Louisville Medicine Volume 65, Issue 10 | Page 18

FEATURE Fig. 4 The student Chemistry laboratory, which replaced the Dispensary amphitheater. The arched doorway in the center led to the old building. (continued from page 15) state and national levels, with Louisville presenting a prime target. The AMA Council on Medical Education began an inspection and grading program to weed out weaker schools, and AMA Council on Medical Education Chair, A.G. Bevan, MD, called Louisville “one of five especially rotten spots” in the nation. The Kentucky State Medical Association formed a “Committee to Merge the Regular Medical Schools of Kentucky.” Louisville’s five regular medical schools were all financially struggling to stay open. These pressures caused a step-wise merger of the five schools between 1906 and 1908, which culminated in all folding into a single institution under the UofL banner. In 1907, LMC merged with the Hospital College of Medicine. Naming itself the Louisville and Hospital College of Medicine, it chose the elegant LMC building as home (Fig. 2). The following year, that institution merged with the UofL, Kentucky University and the Kentucky School of Medicine, with the combined institutions coming under the UofL name and trustees. Again, the finest structure among them, the LMC building, was chosen as home. Thus, UofL in the former LMC building would become the sole site of Kentucky medical education for over half a century. THE BUILDING BECOMES UOFL’S FORTRESS, BUT STORMY TIMES PERSIST The Medical School Building at First and Chestnut officially became home to UofL with purchase and deed transfer to the President and Trustees on March 1, 1909 for $65,000 (the original building and property cost was $167,250). It would remain the UofL campus until the move to a new campus nearby in 1970. A fuller story of UofL as an institution over that time span can be found elsewhere (Tobin GR, The History of the University of Louisville, serialized in Louisville Medicine). However, herein will be described how changes in the building structure reflected changes in medical education and the UofL environment. The university years in the building were characterized by mid-20 th Century Professor of Microbiology, 16 LOUISVILLE MEDICINE Fig. 5 The UofL medical school, in mid-century, with the Pope neurosciences building just to the west (two story building with chimneys). The corner of the old Pharmacy school is visible at the far left. Letitia Kimsey, MD, as “a relentless struggle for survival,” with the school beset by “one disaster after another,” and the institution being saved only by “strong leadership, dedicated faculty, unselfish staff and loyal alumni.” External crises included two World Wars, the Great Depression and a disastrous flood. Throughout these events, a virtually continuous state of underfunding and overcrowding relentlessly plagued the school and stressed its great building. CONTINUOUS UNDERFUNDING AND RECURRING OVERCROWDING Although UofL alone supplied physicians to the entire state for half a century (until 1960 when the University of Kentucky School of Medicine opened in Lexington), it received funds from the City of Louisville only after 1910, with State supplements only after 1948, and these were marginally adequate. The first overcrowding crisis came from the influx of students from the five schools absorbed in the merger. This engulfed UofL with 700 students in 1908-9, making it the largest me