Men and Women Medical Students, I 1 I AND THE WOMAN MOVEMENT. There seems a general disposition to grant that it i§ improper for medical students of Loth sexes to attend the clinical lectures and examinations, at the same time and place; but it does not seem to be remem- bered that this impropriety as lately exhibited at the Pennsylvania Hospital, was the act of the women who went there, and that their unwelcome attempt to join the male classes was the first and true cause of the disturbance that followed. It is very true that their sex should always protect women from unkindness and in- sult at the hands of men, but age and refinement, no less than the circumstances under which the sexes are brought together, have much to do with the treatment reasonably to be expected. The medical students are, for the most part, quite young-generally at the forma- tive age between boyhood and manhood : the women- students are, relatively, much older in years and in 1 2 feelings, as well as experience. Yet, in the recent outbreak at the Pennsylvania Hospital, the women were the exciting cause of the state of mind in the lads, which expended itself in misplaced manifesta- tions of contempt. And it may not be denied, that with the hot blood of youth, gentlemanly instincts sometimes lurk beneath indiscreet expressions of dis- gust or disapprobation toward a woman who unsexes herself in public. Even among the male patients at the Hospital clinic on that occasion, some " old tars " made strong objections to being exhibited with their peculiar infirmities, to women, and this, too, would seem like gentlemanly instinct, in men who make no pretensions to being gentlemen. It is said also tluy; the lecturing professors, with the refined and culti- vated feelings of gentlemen, were put to the blush, and disinclined to exhibit certain cases, or explain their cause and character, in the presence of women, whose modesty, if they had any, ought to be shocked. The old Quaker blood, and the love of gain exist- ing in the few leading managers of the Hospital may have misled them into the idea that young men and women might be brought together to look at and talk about all parts of the nude human body, without any impropriety-without improper excitements and im- pulses. And yet, strange to say, these same old Quakers, at their " first-day meetings " carefully separate the men and women of all ages and relations, on opposite sides of their assemblies! Can there be 3 less danger in the contact and mixing of the sexes while attending a medical clinic, than when assembled for religious worship? These managers know less of human nature than is required in the government of a large body of medical students, 03? the affairs of a public hospital. And thus it was, that in the sale of about thirty tickets to women, made no doubt in sympathy with the so-called "woman movement," they have tried a dangerous and indelicate experiment in their pet institution. When it is said significantly that the male students proved by their conduct they "were gentlemen,' why is there not equal force in saying that the female students proved, by seeking the clinics and their as- sociations, that they " were not ladies And this would seem to square the account, if there were not serious considerations involved, touching the inter- ests both of the city and its medical colleges. If these old Quakers, with their ideas of "Woman's Rights," and their ambition to sell more tickets to the clinics of their Hospital, should succeed in driving the medi- » cal students from Philadelphia (about a thousand young men from the various States) to the medical schools of less reputation, who sanction the presence of the female students,-we ask if the women would- be-doctors could support the colleges, or in any way compensate the city for the loss ? The estimate is readily made, of the value to Philadelphia of the in- fluence which her medical schools bring to her 4 general prosperity, whether in a pecuniary sense, or in the high and honorable reputation for science which has so long been hers. The same evil complained of here, has existed for two winters, with equal objection, in the medical colleges of New York, where it has been reluctantly submitted to. But a recent letter which was read at a meeting of the University and Jefferson Medical Faculties, from the eminent physiologist, Dr. J. C. Dalton, of that city, reports the women's advent there as doing great mischief. He says it is variously spoken of being from "lad" to " unmitigatedly disgusting"-and there is no higher authority among physicians, whether of the United States or Europe, than that of Dr. J. C. Dalton. The question of how far it may be wise and proper for women to enter the medical profession, and to what degree, or in what department, is still an open and unsettled one. The experiment of the Old World is unfavorable, in promise, to the permanent success of such an experiment in the new. In France it has died out of its own accord, after being allowed every possible opportunity for a fair trial: there are no successors to the well-deserved reputations of Mes- dames Boivin and Lachapelle. How far that period of trial may have lowered the moral standard of French medical students of either sex, it may not be well or appropriate to investigate here. But the whole subject, in its social bearings, demands wise 5 and careful consideration, and we would (with due deference) recommend the managers of the Pennsyl- vania Hospital, and the medical students of both sexes, to study Mr. Horace Bushnell's book, entitled, " Women's Suffrage.