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I shall not now occupy time by renewed consideration of this aspect of my subject further than to state my belief that the reorganization of the resident and interne medical staff of the hospital indicated for this higher training of graduates of medicine is also that best adapted, if not essential, for the successful operation of the system of ward work for undergraduates which I have sketched and for the highest efficiency of the hospital. Obstetrics presents special difficulties because of the infrequence of maternity wards and also on account of the wide scattering of the out-patient service, but these difficulties are not insurmountable: celexa 10 mg twice a day.

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