In each case in which admission is denied because of unsatisfactory health, the individual is given careful advice relative to his present and probable future condition, and every effort is made to help the applicant plan his life so that he may be able at a later time to enter the college. Of course, it occasionally happens that applicants are found with serious and incurable health defects which make it very improbable that they will ever be in condition to attempt a college education.

Scope of health examination

The health examination of the student should cover those facts in his family and personal health history that are likely to have a bearing upon his present or future health, and the examination should include a very careful investigation of the important organs of his body. This examination calls for expert medical and dental service.

How to conduct health examination

The most useful examiner is he who is at the same time a teacher. Nowhere else is a better or even an equally good opportunity given to drive home impressively, and sometimes dramatically, important lessons in individual hygiene. Through a pair of experimental lenses placed by his examiner before his hitherto undiscovered visual brain cells, the young student who has had poor vision and has never known it, may obtain, for the first time, a glimpse of the beauty in his surroundings.

The dental examiner who finds bad teeth and explains bad teeth to the student whose health is being, or may be, destroyed by such teeth, has before him all the elements necessary for very effective health instruction.

The health examination should be a personal and private affair. It is often best not to have even a recorder present. The student should understand that whatever passes between him and his examiner is entirely confidential.

All advice given a student at these examinations should be followed up if it is the kind of advice that can be followed up. If the advice involves the attention of a dentist or treatment by a physician, time should be allowed for making arrangements and for securing the treatment necessary. After that time has elapsed the student should be called upon to report with information from his parent or guardian, or from his family health adviser, indicating what has been done or will be done for the betterment of the conditions for which the advice was originally given. In the hands of a tactful examiner—one who is a teacher as well as an examiner—the student and parent, particularly the parent, will coöperate effectively in this plan for the development of health habits of the student. Less than three tenths of one per cent of the parents of City College students refuse to secure special health attention for their boys when we do so advise.

These examinations should be repeated at reasonable intervals throughout the entire college course. We have found in the College of the City of New York that a repetition every term is none too frequent. Visual defects, dental defects, evidences of heart trouble and signs of pulmonary tuberculosis, and other defects, not infrequently arise in cases of individuals who have been seen several times before without showing any evidence of poor health. It is hoped that these repeated examinations may lead to the continuation of such habits of bodily care in postgraduate years.