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Forty short publications on fossil flora, bacteriology, surgery and medicine by Walter C.G. Kirchner and a few short publications by Arthur Hollick, Elizabeth Britten, and others. The subjects of the medical and surgical reprints include heart and spleen surgery and the treatment of fractured skull and spine, hernia, bowel obstruction, aneurisms, ascites, and wounds to the diaphragm, heart, chest, and abdomen. A table of contents and index for the publications are bound into the volume. A short letter from D.S. Brown of Brownhurst to Walter C. G. Kirchner, 1898, is bound after fossil plant reprints as item 1d. Of special interest is the annual report of the city hospital (1907-08) and Clinic at City Hospital (1906) where Kirchner was superintendent from 1907-1910. Also of interest is "The Bacterial Examination of River Water." (1905), based on work done when he was assistant bacteriologist in the Health department of St. Louis, 1899-1901.

The Frank O. Richards papers contains statistical and narrative pertaining primarily to Homer G. Phillips Hospital, the St. Louis municipal hospital founded and operated for African Americans in 1937, but also to two other institutions, City Hospital No. 2 and the Peoples’ Hospital, that treated black patients during decades of official racial segregation. Included are files on William H. Sinkler, medical director of Phillips Hospital from 1941 until 1960. The files in Box 1 in particular document the writing of his chapter, “The St. Louis Story,” in A Century of Black Surgeons. Box 2 contains later additions, notably an undergraduate thesis by Dean Lee Kolnick (2003) on Homer G. Phillips Hospital.

Perkoff describes his accelerated educational experience at Washington University during World War II and his decision to accept an internship at the University of Utah. He discusses his early research in metabolic and hereditary diseases at the University of Utah, where he was on the faculty and chief of the medical service of the Veterans Administration Hospital. Perkoff relates his returning to St. Louis, his efforts at St. Louis City Hospital to establish a full-time Department of Medicine, and the founding of the Division of Health Care Research at the Washington University School of Medicine. There is an extended discussion of the establishment of a health maintenance organization at Washington University, the Medical Care Group, its structure, financial structure and goals, and its role in training physicians. Perkoff also discusses the delivery of health care in rural settings, his predictions for the development of allied health personnel programs, and the future of medical care delivery.