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FACILITIES FOR CLINICAL INSTRUCTION IN INFECTIOUS DISEASE AFFORDED BY THE HOSPITALS OF THE METROPOLITAN ASYLUMS BOARD,
731
appointments are usually bestowed on gentlemen distinguished themselves in the specialty. Prison Medical Service.-Two medical officers
School to which he belongs and pay a Medical fee of three guineas for the first three months, and | one guinea for each subsequent month to the clerk of the board, from whom he receives card indicating the hospital
who have
are
attached
to each of the first-class"prisons and one to several of " the larger " second-class prisons. They are required to
a
to
devote their whole time to their official duties. The service is a small one and vacancies do not often occur. Forms of be procured from the Secretary to the Prison application can Department at the Home Office. The salary commences at Z250 per annum, with free quarters, or an allowance in lieu
thereof. Medical Officers of the Mercantile Marine.-The Merchant
Shipping Act, 1894, directs (Section 209) that every foreigniroiBg ship having 100 persons or upwards on board shall carry a duly qualified medical practitioner. Ship’s medical oificers, however, are more often appointed under the part of the same Act relative to " emigrant ships." For the purdefined poses of the Act an emigrant ship is as one which carries more than fifty steerage passengers, and a steerage passenger is defined as one who is not a cabin passenger. Section 303 provides that a medical practitioner shall be carried on board an emigrant ship where the number of steerage passengers exceeds fifty, and also where the number of persons on board (including cabin A medical passengers, officers, and crew) exceeds 300. practitioner shall not be considered to be duly authorised for the purposes of this Act unless (a) he is authorised by law to practice in some part of Her Majesty’s dominions, or in the case of a foreign ship in the country to which that ship belongs ; and (b) his name has been notified to the emigration officer at the port of clearance, and has not been objected to by him ; and (e) he is provided with proper surgical instruments to the satisfaction of that officer. If any person proceeds or attempts to proceed as medical practitioner in any emigrant ship without being duly authorised, he shall be liable to a fine not exceeding £100. Surgeons in charge of passenger ships should keep a record of any sickness that occurs on the voyage, whether among saloon passengers, emigrants, or crew, and they are requested to report the same to the emigration officer at the end of the voyage. The remuneration for these appointments is extremely variable, ranging from a free passage to the port of destination to a salary of Z10 a month during continuance in the service. The appointments are of course made by the various firms of shipowners and the applicants are sometimes numerous.
I
which he is to be attached. At this hospital he must attend at stated times for at least two days in the week for a minimum period of two months, and on the completion of his attendance he receives a certificate from the medical superintendent whose lectures and classes he has attended. While in the hospital the student places himself under the control of the medical superintendent and is bound to observe the regulations in force for the prevention of spread of infection. These rules comprise the wearing while within the hospital wards of brown holland overalls, consisting of coat, trousers, and cap, which are provided by the board, and the use of what may be termed a discharge block, which consists of an infected room where the overalls are left, a lavatory, and a theoretically uninfected room. The students are further required to keep their hair short and to be efficiently protected against small-pox. A duly qualified medical practitioner has equally to conform to these regulations and obtain the consent of the medical superintendent of the hospital at which he elects to attend. The student who attends these courses will obtain a fair knowledge of infectious disease, which will stand him in good stead in years to come, while he will also get an insight into the management of fever hospitals and the methods of disinfection practised therein. The provisions with regard to instruction in small-pox differ somewhat from the above, as it is necessary for the student to reside for from two to four weeks on the small-pox ships, where he is provided with rations, apartments, and washing at the extremely moderate sum of 12s. per week. The student has to travel to and from the hospital ships on the ambulance steamer and to furnish himself with a suit to which he does not attach much value, in order that it may be disinfected or destroyed at the termination of the period. If the student can take this course during the summer we can promise him, as the result of a personal experience, a most enjoyable and instructive little holiday.
SHORTHAND IN MEDICINE.
