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might make its report to the full Board of Trustees at its May 28, 1956
meeting. The Committee thinks it would be helpful if interim reports
could be made by the University Administration the first of each month
prior to May 1.

"4. The Committee on Health Affairs counsels that the Division of
Health Affairs might best serve the State if continued as an integral
part of the University at Chapel Hill rather than, as has been
suggested by some, be set up as a forth unit of The Consolidated University.

"5. The Committee advises that better correlation or integration is
needed between the medical school and teaching hospital to the end
that medical education and the clinical care of patients will always be
of the highest quality.

"6. The Committee counsels the University Administration that a
Hospital Board, possibly as outlined in Recommendation No. 3 of Acting
Purks' "Recommendations" of January 16, 1956, could decide many hospital
operational problems without the necessity of referral to higher levels.
As Dr. Purks recommends, this Hospital Board might be composed of the
Dean of the School of Medicine, Dean of the School of Nursing, Director
of Memorial Hospital, two chiefs of clinical services charged with the
professional care of patients elected by the Executive Committee, and a
University Administration liaison representative recommended by the
Chancellor and appointed by the President. Three of the Division units
expressed their written approval of a Hospital Board.

"7. The appointment of an Assistant Administrator, who would have a
sympathetic understanding of medical education and hospital operation,
as suggested in Dr. Purks' Recommendation No. 2, might relieve the
overburdened Administrator of tremendous budgetary and other detail and
enable the Administrator to give his time to long-term planning, exten-
sion, and promotion in its broadest sense.

"8. The Committee suggests that the present structure of the Division
with its Administrator and "Advisory Board" as presently composed should
function until further study by the University Administration indicates
that improvements might be made in the over-all organizational
structure of the Division, subject to such changes as may be needed.

"9. The present name, "Division of Health Affairs," originally
"Division of Health and Medical Affairs," appears to be an awkward as
well as a cumbersome, difficult to explain nomenclature for this im-
portant part of the University at Chapel Hill. Would it be possible
to select a more descriptive name better representative of the basic
philosophy of this large segment of the University - one more meaning-
ful to the general public?

"10. The Committee advises that little effort has been made since the
"Sanger Report" of 1946 to clearly define the basic concepts and
philosophies of the Division. The "Sanger Report" was adopted prior
to the creation of the Division. Almost ten years have passed. There
should be a plan or program projecting the Division into the future,
spelling out the goals as well as the buildings, personnel, activities
and funds required to implement those goals. The Division's Code, its
charger and by-laws, should be brought up to date, goals established
and long-term planning commenced.

"The Committee suggests that Division personnel draw up statements of
goals and philosophies for presentation to the University Administration
and for final approval by the Trustees. Division Deans and faculties
know the problems and struggles of the Division, they are close to the
people of the State, they are able, far-sighted men and women, capable
of outlining Division philosophies.

"And that the Division Administrator remove himself from day-to-day
detail and lead the Division in developing long-range plans for improved
medical-health service by all units of the Division to the people of
the state.

"11. Acting Dean William Aycock of the University Law School, on Dr.
Purks' request, has been assembling all available material from