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[A documental investigation of Hakodate Medical School from records of a student]
Insights
This study details an early medical course in Hakodate, Japan, led by Dr. Stuart Erdridge. It highlights the curriculum, translation methods, and practical training, including smallpox vaccinations, offering insights into historical medical education.
Area of Science:
- Medical History
- Public Health Education
Background:
- The Hakodate Medical School operated from 1872-1874, supported by the government and guided by Dr. Stuart Erdridge.
- Lectures covered fundamental and clinical medicine, including surgery, delivered in English and simultaneously translated into Japanese.
Discussion:
- Dr. Erdridge's high-level lectures were published by the government (Kaitakushi) in three volumes.
- Students received practical training, including a 50-day vaccination campaign against smallpox for children in the Hakodate area.
Key Insights:
- Archival records and a student's diary reveal the course's structure, teaching methods, and practical application.
- The course obligated government-sponsored students to serve in Hokkaido for five years post-completion.
Outlook:
- This historical medical course significantly contributed to early medical education and public health initiatives in Japan.
- The study clarifies vaccination practices and schedules from the late 19th century through student records.
Abstract:
At Hakodate National General Hospital, a medical course (Hakodate Medical School) existed from 1872 to 1874 with governmental support, which was guided and lectured by Dr. Stuart Erdridge from Philadelphia. From many records concerning this course written by a student who attended during this period, real features of this course were clarified. Dr. S. Erdridge gave lectures in English about the fundamental as well as clinical aspects of medicine, including surgery, and gave guidance on clinical practise and treatments. These lectures were translated into Japanese simultaneously by an interpreter for the convenience of students writing in Japanese in their notebooks. His lectures were on a high level for that time, so later they were published in 3 volumes by the government (Kaitakushi). The nine of those 20 students who were supported by government expense were obligated to do medical services in Hokkaido for 5 years afterward. At the end of the course, students who took the course were engaged for 50 days in medical service which included a round trip for vaccination of small pox to children living near the Hakodate area and 2558 children were vaccinated. From the diary of this trip, the schedule and mode of vaccination at that time were clarified. The student who wrote this diary had to retire from this course at the last period, due to the death of his father and familial duties. However, the certificate for medical occupation was issued to him by Dr. S. Erdridge in 1886 for governmental necessity.
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Introduction to Documentation and Reporting
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive and precise...
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Purpose of Health Records II
Types of Records II: Educational and Administrative Records
Methods of Documentation I: Source-Oriented Records
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
Methods of Documentation II: POMR