practitioner who wishes to rapidly take notes of to record facts in his note-book which he has gleaned in reading or by observation, shorthand will be found, not only to greatly economise time, but will change the laborious task of recording notes in longhand into a work of pleasure. To the
cases or
FACILITIES FOR CLINICAL INSTRUCTION IN INFECTIOUS DISEASE AFFORDED BY THE HOSPITALS OF THE METROIn the lecture Its use by the student is of equal value. POLITAN ASYLUMS BOARD, theatre, in the demonstration rooms, by the bed-side, in the out-patients’ department, and in a variety of other ways THE study of infectious disease is a very necessary part of the use of shorthand will enable him to record his exthe student’s curriculum, but it is only within recent years perience in less time and in a more convenient manner than that proper facilities have been afforded for taking advantage by the use of longhand, and, in addition, the information will be ready to his hand when wanted. There is also of the valuable material to be found in the fever hospitals another advantage, and this not a small one, which the of the Metropolitan Asylums Board. In former years the study of phonography confers. Rightly used it has an student had but few opportunities of becoming familiar with educational value of its own. In acquiring any kind of the natural history of this branch of medicine, and it was knowledge two of the most important habits to develop by no means an unheard-of event for a student to complete are attention and method, and both are developed and his career without having seen half a dozen cases of infec- strengthened by an intelligent use of phonography. Efforts tious disease. That there is still evidence of the state of are being made to induce the General Medical Council to affairs which formerly obtained may be gathered from the recognise shorthand as an extra optional subject at the fact that during 1895 no fewer than 1277 patients, or a per- Preliminary Examination, and petitions with that object centage on the total admission into the Metropolitan Fever Hos- in view have been presented to the Council. Whether the pitals of 7’6, were, after admission, found not to be suffering desired object will be attained or not we strongly advise aU from the diseases mentioned in the medical certificates upon medical students if they can find the necessary time to which they were removed to hospital, the percentage of learn shorthand. mbtakes at the Eastern Hospital at Homerton being 11’0 of the total admissions. At the present time five of the admirable hospitals of the Asylums Board-viz. the Eastern at Homerton, the Western at Fulham, the South-Eastern at Deptford, the South-Western at Stockwell, and the NorthWestern at Hampstead, are open under certain conditions to students and medical practitioners, while instruction in small-pox is also afforded at the small-pox ships in the Long Reach, near Dartford. A student desirous of taking a course at one of the Board’s hospitals, must have completed his third year and have held the office of clinical clerk and dresser; he must then obtain the sanction of the
MANCHESTER MEDICO-ETHICAL ASSOCIATION.-A meeting of the profession will be held in the Memorial Hall, Albert-square, Manchester, on Thursday evening, Sept. 17th, for the purpose of hearing the views of the various
candidates for seats on the General Medical Council. The chair will be taken at seven o’clock precisely. The following gentlemen have intimated their intention of being present to address the meeting: Dr. Glover, Mr. George Brown, Dr. Woodcock, Dr. Lovell Drage, Dr. Rentonl, Dr. Dolan, and
Dr. Alderson.
appointments are usually bestowed on gentlemen distinguished themselves in the specialty. Prison Medical Service.-Two medical officers
School to which he belongs and pay a Medical fee of three guineas for the first three months, and | one guinea for each subsequent month to the clerk of the board, from whom he receives card indicating the hospital
who have
are
attached
to each of the first-class"prisons and one to several of " the larger " second-class prisons. They are required to
a
to
devote their whole time to their official duties. The service is a small one and vacancies do not often occur. Forms of be procured from the Secretary to the Prison application can Department at the Home Office. The salary commences at Z250 per annum, with free quarters, or an allowance in lieu
thereof. Medical Officers of the Mercantile Marine.-The Merchant
Shipping Act, 1894, directs (Section 209) that every foreigniroiBg ship having 100 persons or upwards on board shall carry a duly qualified medical practitioner. Ship’s medical oificers, however, are more often appointed under the part of the same Act relative to " emigrant ships." For the purdefined poses of the Act an emigrant ship is as one which carries more than fifty steerage passengers, and a steerage passenger is defined as one who is not a cabin passenger. Section 303 provides that a medical practitioner shall be carried on board an emigrant ship where the number of steerage passengers exceeds fifty, and also where the number of persons on board (including cabin A medical passengers, officers, and crew) exceeds 300. practitioner shall not be considered to be duly authorised for the purposes of this Act unless (a) he is authorised by law to practice in some part of Her Majesty’s dominions, or in the case of a foreign ship in the country to which that ship belongs ; and (b) his name has been notified to the emigration officer at the port of clearance, and has not been objected to by him ; and (e) he is provided with proper surgical instruments to the satisfaction of that officer. If any person proceeds or attempts to proceed as medical practitioner in any emigrant ship without being duly authorised, he shall be liable to a fine not exceeding £100. Surgeons in charge of passenger ships should keep a record of any sickness that occurs on the voyage, whether among saloon passengers, emigrants, or crew, and they are requested to report the same to the emigration officer at the end of the voyage. The remuneration for these appointments is extremely variable, ranging from a free passage to the port of destination to a salary of Z10 a month during continuance in the service. The appointments are of course made by the various firms of shipowners and the applicants are sometimes numerous.
