Seventy-Fifth Year EDITRD AND MANAGED BY STUDENTS OF THE UNIVERSIrY OF MICHIGAN UNDER AUTHORITY OF BOARD IN CONTROL OF STUDENT PUBLICATIONS LIBERAL ARTS TRADITION.. . Medical Schools 7Trude School' Tag Where Opinions Are Free, 420 MAYNARD ST., ANN ARBOR, MICH. Truth Willa Prevail NEWS PHONE: 764-0552 Editorials printed in The Michigan Daily express the individual opinions of staff writers or the editors. This must be noted in all reprints. TUESDAY, 16 FEBRUARY 1965 NIGHT EDITOR: KENNETH WINTER Junior Apartments: How To'Beg the Question IT'S LIKE LOOKING a gift horse in the mouth. But the granting of apartment permission to junior women cannot help but inflame some old sores. One would have thought that "in loco parentis" died when a particularly un- palatable dean of women was ousted from the Office of Student Affairs in 1961, when senior women were granted leave, from the dormitories, when junior wom- en were first given liberalized rules last year and then allowed out of the housing system altogether last week. But the philosophy remains in full force: these changes were merely concessions, they had to be granted by the OSA to stu- dents. Is this not, after all, what in loco parentis is all about? One does not re- move himself from the control of a par- ent-surrogate by convincing it to grant him something for no matter how lib- erally inclined that surrogate is, it still holds final power. NOW SOPHOMORE WOMEN will have to convince the OSA that they, too, "possess the same capacity for mature self-control" which the OSA was finally gracious enough to concede to junior women. The speed with which the OSA reaches this decision is not the issue; the issue is that students have absolute- ly no choice but to wait, to depend on the OSA's intelligence and benevolence. - As long as administrators believe that students can learn how to handle them- selves by simply practicing at the form of self-determination, while some big daddy remains always in the background to save the student from himself, then stu- dents will appear as if they were unable to handle themselves. It is simply that one becomes responsible for oneself only when one is made responsible for onself, and this does not work where the real power and the real responsibility are; someone else's. FOR IF THE BASIC alternatives are either already decided or up to some- one else's discretion one feels, and is, de- feated before one ever begins consider- ing the trivial alternatives, which are all that remain. It becomes unimportant whether one is "rowdy" and "immoral" with respect to the dormitory system. The very existence of that system, and of the values underpinning it, is a fait ac- compli, and one is left hamstrung at exactly the point where it is essential to exercise, or develop the ability to ex- ercise, responsible judgment. (It is still important whether one is rowdy and immoral with respect to one's own sensibilities, but these sensibilities are outside the dormitory system's range of concern. At least the system can nev- er, no matter how hard it tries, be a sub- stitute for individual consciences.) WHAT RESPECT are students supposed to gain for the principles of demo- cratic participation if they are not al- lowed to assume the responsibility of. participating democratically in their own affairs? Just as important, how and where are students to gain experience in mak- ing important decisions, in deliberating alternatives where they will have to face all the social and individual consequences of their decision, if all they are allowed to do is play at decision-making? Whether or not it really mpatters where students live is not important. What is important is that students were never asked to decide' if it matters-at least not asked so that their answer would be more than advice or an indication of sentiment, to be responded to as oth- ers saw fit. Perhaps it only seems not to matter simply because students were never given good cause for feeling that housing rules were worth worrying and fighting about., If a given question is never made an is- sue of debate, one tends never to realize that one has an interest in how it is de- cided. SHOULD WE then wonder that few Americans are very worried about the various directions of national policy or about how they might affect those direc- tions or even about whether they want to affect them? When students should be realizing their desire and developing their ability to participate in decisions affect- ing their communities, at this very time college administrators are telling them all they should worry about is their own personal spheres. Where issues touch on the institution of which they are, a part, they are told not to worry, we'll take care of it for you.. One must at some point have been re- sponsible for vital matters if he is ever to feel he should be responsible or ever to have the ability to be responsible. Gift horses have a funny way some- times of begging questions. JEFFREY