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Medicine at Yale in the Eighteenth Century
Founding of the Medical Institution of Yale College
The Medical Institution of Yale College at Midcentury
Rising Standards and an Expanded Curriculum, 1870-1901
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Introduction
Medicine at Yale, 1701-1901, has been on display in the rotunda of the
Cushing/Whitney Medical Library from October 20, 2000 until the end of December. It features books,pphotographs and ephemera from the collections of the Historical Library on eighteenth-century doctors who graduated from Yale College, and on the formation and
growth of the Medical School from its opening in 1813 to the celebration of Yale's Bicentennial in October, 1901. Later exhibits will cover the years 1901-1951, and 1951-2001.
Medicine at Yale, 1701-1901 was curated by Toby A. Appel, Historical Librarian of
the Cushing/Whitney Medical Library, and was based in part on the manuscript histories of the MedicalSSchool by Elizabeth Thomson and Gerard N. Burrow, M.D.
Toby Appel, Mona Florea, Alfred May, and Gillian Mayman prepared the Web adaptation.
Medicine at Yale in the Eighteenth Century
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Medical Graduates of Yale College in the 18th Century
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Yale College, founded in 1701, began to produce doctors almost from the beginning.
Herbert Thoms, professor of obstetrics and gynecology and medical historian, identified some 240 graduates of Yale in the 18th century who practiced medicine at some point in their careers.
This represents about 10% of the graduates of Yale in this period. Shown is the beginning of
Thoms' list. No credentials were required to practice medicine through most of the 18th century.
The leading physicians of the state in the eighteenth century were mostly graduates of Yale College
who then acquired practical training in medicine through an apprenticeship to a practitioner. Several such practitioners
are highlighted in this and the next case. Some medical knowledge was part of the equipment of every educated man in
the eighteenth century. |
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Herbert Thoms, The doctors of Yale College 1702-1815 and the founding
of the Medical Institution. Hamden, Conn.: Shoe String Press, 1960.
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Medical Books at Yale in the 18th century
The first printed catalog of Yale College shows that, early in its history, Yale had acquired a number of medical books. These books, which include the donation of Daniel Turner (see right), are now part of the 1742 Library housed at the Beinecke.
A Catalogue of the Library of Yale College. Facsimile, n.d., of New London, 1743.
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Yale's First M.D., 1723: Daniel Turner of London
The first M.D. granted by an American university was an honorary M.D. granted by Yale College to Daniel Turner (1667-1741), a popular and controversial London practitioner. Turner answered a general call for gentlemen to donate books to Yale College. However, with his gift of 25 titles, Turner requested that he be awarded an honorary M.D. Yale agreed and presented Turner with the degree in 1723. Turner did not have an earned M.D. but was licensed to practice by the College of Physicians of London -- degrees were not necessary to practice medicine at the time. He hoped that the additional credential would allow him to become a Fellow of the Royal College of Physicians. He did not succeed in this ambition, but he proudly used his M.D. in his later books.
Shown here an early work by Turner, De Morbis Cutaneis: A Treatise on Diseases of the Skin. London, 1714, in which he is identified as "Daniel Turner, licentiate of the College of Physicians." In this later work of Turner's, The Art of Surgery, 6th. ed. London, 1741, Turner styles himself with the more impressive "Daniel Turner M.D., of the College of Physicians in London." This volume was acquired by the Medical Institution of Yale College. The first edition (1722) of this title was part of Turner's gift to Yale.
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Jared Eliot (1685-1763), Yale 1706, Minister/physician
For most physicians in the eighteenth century, medicine was a part-time profession and not
the sole means of earning a living. In the first half of the century, Connecticut was home to several prominent minister-physicians, the most influential of whom was Jared Eliot was a
learned and well-respected Congregational minister of Killingworth, Connecticut and at the
same time a highly regarded physician. He received his training in medicine from the Reverend
Joshua Hobart and in turn, he trained, it has been said, some fifty of the next generation of Connecticut physicians, including his son-in-law, Benjamin Gale. Eliot's writings were on
religious and agricultural subjects. The original of this portrait of Eliot hangs in the
Beaumont Room, Sterling Hall of Medicine.
