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REPORT OF THE STANDING COMMITTEE ON THR FACULTY OF MEDICINE ' ON THE SUBJECT OP REORGANIZATION. 1892. PRINTED BY ORDER OB THE LEGISLATIVE ASSEMBLY. TORONTO: PRINTED BY WARWICK ii SONS, 68 AND 70 FRONT STREET WEST. 1892. f: UNIVERSITY OF TORONTO. REPORT OF THE STANDING COMMITTEE ON TUB FACULTY OF MEDICINE ON THE SUBJECT OF REORGANIZATION. 1892. The Coiumittee on the Medical Faculty beg leave to report, as follows : — 1. We have held many meetings with a view to the discharge of the important duty devolving upon us in connection with the appointments to the Medical Faculty, to be made pursuant to the statute, during this year. 2. We have thought it necessary to take a comprehensive view of the situation, and to avail ourselves of the experience of the last five years in reaching our conclusions. 3. We have to recommend several changes in the organization, which seem to us necessary for the efficient conduct of the work ; but wc have thought it better not altogether to discard considerations arising out of the inception of the Faculty and the status of individuals, and our recommendations have been to some extent affected by these considerations. 4. Therefore our proposals as to reorganization are limited ; but they make in our opinion a very great improvement in the existing condition of affairs, and will also afford the opportunity of still further improvement from time to time, as occasion allows. 5. Accordingly we recommend that on the occasion of any vacancy hereafter in the staff, the Committee on the Medical Faculty reconsider the organization of the branch in which such vacancy may take place, before advising as to the action to be taken. [Lecturers and Demonstrators Gb:nerally (not Including Assistants). 6. We recommend that in cases of first appointments to the staff they be for one year only, and that in other cases they be for not longer than three years ; with eligibility for reappointment in all cases. Anatomy. / -S*- 7. Our first enquiry was on the subject of Anatomjf, in which, owing to the re-arrangement of fees lately effected, and the new conditions created by the occupation of part of the Biological Building, as well as the experience of the past, it appears to us that substantial reorganization should take place. 8. We recommend that there should be one Profesaoi- and Demonstrator, in practical charge of thn Medical Pnculty accommodation in the Biological Building ; partaking in and responsible for tbo conduct of the instruction in and work of the dissecting room, and taking charge of the Registers and clerical work connected with the medical instruction in this building ; and also giving didactic instruction and demonstrations to the first and second year studontn. The duties of this office would in eHect preclude the Professor from continuing in general medical practice ; and he would thus require, as in the case to be hereafter mentioned, of the Professor of Pathology, special consideration with reference to salary. 9. We believH that the work of instruction in Primary Anatomy can be best and most effectuall;' disehargod by the Assistant DenAonstrators, dealing with their classes in the earlier part of the session ; and we recommend accordingly. In tluH connection it lias been suggested that this work of instruction could be best discharged if the attendance of the first year students commenced in the beginning of September. 10. We think that the instruction in Topographical Anatorny to students of the third and fourth year, whose other instruction is obtained exclusively in the old School Building, and in connection with the HoHpital, should be given at the old School Building ; and we recommend accordingly. 1 1. We think that the numl)er of Assistant Demonstrators should be increased ; that all appointments to the office of Assistant Demonstrator should be for one year ; that all should be paid a small amount for the first year ; that no reappointment should be made for the second or any subsequent year, save on condition of proved efficiency and satis- factory discharge of duty ; that those who are appointed to a second term should receive an improved stipend ; and that, out of the number appointed for the approaching year there should, at the end of that year, be selected a Senior Assistant Demonstrator who should receive a larger stipend ; and that a Senior Assistant Demonstrator should be selected yearly thereafter. 