GOODMAN By JOHN R. G. GOSLING MEDICAL SCHOOLS seem to have a variety of images with- in the academic community we call the University. The view one takes depends upon the relation- ship. A student taking a pre- medical course has one set of questions. A faculty member in biology -or chemistry or the hu- manities will have a somewhat different point of view, and ad- ministrative officers are constant- ly confronted by a large and ex- pensive operation which seems to be growing at an uncomfortably rapid rate. Whether the individual is trying to get into a medical school or to live with one or to administer one, the basic relationship within a university is a matter of con- cern. I would submit that it is also a matter of considerable concern to medical schools themselves. The fact that I should feel some real anxiety at setting forth some per- sonal observations before the wid- er university community-that there should be a feeling of con- cern about "saying the wrong thing"--should give all of us pause to reflect. AT THE OUTSET let us deal with one of the aspects of the medical image which troubles me most. We have taken a certain amount of good natured chaff, over the years, about being a very expen- sive and complex form of voca- tional education. How many of the people who read this article have been told by some member of an academic community that "you shouldn't go to medical school, you're too 'original' or 'creative' or, even, 'intelligent' to bury yourself in a 'trade school'?" I've heard it on occasion. If it is true, then one can pro- pose that many of the things that can best be accomplished in lib- eral arts studies are of little ul- timate value and that a pre- medical course is simply some type of elaborate selection device. I firmly believe that the trade school tag is not justified and the liberal arts phase of a medical education can be of critical im- portance. ONE WAY to attack /the ques- tion is to examine the "product" of the medical school itself. this may include not only the M.D., but also the M.S. or Ph.D. in a basic subject (anatomy, physiol- ogy, biochemistry, microbiology, genetics; pharmacology, etc.). We can claim to have contributed to the educational experience of the dentistry student, the nursing stu- dent, the public health student, : as well as medical technology, physical medicine, occupational therapy, and hospital administra- tion. I'm just getting well started on the list but if students in pharmacy or physical education won't be offended, I will get on with the argument. We don't make or break any of these programs in which we play a role, and we can't claim them as a product of the medical school, though we would be proud to do to. They are, in the last analysis, products of a university and their use of medical school facilities and faculties is their use of a univer- sity resource. The knowledge of human anatomy which is requir- ed of a football coach is quite different than that required of a surgeon. Yet a department of ana- tomy is a repository for that knowledge, and in this sense is a department of a university. A medical school is a setting for the study of human biology. Medicine can no longer be de- fined solely in terms of the re- quirements for an M.D. degree. * * * IT IS VITAL to the argument to carry this point forward. Our society has developed beyond the point at which its definition of' "medical service" is the "treat- ment of disease." This would be a big order in'itself, but now pre- vention is a consideration of at least equal importance. Prevention may be defined as in "prevention of smallpox" which could be accomplished by vaccina- tion 300 years ago but required a continuing program of public edu- cation and legislative action to be- come even reasonably effective today. People still die of smallpox in this world. Or it could be de- fined as "the prevention of people" implying the control of birth rate. We don't have the ideal answer for this one yet, but there are effective answers if they can be brought to the people who need munity" or "poverty pocket" and the argument still holds good. The basic point remains: the med- ical needs of the world commun- ity today take the best efforts of many disciplines, cutting across academic administrative boun- daries with a fine impartiality. * * * MEDICINE or the health sciences in isolation from the Uni- versity? You might just as well isolate the economist, or the bot- anist or the political scientist. What would the effect be on him? He would be less effective in de- veloping the basic knowledge of his discipline, in training new dis- ciples and in contributing to the growth of the total educational program. The economist in an in- vestment banking firm or the psy- chologist in industry might even be accused of prostituting his field. Does the fact that the literary college provides course activity 'for quite a number of people who don't go on to a life long career in University