Chicken or the egg?

Which came first: the original students admitted to the Medical School or the first graduates?

If you said graduates then you must be paying attention.

In the past I’ve discussed how the original requirements for admission to the Medical School (then known as the Department of Medicine) where formulated in April of 1888 with the first class entering in October of that same year. Prior to that, the College of Medicine consisted of faculty members that served as an examination body that recommended candidates to the Board of Regents to receive a Bachelor of Medicine or M.D. It did not provide instruction, rather it assessed all candidates on their scientific and professional skills. The first graduates earned their degrees in 1884. Four years before the first entering class. Those graduates were James Simpson and Hugo Speier.

The following is a partial list of examination questions they faced in 1884.


  • Give Chemical composition and microscopic structure of bone.
  • Give boundaries of the Fourth Ventricle.


  • Fats: Variations and use in the economy.
  • Protein compounds: Characteristics and ultimate destination.

Medical Chemistry

  • Describe the symptoms of poisoning by oxalic acid. (a) Mention the antidote or antidotes for oxalic acid, with an explanation of their actions. (b) How is oxalic acid liable to be taken by mistake?


  • What condition of the brain would you expect to find in a case of death from acute alcoholic poisoning?
  • What is Cancer? Describe its varieties.

Sanitary Science

  • What do you understand by Preventive Medicine as distinct from public or private hygiene? Give an illustration.
  • Name the dangers to health most likely to occur in the house of a farmer or in a private house in towns or cities. State how you would search for them and how prevent or remedy them.


  • How should a punctured fracture of the skull be treated?
  • For what injuries and diseases is amputation generally performed?

Practice of Medicine

  • Is there a distinction between functional and structural diseases? If so, give a definition of each kind and illustrate by example.
  • What is Meningitis and what are its results?

Diseases of Women & Children

  • Give anatomy of the Uterus.
  • Give differential diagnosis of scarlitina and measles.

Read the faculty minutes for the College of Medicine from 1883-1886 and see the full set of examination questions (pages 21-28) below.

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