THE ROCKEFELLER FOUNDATION General Bulletin October 26, 1921 -----------I--I--------------------- DEDICATING TBE PEKING MEDICAL COLLEGE* Peking is beautiful in the early autumn. The hutung dust is then less stifling than usual, the open shops present fascinating pictures on all the streets, the itinerant venders and beggars send forth their calls harmoni- ously, funeral and wedding processions display their most gorgeous designs. Through the clear air the western hills stand out green and purple in the distance; and in the foreground rise Coal Hill with its artistic little pago- das, the magnificent gates of the Tartar Wall, the Imperial City with its yellow roofs and, not less conspicuous, the great green roofs of the Yti Wang Fu, the new medical college and hospital. To see and to dedicate the Peking Medical College, scientists and dele- gates came at this alluring period of the autumn, from Japan, from England, Scotland and Ireland, from Java and Korea and the Philippines, from Canada and from France, from the United States and from every important province of China. The academic procession of these eminent visitors on September 19 was striking in its contrasts. Scientists from the East and from the West marched together in occidental academic oostume , passing in slow prooession beneath the great overhanging roofs of green tile, past modem laboratories and age-old water carts, through rows of students of western medicine and past groups of wondering coolies and ever-present beggars. The street cries of the singing craftsmen merged with the martial rhythm of the new great organ as the column swept slowly into the beautiful temple building which within proved to be a modern auditorium. The Program of the Week The dedication ceremonies and the medical conference held in connection with these exercises extended over a week and a day - from September 16 to September 22. Each morning clinic sections occupied the first two hours, visiting pro- fessors alternating with members of the college faculty in giving demonstra- tions in medicine, surgery, obstetrics, pathology, and the medical and *This Bulletin aontains an informal account of the dedication written by Edwin R. Embree, the Secretary of the Foundation and of the Peking Trus- tees, who has just returned to New York after four months in Peking confer- ring with the Director and Faculty concerning the program snd budget of the college. Section from the Pathe film - The Academia Proaession passing from the oollege laboratories to auditorium - Drs. de Schweinits, Florence Sabin, Goldwater, Barton, and Tuffier are conspiouous from right to left behind the marshall, who carries the baton. surgical specialties. The attendance end the interest at these six or seven sectional clinics held each morning throughout the week were a gauge of the scientific value of the coolf'erence and a prophecy of the significance to individuals and institutions throughout China of the new college and its brilliant faculty. The last hour of each morning was devoted to a paper delivered in the college auditorium by one of the visiting scientists on some phase of medicine. The afternoons were given over to receptions, to inspection of the new buildings, and to personally conducted sightseeing tours about Peking. At nine each evening an address on a medical topio of general interest was given in the auditorium. These evening programs included an introduc- tory survey of medical education in China by Dr. Hume, of Changsha; a reczount of adventures in public health by President Vincent; moving pictures and dem- onstrations of health propaganda by Dr. W. 1. Peter, of the China Public Health Council; and the valedictory address of the Conference by Dr. Welch, Such was the skeleton of the program. It wes fleshed out, in accor- dance with individual tastes and opportunities, b the widest variety of soientific and social functions. Scene in the court between the main gate of the oollege and the auditorium - Physiology building in center of picture. Across this space the academic procession marched to the dedication ceremonies The foreign legations gave dinners and teas; Chinese societies gave luncheons; the Peking Chamber of Commerce bundled us all off in a flock of automobiles late one afternoon to the summer palace of the late Empress Dowager for a picnio supper and a magic view by the yellow September moon of the royal pleasure grounds among the Western Hills. The President of the Republic gave a formal reaeption - top hats end frock coats - in the ugliest of green-aarpeted rooms situated in an otherwise picturesque por- tion of the old Forbidden City. A dinner to faculty, trustees, and dele- gates closed Saturday evening in a riot of speech making. On Sunday morn- ing Bishop Roots presided at the service in the college auditorium or chapel; in the evening a new era began in Peking life with a recital on the college organ, the first such instrument - save for a tiny one in the Catholic Church - to make its appearance these thousands of years in this old capital of China. During all these deys the trustees were attending few receptions or clinics. They were meeting in the counoil room of the college from nine o'clock in the morning until five or six in the afternoon of every day, The west gate of the Yfl Wang Fu - entrance to the hospital and nurses home. Native buildings and rickshaws are shown on either side of the hutung or street in the foreground reviewing each item of the budgets proposed for this and the next two years, oonsidering in detail the plans and needs and opportunities of this insti- tution which presents so maqy vexed problems yet which seems to promise 80 much for the future of medicine in China. The Institution Which uas Dedicated The institution which was being dedicated is a medical college and hos- pital erected by the Rockefeller Foundation in architecture characteristic of the best in Chinese classic and sacred buildings, and maintained in accordance with high modern scientific standards. Sixteen buildings, with sweeping green tile roofs and great overhang- ing eaves, house the laboratories, hospital wards, and auxiliary structures of the institution proper. These are situated on the Yfl Wang Fu, the ancient palace grounds of Prince Yit. A Corner of the College Auditorium Showing Anatomy Building at the Left Across the Street 6. One block east, on Hata- men Street, stands the build- ing of the old Union Medical College nou occupied by the Pre-Medical School,which gives three years of intensive train- ing in the chemical, physical, and biological sciences prepar- atory to medicine. A little further