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(1927) physicians, who were obtained from the Public Health Service.

Qualifications of these special physicians are similar to those of the regular physicians of the field service. Five of these physicians have had short post-graduate courses in ophthalmology, one as far back as 1890. Some received their only special work in this line at certain trachoma clinics held at Fort Browning and Albuquerque in 1924. These clinics covered periods of approximately from ten to thirty days. One of these physicians was detailed to Philadelphia for special training under a leading ophthalmologist for a period of two months in 1924.

Although the major part of the work of these physicians has been with trachoma, they perform a fairly large number of tonsillectomies and frequently make examinations for tuberculosis. Their diagnoses of tuberculosis are based usually on a single examination, and naturally if the findings are not clear-cut, an early case may be missed. This is especially true in examining children.

School, Agency, and Hospital Physicians. The number of positions included under the designations school, agency, and hospital physician is 121. Only 104 of these positions were filled at the time this report was prepared. The fact that seventeen authorized positions are vacant is due in part to the difficulty in getting physicians to accept positions in the service, and, possibly, in part to the fact that the Indian Office is not now as much disposed to accept the “old” practitioner as was the custom in the past.

Twenty-five of the present physicians entered the service at 50 years of age or more. The most usual age at entrance was 37, and the average age 42.5. Sixteen are now about 60 years of age, the most usual age is 51, and the average age is 49.8 years. Thirteen have been in the service more than 25 years, twenty-four from 15 to 25 years and sixty-seven less than 15 years. The rate of turnover for physicians is about 54 per cent each year.

Practically all these physicians have been in private practice. The average period is twelve years.

Their schooling preliminary to medical training shows that on an average they all had four years of secondary work, and an average of 0.9 year of college.

Their medical training was obtained in a variety of schools throughout the country. Three of the medical schools listed had