teaching or research make it a "trade school?" I doubt DR. JOHN R. G. GOSLING is assistant dean of the Medical School. A member of the University faculty since 1951-the year after he received his medical degree from, the University-Gosling was given the Uni- versity's Distinguished Service Award in 1961. He is actively concerned in curriculum matters, and is a member of the LSA- Medical School liaison committee. them. Incidentally, this one better not take 300 years to be moderate- ly effective. President Johnson spelled out the need for effective family planning as a part of an attack on poverty and deprivation. The concept might still be con- troversial in some circles, but it would be difficult to obliterate poverty without it. These are the issues our society faces; therefore, they are the issues that the University faces. Medicine has contributed to solu- tions, but the problems are not the sole province of the man vvith the M.D. degree. That is why, as we look toward the future "Medi- cine" becomes "Health Sciences" and the M.D. becomes a part of a system to which there are a few other contributors. CONSIDER, for example, a question of the need for limiting the birth rate in an emergent nation. If you are to study this effectively, determine need and. delineate a program which can be carried out effectively, you will need economics, cultural anthro- pology, sociology, psychology, geo- graphy, political science, conser- vation and resources, etc., simply to understand the problem. The knowledge of biology of repro- duction is not based on "human work" alone. The whole' field of biologic science is involved in pro- viding -the means of providing a mechanism, and when you come to him finally, the M.D. can con- tribute to its development, appli- cation and use, but the entire range of related medical services is involved even in this process. No one discipline in this col- lection can stand alone and ac- complish anything notable. If you examine tfie contributors, you have' included a large segment of an entire university. In' passing, let me point out that for "emer- gent nations" you may substitute "metropolitan area of the United States," or "isolated rural com- it. Medicine is no different. * * * A PERSONAL definition of a good medical school "product" -is probably something that almost everyone feels qualified to at- tempt; at least a lot of people do so under various headings: (i.e. "What's Wrong with Medicine Today" or "An Inside Look at the A. M. A."). The -ideal code is likely to be a mixture of the Oath of Hippocrates and that of the Boy Scouts with a few Scrip- tural overtone to cover any pos- sible omissions. It is clearly desirable that the physician be humane, honest, not only in dealing with people but also in dealing with science, and moral in the fullest and broadest sense of the word. He must have sympathy for his patients' distress and yet maintain objectivity in dealing with it. He must be kind, but he must be certain that his patients fully understand the im- plications of their illness. He must be discreet, but he must uphold the laws of the community. He must function as a member of that .community, yet he must be available to those who need his services at all times. Sometimes he has a problem. He certainly would have a great many more problems than he does, if he really did acquire his professional background in a vo- cational school setting. THE DEVELOPMENT of mere skills is not enough. The body of, knowledge on which medicine is based is increasing at an almost incomprehensible rate, and the old formats are gone from medi- cal education. While it was never desirable, it may have been prac- tical until recently to provide a medical school graduate with 'a body of factual information and a collection of skills which he could hold to be based upon re- vealed truth. This knowledge would enable him to practice me ly lon sor sur ap 10 C ed acc goo gra diti con haN def. tim col fici sun am of f teri the of IF con an eas sciE lar: mei rea tior rar thi, fore giv be Ho hav the to cun F not see me ina ent eno ma do the lev has cho cul thi$ hig ax den tha fici scie a v add sio elg( froi p pha mo titu end ficu me clew pra the cia] ficu me kno its .. .VERDICT OF HISTORY dicine and would change slow- license to practice. enough that it lived almost as If he is grade conscious about g as he did. To rely upon that getting in, he is equally grade t of approach today would in- conscious about getting out again. e that every graduate would be The result may not be disastrous, rofessional anachronism within but it is certainly frustrating from years. the viewpoint of a faculty, and it our objective is a well educat- certainly is wasteful of the abili- man, and in this we would ties that our students really cept the definition of every possess. )d liberal arts faculty for its * * * duates, with the added con- WE IN MEDICAL SCHOOL, as ion that he be professionally elsewhere in the