active graduate program in the basic medical sciences. At present, 49 graduate students are enrolled for medical science or doctor of philosophy degrees in anatomy, physiology, biochemistry, microbiology and pharmacology. This program not only increases the research output of the faculty but provides a number of potential basic science teachers for medical schools, in an area in which a severe shortage already exists. In 1948 a campaign was instituted for funds for a new building. Approximately $3,250,000 were raised, about 1 million of which was earmarked to defray operational expense. A 50-acre site in the northwest area of Chicago was acquired in 1955 for the erection of a new medical center to consist, in the initial phase, of a new medical school building and a new private hospital. Approximately $2,250,000 are on hand for construction of the medical school. The new building will house all of the basic science departments and provide adequate 28728 0-58- -14 space for research and teaching by the clinical departments. It is estimated that 50 percent of the square footage of the building will be utilized for research and 50 percent for instruction. By March 1956, plans for the building had advanced to a stage where contractor's estimates could be secured. On the basis of a floor area of 171,000 square feet, almost 3 times the area of our present quarters, the cost of the new building was estimated to be $5,350,000. This figure included all costs, except those for movable furniture and equipment, and legal and fund-raising fees. Since almost 2 years has elapsed since the original estimate, a revision is in order. It is anticipated that the cost now will be at least 10 percent greater than in 1956. The new building is designed to accommodate 100 students per class. At the present time 88 freshmen are admitted and approximately 80 seniors graduate. Hence there will be an increase in enrollment, amounting to about 13.6 percent. Over the years the medical school of Loyola University has made a significant contribution to the medical care of the people of Chicago as well as to communities far removed from Chicago. Two years ago and analysis of the medical school origin of the physicians of Chicago revealed that 23 percent were graduates of this school. Fairly large concentrations of alumni are found in Cali fornia, particularly in the Los Angeles area; in the New York-New Jersey area and in Ohio and Michigan. In order to continue to provide adequately trained physicians for the community, the Stritch School of Medicine must have new facilities. Without Federal funds, the erection of these facilities will undoubt edly be long-delayed. With these funds and the resulting stimulus to alumni, philanthropic individuals, corporations and the people of the Archdiocese of Chicago, it it probable that ground could be broken within 18 months to 2 years. You are urged to give serious consideration to House bill It is our sincere hope that the bill will be passed by Congress. INDIANA UNIVERSITY MEDICAL CENTER, WARD DARLEY, M. D., Executive Director, Association of American Medical Colleges, Evanston, IN. DEAR DR. DARLEY: I want to refer you to your memorandums Nos. 4 and 9 regarding pending Federal legislation for expansion and modernization of physical facilities of medical schools. As you know, immediately after World War II, the Indiana University School of Medicine was among the first of the American medical schools to expand freshman enrollment to meet the demand for an increased number of qualified applicants and to attempt to supply additional physicians for medical practice. In 1948, the freshman enrollment of the school was increased from 128 to 150. This was accomplished by some remodeling of the limited quarters of the school of medicine and with a few faculty additions, not only in the preclinical but clinical departments. This was underwritten financially, in part at least, by a special appropriation from the Indiana General Assembly. Knowing that this was a stopgap measure at best, we planned a basic science building to house the departments of anatomy, physiology, pathology, microbiology, biochemistry, and pharmacology to acommodate both medicine and dentistry and planned this building for the Medical Center campus at Indianapolis. This meant a move of the first year of instruction in both medicine and dentistry from the home campus at Bloomington to Indianapolis. Over three sessions of the biennial meeting of the Indiana General Assembly, a total of approximately $71⁄2 million has been appropriated for this building and for the equipment. The building was planned to ultimately accommodate a beginning medical class of 200 and a beginning dental school class of 90. A great deal of study was given to the planning of the building with particular attention being given to multiple use of student laboratories and saving of space in staff areas. This building, which will be available for occupancy on June 1 of this year, will be excellently ap pointed and useful but exhibits some shortcomings because of lack of funds to complete the project as originally planned. For example, no space has been allocated for an area for the teaching of biophysics. The department of biochemistry has but five staff offices and laboratories for a department charged with teaching a huge number of students. We have but 2 lecture halls in the building that will accommodate 1 entire class of the school of medicine. Toxicology, which in our opinion should be closely affiliated both with biochemistry and pharmacology, must be housed elsewhere. The basic science building was planned and built so that future additions could be made without disturbing the building operation. Portions of two whole teaching floors were deleted from the plans for lack of funds. If we had construction funds, we would like to complete these floor areas which would give us more adequate space for biochemistry and toxicology and would enable 1 us to establish laboratories in biophysics. We would estimate the total cost of this 2-floor addition including equipment at $800,000. Our present curriculum, both in medicine and dentistry employs a small group and conference-type instruction even in the preclinical years. It would be our intent to add a classrom and conference room wing either to the new basic science building or an adjacent structure. In this classroom addition, we would also wish to develop a meeting room that could accommodate more than one class in the school of medicine. A number of departmental chairmen have found it to be of advantage to conduct demonstrations to larger number of students than one classroom. This is particularly true in the case of the clinical pathological conferences which are carried on from the beginning of the sophomore year through to graduation. Such an addition with the necessary equipment, would be estimated to cost $1,200,000. It is our intent to remodel the present outdated and wholly inadequate medical school building