This is now changed: for after four years of exertion the Hospital has assumed from a simple ward the form of a complicated institution, with its resident and assistant physicians, its consulting, attending and assistant surgeons, and its attending and consulting physicians. Such an institution must necessarily attract the attention of the community; therefore inquiries are constantly being made as to how this institution is carried on. Nothing can answer all these different inquiries better than a minute report. The most striking feature in its character is that it is designed to give to educated medical women an equal chance with their professional brethren to prove their capacity as hospital physicians, and to admit only female students to its wards--all other hospitals closing their doors to women as physicians and students. The increase in the number of patients seeking daily advice soon gave a reputation to the institution, and the liberally inclined part of the community as well as of the profession began to look upon it as a test of female capability in professional life. In this report Dr. Zakrzewska notes that the increase in the number of patients had become so great that Dr. Storer offered to share the dispensary work with her and Dr. Sewall, taking two mornings a week and making an even division of the time. Referring to the raising of the question as to whether it is not an inconsistency to have a gentleman in attendance, as it has always been stated that the advantage of our Dispensary is that women can be attended by physicians of their own sex, she continues: In reply to this, I can only say that there is a distinct notice given on the Dispensary cards as well as in the waiting room, when Dr. Sewall or I, or when Dr. Storer is in attendance, so that patients can have their choice. Interesting features of the annual meeting of the Hospital for this year and of a levee which followed it, were an address by Dr. Elizabeth Blackwell on “The Culture Necessary for a Physician,” and a reading of some charming poems by Mrs. Julia Ward Howe. Hand in hand with the growth of Dr. Zakrzewska’s Hospital work progressed the growth of her private practice. And the year 1865 was notable in that for the first time she felt able to set up a carriage in proper medical style. She thus describes this felicitous occurrence: In 1865, I bought a second-hand buggy and a horse for two reasons: one was that I could not accomplish and do justice to my professional work by using public conveyances; the other, that it became a matter of necessity to uphold the professional etiquette and dignity of a woman physician on equality with men. The effect was marvelous. Even the newspapers took notice of the change.