Elizabeth Blackwell (3 February 182131 May 1910) was an English-American physician, notable as the first woman to earn a medical degree in the United States, and the first woman on the Medical Register of the General Medical Council for the United Kingdom. Blackwell played an important role in both the United States and the United Kingdom as a social reformer, and was a pioneer in promoting education for women in medicine. Her contributions remain celebrated with the Elizabeth Blackwell Medal, awarded annually to a woman who has made a significant contribution to the promotion of women in medicine.
Blackwell was not initially interested in a career in medicine. She became a schoolteacher in order to support her family. This occupation was seen as suitable for women during the 1800s; however, she soon found it unsuitable for her. Blackwell's interest in medicine was sparked after a friend fell ill and remarked that, had a female doctor cared for her, she might not have suffered so much. Blackwell began applying to medical schools and immediately began to endure the prejudice against her sex that would persist throughout her career. She was rejected from each medical school she applied to, except Geneva Medical College in New York, in which the male students voted in favor of Blackwell's acceptance, albeit as a joke. Thus, in 1847, Blackwell became the first woman to attend medical school in the United States. In 1871, Geneva Medical College was disbanded and was transferred to Syracuse University until 1950 when it became SUNY Upstate Medical University, which counts Elizabeth Blackwell among its alumni.
Blackwell's inaugural thesis on typhoid fever, published in 1849 in the Buffalo Medical Journal and Monthly Review, shortly after she graduated, was the first medical article published by a female student from the United States. It portrayed a strong sense of empathy and sensitivity to human suffering, as well as strong advocacy for economic and social justice. This perspective was deemed by the medical community as feminine.
Blackwell founded the New York Infirmary for Women and Children with her sister Emily Blackwell in 1857, and began giving lectures to female audiences on the importance of educating girls. She played a significant role during the American Civil War by organizing nurses, and the Infirmary developed a medical school program for women, providing substantial work with patients (clinical education). Returning to England, she helped found the London School of Medicine for Women in 1874.
Early life
Elizabeth was born on 3 February 1821, in Bristol, England, to Samuel Blackwell, who was a sugar refiner, and his wife Hannah (Lane) Blackwell.Mary Wright, Elizabeth Blackwell of Bristol: The First Woman Doctor (Bristol Historical Association pamphlets, no. 87, 1995) She had two older siblings, Anna and Marian, and six younger siblings: Samuel (married Antoinette Brown), Henry (married Lucy Stone), Emily (second woman in the U.S. to get a medical degree), Sarah Ellen (a writer), John and George. She also had four maiden aunts: Barbara, Ann, Lucy, and Mary, who also lived with them.
In 1832, the Blackwell family emigrated from Bristol, England, to New York because Samuel Blackwell had lost their most profitable sugar refinery in a fire. In New York, Elizabeth's father became active in abolitionist work. Therefore, their dinnertime discussions often surrounded issues such as women's rights, slavery, and child labor. These liberal discussions reflected Hannah and Samuel's attitudes toward child rearing. For example, rather than beating the children for bad behavior, Barbara Blackwell recorded their trespasses in a black book. If the offenses accumulated, the children would be exiled to the attic during dinner. Samuel Blackwell was similarly liberal in his attitude towards the education of his children. Samuel Blackwell was a Congregationalist and exerted a strong influence over the religious and academic education of his children. He believed that each child, including his girls, should be given the opportunity for unlimited development of their talents and gifts. This perspective was rare during that time, as most people believed that the woman's place was in the home or as a schoolteacher. Blackwell had not only a governess, but private tutors to supplement her intellectual development. As a result, she was rather socially isolated from all but her family as she grew up.
The family moved to Cincinnati, Ohio a few years later. When Blackwell was 17, her father died, leaving the family with little money.
Early adulthood The Blackwells' financial situation was unfortunate. Pressed by financial need, the sisters Anna, Marian and Elizabeth started a school, The Cincinnati English and French Academy for Young Ladies, which provided instruction in most, if not all, subjects and charged for tuition and room and board. The school was not innovative in its education methods, but provided a source of income for the Blackwell sisters.Elizabeth Blackwell, Diary, 19–21 December 1838 (Blackwell Family Papers, Library of Congress). Blackwell was less active in her abolitionism during these years, likely due to her responsibilities running the academy.
In December 1838, Blackwell converted to Episcopalianism, probably due to her sister Anna's influence, becoming an active member of St. Paul's Episcopal Church. However, William Henry Channing's arrival in 1839 to Cincinnati changed her mind. Channing, a charismatic Unitarian minister, introduced the ideas of transcendentalism to Blackwell, who started attending the Unitarian Church. A conservative backlash from the Cincinnati community ensued, and as a result, the academy lost many pupils and was abandoned in 1842. Blackwell began teaching private pupils.
