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In April, 1849, Blackwell made the decision to continue her studies in Europe. She visited a few hospitals in Britain and then headed to Paris. Just like in America, she was rejected from many hospitals due to her gender. In June, Blackwell enrolled at La Maternité; a " lying-in " hospital,  under the condition that she would be treated as a student midwife, not a physician. She made the acquaintance of Hippolyte Blot, a young resident physician at La Maternité . She gained much medical experience through his mentor-ship and training. By the end of the year, Paul Dubois, the foremost obstetrician in his day, had voiced his opinion that she would make the best obstetrician in the United States, male or female. 
Ethnic Relations. In addition to regional and ethnic distinctions, coalitions and tensions exist on a local level. People from the northern areas are collectively referred to as "northerners" by their southern compatriots and share some cultural attributes related to their Islamic religion. Anglophone and Francophone peoples of the Grassfields (Grassfielders, Bamiléké, and Bamoun) share common attributes and have practiced their own interchiefdom diplomacy for several centuries. In February 1992, violence between the Arab Choa and Kokoto ethnic groups during voter registration led to the death of more than one hundred people. Violence reemerged two years later, leading over one thousand people to seek refuge in Chad. In the Grassfields of the Northwest and Western provinces, interdependence and conflict between farmers and grazers coincide with ethnicity. The ethnicization of party politics and the increasing importance of ethnicity in relation to economic claims have led to conflicts between "autochthonous" (indigenous) and migrant populations.