12. In the case of this, as of other departments, we recommend changes, with a view to simplification and aptitude, in the styie of the office of the instructors. 1.3. We recommend that the staff in Anatomy consist of — (1) Professor of Anatomy. Appointment recommended : Dr. J. H. Richardson. (2) Associate Professor and Demonstrator of Anatomy. Appointment recommended : Dr. Alexander Primrose. (3) Lecturer on Anatomy. Appointment recommended : Dr. II. Wi'berforce Aikins. (4) Nine Assistant Demonstratord, including the Senior Assistant to be appointed as above. Minimum duties, two hours a day in instruction and demonstration in the dissecting room ; besides work in the osteological and dissecting rooms to be assigned to them by the Demonstrator. Recommendation as to appointments : It is suggested that these appointments be made on the recommendation of the committee, after consultation with the Associate Professor and Demonstrator. 14. We recommend that Professor Richardson's duty be (at his option to be declared before the first day of July, A.D. 1892) either (a) that of delivering, at the Biological Building, to the first and second year students, fifty lectures or lecture demonstrations, or (b) that of delivering, at the old School Building, to the third and fourth year students, fifty lectures or lecture demonstrations on Topographical Anatomy ; and that in the event of his not declaring an option, his duty be that secondly stated. 15. We recommend that Professor Primrose's duties be those described in the eighth clause ; and that his didactic work include the delivery of at least 50 lectures or lecture demonstrations. 8U as ti ator, in practical R; partaking in ecting room, and 3«cal instruction to the first and I Professor from the case to be with reference an be best and their classes in connection it the attendance tuclents of the tho old School lool Uuilding ; creased ; that Kear ; that all on Id be made >cy and satis- liould receive oaching year tistrator who Id be selected with a view jpointed as on in the ssigned to tments be Associate > declared biological strations, students, ;he event le eighth lecture 16. We recommend thiit it ')e thn duty of the lecturer to n'lvn at least ftO lectures or demonstrations, taking that diviHion of the work montionwl in the fourteenth clause, which in not assigned to Prol'esHor Richardson. 17. We 'commend that it be the duty of tho Assistant Demonstrators to give the necessary instruction in Primary Anatomy to their clasHes in the early part of the session, in addition to the work of demonstration during the riosHton. 18. We recommend that the attention of tho Medical Fac\ilty be called to the importance of arrcrging the time-table so that the work in the dissecting room may interfere as little as porisible with the tuition hours. SUROKRY. 19. We recommend that the staff consist of — < 1 ) Professor of 8u rgery . Appointment recommended : Dr. W. T. Aikins. Minimum d.'ty 60 lectures. (2) Professor of Clinical Surgery. Appointm.^nt recommended : Dr. McFarlane. Minimum duty 50 lectures or lec- ture demonstrations, or an equivalent number of lectures and clinics. (In this and all other cases two clinicH are rated as one lecture.) (3) Professpr of Clinical Surgery. Appointment recommended : Dr. Irving H. Cameron. Minimum duty 50 lec- tures or lecture demonstrations, or an equivalent number of lectures and clinics. (4) Associate Professor of Surgery and Clinical Surgery. Appointment recommended : Dr. George A. Peters. Minimum duty 50 lectures or lecture demonstrations, or an equivalent number of lecturen and clinics Patholoot. 20. We recommend that the staff consist of — (1) Professor of Pathology. Appointment recommended : Dr. John Caven. With duties as to the old School Building, and as to the work and registers there analogous to those pre- scribed for Professor Primrose in his branch, and including, besides the practical work referred to in his appended memo., the delivery of at least 50 lectures or lecture demonstrations. We append a resolution and enclosure from the Medical Faculty with reference to this subject To this case the observations contained in the eighth paragraph of this report as to the nature of the duties, and the necessity of special remuneration apply. (2) Demonstrator of Pathology. Minimum duty, 50 lectures or lecture demonstra- tions, or equivalent practical work. It is suggested that this appointment be made on the recommei. lation of the com- mittee, after consultation with the Professor. Medicine. 