University, define mpetent. Come to think of it, I a student as really promising when ven't seen a really first class he demonstrates the capacity to inition of this sort in some see and move beyond the basic ie. Can it be that my academic "degree requirements" because of leagues experience some dif- his own need for comprehension ulties with it? I would not pre- and satisfaction. ne to define this paragon We shall begin to feel real ong men, but it is possible to satisfaction only when everyone, er a partial description, in students and faculty alike, comes -ms of what is required to meet to recognize that medicine is in professional competence part Integral part of our entire social the definition. and academic structure, and that * * * all knowledge is useful in the FE SHOULD clearly be able to specific understanding and appli- nprehend and communicate, cation of medical skills. d at several levels with equal e. Scholarship in medical What the man studies is of less ence requires a basic vocabu- importance than how he studies y of some size, and clear state- aeri seik comprehensio oacthe nts of medical observations or terioal incterms of itsupace soned expositions of excep- the total scheme of human af- nal scientific merit are still fairs is perhaps the ultimate goal e enough to be remarkable. Yet in 'medicine as in anything else. s is not enough. To obtainin- To read Shakespeare in the light mmation from a patient and to of medical knowledge is a reveal- e information to a patient may ing experience, just as to practice infinitely more challenging., medicine with the knowledge of w many people who read this humanity that Shakespeare pro- e been uniformly satisfied with' ides a scholar s to be a better ability of their own physician" physician. Yet you canb"lean" communicate under all cir- the experience. To study Kaiser nstances? Wilhelm with medical knowledge Further, the ability to do so sis to understand some things about tjust a test of verbal skill. We history that are very possibly not .We attainable in any other way; but an increasing tendency in to appreciate the impact of med- mathe matic ers observatios icine on personality and history ly in the profession. Have is to be a more preceptive prac- ly i th prfesson avetitioner of medicine. ugh background in mathe- tI tics, physics and chemistry to: In all of human history medi- this effectively, yet it is clearly cine has prospered and declined in direction of the future. At the direct relationship to the develop- el of patient needs again, who ment of the sum of human schol- sufficient training in psy- arly endeavor. It does not relate logy or sociology or a sufficient just toscience but to the human- tural understanding to meet ities and arts in equal measure. s responsibility with uniformly The great periods of medicine in h competence? Yet this is only Egypt and Greece were original beginning. One can find evi- and creative. Roman medicine was ice to support the contention like Roman art and science, and t psysicians don't have a' suf- it remained for the Reaissance ent background in political to produce new impetus. In all In- ~nce or economics or history in stances originality and real prog- ariety of publications. We must ress in medicine have occurred I to our definition of profes- only in environments where all nal competence a better knowl- creative and scholarly efforts have e of the community as distinct flourished. i the individual. * * * * * IT IS highly unlikely that we 'ERIIAPS the most important shall change the verdict of his- se of the definition, also the tory. So long as medicine pro- st difficult, is a positive at- gresses as a part of the larger ide toward scholarshipas an scheme of human understanding it i in; itself. We- :have, little. dif- will prosper, .but the man,,in. ilty teaching those phases of medicine without that understand- dical knowledge which have a ing is in desperate isolation and ar bearing upon the immediate unable to influence his own des- tical ;problems that confront tiny or the destiny of his profes- individual student or physi- Sion. Under 'such circumstances' n. We have considerable dif- , the trade school tag, with all that alty in arousing interest in the it implies, would be justified, and thods of derivation of that the result a foregone conclusion. wledge or in speculation about NEXT WEEK: ultimate implications. Robert C.Angell The State's Scholarship Program A BILL TO INCREASE the state scholar- ship program to $2 million from its present $500,000 level is receiving deserv- ed bipartisan support in the Legislature. Sen. Gilbert Bursley (R-Ann Arbor), who originated the plan for a state schol- arship program last year, is co-sponsor of ,the bill along with Senate Majority Leader Raymond Dzendzel (D-Detroit) and 15 others. And Bursley maintains that he could have gotten "twice as many" sponsors for the bill, a sign that the measure can get the support it needs for passage. The