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The first edition of Dr. Trowell's manual appeared in 1939, and its usefulness and popularity are well-attested to by the appearance of this fourth edition and some five reprintings of the old edition. Prepared as a reference source for medical auxiliaries, it covers a broad spectrum of subjects and includes a surprising amount of information. Although written for semi-professionals, and the text is accordingly presented clearly and simply with a minimum of technical phraseology, it nevertheless manages to be authoritative and generally accurate.
The book is divided into five parts, an introductory section dealing with general principles and signs of disease, a section on surgical diseases, another on medical diseases, one dealing with special diseases that includes an excellent account of the diseases of children and their feeding, and finally a section on drugs and prescriptions.
The training programs for medical auxiliaries throughout the world vary enormously, ranging from a short course of several months to those involving 3 or 4 years of study in a sophisticated training center.