21. We recommend that the staff consist' of — (1) Professor of Medicine and Clinical Medicine. Appointment recommended : Dr. J. E. Graham. Minimum duty, 50 lecture& or an equivalent number of lectures and clinics. (2) Associate Professor of Medicine and Clinical Medicine. Appointment recommended : Dr. A. McPhedran. Minimum duty, 50 lectures or an equivalent number of lectures and clinics. (3) Lecturflf in Clinic^il MerUcine. Appointment recommended : Dr. W. P. 0»von. Minimum duty, VO lecturei or an eijuivalent number of lectures and olinica. PlIARMACOLOnV AND T1IRKAPKUTIC8. 22 We recommend that the ataff consist of — (1) Professor of Pharmacology and Therapeutics. Appointment recommended : Dr. J. M. McCallum. Minimum duty, 50 lectures or an eiiuivalent number of 'ectures and clinics. (2) Demonstrator of Materia Modicaand Pharmacy. Appointment recommended : Dr. O. R. Avison. Minimum duty, 50 lectures or demonstrations. tbi> GyNiKCOLOQY. 23. We reconimend that there be— A Professor of GyneBoology. Appointment recommended : Dr. Uzzlel Ogden. equivalent number of lectures and clinics. Minimum duty, 50 lectures or an Obstbtrics. 24. We recommend that there be — A Professor of Obstetrics. Appointment recommended : Dr. Adam H. Wright. Minimum duty, 50 leoturea or an equivalent number of lectures and clinics. Opthalmologt, OTOLoaY, Larynoology and Riiinoloot. 25. We recommend that the staff consist of — (1) Professor of Opthalmology and Otology. Appointment recommended : Dr. R. A. Reeve. Minimum duty, 20 lectures or an equivalent number of lectures and clinics. (2) Clinical Lecturer in Opthalmology. Appointment recommended •■ Dr. O. H. Burnham. Minimum duties, 12 lectures or an equivalent number of lectures and clinics. (3) Clinical Lecturer in Laryngology and Rhinology. Appointment recommended : Dr. G. McDonagh. Minir^um duty, 12 lectures or an equivalent number of lectures and clinics. Hygiene. 26. We recommend that there be — A Professor of Hygiene. Appointment recommended : Dr. W. Oldright. Minimum duty, 25 lectures. Toxicology. 27. This subject has been heretofore taught to the students in the earlier year by Dr. Ellis, in connection with the practical work in Chemistry, and to the students in the later year by the Professor of Medical Jurisprudence. pcture* or leoturea Icturea or >8 or an We recommend that it he taught for the future in connociion with practical labora* tory work to the atudenta in both yean, and that arran^nmentii should, if posHihle, be mode for such instruotion in connection with the laboratorieB of the School of Practical Science or of the Univeraity. It ia iir possible to deal satisfactorily with the permanent arrangoin.4nts except in connection with the arrangements for the teaching of Chemistry, not now completed. Accordingly, we propose for the next year, pending the completion of such arrange^ ments, the temporary ap|>ointment of a Lecturer in Toxicology. Minimum duty, 25 leo« turea or demonstrations. We defer the recommendation of the appointee till after the action of the Senate on this report. Medical Jurisprudbnob. 28. It appears to us that the teaching in this subject can be improved by a reorgani- zation, providing for the appointment of an expert on the le^al, as well as one on the medical side, and we recommend that the statf consist of — (1) A Medical Lecturer. Minimum duty, 45 lectures. (2) A Legal Lecturer. Minimum duty, 5 lectures. We defer the recommendation of appointees till after the action of the Senate on this report. leoturet ures or Botures )cture8 Medical Psychology. 29. The condition in this branch has somewhat changed by the addition of the sub- ject to the curriculum of the Medical Council. It is now, therefore, compulsory in both courses. In case an ordinary professorship were continued and Dr. Clark, the present Professor were appointed, difficulties might arise with reference to the attendance of the students of Trinity Medical School on his lectures, without registering with us or payment of cur fees ; and since Dr. Olark is, as the Superintendent of the Toronto Insane Asylum, a public officer, it may be claimed that the facilities for instruction by him should be open to the students from all quarters, without