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Under the very able leadership of Dr. John Shaw Billings (1838-1913), a Civil War surgeon who served as director from 1865 to 1895, the Library increased in size from about 2,000 volumes to over 100,000 volumes of books and bound serials and expanded from serving primarily military medical officers to serving all physicians. It soon became the leading medical library in the United States and then the world. The first issue of Index Medicus, a comprehensive monthly medical bibliography with a subject and author index to articles published in medical journals around the world, was published in 1879.
c. 1950
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