With the retirement of Dr. James Maxwell, owing to the age limit, Tnstitule has. lost one of its founders, and one to whom the Dir-actor owes a debt of gratitude for his guidance in framing the early policies of the Institute.
'James 'Laidlaw Maxwell obtained nig medical qualifications in 1697. H" came out East in 1900, and except for the War years, during which he held the rank of Major. in the RAM. he was stationed in South Formosa' for a period of 23 years, carrying on the work which his father had initiated. In 1910, he pubished, in association with Dr. Hamilton Jefferys, a book entitied the "Diseases of China!" Jefferys was then surgeon to St. Luke's Hospital. Shanghai, and editor of the "China Medical Journal," while Maxwell was Chairman of the Research Committee of the China Medical Missionary As-Soclation. "A second edition of this work was published by Maxwell in 1929.
Tu 1023, Dr. Maxwell was appointed to the important post of Executive Secretary of the China Medical As~ sociation, while three years later, he Succeeded Dr, Merrins as editor of the "China Medical Journal." It was therefore natural when I came, to Shanghai in 1927. that 1 should immediately seck the counsel of Dr. Maxwell in regard to the establish tment of this Institute, Dr. Maxwell's first appointment at the Institute was that of Librarian and Head of 0 Division of Field Research. It was recognized that the research programme of the Institute mrt be inked in some way with the medical work which had been carried on largely by medical missionaries in different parts of China, and that Dr. Maxwell's position as editor of the China Medical Journal," which he continued to hold after joining the Institute, would give us this necessary link, Dr, Maxwell has always taken a great interest in medical publication in China, and only recently was appointed "the first editor of the "Journal of Clinical Medicine" pubished by the Shanghai Medical Society.
Although Dr, Maxwell has ceased to be an aclive member of the Institute staff, we are glad to know that he expects to remain in China. and his appointment to the Directorship of the Institute of Hospital Technology (Hankow) will, we hope, lead toa better recognition of the Heed for training hospital techni-clans. In these days, hospital techniclans are almost as important 3s ted by Mr. J. R. Jones to the Royal National BE ela in the frst week in August. Tt has been made by Messfe. "Alexander ional laurel wreath. The Ineeription below search is concerned, In fact, for this work a new type of individual is Feguired. who may be described as a burse-technician.
Outside Contacts The Institute has continued to maintain ils outside contacts in a variety of ways. Of particular interest is the work done by all Divisions ce-operation with the Health and Industrial Departments of the Shang~ hal Municipal Council, and we are Indeed grateful for the facilities and encouragement so freely offered.
Material has been sent for teaching and research to a large number of institutions and assistance has been given to others in the examination of pathological material. In this way, the Institute combines a teaching and practical interest with its re search activities, which prevents academic isolation and is all to the ood.
Through the Holt Scheme and through study leave, Intimate contacts continue to be established with a number of institutions in Great. Britain, and we are grateful to the Universities' "China Committee in London for the Interest it takes in Ghinese graduates sent to Britain under this scheme, Financial Provisions The annual report of the Medical Research Council calls attention. to certain matters in regard to other organizations which are of special interest in the development of this Institute, T refer to the organization, of medical research by the Tropical Research Committee and the gift of £2,000.000 by Lord NumMeld to Oxford University for research and postgraduate teaching in medical Selence. Both these schemes recognize that medical research demands independent career, and that adequate financial provision must made to attract the right men, The Tropical Research scheme starts with the offer of temporary fellow ships, but looks forward to the establishment of more permanent search. It is interesting in this connection to note that one of the senior fellowships has already been awarded Dr. Cecil J, Hackett who was appointed to the staff of this Institute 1932, but who retired shortly after his appointment, owing to ill health, pow completely' restored.
The NufMeld benefaction indicates, ts size, the importance of the project. It appears. to have arisen more immediately out of the presidential address to the British Medical Assoclution given last July by the Regius Professor of Medicine at Oxford. Sir Farguhar-Buzzard drew attention to the importance of coordinating the work of the private practitioner, the public health officer, {and the research worker through the establishment of health centres where all, while still maintaining their in-[dependent position and outlook, can work in astoelation for the common good. This scheme is of particular interest to us here In Shanghai since from the beginning, we have tried, on a much smaller scale, to establish ce-operative activity with health departments and hospitals, and more especially, through our Clinical Unit, with the Lester Hospital.
In commenting on the NuMeld gift, the "British Medlest Journal" states that large benefactions always carry with them the danger that they may Fesult in impoverishment in other directions, I think it has not been [sufficiently recognized by the Shanghai public that the Lester benefaction medical science presents an op-[portunity which has increased rather than diminished the responsibility of the community for the maintenance Jand future development of its volun-{tary hospitals, The Wellcome Foundation This reference to the encouragement given in England would not be
Text read from the printed page and cleaned; old type leaves the occasional error.