REPORT OF UNION COUNTY MEDICAL SOCIETY.

S. L. HENRY, Morganfield: We have nineteen members, fourteen of whom have paid full ques to the State Association. We had four meetings of our society during this year, about half of our members being present. the balance take no interest in the society at all. We hope to do better next year. We will have to get you to make us a visit, soon. In looking over my reports, I find that I neglec.e to send in Dr. Snow's dues. They were paid in !ut being very busy at that time 1 neglected to send them in; so will have to ask you to please excuse neglect.

LETCHER COUNTY MEDICAL SOCIETY.

W. L. GAMBILL: Letcher County is not as large as Pike, but still it is on the map, but not on the map medically so far as a society is concerned. I happen to be its executive. and naturally being engaged in contract work I cannot get away very much, and we have not as yet been able to organize a medical society in Letcher county. I went to every medical society before I graduated, but I am so far away in the woods that we do not have a medical society, and I thought it would be recreation to come back to my city in which I graduated and meet the doctors of Kentucky. We up there have not the advantages of so.ne of our fortunate brethren have in the larger cities. However, we feel we are very well equipped for the hills. Thanks to the consolidation company for their liberality in building a hospital of about 60 beds. We are getting along smoothly. While there is no one else here from Letcher county, I wish to assure you in behalf of the profession of that county that we are with you in anything we can hope to do. We have the welfare of the profession at heart, and as for me, I would prefer that my brothers in the profession would speak well of me when I am gone than to have the praise of the laity. (Applause.)

Dr. Moren then presented the Report of the Medico-Legal Committee.

The time for the scientific session having arrived Dr. Moren was unable to finish the presentation of his report.

VIRGIL E. SIMPSON: I move that when we adjourn we adjourn until 5 o'clock this afternoon.

THE PRESIDENT: If necessary, the House of Delegates could holi a meeting while the scientific session is going on so as to give Dr. Moren more time.

THE SECRETARY: I se ond the motion of Dr. Simpson

Carried.

The House of Delegates thereupon adiourned to meet at the time designated.

SEPTEMBER 23, 1915.-THIRD MEETING.

The House of Delegates met at 8:00 A. M., and was called to order by Vice President C. L. Heath, in the temporary absence of the President.

The Secretary called the roll and announced a quorum present.

At the conclusion of the roll call, President Kincaid arrived and took the Chair.

THE PRESIDENT: As nominations for Presient are in order, I will appoint as tellers Dis. Dismukes, Tuley and Bird.

Sidney J. Meyers, Louisville, nominated for President Ap. Morgan Vance, of Louisville.

The nomination was seconded by II. D. Rodman, R. C. MeChord, and Lewis S. MeMurtry.

W. E. Senour nominated W. W. Anderson. of Newport, for President.

The nomination

Wells.

was seconded by J. E.

W. B. McClure nominated M. E. Hoge of Breathitt county.

II. L. Biggs seconded the nomination. J. T. Reddick nominated Frank Boyd, of Paducah for First Vice President.

Nominations being declared closed, a ballot was cast.

Dr. Hoge was declared duly elected First Vice President.

THE PRESIDENT: Nominations for Second Vice President.

Paul F.. Keith nominated Amphias W Davis, of Hopkins county for Second Vice President.

It was moved that nominations be closed and the Secretary he instructed to cast the ballot of the House for Dr. Davis.

conded and carried.

The Se retary cast the ballot as instructed and Dr. Davis was de lared duly elected. THE PRESIDENT: Nominations for Third Vice President.

Milton Board nominatel J. B. Mason, of London for Third Vice President.

W. W. RICHMOND: In view of the fact that Dr. C. Z. Aud's term on the State Board of Health expires this year, I move that the names of Dr. Aud, D. M. Griffith and R. C. McChord be enrolled and presented to the Governor as the nominees of this Association to fill Dr. Aud's vacancy.

Seconded and carried unanimously.

Mr. D. Goode, Head of the Publicity League, appeared before the House of Delegates and pointed out the advantages of holding the meetings of the Association every two years in Louisville instead of every three

years.

THE PRESIDENT: Report of the Committee on Medical Education.

REPORT OF THE COMMITTEE ON MEDICAL EDU

CATION.

W. W. RICHMOND: The report of your Committee necessarily consists of a statement of the progress of medical education as exemplified in the Medical Department of the University of Louisville, which i sa renowned school of medicine and the only institution of its kind in the Commonwealth. Your committee has annually inspected this school, and has been accorded every opportunity for examining the methods of teaching in the laboratories and hospital.

