18 Umversity of Kansas

2. MAINTENANCE AND Repairs. An annual increase of $20,000 a year is re-
quested, to cover the following needs: higher cost of library books and perio-
~ dicals, $1,000; increased cost of maintaining the physical plant, $5,000; deferred
repairs, $9,000; increased cost of operating the enlarged nurses training pro-
gram, $2,500; higher operating costs in the teaching departments, $2,500; pro-
vision for an operating allowance in the new department of physical medicine,
$1,000.

3. Tupercutar Curnic. An annual increase of $5,000 is requested to cover
part of the higher cost of operation, all of which has been charged against the
School of Medicine instead of being shared by the state. The average cost to
the School of Medicine for operation of the clinic the past two years has been
slightly over $12,600 a year. It is considered only fair that $5,000 of this cost
be shifted from teaching expense of medical education to the special appro-
priation for state service.

4. Summer Session AcCcELERATION. The accelerated program of the School ©
of Medicine will run through the summer of 1945. Therefore the special item
of $5,500 which was allowed for the summer of 1944 will need to be continued
for another year.

6. InpicentT Patients (Free Teacuine Cases). The demands of the Army
and Navy on medical schools for an enlarged and accelerated output of doc-
tors has clearly stressed the limitations of medical education in Kansas. The
University has not been able to increase the size of the medical classes to any-
where near the numbers requested by the Armed Forces simply because of a
shortage of clinical teaching cases. This shortcoming has been recognized for
years, and qualified Kansas applicants for admission to medical training long
have had to be denied because the number of clinical patients available has
not justified any increase in the class size. Since clinical patients pay at the
most only a fraction of the cost of their care, the number of such cases has
been limited by the funds available to meet the costs. In the absence of any
ear-marked income for support of these clinical cases, most of the funds for
their support have had to come from net proceeds from private hospital patients
who pay the standard hospital rates. The number of clinical patients can be
increased in direct proportion to the decrease in private patients. In other
words, space now reserved for paying patients can be released to free or teach-
ing patients if a special fund is appropriated to replace the loss of hospital in-
come from private patients. In the interest both of improved teaching and in-
crease in the size of the medical classes, a special item of $90,000 a year for
indigent patients is requested.

7. Posrerapuate Mepicau Program. In cooperation with the Kansas State
Medical Society the School of Medicine is planning an extensive state-wide
program of postgraduate medical education particularly for the benefit of doc-
tors returning from war service. The bulk of the cost of the program will be
met by the Society from funds collected for that purpose. The School of
Medicine’s share of the cost is estimated at $17,000 the first year and $34,000
the second year.

8. Psycuistric Cuinic. To meet a ee and growing need of the School
of Medicine it. is proposed to establish a small psychiatric clinic ‘with a ca-
pacity of about 20 patients. The estimated cost of operating such a clinic is