COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS New York, N. Y., December 30, 1957 COMMENTS ON POSSIBLE FEDERAL FINANCIAL AID TO THE COLLEGE OF The College of Physicians and Surgeons of Columbia University and its antecedent College of Medicine of King's College, organized in 1767, has been identified with the growth and development of medical teaching, research, and public service throughout the life of this country. Its approximately 5,000 graduates are scattered all over the Nation and are represented in every form of medical practice, research, teaching, hospital service and industry. In 1928 the Columbia-Presbyterian Medical Center was opened. It represents the close integration of hospital, clinic, medical school, dental school, nursing and public-health activities through the university program. The affiliation with a number of community hospitals provides active participation in the training of interns, residents and physicians in practice. The facilities of the Columbia-Presbyterian Medical Center are greatly overtaxed because of the demands being made upon it for community services, teaching and particularly research. The faculty of medicine with the approval of the trustees of the university has drafted plans for an addition of a laboratorylibrary-auditorium building which would permit the institution to augment its on-going scientific, education, and research programs and to provide greater opportunities for the training of younger scientists in all of the branches of the basic medical sciences, clinical medicine, and public health. It will also permit further expansion of the educational program for hospital residents. dentists, public-health workers, rehabilitation personnel and others related to the health professions. It is estimated that the total cost of the new building will be $8,500,000. If assistance from the Federal Government can be obtained in financing at least a part of this program it is probable that outside resources can be found to make possible this important group of facilities. Support for the programs in these different units can be secured through research grants from foundations, industry and national institutes together with assistance from the alumni, the National Fund for Medical Education, the AMEF, private philanthropists and friends of the cooperating hospitals and the university. WILLARD C. R. RAPPLEYE, M. D., Dean. ALBANY, N. Y., January 10, 1958. As dean of the Albany Medical College of Union Univeristy, I, Dr. Harold C. Wiggers, am privileged to present pertinent data about this medical school which relates to its critical and urgent need to expand its current physical facilities. The statements and requests to follow represent the opinions of the chancellor of the university and the board of trustees of Albany Medical College. These important facts relate to the need for immediate and favorable action on H. R. The medical school has been in continuous operation since 1839. Since its founding, it has never received strong financial backing and today has a far below average invested income fund of aprpoximately $3,200,000 with annual earnings of approximately $120,000. In spite of this infinitesimal income in "hard money," the annual operating expenses in the last 10 years have increased fourfold from $350,000 to $1,500,000. In this decade student enrollment from about 18 States has increased from 185 to 240. Toward the cost of their medical education, the medical students provide $230,00, or approximately 16 percent. Through unbelievable financial wizardry, income has managed to balance outgo for the last 5 years, even with the tremendous growth of the college. Despite severe financial and physical handicaps, the medical school has become the sine qua non of the outstanding Albany Medical Center, which provides the ultimate in diagnosis, professional service, rehabilitation and care for about 1,500,000 residents of our medical orbit, scattered throughout 16 surrounding counties. At present the medical college occupies a building constructd in 1928 and designed for about 140 students and equivalent numbers of faculty and ancillary personnel, with no true provision for research facilities. In 1936, a two-story county almshouse, built in the midnineteenth century, was obtained, remodeled, and used to accommodate the expansion of that decade. Then came the greatest ade of expansion in the college's history (1947-57) when it was necessary for to provide space in these meager and outmoded facilities for a fourfold increase salaried faculty, a threefold increase in ancillary employees and a 20 percent argement of the student body which was already crowding existing facilities. a result, we have completely outgrown our outdated, inadequate buildings. heduling of classes is sometimes almost impossible, experiments with new ching programs are completely obviated and an increasing number of researen ograms are shelved because there just isn't an unused corner. The faculty, stunts, and ancillary personnel must be commended for enduring such cramped, possible quarters. As a consequence, the medical college engaged an architect to design a new ilding to accommodate the current needs as well as those necessary if the aching staffs are to be strengthened to modern requirements. This resulted in ans for an eight story addition with about 100,00 square feet of space costing out $3,500,000 and will include a modern medical library and an adequate ditorium. In June, the college launched a campaign to raise the necessary nds. We are not so naive as to believe that we can raise from private sources in this gion of New York State, where large industry is scarce, any sum such as this. fact, with the competition from many other large religious, educational, and vic drives as well as concurrent drives for $10 million by several hospitals in the ea, the most optimistic estimate says we will be most unusual if we raise $1 milon. We also hope to raise the unheard of sum of $750,000 from our 1,500 alumni attered among the four corners of the country and abroad. This will be diffilt because most of the solicitation will be indirect rather than personal. Fountions are not interested in our appeals for construction funds. This means at the ultimate success or