The 79th annual session of the University of Louisville, Medical Department, will begin with formal exercises on Tuesday, September

the 28th.

It is a matter of State pride that this institution is now ranked in class "A" with such institutions as Harvard. Jefferson, Rush, Johns Hopkins, and other high class medical schools of Americs, and that its graduates

are now acceptable in every state in the Union.

It has taken the profession of the country a long time to recognize the minimum requirements for entrance to the study of medicine, which are 14 Carnegie units of high school work and one year of college pre-medical work, during which physics, chemistry, biology and a modern language, either French or German, must have been studied. The Council on Medical Education have issued a brochure outlining the minimum requirements as accepted by the Council on Medical Education and the Association of American Medical Colleges. It has been found that a large number of young men ambitious to study medicine, are handicapped in their choice of a secondary school and college, in which they may obtain their preliminary education. Work done in a high school is not acceptable unless that school is accredited by the State University of the State in which it is located and the college must be accepted into membership of the College Association. Many prospective medical students are attempting to do work of college grade in State and other normal schools, but it is impossible for this work to be accepted as of college grade. With these facts before us, therefore, we think it important that as much publicity as possible among phyiscians be given to the minimum requirements for the study of medicine and for the necessity of the high schools and colleges to be of standard and acceptable grade.

The University of Louisville in its College of Arts and Sciences is giving the pre-medical college work most acceptably. A number of young men are taking the combined course, leading to the degree of S. B., M. D., which is awarded after two years residence in the College of Liberal Arts and Sciences and four years in medicine. With the added requirements for admission the numbers in the classes are bound to be smaller but much better work will be done with the individual student. The work done in all branches of the Medical Department is up to the highest standard. Budget for the maintenance of the Department provides for adequate alltime assistants and professors which will enable the best kind of work to be done by student in the primary.or laboratory branches. The clinical teaching, especially as to ward classes in the new City Hospital, has been thoroughly organized, and as now conducted afford every student of the advanced classes that individual instruction at the bedside which is such a prominent feature of modern medical teaching and so essential to prepare graduating physicians for the practice of their profession.

The work during the session of 1915-16 bids fair to be taken care of enthusiastically by all of the teaching staff. The Commencement of 1915 marked a new era in the university life of Louisville. The Commencement exercises were held at Macauley's Theater, participated in by the Departments of Arts and Sciences, Law and Medicine and the annual address was delivered by President Dabney, of the University of Cincinnati; and the degrees were conferred by President Ford, of the University of Louisville, the candidates for graduation being presented by the Deans of the several Departments.

The Week of Clinics and Special Course on Fractures and Dislocations given by the Dislocations given by the Faculty of the University, complimentary to the Alumni, was largely attended and this course will be repeated during Alumni Week, preceding graduation exercises in 1916.

The outlook for the medical school of the University is very bright and we bespeak the active support and encouragement of the entire profession of the State.

THE PRESIDENT: Report of the Committee on Preventable Diseases of the Eye.

J. A. STUCKY: Your Committee desires to report that we approve of the action taken by the Republican, the Progressive and the Democratic parties of Kentucky in recommending State aid for the prevention and cure of trachoma in Kentucky. Secondly, we recommend legislation in Kentucky for the annual testing by school teachers of the eyesight and hearing of pupils.

THE PRESIDENT: What will you do with this report?

THE SECRETARY: I move that it be received and approved by rising vote.

Seconded and unanimously carried. THE PRESIDENT: Report of the Committee on Public Health and Sanitation. Report of Committee on Public Health was received as follows:

REPORT OF COMMITTEE ON PUBLIC HEALTH.

C. L. HEATH, Lindsay: The question of Public Health and Sanitation has become to be of so much importance to the people of our State, that one can hardly do it justice in as short a time as we have now.

We would like to call especial attention to a few things that should have the united support of the medical profession of Kentucky One, and the most important of all, is the AllTime Health Officers Bill which will again come before the coming session of the State Legislature. This Bill should not be allowed to be killed as the last one was. We would advise that each member when he gets home begin to make it plain to his Senator and

Representative that we do expect that they support this measure.

There are so many of the common diseases that are preventable when managed properly, but before that can be done there must be a lot of work along the line of teaching the public how to do the things that will prevent the spread of the contagious diseases. And to show the public that we are really in earnest, let each physician here begin a school with his own patients as scholars, and teach them thoroughly that he is really interested in their welfare, and we will have no trouble in getting any legislation that we could reasonably ask for. Some of the diseases that need especial attention from the public at present are the ordinary contagious diseases, which are not properly handled in a great many counties. Then we have trachoma in the eastern part of the State, which calls for more careful and scientific attention than the other ordinary diseases, and it is a pleasure to say the U. S. Public Health Service has sent their trained men to take charge of this disease, and we recommend a formal vote of thanks from this body to the Surgeon General and to Dr. McMullen.