any requisition as to registration in or payment to one particular institution. Dr. Clark's remuneration at present consists of the foe of $5 paid by each studenfi, which fee he receives. It is thought best on the whole to recommend that there be an extra mural Professor in this subject. , Appointment "^commended: Dr. D. Olark. Minimum duty, 12 lectures or an equivalent uumber of lectures and Clinics. It is recommended that Dr. Olark be entitled to the fee, not exceeding $5, charged by him to each student, to be collected by him from the student, to whom he will give the necessary ticket. This fee, of course, is extra the lump sum fee payable under the statute for instruction in other subjects. Arts Subjects. ir by 1 the 30. As the new arrangements involve provision for the teaching by the staff in Arts of the Arts subjects, we recommend the abolition of the Professorship of Chemistry, the Demonstratorship of Practical Biology, and the Demonstratorship of Histology. The provision for this teaching does not fall within our province, but we call the attention of the Senate to the need of early action thereon. 8 Pkofkssors n*^ LoNdER ON Staff. 31. It will be observed that it is proposed to discontinue the Professorship of Prim- ary Anatomy, held by Dr. M. H. Aikins, that of Medical Jurisprudence (including Toxi- cology), held by Dr. W. W. Ogden, and that ot Chemistry, held by Dr. Ellis, and that Dr Wright has resigned his chair. We recommend that, as was done in the case of Dr. Thorburn, each of these gentle- men be appointed an Emeritus Professor under the statute. Secretariat. 32. Our plan involves the discharge of a considerale part of the present work of the Secretary by Professor Primrose at the Biological Building and Professor Oaven at the old School Building. It seems to us that a further part would fall properly within the functions of the Registrar ; that the preparation of the Calendar should devolve on a Committee of the Fauulty ; that there would remain very slight duties to be discharged by a Secretary ; and that the emoluments of such an office should not exceed $100 a year ; for which we have made provision in the working expenses. Retiring Allowances. 33. It appears to us that the present provisions as to retiring allowances require reconsideration, and we recommend that they be referred to us for enquiry and report ; . and that all appointments made under this report be subject, so far as regards retiring allowances, to any modifications of the existing Statute which may be made by the Senate. Hospital Facilities. 34. It is represented as very important in the interests of medical education that further facilities i^ v^fuuection with clinical work at the Hospital should be if possible x>btained. V7o do not doubt that on proper representations this can be accomplished, and we 'to'.id that this subject be referred to this Committee for further enquiry, negotia- 38. the Art the id report. Summer Session. 35. For some years, under the permissive powers of the Statute, the Faculty have arranged a Lummer Session. Of these arrangements, or the fees in respect thereof, neither the Senate nor the Bursar have any oognizance. The situation has now changed, by reason of the fact that the Medical Council has prescribed a Summer Session, We recommend that this subject be referred to this Committee for enquiry and report. Finance, Estimates, Salaries. 36. We now proceed to deal with the financial condition of the Faculty ; the pro vision for its working expenses, and the allocation of emoluments to the Staff. 37. The number of students, in each year of the course as to which information can be obtained, have been as follows : i Ist year. 2nd year. 3rd year. 4th year. Totals 1889-90 66 66 67 59 258 1890-1 81 60 63 59 263 1891-2 85 75 67 56 283 / r Prim- igToxi- (nd that gentle- of the at the 38. The fees for preceding years, as reported, have been, including those charged for the Arts teaching, as follows : — 1888, Medical Faculty fees 815,277 00 Registration fees 395 00 Examination fees earned V)y staff. 440 00 816,112 00 1889. Medical Faculty fees $16,888 00 Registration fees 385 00 Examination fees 500 00 $17,773 00 1890. Medical Faculty fees $18,669 00 Registration fees 470 00 Examination fees 600 00 $19,739 00 1891. Medical Faculty fees $20,51 1 00 405 00 820 00 Registration fees Examination fees. $21,736 00 39. Assuming for the immediate future the numbers following : — Ist year. 85 2nd year. 75 3rd year. 70 4th year. 60 the financial results under the new statute will be as follows : — Ist year, 85 fees at $75 $6,375 00 Deduct for Arts fees at $14 .