That slaves not infrequently held high rank among their own race as professional men may be seen from the advertisements of colonial days. A runaway Negro named Simon was in 1740 advertised in The Pennsylvania Gazette99 as being able to "bleed and draw teeth" and "pretending to be a great doctor among his people." Referring in 1797 to a fugitive slave of Charleston, South Carolina, The City Gazette and Daily Advertiser100 said: "He passes for a Doctor among people of his color and it is supposed practices in that capacity about town." The contact of such practitioners with the white race was due to the fact that the profession of the barber was at one time united with that of the physician. The practice of phlebotomy was considered an essential part of the doctor's work. As the Negro early became a barber and the profession was united with that of the physician, it is natural to suppose that he too would assume the latter function. That phlebotomy was considered an essential part of the practice of the medicine is seen from the fact that it was practiced upon George Washington in his last illness. An instance of this sort of professional development among the Negroes appears in the case of the barber, Joseph Ferguson. Prior to 1861 he lived in Richmond, Virginia, uniting the three occupations of leecher, cupper, and barber. This led to his taking up the study of medicine in Michigan, where he graduated and practiced for many years.
The first regularly recognized Negro physician, of whom there is a complete record, was James Derham, of New Orleans. He was born in Philadelphia in 1762, where he was taught to read and write, and instructed in the principles of Christianity. When a boy he was transferred by his master to Dr. John Kearsley, Jr., who employed him occasionally to compound medicines, and to perform some of the more humble acts of attention to his patients. Upon the death of Dr. Kearsley, he became (after passing through several hands) the property of Dr. George West, surgeon to the Sixteenth British Regiment, under whom, during the Revolutionary War, he performed many of the menial duties of the medical profession. At the close of the war, he was sold by Dr. West to Dr. Robert Dove at New Orleans, who employed him as an assistant in his business, in which capacity he gained so much of his confidence and friendship, that he consented to liberate him, after two or three years, upon easy terms. From Dr. Derham's numerous opportunities of improving in medicine, he became so well acquainted with the healing art, as to commence practicing in New Orleans, under the patronage of his last master. He once did business to the amount of three thousand dollars a year. Benjamin Rush, who had the opportunity to meet him, said: "I have conversed with him upon most of the acute and epidemic diseases of the country where he lives and was pleased to find him perfectly acquainted with the modern simple mode of practice on those diseases. I expected to have suggested some new medicines to him; but he suggested many more to me. He is very modest and engaging in his manners. He speaks French fluently and has some knowledge of the Spanish language."101
The most noted colored physician after the time of James Derham was Doctor James McCune Smith, a graduate of the University of Glasgow. He began the practice of medicine in New York about 1837, and soon distinguished himself as a physician and surgeon. He passed as a man of unusual merit not only among his own people but among the best elements of that metropolis. That he was appreciated by the leading white physicians of the city is evidenced by the fact that in 1852 he was nominated as one of the five men to draft a constitution for the "Statistic Institute" of which he became a leading member. For a number of years he held the position of physician to the colored orphan asylum, serving on the staff with a number of white doctors.
Living in a day when the Negro was the subject of much anthropological and physiological discussion, Doctor Smith could not resist participating in this controversy. There were at this time a number of persons who were resorting to science to prove the inferiority of the Negro. Given a hearing extending over several evenings, Doctor Smith ably discussed "The Comparative Anatomy of the Races" before an assembly of the most distinguished ladies and gentlemen of the city, triumphing over his antagonist. In 1846 he produced a valuable work entitled "The Influence of Climate on Longevity, with Special Reference to Insurance." This paper was written as a refutation of a disquisition of John C. Calhoun on the colored race. Among other things Doctor Smith said: "The reason why the proportion of mortality is not a measure of longevity, is the following: The proportion of mortality is a statement of how many persons die in a population; this, of course, does not state the age at which those persons die. If 1 in 45 die in Sweden, and 1 in 22 in Grenada, the age of the dead might be alike in both countries; here the greater mortality might actually accompany the greater longevity."102
The first real impetus to bring Negroes in considerable numbers into the professional world came from the American Colonization Society, which in the early years flourished in the South as well as in the North. This organization hoped to return the free Negroes to Africa and undertook to prepare professional leaders of their race for the Liberian colony. "To execute this scheme, leaders of the colonization movement endeavored to educate Negroes in mechanic arts, agriculture, science and Biblical literature. Exceptionally bright youths were to be given special training as catechists, teachers, preachers and physicians. Not much was said about what they were doing, but now and then appeared notices of Negroes who had been prepared privately in the South or publicly in the North for service in Liberia. Dr. William Taylor and Dr. Fleet were thus educated in the District of Columbia. In the same way John V. DeGrasse, of New York, and Thomas J. White, of Brooklyn, were allowed to complete the medical course at Bowdoin in 1849. In 1854 Dr. DeGrasse was admitted as a member of the Massachusetts Medical Society. In 1858 the Berkshire Medical School graduated two colored doctors who were gratuitously educated by the American Educational Society."103 Dr. A. T. Augusta studied medicine at the University of Toronto. He qualified by competitive examination and obtained the position of surgeon in the United States Army, being the first Negro to hold such a position. After the war he became one of the leading colored physicians in the District of Columbia. Prior to 1861 Negroes had taken courses at the Medical School of the University of New York; Caselton Medical School in Vermont; Berkshire Medical School in Pittsfield, Massachusetts; the Rush Medical School in Chicago; the Eclectic Medical School in Philadelphia; the Homeopathic College of Cleveland; and the Medical School of Harvard University.
The next colored physician of prominence was Martin R. Delany. Delany grew to manhood in Pittsburgh, where early in his career he began the study of medicine, but abandoned it for pursuits in other parts. In 1849 he returned to that city and resumed his studies under Doctors Joseph P. Gazzan and Francis J. Lemoyne, who secured for him admission to the medical department of Harvard College after he had been refused by the University Pennsylvania, Jefferson College, and the medical colleges of Albany and Geneva, New York. After leaving Harvard, he, like Dr. Smith, became interested in the discussion of the superiority and inferiority of races, and traveled extensively through the West, lecturing with some success on the physiological aspect of these subjects. He then returned to Pittsburgh, where he became a practitioner and distinguished himself in treating the cholera during the epidemic of 1854. About this time his worth to the community was attested by his appointment as a member of the Subcommittee of Referees who furnished the Municipal Board of Charity with medical advice as to the needs of white and colored persons desiring aid. In 1856 he removed to Chatham, Canada, where he practiced medicine a number of years. Doctor Delany thereafter like William Wells Brown, an occasional physician, devoted most of his time to the uplift of his people, traveling in America, Africa and England. He became such a worker among his people that he was known as a leader rather than a physician. He served in the Civil War as a commissioned officer of the United States Army, ranking as major.
Up to this point the colored physician had appeared as an occasional or exceptional individual, but hardly as forming a professional class. Following the wake of the Civil War colleges and universities were planted in all parts of the South for the sake of preparing leaders for the newly emancipated race. Several medical schools were established in connection with these institutions. The rise of the Negro physician as a professional class may be