As time passed, however, the popularity of both the medical instruction and the basic sciences taught at the school drew undergraduates and training physicians alike. Soliciting funds from the state of New Hampshire, Smith was able to obtain medical equipment and, by 1811, a dedicated physical plant for the school.

Smith acted as the sole administrator and instructor of the medical school until 1810 when a second faculty member was hired. Smith also revamped the curriculum, allowing the school to