A great deal has been and is being done to eradicate hookworm disease and the evils that accompany it, but Public Health demands that this be everlastingly kept up with no let up, if we get any good from this work.

We need more investigation of pellagra; in some sections of the State it is spreading and causing a great deal of alarm.

This is not a very complete report but will invite the support of the profession of Kentucky to make a general and combined effort to give to our people a chance to have clean and healthy bodies and thus be able to better enjoy the privilege of living in the best and what should be the healthiest State in the Union.

THE SECRETARY: Under the head of this report, I desire to move that the House of Delegates pledge the Association to an active. aggressive and effective campaign through its individual members and through every influence and power that it controls toward the passage of the whole time health officers bill at the next session of the legislature, with such suggestions and amendments as will carry into effect the purposes of the medical profession in regard to the prevention of trachoma and other preventable diseases that come within the duties of the State Board of Health, and that this shall be the program of the medical profession of Kentucky before the next General Assembly.

MILTON BOARD: I second the motion. Carried unanimously.

THE SECRETARY: Under the report of

the Committee on Guests, I would like to nominate Dr. Moore, of Huntington, West Virginia, as a guest of the Association, who is a distinguished specialist in diseases of the eye.

Seconded and carried.

THE PRESIDENT: Report of the Committee on Division of Fees.

MILTON BOARD: Your Reference Committee on Division of Fees begs leave to submit the following report:

We condemn without reservation fee-splitting between the specialist and the general practitioner. This practice is degrading, immoral, and contrary to every possible conception of medical ethics, and will not be tolerated by the Kentucky State Medical Society. As the law gives the State Board of Health the power to revoke the license of any physician guilty of unwarrantable conduct, we recommend that the fee-splitter be made an example of the efficacy of this report. I move the adoption of this report. Seconded and carried.

REPORT OF COMMITTEE ON ETHICS.

E. D. BURNETT: We endorse all the forces that make for good fellowship and equal rights among the medical fraternity of Kentucky. The ideals of the Kentucky State Medical Association have kept apace with the Golden Rule." Notwithstanding this fact we see recorded many malpractice suits that doubtless are born of malice and low aim.

No physician or surgeon in our Commonwealth has reached such an exalted point of efficiency that should give him license to treat lightly the rights and attainments of the men about him. There is no doubt that merit will eventually come into its own. Let us cultivate patience and the square deal, and therehy give every man his full opportunity. Dignity and nobleness are the offspring of altruism, therefore let us seek daily to enshrine these in our hearts. These things will bring joy to the individual and reflect glory upon our organic body.

We recommend that every county society in this association use every legitimate means to enlist every man within its borders. We further recommend that the county society be made the clearing house for adjusting all things pertaining to Ethies.

THE PRESIDENT: Report of the Committee on Finance.

L. C. REDMON: Your Finance Committee begs leave to make the following report: After carefully considering the reports of the Secretary and Treasurer, we recommend the purchase of another bond in addition to the one we now have. We also recommend that an appropriation be made for any defi: it incurred in connection with the work

of the Medico-Legal Committee. We recommenu to your commence une management of the society s añairs.

It was moved that the report be adopted. Seconded and carried.

THE PRESIDENT: Report of the Committee on neporis or Oncers.

UHANDES A. VANCE: This Committee has read with considerable care the reports of the amerent omcers, and mist, we wish to congratulate ine State Medical Association on the fact that there was a goodly gain in membersmp during the past year; and tai ne Association is in a better way пnancially than in any previous year.

In the report of the Council, we note that the Mealco-Legal Committee nas renuered. very valuable service to members of the State Association, and we wish to thank them in this report.

We recommend that one or two more bonus be bought and added to our surplus; we think that this surplus shoula Le increased as last as possible and made a real endowment for many things that could be a benent to the members of the Association; also, that the Eanor of THE JOURNAL and the proper authorities see if some means can be devised by which the full proceedings of the Jefferson County Society can be published in THE JOURNAL. We feel that these proceedings are very valuable to the whole profession in Kentucky, and they should have the benefit of them.

We note, too, that some of the county societies are not sending all of their papers in to be published in THE JOURNAL, and we urge that the secretaries of the county societies do their best to get them all in. (Signed)

CHARLES A. VANCE, Chairmau.
W. A. GUTHRIE.

It was moved and seconded that the report he accepted. Carried.