east, across MIxmen Street and situated a couple of blocks apart, are the north and south residence compounds. Here, shut off by high walls from the dirty, disease-filled hutungs of Peking, groups of modern brick houses with elec- tric lights, furnace heat, and running water, stand on trim New England lawns, shaded by ancient trees, banked by shrubs and flowers. These are the homes of members of the faculty and their families. Near the south compound stands the old a'sin kai lu Hospital, now being transformed into a men's dormitory. Ad joining both the H'sin kai lu and the south compound lie the palace grounds of Prince Yi in dilapidated grandeur. The faculty falls naturally into three groups: first, a nucleus of physicians who have served valuable terms in mission hospitals. and schools and who were selected from the six or seven hundred medical mis- sionaries in China and further trained under fellowships in England or America before being called to positions on the staff; second, a group who have been brought directly from teaching or research institutions in the West to con- tinue their scientific careers in the new college; and third, Chinese. These latter already form a fair proportion of the whole faculty. It is hoped that their number will steadily increase and that their academic and administra- tive responsibilities will be rapidly extended. It has not been a simple matter to assemble this group of able men and women in a new institution situated far from other centers of scientific work. Nor has it been easy for them to settle down to their work in this strange environment during these first years when buildings were still in process of construction and programs and policies were still being worked out. 6. It is difficult to give a true picture of any aspect of life or work in Peking. The residence compounds are trim and pretty. Yet living shut in by compound walls on the doorsteps of the families of the same people with whom one is working all day in laboratories and wards, makes life a bit intense. henty to thirty children per compound do not add to the quiet of life nor to the ease of neighborliness. Outside the compounds the city of Peking has aspects of beauty, many ramifications of interest Group of Trustees end Officers of Peking Union Medical College taken by the entrance porch of the Anatomy Building From left to right: Dr. Francis W. Peabody, of Harvard Medical School; Dr. Henry S. Houghton, Director of the College; Miss Eggleston, Assistant Secretary of the Board of Trustees; Edwin If. Embree, Secretary of the Rocke- feller Foundation; Prof. Paul Monroe, Teethers College, Columbia University; James L. Barton, Secretary, American Boer-d of Foreign Missions; Dr. William H. Welch, of Johns Hopkins Univsrsity; Dr. Richard M. Pearce, Dire&or, Foundation's Division of Medical Education; George E. Vincent, President, Rockefeller Foundation; John D. Rockefeller, Jr.; Roger S. Greene, Resident Director of the Foundation's China Medical Board; F. H. Hawkins, London Mis- sionary Society: Martin A. Ryerson, Chairman, Board of Trustees, University of Chicago; J. Christie Reid, Medical Missionary Association of London. 7. and charm, but these are enveloped in dirt and violent smells, and an all- pervading atmosphere of poverty and disease. House rent and such cloth- ing as can be purchased, laundry and abundance of servants are cheap beyond the imagination of Western householders. But there are things which no amount of money can buy for the resident of the dingy city of Peking. Policies of the College - Expense It was recognized when plans for China were first considered, that neither this institution nor any number of schools which one agency might maintain would be able to train the great body of medical practitioners needed by the Chinese. The purpose therefore in establishing the college was to set standards, to train leaders, to demonstrate what an adequate medical college in China might represent. Thus by a single institution it was hoped to influence en entire nation. This purpose has been adhered . to consistently. It is because of this purpose that so great significance was attached to the attendance at the dedioat*on of the large body of medi- cal men from all parts of China and to their expressed desire to share in the opportunities for co-operation and far advanced study. The expense of constructing the buildings has been great. The war, loss in exchange, and the difficulty of erecting Western laboratories and wards end in installing power-driven machinery in the Orient have all con- tributed to multiply a total cost which under the best of conditions prob- ably would have amounted to four millions gold. The expenditures for equipment and applies also have been larger than originally planned. Finally the costs for snnual maintenance threatened to become intoler- ably greet. In order to study the program and to develop it in detail, to analyze the proposed expenditures end, so far as seemed wise, to reduce them, officers of the Foundation spmt recent months in Peking and the trustees of the college and certain members of the China Medical Board and Foundatia journeyed to Peking this autumn and devoted many hours to considering every aspect of the work end every item of the proposed expenditures. The budgets agreed to for the college and hospital for the next three years are slightly below those of similar well-established institutions of high standing in the United States. Of course the classes of students are still small, and not more than 175 hospital beds are to be used at present, The sums made available, so much above those of other colleges and hos- pitals in the Chinese Republic, and the programs adopted make this institu- tion unique in all China,- in sane aspects unique in the entire Far East. This places upon the faculty a responsibility for leadership in teach- ing, in hospital management and in the advancement of medical science and the public health to which they are alive. Few medical schools, few fac- ulties have ever had before them the opportunities or the challenge to high endeavor which now confront the Peking Union Medical College. China, as one is constantly reminded, is a great and slow-moving mass. The very magnitude of the work forbids the expectation of hasty results - Rome was not built in a day. As Mr. Rockefeller pointed out in his dedioa- tion address, not in terms of a day nor a year nor a decade is the work of this institution to be judged. But in the revolving years end generations who can tell to what tree of influence this mustard seed may grow in the life of the great old country of China.