- The reform against nature." It is believed there have been some hidden influ- ences at work, which, though not visible, are under- stood in their quiet, stealthy leverage, and of which the women at the men's medical clinics, are but a sympathetic feature. The establishment of female medical colleges, and the lecturing of women to public audiences on politics and all sorts of subjects, are due to the same reformers (?), and if we are to accept such as "Miss-Doctor-Major-Harriet* Walker," as a practical result and specimen of what they can and will do for their country, may heaven save us from the " Woman's Rights Movement" in all directions, as these people understand and pursue it. The women-doctors, we must presuppose, are either to remain unmarried (and few do this voluntarily as a general rule), or to marry such poor specimens of men as will permit them to pursue an arduous pro- fession for the support of the family, which they have the cowardly meanness or laziness to neglect, or the incapacity to support themselves. But the Rev. Dr.. Bushnell says, "Manly women are not wanted, and womanly men are not wanted, and most happy it is, in both cases, that they are not." There is probably no profession, in the preparation for, or in the practice 6 of which a greater tendency exists to make " manly women,'1 than in that of medicine, unless we except the military, in consideration of the exploits of the "Major-Doctor" above alluded to. And the mana- gers of the Hospital cannot well be ignorant of this tendency to evil, in the mixing or close companionship of the two sexes, especially while engaged in investi- gations that seem, as it were, to possess inherent in- delicacy. The presence of women must either forbid all full examinations and instructions, or produce un- welcome interruptions, as well as unhappy results. True,, we do not hear of any striking beauties or graceful forms among the female students at the medical clinics,' such as would necessarily withdraw all attention, on the part of young men, from every- thing else but their charming selves; but, some of these days, it might happen that a beautiful woman took it into her mischievous head to attend the clinics among the men, and then-well-we should recall the old Spanish song- " Man is fire, Woman tow, Comes the devil And begins to blow." The argument of the "Woman-Faculty" of "the Female College," derived from the experience of forty women-students who attended the clinics of the Block- ley Almshouse last winter, is most unfortunate as ap- 7 plying to the modest distinctions which they intended to make, of attending only when "proper cases" were before the male class. The refined sense of propriety of those forty women-students was not in the least violated at the introduction of a man patient with cutaneous disease, in an entire state of nudity, with other results then and there, that will not bear print- ing. No shock was felt, or at least none was mani- fested by those " manly" female students, who seemed perfectly undismayed, while the young men witnessed their presence with evident feelings of disgust. We are here again reminded of Mr. Bushnell's philo- sophical reasoning in regard to the influence or ten- dency of manly pursuits upon the womanly nature or character. He says : " Make no doubt of it, women are venal as well as men; a great deal more easily preyed upon by art, and cheated by stratagem. As they sooner believe, they are sooner made prey of. And they will only suffer the more from the art, the stratagem, the prey, that they go to the practice of it themselves and get the fair sweet motives of their womanhood mixed up with so many obliquities. As certainly as women are human, and none of us have any doubt of that, they will take in the political (or medical) corruptions, with a prone-minded human facility. Nor is it a fit answer to say, that they have as good a right as men to be in such corruptions, pro- vided they are not in worse. They will be in worse; a woman cannot be as bad as a man in anything, with- 8 out being worse; for a selfish, plotting, intriguing, political, make-shift woman has a great deal more of the fine fair stuff to mar and muddle, in becoming what she is, than a man will have." And yet the advocates of these reforms make out that all the pursuits of man should be equally open to woman (regardless of the dangers to woman's high- est and holiest life and characteristics) ; that she should join the medical societies, and vote at the elections, and fill public offices. Have they forgotten the sad examples in the early history of politics, in the State of New Jersey ? and " the proud Duchess of Devonshire, who allowed herself to be kissed by a butcher, at the hustings, provided he would vote for Mr. Fox ?" When our women join in the ranks of men, in professions and political parties, and in medi- cal clinics, medical societies, &c., we may expect votes of similar or worse kind; and whatever steps have the tendency to produce such results, it seems wise, for the interests of women as well as men, should be avoided. But in the late innovations, first at the Bellevue Hospital, New York, and now at the Pennsylvania Hospital clinics, Philadelphia, the true and only ques- tion that has arisen, seems to be overlooked or avoided, in the arguments or commentaries of the public prqss. It is not whether women may or may not study medi- cine and become doctors by profession; nor is it whether they shall attend clinics; it is solely whether 9 they may with propriety, and with advantage either to themselves or the male students, attend at the same clinics with men ; or, whether the sexes shall mingle together, in pursuit of the medical profession. There has been no effort made to prevent the women from pursuing whatever calling they choose: on the con- trary, great facilities have been afforded them, in a college of their own, and men have been, and are their teachers. But, as a Western man has said,. " they not only want their own rights, but they want our rights also." It