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A most surprising fact, and one that most strikingly marks the state of education at that time, is that I never had pointed out to me the changes which take place in the breasts during pregnancy! I do not know what efforts were made but I do not suppose that there was then in Cleveland a foreign element to furnish even this the amount of clinical instruction. A graduate of Dalhousie University or the Halifax Medical College, who obtains the license ot the Provincial Medical Board, may register in Great Britain or in any country in which registration in Great Britain is accepted (oral). The Academy holds two stated meetings over in each held at such place as the Academy at any previous month.