THE SECRETARY: Under the head of "Propaganda for Reform," I would like to move that Dr. Heizer be requested to present tion instead of this House of Delegates during this subject to the entire body of the Associathe morning session.

Seconded and carried.

THE PRESIDENT: Report of the Committee on County Societies.

C. II. LINN: Your Reference Committee on County Societies has the honor to report that 73 counties have shown an increase of membership for the year 1915; 13 counties have reported the same number of members as for 1914. This is a gratifying increase as to membership.

In 1914, thirty-six societies sent reports to the State Secretary of the minutes of their county meetings, and in 1915, fifty-two coun

ties sent reports. The number of such meetings in 1914 was 82 as against 112 in 1915, showing a material gain in this feature of society work.

In 1914, forty-two counties sent for publication 238 original articles, while in 1915 only three counties sent only 167 original articles for publication, showing a marked falling off in the number of counties sending articles for publication, and a marked decrease in the total number of original articles sent in for publication.

Your Committee simply reports the facts in the last instance and has no comment to make as to the scientific value of the articles in each year.

Your Committee was pleased to hear many good reports from all over the State, many reports showing good and progressive work under exceedingly adverse circumstances and conditions.

Your Committee is compelled to report from the data at hand that it appears the following counties have sent no reports of any kind for publication; in fact, they have done nothing to sustain the life of an active, able and interesting publication of which every member of this society should be proud: Bracken, Clay, Elliott, Estill, Grayson, Jackson, Green, Jessamine, Knott, Larue, Lawrence, Lee, Leslie, Letcher, Lewis, Livingston, Logan, Marshall, Martin, Menifee. Metcalfe, Monroe, Muhlenberg. Nicholas, Ohio, Perry, Trigg, Trimble, and Washington.

If any county is named which is not guilty. it is an error of the record for which this Committee is not responsible, and due apology is offered in advance. To the last named counties we send greetings, together with the following suggestions offered in the spirit of fraternity and kindness:

Consider your organization and see if your officers are men of character and dignity who command the respect of both the laity and the profession. Especially consider your secretary. If you have not elected the most earnest. hardest working, tactful member of your profession as secretary, you should not perpetuate him in office; but elect the best material you have at the next election of officers.

After putting your house in order as to officers, discuss the question of organization freely and try to get individual help from each each member. Let member try to be more tactful in his effort to bring out the best there is in his fellow members. Avoid the mistake of having papers from a favored few of your members simply because they may be willing and able. Your society may be tired of the same character of papers by the same men. Above all, try to be broad and magnarimous in meeting questions of ethics Try to give and take among your members.

C. H. LINN,
J. C. GRAHAM,
W. E. FOSTER,

It was moved and seconded that the report be adopted. Carried.

THE PRESIDENT: At this juncture, I will make selections for membership on the permanent committees for the ensuing year: Committee on Scientific Work is already provided for.

The Medico-Legal Committee consists of J. J. Moren, Chairman; W. B. McClure, and A. T. McCormack, Secretary.

Legislation and Public Policy: C. Z. Aud, D. M. Griffith and Milton Board.

Medical Education: W. W. Richmond, D. M. Griffith and C. A. Calvert.

Expert Testimony: J. N. McCormack, Curran Pope, and J. L. Phythian.

Preventable Diseases of the Eve: J. A. Stucky, R. L. Collins, and J. O. Carson.

THE PRESIDENT: Is there any unfinished business to come before the House?

CYRUS GRAHAM: I wish to make the following motion: In view of the fact that we have had this beautiful structure in which to hold our meeting, and have been treated so royally by the physicians of the City of Lousylle, I move that we extend a vote of thanks to the Board of Control of the Christian Church, and likewise a vote of thanks to the medical profession of the City of Louisville and of Jefferson county for the magnificent Furtherentertainment they have given us. more, that we extend our thanks to the Herald, the Courier-Journal, the Post and Times for the full reports they have given of our proceedings. Also, that our thanks be extended to the ladies of Louisville.

R. C. McCHORD: I second the motion. Carried.

THE PRESIDENT: Under the head of unfinished business, we will now listen to the Report of the Medico-Legal Committee by Dr. Moren, which was not finished at a previous meeting of the House of Delegates.

Dr. Moren then presented the Report of the Medico-Legal Committee. Upon motion of J. N. McCormack the Secretary was instructed to send a galley proof of Dr. Moren's report to the Secretary of each county sospecial meeting be ciety and request that

called to consider it in detail.

W. E. SENOUR. Bellevue: I move that Dr. Moren be instructed to furnish the secretary with a typewritten report of his proceedings during the past year, and that copy of