tuberculous patients using the general waiting room in company with patients attending other clinics. After studying the conditions existing in the various clinics, it was decided that to belong to the association each clinic must subscribe to and comply with the following regulations:
a. Tuberculous patients must be segregated in a separate class.
b. Home supervision of all cases by a graduate nurse especially assigned for this purpose must be maintained.
c. Each dispensary must serve a certain district, and all cases living outside of this district must be transferred to the clinic serving the district within which they live.
Early in the history of the Association objection was made to this last rule by teachers of medicine, who held that it tended to deprive them of teaching material; but they soon fell in line with the other dispensaries when they saw the advantage it afforded them of improving their methods without loss of teaching material, and the further opportunity of securing home supervision.
From time to time it has been necessary for the Association to adopt certain methods of procedure in the administration of the various clinics. The general policy of the Association is as follows:
(1) Each clinic should arrange for a physician to visit and treat in their homes patients who are too ill to attend clinic, for whom hospital care cannot be provided.
(2) Special children's clinics should be established wherever the size of the clinic warrants it.
(3) Sputum of every patient should be examined once a month; patients should be re-examined once a month, and the results entered on the records.
(4) The physician should use the nurse's report of home conditions as a basis for advising patients.