for a building to house the clinical departments. If this building can be completely modernized along the lines now suggested by the architects and engineers, a substantial amount of undergraduate instruction would be carried on in that structure. We have a small State appropriation to plan and begin the remodeling of the building. It is possible that additional funds to assist us in this regard may be requested from the next General Assembly meeting in January 1959. The total cost of remodeling of the building would amount to approximately $1,150,000. We have felt that the State of Indiana has been quite generous in appropriating capital funds for the schools of medicine and dentistry in the past 1 few years and felt that we were fortunate indeed in obtaining the basic science building without asking for Federal aid. You will understand, however, as outlined above, that in the contemplated expansion to 200 beginning students in medicine and the 90 mentioned in dentistry, that the student laboratories and staff areas provided comprise an important but only partial segment of the physical plant needed to meet the needs. The lecture halls, conference rooms, additional staff space in the departments mentioned, and the addition of the suggested department of biophysics would do much to establish the instructional program on a firm basis and correct many of the deficiencies that now exist. There is some doubt that we could expand our student enrollment to any substantial degree even with the student laboratories unless assistance is forthcoming. You may recall our conversation as early as 1957 when we discussed with President Wells the possibility of establishing a 2-year program in medicine on the Bloomington campus. This would make use of the present school of medicine building located there as well as the facilities of the newly-constructed Jordan Hall of Science and the Chemistry Building. The faculty committee that has been charged with planning a program which has now developed into a 6-year program in basic biological science estimates that remodeling to the extent of $565,000 will be needed to redesign the laboratories and faculty areas. As now planned, the program will be under the direction of the school of Medicine but will use the services of members of the arts and sciences and graduate faculty in an entirely new type of instructional program. In closing I might point out that the Indiana University School of Medicine is the only school of medicine in a State which is rapidly growing in population and where the admission demands have more than kept pace with the facilities offered. Even so, the faculty committee on admissions has continued to accept qualified out-of-State and foreign students and has no restrictions as to race and sex of applicants. While we have attempted to build the physical plant to meet the needs of the program, we have continually attempted to add academic staff in all departments to upgrade the teaching. I feel confident that with some substantial assistance through this program in meeting our construction needs, we can utilize the space to the fullest advantage. Sincerely yours, J. D. VAN NUYS, M. D., Dean. Dr. WARD DARLEY, UNIVERSITY OF KANSAS, MEDICAL CENTER, Kansas City, Kans., January 16, 1958. Executive Director, Association of American Medical Colleges, Chicago, Il. DEAR WARD: I write this letter on behalf of the University of Kansas and its School of Medicine in regard to Federal construction funds that may be available in the future. The University of Kansas School of Medicine has at the present time received planning money from its legislature to provide for plans for a $2 million addition to its science building in order that the medical school may be consolidated on one campus. This facility will house the teaching departments of the first-year curriculum and provide for this medical school for the first time in its 50-year history a consolidated program. The building is being planned to accomodate 120 entering medical students. The present facility on the Lawrence campus of the university has a complement of only 100 students. The additional 20 students are being planned for with a view that the future will probably require an increased in-take in the medical school, and we are planning for this eventuality. If the State of Kansas is to provide a loan for this building its construction will be delayed for at least 4 years, for our educational building fund cannot provide the resources in less time than that. On the other hand, with Federal funds available we can foresee the completion of the building within 4 years. This building will provide for superior medical education for the citizens of this State as well as those States immediately surrounding it. I would point out in this regard that we have no firm residence requirement and the State of Kansas has been providing, at least in part, for citizens of other States to complete their medical education. It is our earnest hope, and in this the chancellor of the university joins me, that Federal funds will be provided for this purpose. Sincerely yours, Dr. WARD DARLEY, W. CLARKE WESCOE, M. D., Dean of the Medical School and Director of the Medical Center. UNIVERSITY OF KENTUCKY, Lexington, Ky., January 16, 1958. Executive Director, Association of American Medical Colleges, DEAR WARD: This letter is in reply to your memorandum No. 4, dated December 10, 1957, asking for a brief statement on the probable benefit to our medical center if Congress provides matching funds for the construction of medical and dental educational facilities. As you know, the University of Kentucky is now developing a new medical center and our situation is not representative. Nevertheless, I feel the passage of this act would be of great importance to our development and to other medical schools and centers. We have plans for a $27 million medical center which will be entirely new. The State has already appropriated $5 million for this center and the Governor has recommended the appropriation of an additional $12 million of State money. This leaves a balance of approximately $10 million which we hope to secure from the Federal Government. Approximately $1,400,000 has been approved or earmarked from the health research facilities grant and the balance is anticipated from Hill-Burton funds. It should be pointed out that our financial plan is very tight and if construction costs go up or if Congress reduces the Hill-Burton appropriations, it is probable that we will be in difficulty. Equally important, the commitment of the State to this medical center will use practically all of the Hill-Burton money available to Kentucky through the year 1961, assuming the present level of appropriations. There are many demands in Kentucky by voluntary hospitals for Hill-Burton funds and it will be impossible to take favorable action upon any of these until after 1961, when the present commitment of the University of Kentucky Medical Center is satisfied. |