$1,190 00 leaves net to Medical Faculty $5,185 00 2nd yaar, 75 fees at $75 $5,625 00 Deduct for Arts fees at $15 . . $1,125 00 leaves net to Medical Faculty $4,500 00 Gross totals, Ist and 2nd years $12,000 00 Total to Arts $2,315 00 Net total to Medical Faculty $9,685 00 3rd year, 70 fees at 885 $5,950 00 4th year, 60 fees at $85 $5,100 00. . . . $11,050 00 Gross total for four years $23,050 00 Net* total for four years to Medical Faculty $20,735 00 Add allowance for Examination fees 820 00 itegistration fees, say 425 00 Grand net total to Medical Faculty $21,980 00 10 4. Assuming the fees available to be $22,000 00 Of this amount 40 per cent, (the proportion fixed for working expenses) would be 8,800 00 60 per cent, (the proportion reserved for salaries) 13,200 00 41. The working' expenses of the Medical Faculty, applying as far as possible the results of the past years, may be estimated as follows : — (a) Separate Expenses connected with Anatomy. Subjects 8400 00 Materials for preservation 350 00 Instruments and apparatus 100 00 Rent 1,200 00 Attendant Biological (part) 300 00 Expenses, heating, lighting, water, repairs, sundries* 650 00 Total $3,000 00 (i) Separate Expenses connected with other Medical Branches. Rent (which it is hoped to reduce to $1,000) $1,200 00 Repairs 250 00 Furnishings 175 00 Light 75 00 Water 75 00 Fuel 300 00 Attendant 360 00 Say $2,500.00 $2,435 00 (c) Joint Expenses of all Medical Branches. Stationery, calender and printing $500 00 Advertising 200 00 Petty 50 00 Scholarships 240 00 Medals 180 00 Deficit Medical dinner 140 00 Secretariat expense (main bulk of work to be discharged by Dr. Primrose, Dr. Oaven, a Com- mittee of the Faculty and the Registrar) 100 00 Sundrieb 100 00 Total, say $1,500 00 of which, allot to Anatomy, one-third 500 00 To other subjects, two-thirds 1,000 00 (d) The general result is — Anatomy, special Jip3,000 00 Proportion of general 500 00 Others, special $2,500 00 Proportion of general 1,000 00 $3,500 00 3,500 00 Tot 1 $7,000 00 41 the »cl ancea [ work! This, beinf? a new charge, cannot be estimated closely. ' ^22,000 00 , S,800 00 13,200 00 PMibJe the 11 42. In case it is decided to allot a retiring allowance to Dr. H. H. Wright on the the Bcile authorized by the Statute, acting on the figures of last year, the retiring allow- ances coming out of the funds for the next three years will be as follows ; — 1893. Dr. Thorburn $545 52 Dr. Wright 806 72 1894. 1896. $436 42 $327 32 691 47 576 22 $1,352 24 $1,127 89 $903 54 43. Adding the retiring allowance charges for the next financial year to the other working expenses the result will be Working expenses $7,000 00 Retiring allowances 1,352 24 $8,352 24 Which, being deducted from $8,800.00, the above estimate of the 40 per cent., leaves a surplus of $447.76 on this head ; a very narrow margin, having regard to contingencies on both sides of the account, and also to the need of specimens, preparations and other appliances for teaching, which must be provided. In this connection it is to be remarked that, while the other working expenses will increase, the amount for retiring allowances will, unless new charges are placed upon the roll, diminish year by year. SALARIES TO BE PAID OUT OF THE SIXTY PER CENT. (1) — Salaries Other Than Those of Professors. (a) Assistant Demonstrators in Anatomy. 44. We recommend that these should be paid for the first year of service hereafter performed $50 ; for the second and any subsequent year at the rate of $100 a year ; and that the Senior Assistant Demonstrator, when appointed, should be paid $150. So soon as the funds admit, it may be 'veil to consider whether the stipend for the third and subsequent years should not be increased to $150, and that for the Senior to $250. The scale at present proposed will in the end create a probable charge as follows : — Senior Assistant Demonstrator $150 00 6 " Demonstrators at $100. 600 00 2 " " " 50 100 00 Total $850 00 But for the first year the charge will be 9 at $50 $450 00 12 (b) Lecturers mvd Demonstrators. 