This collection consists of the case notes of Dr. James H. Miller (1788-1853), attending physician of the Baltimore Almshouse from 1833-1837.

These manuscripts, originally collected at the Medical and Chirurgical Faculty of Maryland, document the history of the medical profession in Maryland in the form of lecture notes, correspondence, and case records from both individual physicians and prominent medical families. Major medical organizations, especially the Baltimore General Dispensary, are represented by ledgers, minutes, patient and physician daily records.