ver our calling and our ability, we belong,
not to ourselves, but to our imperilled country, whose danger is our
calamity, whose ruin would be our enslavement, whose rescue shall be our
earthly salvation!
SCHOLASTIC AND BEDSIDE TEACHING.
An Introductory Lecture delivered before the Medical Class of Harvard
University, November 6, 1867.
The idea is entertained by some of our most sincere professional
brethren, that to lengthen and multiply our Winter Lectures will be of
necessity to advance the cause of medical education. It is a fair
subject for consideration whether they do not overrate the relative
importance of that particular mode of instruction which forms the larger
part of these courses.
As this School could only lengthen its lecture term at the expense of its
"Summer Session," in which more direct, personal, and familiar teaching
takes the place of our academic discourses, and in which more time can be
given to hospitals, infirmaries, and practical instruction in various
important specialties, whatever might be gained, a good deal would
certainly be lost in our case by the exchange.
The most essential part of a student's instruction is obtained, as I
believe, not in the lecture-room, but at the bedside. Nothing seen there
is lost; the rhythms of disease are learned by frequent repetition; its
unforeseen occurrences stamp themselves indelibly in the memory. Before
the student is aware of what he has acquired, he has learned the aspects
and course and probable issue of the diseases he has seen with his
teacher, and the proper mode of dealing with them, so far as his master
knows it. On the other hand, our ex cathedra prelections have a strong
tendency to run into details which, however interesting they may be to
ourselves and a few of our more curious listeners, have nothing in them
which will ever be of use to the student as a practitioner. It is a
perfectly fair question whether I and some other American Professors do
not teach quite enough that is useless already. Is it not well to remind
the student from time to time that a physician's business is to avert
disease, to heal the sick, to prolong life, and to diminish suffering?
Is it not true that the young man of average ability will find it as much
as he can do to fit himself for these simple duties? Is it not best to
begin, at any rate, by making sure of such knowledge as he will require
in his daily walk, by no means discouraging him from any
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