45. We recommend that these officers should be paid stated stipends, on a scale fixed by reference to the minimum duty assigned in each case ; though that duty must be exceeded in practice. The scale on which we propose to fix the stated stipend is $3 per lecture for the minium duty assigned for the first year ; $4 for the second ; and $5 for the third and any subsequent years of service. We recommend that those officers who have already served in some capacity should commence at the higher rate of emolument ; and this will be necessary also in some other cases to secure efficient teaching power. 46. This would result for the first year as follows : — (Minimum duty being reckoned in lectures and two clinics bein,,' deemed equivalent to one lectures). theej Okfick. Pathology— Demonstrator Optbalmology and Otology— Lecturer Laryngology and Bhinology— Lecturer Clinical Medicine— Lecturer Materia Medica— Demonstrator Anatomy — Lecturer T 'Xicology— Lecturer Medical Jurisprudence— Lecturer— Medical side $225 00 " " — Legalside 50 00 Total Minimum DuiT. 60 12 12 70 60 60 25 46 5 FlXKU Stipknd. } 9 c. 160 00 60 00 60 00 350 00 250 00 250 00 125 00 276 00 il,520 00 47. The totals for these salaries would thus be : Assistant Demonstrators in Anatomy $450 00 Lecturers and Demonstratoi-s $1,520 00 Total 11,970 00 Deducting this amount_from 60 per cent 13,200 00 .$11,230 00 Leaves available for division among Professors. (2) — Emolument of PROPEasoRS. 49. We recommend the adoption of the principle of division of the fund according to the minimum duty assigned, which is practically the same under the Medical Oounoil and the University curricula. IM scale istbe |)r the any lould lother ilent Additional duty must, we believe, be in all cases per!" .meJ ; bat it is oonsidere d that the extra duty required will be approximately proportionate. It ia considered that two clinics equal one lecture ; and the duty is stated in lectures. 50. It is understood that the duty involves, as heretofore, that of acting as Univer- sity Examiner in the jase of 'any officer who may be appointed as such examiner ; examiner's fees going, as heretofore, into the general fund. 51. In the special cases of Dr. J. Caven and Dr. Primrose, it is proposed that their yearly emolument shall be guaranteed at a minimum sum of 81,500 each, being the sura recommended by the Faculty in the case of Professor Oaven ; and the lowest rate at which the arrangements can be made in either case. 52. This plan would result as follows : — Minimum duty 745 lectures or their equivalent clinics. Amount available $1 1,^30. Produces in round figures $\5 per lecture. Proportion. 50-745 100-745 50-745 60-745 50-745 *0-745 eO-745 50-745 5C— 745 60-745 50-745 25-745 100—745 20-745 Professor. Dr. Richardson. Dr. Priinrosp, (Guaranteed up to !?1,500. Any deficiency to be paid out of surplus or work- ing expenses) Dr. Aikins Dr. McFarlane Dr. Cameron Dr. Peters Dr. Graham Dr. McPhedran Dr. U. Ogden Dr. A. H. Wright... Dr. J. M. McCaHum Dr. Oldright Dr. .J. Caven, (Gn.aranteednpto.?l,500. Any deficiency to be paid out of surplus or work ing expenses) Dr. Reeve. Lectures Minimum duty. 50 100 50 50 50 50 60 50 50 .50 50 25 100 20 745 Bstinmteil result. Round figures. .? c. 760 00 1,500 00 750 00 760 00 750 00 750 00 750 00 750 00 750 00 750 00 750 00 375 oa 1,600 00 300 00 $11,175 00 53. This division involves a serious reducbion in thn emoluments of three of the former Professors who are recommended for re-appoiutm6nt ; but we believe it to be alike necessary and just. 14 54. The Professors' emoluments in the first four years were as follows : — Propohki). 760— Dr. Uichardson 1,600— " Primrose, (Tiecturer, lately appointed Professor) 760— " Aikins ... 730 - " MoFarlane 760—" Cameron 760— " Peters, ( Deiuonscrator, lately appointed Proi'essor) 750— " Graham 750— " McPhedran, (Lecturer, lately appointed Professor) 750- " U.Ogden .' 750- " A. H. Wrigh*. 760— " J. M. McCullum, (Lecturer, lately appointed Professor) 376- " Oldright 1,600— " J. Caven, (Demonstratoi, lately appointed Professor) 300- " Reeve 1888. 1889, 1890. 9 c 020 001 920 00| 641 36 275 53 9 c. 1,001 92, 9 c. 1,091 04 1891. 9 c. 1,152 46 1,001 921 1,091 04 1,162 46 698 461 :t00 06 7(>0 60 326 75 641 36 698 46, 760 60 920 00 459 22 320 68 183 68 803 346 16 803 40 1,001 92| 1,091 01 1,162 46 500 11 ! 