As a sculptor, Skene created a bust of J. Marion Sims, which is on display in the lobby of the Kings County Medical Society.
Under the patronage of Napoleon III, Sims organized the American-Anglo Ambulance Corps, which treated wounded soldiers from both sides at the battle of Sedan.
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After two years of study at the South Carolina College in Columbia, Sims worked with Dr. Churchill Jones in Lancaster, South Carolina, and took a three-month course at the Medical College of Charleston.
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In 1855 she assisted J. Marion Sims in his project of establishing the New York Woman's Hospital, of which she was ultimately president.