is true that a very large and sensible portion of the people of this country, both men and women, agree in the opinion that it is un- wise and inappropriate for women to become medical practitioners, while it is very desirable they should qualify themselves to fulfil intelligently, the duties of nurses to the sick, as have done the Sisters of Mercy and Miss Nightingale. There is great force in the sensible and character- istic answer of an intellectual and distinguished lady to a committee of the New York Female Hospital, when asking for a public reading in aid of their In- stitution. She said: " No; I never can approve of women adopting the medical profession, so long as they: are creatures with a natural monthly hinderance toper- forming its duties." There have been great mistakes, we observe, in the public announcements here and in the New York papers, that the body of male medical students had 10 returned to the clinic of the Pennsylvania Hospital, on the succeeding Saturday, after the unpleasant and undue expression of their opposition to the attend- ance there of the female students. The limited num- ber who did attend on the next Saturday, and who have continued to do so since then, are made up from the united forces of the small medical schools, who, jealous of the University of Pennsylvania and the Jefferson College, are glad to avail themselves of any chance, to join in an attack upon these older and justly more prosperous institutions. One of these, it is noteworthy to state, goes so far as to adopt the name of " University," at the risk (fortunate ?) of being some- time mistaken by uninitiated students for the ancient and honored Medical University of Pennsylvania. Less than one hundred of such students continue to give their countenance in favor of clinics before mixed classes of both sexes; but the great body of young men (from 450 to 500), of the two regular medical colleges of Philadelphia, whose outraged sense of pro- priety recently caused them to give vent to undue expressions of indignation, have not returned to the hospital clinics since. In this they show, at least, that they would not willingly risk being tempted to repeat such an offence; and in this, too, they have the sanction of their professors, who wisely think it better to lose the paltry subscription, and the benefits of a single source of instruction, than to place them- selves in a false position, or in the way of temptation 11 to exceed the measure of a just indignation. Their continued absence, while the hospital managers still admit the female students to the clinics, should be accepted as a proof of their good faith and honest disapprobation of the impropriety they have op- posed. These views, we are aware, stand in direct oppo- sition 1*o a recent decision of " The General Council of Edinburgh University." But it is a great conso- lation, under the circumstances, to know that the Medical University of Edinburgh, has the misfortune of being entirely governed by the Town Council, and that its learned physicians have little or no power in the management of the Institution. The Town Council of Edinburgh we may naturally suppose to be as unfit to discuss or settle such a question, as are the various writers in our own newspapers. And it is to be regretted that in both cases, the whole subject was not left exclusively where it is best understood, viz., with learned and experienced medical men of the highest standing. We learn from the London Telegraph, that at the meeting of the General Council, or Supreme governing body of the Edinburgh University, the Rev. Dr. Phin proposed " that the audacious proposition should be set aside. Women, he believed to be mentally and physically disqualified for the treatment of disease ; it was out of their province; they should be kept within their sphere, &c." We wish the Scotch 12 University every success, but we predict for it much trouble and small profit, and that it will, before many years, make the Town Council regret the experiment. Like the Legislature of New Jersey, thoroughly dis- gusted with the result, they will set aside the vote by their own act, and send the women back to private domestic life, where they belong. In our more extended country, and with our larger privileges as an independent, free people, the so-called "Woman's Rights Movement," is likely to take a wider range (we are said to "to run things into the ground") than among the staid and canny Scotch. Already there may be said to exist among some of our women, a crazy ambition for notoriety of any sort, more worthy of the other and colossal department of the Pennsylvania Hospital over the river, than of the sober elder brother on Pine Street. In this connection, we rejoice to learn that well- informed men who are deeply interested for the wel- fare of the Pennsylvania Hospital (some of them contributors), suggest that it will be judicious to elect separate and distinct managers for the " insane depart- ment," and the original institution on Pine Street. Why not transfer the Quaker leaders to Dr. Kirkbride, where all their sympathies already belong, and retain the other present managers for the City Hospital? Finally, we do not set up any claim to " a male monopoly " of the medical profession : if the women are resolved to be doctors, and they can find patients 13 to practise upon, let them have their way. But it should be obtained through their own colleges and their own clinics, where the man element has no right or chance to meddle; where, indeed, he is strictly for- bidden to show himself as a student. And if thus left to themselves, it needs no Solomon to prophesy that they will, ere very long, be sick enough of it, and need, and obtain, male medical skill and sympathy to bring them back to their right places. " Philadelphia." November, 1869.