Is it any wonder, then, that those of us who have the best interests of American medicine at heart are watching with careful solicitude the movement that is now reforming medical education in this country? The one hope of medical education is, and always has been, organic connection with a university. Real University Medical Schools, that is medical schools as the genuine Post-Graduate Departments of Universities with the fine training that they give, have opened our eyes to what is needed in medical education in this country. Some of the old-time medical schools here in the United States had been connected by name with universities but this was more apparent than real, and the medical faculty ruled absolutely in its own department and throttled medical education and divided the income of the college among themselves, devoting as little as possible to equipment, to laboratories, to all that was needed for medical education. Now has come the epoch of university medical schools in this country. I came near saying America, but we must not forget that the Spanish-American countries, having adopted their educational systems from the mother Latin country, {381} have always maintained the organic connection of the medical school with their universities, and as a consequence a good preliminary education, the equivalent of three years of college work with us, is required and has always been, and then some four years in the medical school and, indeed, in most of the countries five or six years and in one at least seven years of medical study required. I have thought, however, that this story of medical education in connection with universities and real university work will be especially interesting to the graduates of this thorough Western university, whose work in medicine is acknowledged as up to some of the best standards of professional attainment and whose organic connection with a great university assures not only the continuance, but the future development of medical education here along lines that shall place this among the serious progressive medical schools of the world.