This is a drawing of a group of figures wearing academic robes and tall hats approaching a building labeled "Congrès Universel des Médecins." The drawing depicts several robed figures with exaggerated features, meticulously sketched in black and white. Each figure seems to be either listening or taking notes as they make their way towards a formal building, suggested by the columns and the sign above. The style is satirical, capturing a sense of humor in the way the characters are portrayed with elongated noses and serious expressions. The title, "Hier le fusil à aiguille, eux demain: gagnerons-nous au change?", is written below the drawing.