On the year 1868 or Meiji 1, Japan saw abolition of the clans and in their place, prefectures were put up. It was during this time that Ito began to talk about and placed emphasis on how important Western medicine was and how there was a need for a medical school. He, along with some ardent supporters, managed to convince the Aichi Prefecture of this need and they agreed. So it happened that the first ever medical school was put up in what was the former Supreme Court building that used to belong to the Nagoya clan. Interestingly enough, this was the very beginning of the Nagoya University