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February 10, 1917

Lack of Efficient Teaching in Urology

Author Affiliations

Hoboken, N. J.

JAMA. 1917;LXVIII(6):481. doi:10.1001/jama.1917.04270020145021

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To the Editor:  —I have read, with interest and approval, Dr. Irvine's "Notes on the Teaching and Treatment of Syphilis" (The Journal, Dec. 30, 1916, p. 1987). I agree with him that medical colleges are not preparing their graduates to combat syphilis effectively, and that a sociial injustice is thereby perpetuated.In urology, a like condition exists. In over ten years' service at the North Hudson Hospital, I have not found one intern who was really competent to treat gonorrhea or to use the catheter. And most of them came from New York medical schools, which certainly do not lack material for teaching clinical urology.These men are familiar with the cystoscopic appearances of the bladder, and know the indications for and technic of such operations as nephrectomy and prostatectomy. They have been taught major procedures which few of them will 'he every?ccas'on or desire to perform, but not how

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