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dents, who perform all the assistants' duty of a hospital of five hundred beds, with an out practice of eighty thousand patients annually. In America, though so extensive and thorough an education is not legally required, yet all students who attain any standing in the profession pass through essentially the same course, because nothing short of it will enable them to meet the responsibilities of practice with success.
The chief difficulty in the way of women students at present is, as it always has been, the impossibility of obtaining practical instruction. There is not in America a single hospital or dispensary to which women can gain admittance, except the limited opportunities that have been obtained in connection with the New York Infirmary. This difficulty met us during our own studies, and we were obliged to spend several years in Europe to obtain the facilities we needed. Even there, no provision is made for the admission of women, but there are so many great hospitals in both London and Paris that only those distinctly connected with medical schools are crowded with students. There are many large institutions attended by distinguished physicians, comparatively little frequented by them, and in these a lady, with good introductions, can, if she will give the time and patience, find good opportunities for study.
This troublesome and expensive method is still the only way in which a woman can obtain any thing that deserves to be called a medical education, but it is evidently beyond the means of the majority of women. The instruction that they have hitherto been able to obtain in the few medical schools that have received them has been purely theoretical. It consists simply of courses of lectures, the students being rigorously excluded from the hospitals of the city, which are only open to men. Some three hundred women have attended lectures in these schools, the majority of them being intelligent young women, who would probably have been teachers had they not chosen this profession. They
