On her return to America in 1890 she became the medical director for the Bryn Mawr School for Girls in Baltimore, where she instituted the school's innovative preventive health program, which included physical education and periodic medical examinations.[1] With Dr. Alice Hall, she co-founded the Evening Dispensary For Working Women and Girls,[2] the first institution in Baltimore to employ women physicians.[4] She was a strong proponent of the then new maternal hygiene and infant welfare models.[4]