Report of a trip made by Auchincloss, Nov. 24-Dec. 23, 1915, to study hospital organization and surgical methods. He visited Montreal (Royal Victoria & Montreal General); Toronto (Toronto General); Cleveland (Lakeside Hospital & Babies' Dispensary); Chicago (most major hospitals and Rush Medical School); Rochester, Minn. (Mayo Clinic); St. Louis (Washington University); and Cincinnati (Cincinnati General). He spent most of his journey at the Mayo Clinic. He also describes a trip he made to Boston, previous to this journey, where he visited most of the major hospitals. Besides noting many of the surgical techniques he witnessed, Auchincloss also writes of outpatient clinics, recordkeeping practices, social service work, and hospital design.
The volume includes several ink sketches in the margins, presumably by Auchincloss, as well as numerous reprints, largely about surgical procedures, tipped in.
In 1911, Columbia University and Presbyterian Hospital had signed an affiliation agreement to form what would become the Columbia-Presbyterian Medical Center. This report was probably meant to aid the Department of Surgery of the College of Physicians & Surgeons of Columbia University in planning for the new hospital.