544 60 575 26 t 349 33' 380 30 200 04 217 84 401 70 230 10 35. lu dealing with this aspect of the case the followint; considerations are to be borne in mind : — (a) Under the former arrangements, a large sum was charged for instructiontfn Arts subjects, and received by the Medical Faculty. The instruction provided in these sub- jects, at the cost of Medical Faculty funds, has been, up to thi& time, very trifling. This source of revenue has disappeared. (6) Until this year, the expense attendant on the occupation of part of the Biological Building was avoided. This item, amounting to over $2,000 a year, has now to be provided. (c) As to the Pathological Branch, the Faculty has recommended, for obvious reasons, thft proposed emolument of $1,500 a year to Dr. John Cavun. And it is equally obvious that the Anatomical Branch must be provided with the services of a Professor in a like position and with a like emolument. These two items alone make an additional net charge of over $2,000. (d) Various minor necessary appointments have been lately made ; and these and others are now proposed to be placed on a proper footing, involving a considerable aggre- gate new charge. (e) A heavy charge has been created by the retiring allowances to Dr. Thorburn and Dr. H. H. Wright, amounting for next year to over $1,350. (/) These various diminutions of revenue and increases of charge must, o* course, aSect seriously the amount avail&ble for division among the professors. {g) Under the former arrangement, almost the whole of the net revenue, after pay- ment of working expenses, was divided among the professors originally appointed ; and their incomes were to increase as that revenue mcreased. Thus it will be observed that for 1888 their emoluments were far lower than for 1891 ; and at the earlier date, they stood at a figure^ which it is hoped may (with the increased efficiency and enlarged numbers which the proposed arrangements should procure) be soon surpassed. (A) Th€ results attai improved b; Those nominal re< recognized. The S gentlemen The c alluded to, Itiri Thou services ci the result 56. ' expenses, the accuE This faculty h Its 1888. S' 1889. 1890. £ 1891. Tota But frc ol J^ V Carper leavii the on w appli tbec vide min nee Bu be yet 15 c. 45 46 15 40 45 25 70 (A) The work could not have been carried on ; the increaHed numVjers taught ; or the results attained, without the services of the gentlemen whose positions are proposed to be improved by this plan. Those services have been hitherto rendered either gratuitously or for an almost nominal return, in the reasonable expectation that on a fitting opportunity they would be recognized. The Senate, some time ago, with general approval, accorded to each one of the gentlemen now pro|>osod to be sensibly advanced, professorial rank. The cases of two of these, namely, Drs. Caven and Primrose, have been already alluded to, and the proposal as to them stands upon a solid foundation. It in right that the other three should now receive professorial emolument. Though the Hmount involved is not large, yet it cannot be expected that efficient services can be retained unless the officers receive just consideration, and a fair share of the results to which their labors conduce. For these reasons the plan ia proposed. ' 56. The only resource for meeting contingencies, possible losses in revenue, increased expenses, possible retirement allowances, etc., and providing apparatus and appliances, is' the accumulated surplus. This has been, in effect, obtained through the gratuitous instruction of which the faculty has had the advantage in the past. It stands as follows : — 1888. Surplus $2,225 97 1889. " including interest allowed by University at 5 per cent $111 29 1,150 54 1890. Surplus including interest allowed by University 148 32 2,469 04 1891. " " " " " 242 79 2,740 41 $8,585 96 Total including interest $502 40 But from this is to be deducted appropriation. Bacteri- ological Laboratory account $1,000 00 (Already expended, $677 42). Carpenters' work, painting and supplies, Biological building 743 85 $1,743 85 leaving a balance subject to slight increase or diminution by the result of this year's operations of $6,842 11 It is absolutely necessary to keep in hand the bulk of this sum. It is the reserve on which we must rely for emergencies. But part of it may well be spent for reeded appliances for teaching. 