There is a conviction on the Continent that American bibliographies are narrow. There is prevalent a feeling that Americans care little for most of the European medical literature. In what may well appear to represent a paranoid sentiment, there is also a measure of truth. There are three reasons that help explain this fundamentally unhappy situation.
First, two world wars have hindered the development of research in medicine and surgery much more in Europe than they have in America. The economic, political and military unrest prevalent on the Continent has not existed to any such a continuous degree in our country. This has allowed our research in medicine and surgery to move ahead by leaps and bounds. The same could not occur in Europe in any similar proportion. Although much of the development of new ideas in medicine and surgery has come from Europe, still the organization, financial support and