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The biological plausibility is strong

Among his other medical affiliations included his service as a contract surgeon to the New York City Asylum for the Insane, lecturer on Diseases of the Eye and Ear at the University of the City of New York, secretary of the Alumni Club at the aforementioned institution from 1870-1876, president of that organization from 1876-1877, professor of otology (anatomy and diseases of the ear) at the University of the City of New York, 1874-1897, and dean of the University Medical College from 1878 through 1897