Dr. Holt, in his second presidential address, gave a striking picture of the changes that had taken place in pediatric practice and in the status of pediatrics in medical education during the twenty-five years that had elapsed since 1898, when he was first elected president of this society. In the eight years that have passed so rapidly since that time, we have all seen and appreciated the further great changes that have been occurring. The advance in scientific knowledge has been tremendous and seems to be encouragingly constructive. Some of the other changes are perhaps not so satisfactory.
At the meetings of our national, state and county medical societies, we hear of the dangerous tendency toward state medicine; of the invasion of the medical field by the public health nurse, and the lay posture worker; nutritionist and mental hygienist; of the exclusion of a large number of those engaged in