We all know the reason now for this extremely low standard of medical education. Proprietary medical schools made it their one business in life to make just as much out of medical education as possible and the historic septennate of professors, or sometimes the Dean, pocketed the fees (I came near saying spoils) every year, and robbed medical American education of {379} whatever possibilities it might have for the real training of young men in the science and art and practice of medicine. Perhaps the most interesting feature of this maintenance of extremely low standards in medical education, however, is the fact that in spite of it, men, or at least some of them, succeeded in obtaining a good foundation in medicine and then by personal work afterwards came to be excellent practitioners of medicine. Professor Welch said not long since: "One can decry the system of those days, the inadequate preliminary requirements, the short courses, the dominance of the didactic lecture, the meagre appliances for demonstrative and practical instruction, but the results were better than the system. Our teachers were men of fine character devoted to their duties; they inspired us with enthusiasm, interest in our studies and hard work, and they imparted to us sound traditions of our profession." Nothing that I know is a better compliment to American enterprise and power of overcoming the difficulties of the situation than the life stories of some of the men who came from these completely inadequate schools. If with the maimed training and incomplete education given a generation ago American medicine not only succeeded in maintaining the dignity of the profession to a noteworthy degree, but also developed many men who made distinct contributions to world medicine, what will we not do now that {380} our medical education is gradually being lifted up out of the slough of despond in which it was and the preliminary education for medical studies set at a standard where real work of thoroughly scientific character can be looked for, from the very beginning of the medical course?