failure in obtaining a building by 1960, which is rgently needed right now, hinges upon our ability to obtain matching funds for onstruction from the Federal Government. That is why, gentlemen, all those onnected with the Albany Medical College urge your immediate attention to I. R. as well as definite and favorable action now. The time is now; it will be disastrous to this school and many others as well s to the overall health standards of the country in the near future if the signifiance of immediate favorable action is not clearly recognized by you who houlder this and many other responsibilities. Thank you for your consideration of this information and the consequent appeal or financial aid. DEAR WARD: Reference is made to your association memorandum No. 9, concerning Federal funds for medical and dental school construction needs, including modernization and expansion. In spite of the fact that we now have under construction a new wing, this addition is designed to meet the most pressing needs for activities in research, and provides for only the most limited expansion. In the present construction program, which will be completed in July of this year, about 60 percent of the new floor space, or converted space in the present building, will be for the purpose of research. It will provide for increased library facilities and for adequate animal quarters, both of which of course will contribute greatly not only to the research program, but to the educational program as well. So, we feel that the present construction will meet our needs for present research and educational activities, but we recognize that only through expansion can we meet the increasing responsibilities of this school. A long-range development program is being formulated, the first phase of which has been adopted by the faculty, and planning is now in the hands of a faculty committee. It is anticipated that with the next expansion of facilities, provision will be made for the development of a strong graduate education program, with the added provision of at least a 10-percent increase in enrollment in the school of medicine. Expansion: 1. West wing: (a) 2 floors for natural sciences division (b) 4 floors for student laboratories, lecture, and seminar $1, 500, 000 rooms, student facilities, faculty expansion 2. Housing for students-1st unit, 50 apartments__ 3. Additional clinical facilities which would be necesary for increased student body, and for graduate degrees students (a) north wing: pediatrics, psychiatry, general, clinical laboratories_. Total Modernization: 1. Modernizations and modernization of medical school building constructed in 1941__. 2. Modernization and renovation of amphitheater__ 3. For increased outpatient teaching: 250,000 2, 000, 000 3,750,000 250,000 100, 000 (a) Modernization of outpatient department facilities, in- 200, 000 Total 550, 000 Total for expansion and modernization‒‒‒‒‒‒‒‒‒ 4, 300, 000 If you need more specific information or clarification of these items, please let us know. Sincerely yours, Dr. WARD DARLEY, C. C. CARPENTER, M. D., Dean. SCHOOL OF MEDICINE, DEPARTMENT OF SURGERY, Executive Director, Association of American Medical Colleges, Evanston, IN. DEAR WARD: In answer to your memorandum No. 9, if a Federal medicalschool construction and support bill is passed, Duke University will apply for funds for the expansion, renovation, and support of our school of medicine. The most critical needs are classrooms, laboratories, and staff offices, especially the preclinical teaching laboratories. None of the latter has been increased since this school was opened in 1930. The enrollment then was 50 per class; now, it is 76. Five million dollars are needed for new construction and an additional 1 million for modernization. With additional preclinical facilities and maintenance support funds, we could increase the enrollment to 100 per class provided the needed funds for additional staff salaries, offices, classrooms, laboratories can be obtained from within and without the university's resources. Clinical facilities, both outpatient and inpatient, except for additional staff offices, are now available for over 100 students. The lack of preclinical teaching laboratories, together with financial support, now prohibit such expansion. With best wishes, I am, Yours very truly, W. C. DAVISON. Dr. WARD DARLEY, THE UNIVERSITY OF NORTH CAROLINA, THE SCHOOL OF MEDICINE, Chapel Hill, N. C., April 14, 1958. Executive Director, Association of American Medical Colleges, Evanston, IN. DEAR WARD: This is in reply to your telegram of April 11 in regard to the interest in and need for funds for enlargement of educational facilities in the immediate future. I regret very much that this information has not gone to you much earlier. Unfortunately, for the past 2 months I have been completely swamped with the preparation of the operating budgets of the medical school and hospital for the next biennial period for presentation to the State legislature, and, as you well know, this can often be a completely full-time job, at least for a O period of time. In February of 1958, the University of North Carolina submitted a request 7 to the National Institutes of Health, Health Research Facilities Section, for · matching funds in the amount of $461,000 to enlarge the very urgently needed research facilities for the school of medicine. This is quite aside from the urgent needs to enlarge the educational facilities which are outlined below. During the past 6 months, the medical faculty has spent a great deal of time in reviewing our educational program and in planning for the next 5 years. It is very clear that, in order to maintain our present level of quality in medical education and to increase enrollment for students of medicine, dentistry, nursing, and pharmacy, and to increase our enrollment for graduate students in the basic sciences, the University of North Carolina will need a new school-of-medicine building, estimated to cost approximately $6 million. This, we believe, is the very minimum which would enable us to do the educational job required in the immediate future. The present medical-school building was constructed in 1937 to house the 2year school of medicine existing at that time and the school of public