I
which he is to be attached. At this hospital he must attend at stated times for at least two days in the week for a minimum period of two months, and on the completion of his attendance he receives a certificate from the medical superintendent whose lectures and classes he has attended. While in the hospital the student places himself under the control of the medical superintendent and is bound to observe the regulations in force for the prevention of spread of infection. These rules comprise the wearing while within the hospital wards of brown holland overalls, consisting of coat, trousers, and cap, which are provided by the board, and the use of what may be termed a discharge block, which consists of an infected room where the overalls are left, a lavatory, and a theoretically uninfected room. The students are further required to keep their hair short and to be efficiently protected against small-pox. A duly qualified medical practitioner has equally to conform to these regulations and obtain the consent of the medical superintendent of the hospital at which he elects to attend. The student who attends these courses will obtain a fair knowledge of infectious disease, which will stand him in good stead in years to come, while he will also get an insight into the management of fever hospitals and the methods of disinfection practised therein. The provisions with regard to instruction in small-pox differ somewhat from the above, as it is necessary for the student to reside for from two to four weeks on the small-pox ships, where he is provided with rations, apartments, and washing at the extremely moderate sum of 12s. per week. The student has to travel to and from the hospital ships on the ambulance steamer and to furnish himself with a suit to which he does not attach much value, in order that it may be disinfected or destroyed at the termination of the period. If the student can take this course during the summer we can promise him, as the result of a personal experience, a most enjoyable and instructive little holiday.
SHORTHAND IN MEDICINE.
practitioner who wishes to rapidly take notes of to record facts in his note-book which he has gleaned in reading or by observation, shorthand will be found, not only to greatly economise time, but will change the laborious task of recording notes in longhand into a work of pleasure. To the
cases or
FACILITIES FOR CLINICAL INSTRUCTION IN INFECTIOUS DISEASE AFFORDED BY THE HOSPITALS OF THE METROIn the lecture Its use by the student is of equal value. POLITAN ASYLUMS BOARD, theatre, in the demonstration rooms, by the bed-side, in the out-patients’ department, and in a variety of other ways THE study of infectious disease is a very necessary part of the use of shorthand will enable him to record his exthe student’s curriculum, but it is only within recent years perience in less time and in a more convenient manner than that proper facilities have been afforded for taking advantage by the use of longhand, and, in addition, the information will be ready to his hand when wanted. There is also of the valuable material to be found in the fever hospitals another advantage, and this not a small one, which the of the Metropolitan Asylums Board. In former years the study of phonography confers. Rightly used it has an student had but few opportunities of becoming familiar with educational value of its own. In acquiring any kind of the natural history of this branch of medicine, and it was knowledge two of the most important habits to develop by no means an unheard-of event for a student to complete are attention and method, and both are developed and his career without having seen half a dozen cases of infec- strengthened by an intelligent use of phonography. Efforts tious disease. That there is still evidence of the state of are being made to induce the General Medical Council to affairs which formerly obtained may be gathered from the recognise shorthand as an extra optional subject at the fact that during 1895 no fewer than 1277 patients, or a per- Preliminary Examination, and petitions with that object centage on the total admission into the Metropolitan Fever Hos- in view have been presented to the Council. Whether the pitals of 7’6, were, after admission, found not to be suffering desired object will be attained or not we strongly advise aU from the diseases mentioned in the medical certificates upon medical students if they can find the necessary time to which they were removed to hospital, the percentage of learn shorthand. mbtakes at the Eastern Hospital at Homerton being 11’0 of the total admissions. At the present time five of the admirable hospitals of the Asylums Board-viz. the Eastern at Homerton, the Western at Fulham, the South-Eastern at Deptford, the South-Western at Stockwell, and the NorthWestern at Hampstead, are open under certain conditions to students and medical practitioners, while instruction in small-pox is also afforded at the small-pox ships in the Long Reach, near Dartford. A student desirous of taking a course at one of the Board’s hospitals, must have completed his third year and have held the office of clinical clerk and dresser; he must then obtain the sanction of the
MANCHESTER MEDICO-ETHICAL ASSOCIATION.-A meeting of the profession will be held in the Memorial Hall, Albert-square, Manchester, on Thursday evening, Sept. 17th, for the purpose of hearing the views of the various
candidates for seats on the General Medical Council. The chair will be taken at seven o’clock precisely. The following gentlemen have intimated their intention of being present to address the meeting: Dr. Glover, Mr. George Brown, Dr. Woodcock, Dr. Lovell Drage, Dr. Rentonl, Dr. Dolan, and
Dr. Alderson.