scholarship program Bursley orig- inally introduced in the House last year as representative from Ann Arbor called for an appropriation of $300,000 to be administered by the Michigan Higher Ed- ucation Assistance Authority as a supple- ment to their privately financed schol- arship program. By the time the measure was adopted in May, however, the appro- priation had been upped to $500,000. GOV. GEORGE ROMNEY reportedly was going to maintain the program at its present $500,000 level, but responded to pressure placed on him by the state De- partment of Public Instruction, as well as by Bursley and other members of the Legislature, and included a $1.5 million appropriation to increase the program in his budget request. The $500,000 added to the governor's request in the Bursley-Dzendzel bill is recognition-at least in part-of the cry- ing need for a much larger scholarship program. Last year's $500,000 is providing tuition grants for 1,277 students in Michi- gan institutions, including 243 at the Uni- versity, but there are at present nearly 17,000 students who meet the standards for need and ability to qualify for the grants.' A competitive examination is given to all applicants as the basis for selecting winners of the scholarships. The scholarships can ,hen be used at either public or private colleges in the state. INDEED, one of the major reasons the scholarship plan was adopted in the first place was that through it, funds could be provided to students who wish to attend a private college, but wouldn't otherwise be able to afford to. In this way, some of the enrollment pressure can be removed from the burgeoning public col- leges and universities, as the private schools increase their percentage of the total higher education enrollment. The scholarships, which cover tuition up to $800 per year, are renewable for four years as long as the recipient re- mains a legal resident of Michigan, at- tends an accredited institution within the state, maintains a C average, submits a yearly. renewal application and state- ment of financial need and remains in good standing at the school which he at- tends. Another important part of the Senate bill calls for the awarding of "certificates of recognition" to those who qualify for the scholarships but don't receive one because there simply aren't enough to go around. Such certificates could be used when applying for college admission, and for other scholarships. In the event the This is equally true for the freshman medical student and for the established practitioner of: medicine. The preoccupation with "the cold dope that bothers our university colleagues, bothers us just as much, and we are no more successful in dealing with it. The student, and hetis legion, who views his university experience as an obstacle course to be overcome doesn't stop feeling this way when he gets into medical school. If he approaches a course in English or history or biology as something that has to be done to get into medical school, he is equally as likely to view a course in biochemistry or work in ob- stetrics as something that he must get through in order to obtain a A High Reputation "PROGRESSIVES" on the city council, dissatisfied with Ann Arbor's reputation as the cultural Harvard or the scientific MIT of the Middle West, now want the highest rising village west of Man- hattan. --Senate Affairs (A publication of the Senate Advisory Committee on University Affairs) P!7L le I r / ./ - = .f , ' ; :ua "r r , I t - 7 e , 7^;= 'r. ACS/ + " - ' a ,. ~i iw " . /l . CHAMBER ORCHESTRA: Paris String Ensemble Performs with Vitality THE PAUL KUENTZ Paris Chamber Orchestra, a string ensemble of 12 young musicians, performed Sunday evening with rhythmic gusto and careful at- tention to stylistic minutia. The program began with a Gab- rielli "Sonata in D major for Trumpet," Adolf Sherbaum, solo- ist. Professor Sherbaum's playing fulfilled the requirements of the sonata, but, because the musical content of the piece proved to be more diversion than substance, his performance lacked interest. The high, rigorous finale of the sonata redeemed an otherwise colorless composition. A last minute substitution re- placed a Haydn cello concerto with the Vivaldi "Concerto in G Minor for Two Cellos." Michel Renard and Jean-Marie Gamard not adequately display the group's musicianship. The Telemann "Trumpet Con- certo in D major" was more chal- lenging to Sherbaum's technical forces. He met the challenges ad- mirably, unsure in only a few passages, and produced a lyric tone well suited to the soprano lines of the trumpet part. 1* * * THE PROGRAM CLOSED with two modern compositions, Rous- sel's neoclassic "Sinfonietta" and Bartok's "Roumanian Dances." Kuentz was more at home with the Roussel, intensifying the la- tent power of the twelve member ensemble during the open-string effects at the opening of the sin- fonietta and at the sonorous cli- max of the andante. The Bartok was given a slick I I