health. Upon the expansion of the medical school into 4 years in 1949, a moderate amount of additional space was provided for the expansion of the basic-science departments. In the meantime, however, schools of dentistry and nursing were established, the pharmacy school has been expanded in enrollment, and because the medical school is responsible for teaching the basic-science courses to these students, which in the case of dentistry amount to approximately 40 percent of the curriculum of the first 2 years of that allied professional school, our facilities are completely inadequate for the present teaching responsibilities. Consequently, we are prohibited, because of the lack of space for lecture rooms, teaching laboratories, staff offices, conference rooms, and library facilities, from increasing further the enrollment in medicine and the allied health professions. After a very thoughtful appraisal of the present shortages, in the light of present and future responsibilities, it would appear that the only satisfactory solution lies in constructing a new medical-school building and converting the present medical-school facilities into badly needed space for the school of public health and for the expansion of the clinical facilities for the school of dentistry. It would appear, on the basis of present costs, that this new building will require a total outlay of approximately $6 million, as stated above. However, we firmly believe that this will be the most effective and, at the same time, the most economical way to provide more adequate facilities for the instruction of medical students and those in the allied health professions. Because the State of North Carolina still ranks among the lower fourth in per capita income, and because its needs, in education and health particularly, are very tremendous, it seems clear that the university cannot expect in the foreseeable future to receive the amount of $6 million from State appropriations for this project. It is conceivable that it might provide half of the necessary funds for this project. Accordingly, Federal aid for the construction of educational facilities in medicine and related professional fields is critically important to the future of this school. It is difficult to state precisely the level to which increased enrollment in the medical school would be affected by the enlarged facilities, for the simple reason that the anticipated increased enrollment in all the allied professional schools would have to be taken into consideration. However, I believe it would be safe to say that if the expansion outlined above could be provided, the school of medicine alone could increase the size of its entering class by 20 to 25 students, or from 30 to 35 percent. Cordially yours, W. B. BERRYHILL, M. D., Dean. WOMAN'S MEDICAL COLLEGE OF PENNSYLVANIA, OFFICE OF THE DEAN, Philadelphia, Pa., March 31, 1958. NEED FOR TEACHING FACILITIES The Woman's Medical College of Pennsylvania was founded in 1850 to give women the opportunity to study medicine. Since that year, the college has graduated more than 2,400 physicians who have practiced medicine in the United States and many other countries. They have gone into general practice and a wide variety of specialties. Since the first woman medical missionary in the world, Dr. Clara Swain, received her degree in 1869, many other graduates have followed in her footsteps. Foreign women have studied at this college, and have gone back to their own countries trained to raise the level of medical care. It has been estimated that an increase of 50 percent in the number of doctors will be needed in the next 25 to 50 years. We must do our part in training more physicians. The college, with its hospital, occupies a building constructed in 1930 and planned for classes of 50. We need larger laboratories and classrooms to enable us to admit an increased number of students. The increase in our student body will be of importance in many ways. In addition to increasing the number of graduates, the increased income-from tuition and State appropriation-will enable us to meet the increased costs of operating the enlarged plant and, importantly, to improve the quality of our teaching program. We, therefore, have adopted the following plan for development: Modernization and enlargement of existing classrooms. Departmental offices for the clinical subjects. Improved locker rooms and restrooms for students. A new library. These are basic needs. In addition, we would like to add a adequate auditorium, for lectures, community meetings, meetings of the entire student group, of our women's auxiliary, which could improve community service and college communications. In any educational institution, an adequate auditorium is of great benefit to the whole teaching program. Our architects have drawn plans for this expansion of our teaching facilities and estimate the costs to be approximately $2,500,000. At present we are building a wing for research facilities with the aid of a grant of $500,000 from the United States Public Health Service. Matching money has been secured for this project. If a grant for half of the cost of teaching facilities could be secured it would be a most important stimulus to fund raising in this small institution. An increase of applicants and an increased need for physicians have been predicated on the basis of increased population needs. The existing medical schools must enlarge their facilities to take care of these population needs. MARION FAY, Ph. D., Dean. THE UNIVERSITY OF PUERTO RICO MEDICAL SCHOOL AND MEDICAL CENTER Puerto Rico may well lay claim among the States of the Union to be medically unique in two aspects. It is rapidly becoming the technical bridge between the United States and Latin America for communicating technical know-how. Second, no other State with so small a population (21⁄4 million) and so low an annual per capita income ($450) has achieved more in professional medical education in establishing accredited schools of medicine, public health, and pharmacy and has initiated a school of dentistry. Puerto Rico resembles the biblical parable of the servant given one talent. So far physical facilities of the school have been provided without outside financial assistance. However, this |