Abstract

Joseph M. Mathews' study at St. Mark's Hospital (London) in the 1877 to 1878 winter was followed shortly by a landmark move toward specialization in the United States: Mathews' heading of a Special Commission on Rectal Diseases appointed at the 23rd Annual Session of the Kentucky State Medical Society, held April 2 to 4, 1878. Various "rectal specialists," under various makeshift titles, were lecturing and publishing by the mid-1890s. The world's first proctologic journal, published between 1894 and 1898, was Mathews' Medical Quarterly, from its inception interpellating a community of colleagues.

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