full time as "the requirement on the part of members of the Department of Surgery to give their whole time to teaching and to the care of patients at the University Hospital." By this plan, he maintained, teachers would devote their entire time and thought to the work of the Hospital, and the resulting conflict between duty to the University and the support and education of a family would be avoided. He pointed out that the income of a teacher in a clinical service arose from two sources, his work as an instructor and his "market value" as a practitioner of medicine. This fact must be recognized in assessing a proper income for such teachers, or the best men would be unwilling to limit their incomes to the ordinary University professorial salaries. He proposed that while his salary as a teacher should be equivalent to salaries in other departments of instruction, the clinical instructor should also be paid an additional amount from patients' fees, to be collected by the University and allocated in accordance with the importance of his medical and surgical services. The amount of the whole compensation should be fixed so that it would bear some relation to the income he would receive as a practitioner.
A few months later, in December, 1920, the Regents adopted a resolution establishing full-time chairs "as soon as the new Hospital building is prepared." In the final event, the plan proved only partly successful. The salaries in the Medical School were criticized by members of the other faculties of the University, while the medical profession in the state was equally critical because of what they felt was a threat to the practice of doctors in local communities throughout the state.
With the opening of the new Hospital, the question was again brought up for consideration, and in February, 1927, the Regents declared full-time service in the Medical School to "comprehend the policy of using the surplus earnings of the full-time departments … for increasing and supplementing expenditures for salaries, supplies, and equipment." Nevertheless, the whole question continued to be a vexing one, and in May, 1929, a committee composed of Regents, members of the medical faculty, and University officers was set up to study and report on the problem. This committee reported informally from time to time, and their consideration eventually led to a resolution on the part of the Regents that on and after July 1, 1932, full time should "cease to be mandatory in the clinical departments" (R.P., 1929-32, p. 868). Within a few years after the passage of this measure, the status of some members who had been serving on a full-time basis had been changed to part time.
The question of part-time service had been affected also by the fact that throughout the early years of the Hospital little or no accommodation was given to private patients. After 1881 patients were those referred to the Hospital from the local communities or by the state. This restriction upon the patients admitted to the Hospital gave rise to the establishment of other hospitals in Ann Arbor. These included a number of private hospitals maintained by members of the University's medical staff. With the coming of Dr. Cabot a few private surgical patients were admitted to the Hospital, and the situation was finally clearly defined in December, 1932, when the Regents approved special provisions on two floors of the surgical wing for the private patients of part-time members of the faculty. In 1939-40, a little more than 41 per cent of the patients were referred by physicians or were University students. A relatively small number (about 3 per cent) were