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Jared Eliot on Agricultural Improvements
Jared Eliot, A continuation of the essay upon field-husbandry, as it is, or
may be ordered in New England. New London: Printed, and sold by T. Green, 1751.
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Benjamin Gale (1715-1790), Yale 1733, and His Article on Inoculation for Smallpox
Benjamin Gale studied medicine under the preceptorship of Jared Eliot, minister/physician of Killingworth. Gale married Eliot's daughter, gradually took over Eliot's practice, and acquired a wide reputation as a physician. His article on inoculation for smallpox read before the Royal Society in 1765 by John Huxham and printed in its Transactions, is one of the earliest medical publications by a Connecticut physician. It discussed the Boston epidemics, Connecticut legislation on inoculation, and the medications to be given in preparation for inoculation. Gale served as a representative to the General Assembly of Connecticut from 1747 to 1767 and wrote a number of controversial political tracts including attacks on state grants given to Yale College.
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Elihu Hubbard Smith (1771-1798), Yale 1786, and The Medical Repository
After graduation from Yale, Smith was apprenticed to a physician and also attended Benjamin Rush's medical lectures in Philadelphia. At the time of the founding of the Connecticut Medical Society, Smith was in practice in Wethersfield, Connecticut and active in a literary circle. He was a founding member of the Medical Society. Soon after, he left for New York City where he was instrumental in starting the first American medical journal, The Medical Repository (1797), which he edited along with Samuel Latham Mitchill and Edward Miller. His diary, owned by the Historical Library and transcribed and published in 1973, recorded his desire to publish a medical journal as early as 1795. Dr. Smith's promising career was cut short by the yellow fever epidemic in New York City in 1798. The original of this pastel portrait by James Sharpless hangs in the Steiner Room, Sterling Hall of Medicine.
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Volume 1 (No. 1) of The Medical Repository, 1797
This pioneer medical journal was published in New York until 1824. Elihu Hubbard Smith, Yale 1786, was one of the founding editors.
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Noah Webster (1758-1843), Yale 1778, Epidemiologist
Noah Webster, the noted lexicographer, was the author of the most important eighteenth-century medical work published by a graduate of Yale, A Brief History of Epidemic Diseases (1799). Although he was not a physician, Webster was well read in the medicine of his day, and corresponded extensively with physicians.
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Noah Webster on Epidemics
The great clinician William Osler called Noah Webster's A Brief History of Epidemic Diseases (Hartford, 1799) “the most important medical work written in this country by a layman.” In two lengthy volumes, Webster surveyed epidemics and mortality data from the Bible to 1799 in order to demonstrate that pestilences such as the bubonic plague in Europe and the yellow fever epidemics in the United States in the 1790s were not “contagious” and “imported” but rather originated from environmental changes in the atmosphere.
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New Haven County Medical Society, founded in 1784
Beginning in the 1760s, Connecticut physicians tried to join together to obtain legislation to limit medical practice through licensing. These efforts failed presumably because the state legislators distrusted a self-perpetuating monopoly that would limit patient choice. The founding of the New Haven County Medical Society in 1784 set the stage for a series of renewed attempts at obtaining a charter for a state society. Especially important in this campaign was the society's publication, Cases and Observations, in 1788, the first published transactions of an American medical society. This publication eased the concerns of legislators by emphasizing the educational function of societies, rather than the regulatory function.
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Founding of the Connecticut Medical Society, 1792
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After several attempts, the physicians of Connecticut, led by the members of the New Haven County Medical Society, were able to obtain a charter from the State Legislature to form the Connecticut Medical Society in 1792. The charter provided for the creation of medical societies in each of the eight counties, which would in turn elect voting representatives to the state meetings. The membership of the Connecticut Medical Society would include all the members of the county societies. In 1793, after the county societies were formed, there were 309 members. Although licensing began immediately, it was not until an amendment of 1800 that the Society could require new physicians in the state to obtain a license. The Connecticut Medical Society participated in the creation of many of the state's medical institutions including the Medical Institution of Yale College (1810), the New Haven Hospital (1826), and the Hartford Retreat for the Insane (1823).
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