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reasons and also from a practical point of view. I don't think

it can develop enough power to amount to anything.

 I think one thing that has impressed me over the course of

twenty years is the increasing complexity of administrative processes.

This is due,, to the many sources of funds which are available to

the support of medical education and research and, in this institution,

to an increase in its size. However, it seems to me that the

administrative procedures have become harder to manage, more complex,

than they were initially. It seems that no matter how hard the

administrators seems to try to simplify things, they only succeed

in making them more complex.

 I recall my first experience as a medical faculty member was

at the University of Rochester where George Whipple was dean and

professor of pathology. He managed to run the medical school by

sitting on his stool in his laboratory, and occasionally looking

over his shoulder. Those days, I'm afraid, no longer exist,

the deans of medical schools have a full-time job, and even

with several associate deans and assistant deans, they feel

constantly hurried. The whole business of medical education, and I

suppose of the university operation in general, is very complex

administratively. I somehow can't help feeling that it's

unnecessarily so, and that if one could blow the whole thing up

and start from scratch, you'd develop a simpler system.