Channing's arrival renewed Blackwell's interests in education and reform. She worked at intellectual self-improvement: studying art, attending various lectures, writing short stories and attending various religious services in many denominations (Quaker, Millerite, Jewish). In the early 1840s, she began to articulate thoughts about women's rights in her diaries and letters and participated in the Harrison political campaign of 1840.
In 1844, with the help of her sister Anna, Blackwell procured a teaching job that paid $1,000 (~$ in ) per year in Henderson, Kentucky. Although she was pleased with her class, she found the accommodations and schoolhouse lacking. What disturbed her most was that this was her first real encounter with the realities of slavery. "Kind as the people were to me personally, the sense of justice was continually outraged; and at the end of the first term of engagement I resigned the situation." She returned to Cincinnati half a year later.
Education
Pursuit of medical education
Once again, through her sister Anna, Blackwell procured a job, this time teaching music at an academy in Asheville, North Carolina, with the goal of saving the $3,000 necessary for her medical school expenses. In Asheville, Blackwell lodged with the respected Reverend John Dickson, who had been a physician before he became a clergyman. Dickson approved of Blackwell's career aspirations and allowed her to use the medical books in his library to study. During this time, Blackwell soothed her own doubts about her choice and her loneliness with deep religious contemplation. She also renewed her antislavery interests, starting a slave Sunday school that was ultimately unsuccessful.
Dickson's school closed down soon after opening, and Blackwell moved to the residence of Reverend Dickson's brother, Samuel Henry Dickson, a prominent Charleston physician. In 1846, she began teaching at a boarding school in Charleston run by a Mrs. Du Pré. With the help of Samuel Dickson's brother, Blackwell inquired into the possibility of medical study via letters, with no favorable responses. In 1847, Blackwell left Charleston for Philadelphia and New York, with the aim of personally investigating the opportunities for medical study. Blackwell's greatest wish was to be accepted into a Philadelphia medical school.
Upon reaching Philadelphia, Blackwell boarded with William Elder and studied anatomy privately with Jonathan M. Allen as she attempted to enroll in any medical school in Philadelphia. She was met with resistance almost everywhere. Most physicians recommended that she either go to Paris to study or take up a disguise as a man to study medicine. The main reasons offered for her rejection were that (1) she was a woman and therefore intellectually inferior, and (2) she might actually prove equal to the task, prove to be competition, and that she could not expect them to "furnish [her] with a stick to break our heads with." Out of desperation, she applied to twelve "country schools."
Medical education in the United States In October 1847, Blackwell was accepted to Geneva Medical College in Geneva, New York. The dean and faculty, usually responsible for evaluating an applicant for matriculation, initially were unable to make a decision due to Blackwell's gender. They put the issue up to a vote by the 150 male students of the class with the stipulation that if one student objected, Blackwell would be turned away. The young men voted unanimously to accept her, whilst simultaneously treating her application as a joke.Smith, Stephen. Letter. "The Medical Co-education of the Sexes". New York Church Union. 1892.
While at school, Blackwell was looked upon as an oddity by the townspeople of Geneva. She also rejected suitors and friends, preferring to isolate herself. In the summer between her two terms at Geneva, she returned to Philadelphia, stayed with Elder, and applied for medical positions in the area to gain clinical experience. The Guardians of the Poor, the city commission that ran Blockley Almshouse, granted her permission to work there, albeit not without some struggle. Blackwell slowly gained acceptance at Blockley, although some young resident physicians still refused to assist her in diagnosing and treating her patients. During her time there, Blackwell gained valuable clinical experience, but was appalled by the syphilitic ward and the condition of typhus patients. Her graduating thesis at Geneva Medical College was on the topic of typhus. The conclusion of this thesis linked physical health with socio-moral stability – a link that foreshadows her later reform work.
On 23 January 1849, Blackwell became the first woman to earn a medical degree in the United States. The local press reported her graduation favorably, and when the dean, Charles Lee, conferred her degree, he stood up and bowed to her.
Medical education in Europe In April 1849, Blackwell decided to continue her studies in Europe. She visited a few hospitals in Britain and then went to Paris. In Europe, she was rejected by many hospitals because of her sex. In June, Blackwell enrolled at La Maternité; a "lying-in" hospital, under the condition that she would be treated as a student midwife, not a physician. She made the acquaintance of Hippolyte Blot, a young resident physician at La Maternité. She gained much medical experience through his mentoring and training. By the end of the year, Paul Dubois, the foremost obstetrician in his day, had voiced his opinion that she would make the best obstetrician in the United States, male or female.
On 4 November 1849, when Blackwell was treating an infant with ophthalmia neonatorum, she accidentally squirted some contaminated fluid into her own eye and contracted the infection. She lost sight in her left eye, requiring its surgical extraction and leaving her without hope of becoming a surgeon. After a period of recovery, she enrolled at St Bartholomew's Hospital in London in 1850. She regularly attended James Paget's lectures. She made a positive impression there, although she did meet opposition when she tried to observe the wards.