Let us sum up regarding the physiognomy. There does exist between the intellectual level of a subject and his physical development a real correlation, but, unfortunately, it is slight. With regard to the stigmata our knowledge of their significance is still very slight. We have no figures which allow us to place any definite value upon them either singly or in combination. There still remains the general appearance, whose significance is apparently indubitable, but which, at present, is too dependent upon individual estimate to be utilisable. Let us add that these relations between the mental and the physical appear to be of greater significance the lower the mental condition. Now, in a school it is the feeble-minded who are in the majority, and it is they who have to be recognised much more frequently than the idiot or the imbecile, and this lessens the importance of the physical examination. We may therefore conclude with this practical rule: a physical examination can never allow us to dispense with a direct examination of the intelligence. Anthropometry, stigmata, and physical appearance must take a second place as means for discovering in school the feeble-minded and the ill-balanced. Failing direct recourse to the teacher, these methods could, and ought, to be made use of. But in most cases, thanks to the assistance of the teacher, we have better means. In cases on the border-line they might help to incline the balance. Their principal use is not to assist in selecting children for special classes for defectives; their significance is quite different, as we shall see immediately. MEDICAL EXAMINATION OF THE CHILDREN PRESENTED. We must now define the active rôle of the doctor. In many foreign countries a scheme has been drawn up for the medical examination, which is often extremely comprehensive, almost interminable. We give an example of this kind, though questioning the appropriateness, from our point of view, of certain questions. If one does not simplify the work, the practitioners will simplify it in their own way--by neglecting it. If you ask them to do too much, they will do nothing. SCHEME FOR MEDICAL EXAMINATION _Heredity of the Child._--Note the name, the date, and the place of the birth of the father and the mother, and find out, by direct interrogation, whether the parents have a pathological heredity. Consider first the two great hereditary influences--alcoholism and insanity. Next inquire concerning nervous ailments, tuberculosis, etc. Make inquiries concerning the direct ascendents and their collaterals. Note the number of brothers and sisters, their illnesses, their mortality, and the position of the child in the family.