London, N. W., Jan. 5, 1899. <h3>To the Editor:</h3> —The medical year in England has been marked by three most significant developments. They may indeed be described as epoch-making, although they will scarcely even be mentioned in the "Annus Medicus" or the year books. First and most important is the founding of the London Polyclinic and Medical Graduates' College; second, the establishment by the Government of the School for Tropical Diseases, and third, the magnificent gift of $1,250,000 by Lord Iveagh to the Jenner Institute of Preventive Medicine (videJournal, January 21, p. 146). These are not only important in themselves, but significant of profound changes in public opinion. The Polyclinic is the first formal and adequate recognition on the part of the profession of the value of post graduate instruction in English medical education. The School of Tropical Medicine is a partial recognition of the long ignored duty of