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Medical offices detailed as Assistants to the Surgeon in Chief of Districts, and to Surgeons in charge of Hospitals, where with a little more personal service on the part of the superior officers, supplemented with clerical aid, a Medical officer might be dispensed with.
The same system of consolidation of services may be adopted with beneficial results, in connection with the employment of Hospital attendants.  According to the number of sick reported in some of the Hospitals a larger number of persons are employed in various capacities than is believed to be required.
There also may be instances where the services of a physician resident in the place may be obtained at a less rate, and prove as efficient as when an Actg. Asst. Surgeon is sent there.
In his inspections the Surgeon in Chief will particularly observe and report upon the sanitary condition of and the system of routine services at the various Hospitals, Homes, Colonies or Asylums, and give such instructions as he may find necessary for the correction of abuse, or the improvement of the condition of such Hospitals &c.