57. It should be understood that in case the interests of medical education require the creation of any further Professorships during the term, the emoluments may be pro- vided by admitting the Professor to share in the 60 per cent, fund, according to his minimum duty. 58. For the purpose of our estimates we have been obliged to compile the statistics necessary to show the financial operations of the faculty for the four completed years. But we do not encumber this report with the details and tables, thinking that they may be more conveniently laid before the Senate in connection with those for the current year by the Finance Committee in their next general report. All which is respectfully submitted, EDWARD BLAKE, May 3rd, 1892. Acting Chairman. \.-. \ 16 APPENDIX Extract from the minutes of the proceedings of the Medical Faculty : Moved l)y Prof. Oldright, seconded by Prof. McPhedran, " That the Medical Faculty desires to bring under the notice of the Senate of the University the position of the Pathological Department : — Dr. John Oaven, Professor of Pathology, is now obliged, in order to give the students the instruction necessary to tit theui for the requirements of the University, to gi\e six lectures a week, to devote several hours preparing material for each of these lec^^ures, besides making a large number of uutopsic-s with the same object in view. The Medical Faculty considers it desirable to make this representation in order to place the Senate in posaession of infor- mation necessary to guide th°i latter body in fixins; the remuneration which the Professor of Pathology should receive. In the opinion of the faculty (-i^ 1,500) fifteen hundred dollars per annum is the minimum sutu which should be paid for the above course and the work connected with it. — Carried. A. H. WRIGHT, Secretary Portions of Professor John Caven's statement about the teaching of Pathology. Dr. Caven requests the Medical j* acuity of the University of Toronto to recommend that he be employed to take charge of the Pathological Department of Toronto Univer- sity at a stated salary beginning from October next of $1,500 per annum. Seasons. — On account of the amount and character of the work necessary to make the department of any use to the University and students he has to completely forego practice and derives no income therefrom. Work. — Six hours j)er week as stated in calendar ; in addition, two hours demon- stration with fourth year, always necessary, but only possible since the new room has been fitted up at the school. Post-mortems. — Regular duty calls for post-mortems at Toronto General Hospital when called upon, but it not being possible to secure material enough for class demon- strations, gross and microscopic by these alone, require to conduct them al.^ at the Home for Incurables, Children's Hospital, and House of Providence in addition to such as may be asked for by outside practitioners These amount to sixty or more in the session and st juants are always taken along and the opportunity used for teaching. No pay is received for these. Preparation of Material. — The dissecting and preparing of gross specimens for demonstration frequently takes long periods of time, as does also the preparation of material for microscopic slides for the classes. Seventy men aie supplied with fifty slides each during the term, the cutting and staining have either to be done or supervised by myself, it being impossible to get students trained to do it as it ought to be done in the time at their disposal. This work takes up at least 400 hours in the year's work In addition to all this a great many specimens, both of tissue and urine are brought to me for examination and report work which is directly of use to the Pathological Depart- ment since it advertises it and brings in material as well, but for three-quarters of which I get no fees. I have examined specimens in this way from as far West as Calgary and as far East as New Brunswick. Remuneration. — Proportion of fees as originally arranged about SlOO. In adiiitiou, proportion of fourth year men for Pathology up to 80 per cent, not to exceed $500. Highest yet received, $490. nate of the 1, Professor necessary to to devote mg a large considers it on of infor- le Professor Hn hundred course and T, cretary thology. > recommend nto Univer- lary to make letely forego ours demon- 5om has been ral Hospital class demon - at the Home to such as n the session No pay is peclmens for eparation of id with fifty )r supervised io be done in •'s work In "ought to me ;»ical Oepart- iers of which id as far East In addition, exceed 8500.