Smallpox was decimating the population. There was need of the manufacture of great quantities of virus with which to combat it, and of other common and necessary serums and prophylactics as well.
Here then was a golden opportunity to start right. In imagination I saw a Bureau of Science for scientific research and for routine scientific work, a great General Hospital, and a modern and up-to-date College of Medicine and Surgery, standing side by side and working in full and harmonious relationship. The medical school would give to the youth of the land the best possible facilities for theoretical training in medicine and surgery, while access to the wards of the hospital would make possible for them a large amount of practical bedside work. Its operating amphitheatres would increase the opportunity for clinical instruction, as would a great free outpatient clinic, conducted primarily for the benefit of the poor. Professors in the college would hold positions on the hospital staff, not only in order to give to them and to their students every facility for clinical demonstration work, but to enable them constantly to “keep their hands in.” Promising Filipino graduates would be given internships and other positions on the house staff of the hospital. Patients would be admitted to its free beds subject to the condition that they allow their cases to be studied by the faculty and students of the college. The necessary biological and chemical examinations for the hospital would be made in the laboratories of the Bureau of Science, which would at the same time afford every facility for the carrying on of scientific investigation by advanced students, by members of the faculty of the college and by members of the hospital staff. Members of the staff of the biological laboratory would have the use of the great volume of pathological material from the hospital, and with free access to its rooms and wards, would have an almost unparalleled opportunity for the study of tropical diseases, while some of the officers and employees of the Bureau of Science and of the Bureau of Health might be made members of the faculty of the college and their services utilized as instructors.
As we had neither laboratories, hospital nor college at the time, the realization of this somewhat comprehensive scheme seemed rather remote. It was commonly referred to as “Worcester’s dream,” and one of my friends in the army medical corps probably quite correctly voiced public sentiment when he said, “Poor Worcester has bats in his belfry.” However, he laughs best who laughs last! After the lapse of a good many years my dream came true. The three great institutions which I hoped might sometime be established are to-day in existence, and are doing the work which I hoped that they might perform. Now let us consider how they came to be.