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nsane who need institutional care. The several institutions above mentioned have a very important function apart from the relief of human suffering, in that they afford unexcelled opportunities for giving practical instruction in nursing and in the practice of medicine and surgery. A few years ago there was not such a thing as a Filipina trained nurse in the islands. I was firmly convinced that the Filipinas of this country could learn to be good nurses, and made earnest efforts to have included among the first students sent at government expense to the United States several young women of good family who should attend nurses' training schools and then return to assist in our hospital work. I failed to secure the adoption of this plan, but later the training of nurses was inaugurated in connection with hospital work at the old Civil Hospital, St. Paul's, the University Hospital, the Mary J. Johnston Hospital and the Philippine General Hospital. At the latter institution there is now conducted an admirable school where more than two hundred young men and women are being trained. Three classes have already graduated from it, and Filipina nurses have long since proved themselves to be exceptionally efficient, capable and faithful. It will be some time before we can educate as many as are needed in the government hospitals, and after that has been accomplished a vast field opens before others in the provincial towns, where the need of trained assistants in caring for the sick is very great. We found exceedingly few competent Filipino physicians or surgeons in the islands. This condition was due not to natural incompetence on the part of the Filipinos but to the previous lack of adequate educational facilities. The government has established a thoroughly modern college of medicine and surgery, well housed, and provided with all necessary laboratory facilities. It furnishes the best of theoretical instruction, while its students have every opportunity for practical work at the bedsides of patients in the government hospitals, all patients in free beds being admitted subject to the condition that they will allow their cases to be studied. While there is still an evident tendency on the part of graduates of this school to feel that they know enough, and to desire to get to making money without delay, we are nevertheless managing to attract an increasingly large number of the more competent to the intern service of th
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