Receiving a medical degree is a great achievement in itself. For James McCune Smith, an African-American, to become a Medical Doctor years before the American Civil War was not typical of the times in which he lived.
Smith mainly practiced medicine and saw patients at New York's Free Negro Orphan Asylum. He was the hospital's only physician. Smith was later offered a position as professor of anthropology at Wilberforce University in 1863 but turned it down due to his failing health.




