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LONDON QUALIFICATIONS AND THE ALBERT UNIVERSITY.
PRACTICAL EDUCATION IN MEDICINE. self. This is the chief disadvantage now of our profession. The study of medicine is a commanding study, and those who prosecute it should have the highest influence in the community. If they have not, it is largely due to defects in
879
Annotations. 11 Ne
quid nimis."
which hinder the full use of their proILONDON QUALIFICATIONS AND THE ALBERT fessional advantages and the best expression of their UNIVERSITY. professional knowledge. The Medical Council has done someGREAT prevails among the present and past thing to advance the general education of the profession, students ofanxiety our London medical schools as to their position but it ought to have done more, especially in insisting in the scheme of the promoters of the new Albert Unisuch examinations as test soundness in the methods of versity. They are naturally most desirous that its rules mental training and in keeping a more watchful eye onand regulations should be so drawn as to permit of their those who are supposed to guard the gates of the profession. obtaining its degrees on fair conditions, and in this desire Of course Mr. WHEELHOUSE did not deliver an address they have our heartiest sympathy and best wishes. This has been stimulated by some remarks made recently on medical education without enlaiging on the need for anxiety at the opening ceremony of the Westminster Hospital Media modified pupilage. Though himself a medical teacher and cal College by Sir George Young, who has been one of the hospital surgeon, he well knows that half the lessons that a most energetic and determined supporters of the movement medical student needs are not to be taught in hospital or in favour of a university in London which should be in the medical school, but in general practice, and that since practically under the control of the teachers. He said : the old system of pupilage was completely abolished some fit It would not therefore be necessary that all students, branches of work do not come under the notice of the especially those who were advanced in their career, should thus late to enter upon the various stages and steps student till he enters on practice and becomes confounded begin which intervened in the older universities between the by what ought to be familiar to him. He admitted that all student and the degree. It would not be necessary for old men in practice could not use their patients for purposes of students to begin with the matriculation, and so on through But he showed clearly the waste of a long series of examinations to the degree." He also clinical study. material in workhouses and dispensaries. He pointed out how mooted the questions whether the institution of a bachelorin Medicine would be desirable, or only a doctorate, hopeless it was in a general hospital to show students zymotic ship and whether diplomates of proper status might not proceed diseases, functional derangements, and the failures and tothe degree per saltum. It must at once be pointed out troubles of old age. He said that the Leeds newspapers attri- that these are simply indications as to Sir George Young’s buted a late outbreak of small-pox to the circumstance own opinions on these subjects, and, important as they that the earlier cases were mistaken for chicken-pox. are in that respect, must not be considered as anything In a recent visit to the great infirmary at Birmingham he more than personal suggestions. The Charter of the new has not yet passed through the two Houses of saw large numbers of cases of all kinds of disease that are university Parliament. Moreover, it contains only two clauses bearseldom seen in general hospitals-fevers, measles, scarlet on medical education in London and on ing primarily During last year those who have studied or are studying in the metrofever, chicken-pox, whooping-cough, &c. 5117 cases were received for treatment, exclusive of 140 lying- polis. Its medical degrees can only be given to persons in cases and 200 or 300 lock cases. What a field is here for already in possession of a diploma, and to those who instruction in common disease, and there was not one pupil have passed their final two years of study in the admitted. It is incontestable that opportunities of seeing London medical schools. The Charter contains no condition besides these, and when ib is passed through common diseases as much as possible in the conditions of Parliament the Council which will then have to be formed ordinary practice should be given to students. Opinions will set about putting the new institution in proper differ as to the best time for such an experience or pupilage. working order. It is obvious that until the actual formaThere can be none as to its utility. Some favour such lessons tion of the Council has taken place all conjectures as to at the outset of medical education. We think it would come in their action must be purely speculative. It is to be hoped, much better at its close, when the general principles of medi- however, in the interests of a large number of practitioners cine have been learnt and the mind is eager to see instances who have studied in London, that the authorities of the new university will give their claims a favourable conor cases and ready to profit by the opportunity. But this is a sideration. Matriculation and preliminary science will be detail. The reluctance to admit the advantages of such an quite out of the question, but we see no adequate reason experience is too curious for us to discuss fully just now. why a thoroughly good examination in the final professional One explanation is obvious. The name of pupilage carries! subjects should not be required. This would give the new the mind back to a time when a long period of comparativeuniversity at its start the advantage of a large number of drudgery constituted the chief part of medical education; medical graduates whose attainments and position would add to its prestige. and this it is easy and right to denounce. Nobody pro. But the demand for oppor poses to revive such a system. THE HOSPITAL SUNDAY FUND. tunities of seeing general practice as well as hospita IT is announced that the Hospital Sunday Fund collection practice is too reasonable to belong disregarded. in the has reached the total sum of an
general culture,
,
on
--
present year aggregate which exceeds by nearly
WE are asked to remind our readers that the dinner of the Harveian Society of London will take place on Thursday Oct. 22nd, at Limmer’s Hotel. As the number of applica tions is, we understand, very large, and the space limited tickets for guests will necessarily be allotted in order c priority of application.
£45,300,
.E2500 the highest This result is the more satis-
previously received. because it has been reached under circumstances factory which occasioned in advance no little anxiety to the friends of the movement. The present Lord Mayor-who has been certainly in no degree behind his predecessors in respect of the interest which he has taken in the work of the Council-found
amount
879
Annotations. 11 Ne
quid nimis."
which hinder the full use of their proILONDON QUALIFICATIONS AND THE ALBERT fessional advantages and the best expression of their UNIVERSITY. professional knowledge. The Medical Council has done someGREAT prevails among the present and past thing to advance the general education of the profession, students ofanxiety our London medical schools as to their position but it ought to have done more, especially in insisting in the scheme of the promoters of the new Albert Unisuch examinations as test soundness in the methods of versity. They are naturally most desirous that its rules mental training and in keeping a more watchful eye onand regulations should be so drawn as to permit of their those who are supposed to guard the gates of the profession. obtaining its degrees on fair conditions, and in this desire Of course Mr. WHEELHOUSE did not deliver an address they have our heartiest sympathy and best wishes. This has been stimulated by some remarks made recently on medical education without enlaiging on the need for anxiety at the opening ceremony of the Westminster Hospital Media modified pupilage. Though himself a medical teacher and cal College by Sir George Young, who has been one of the hospital surgeon, he well knows that half the lessons that a most energetic and determined supporters of the movement medical student needs are not to be taught in hospital or in favour of a university in London which should be in the medical school, but in general practice, and that since practically under the control of the teachers. He said : the old system of pupilage was completely abolished some fit It would not therefore be necessary that all students, branches of work do not come under the notice of the especially those who were advanced in their career, should thus late to enter upon the various stages and steps student till he enters on practice and becomes confounded begin which intervened in the older universities between the by what ought to be familiar to him. He admitted that all student and the degree. It would not be necessary for old men in practice could not use their patients for purposes of students to begin with the matriculation, and so on through But he showed clearly the waste of a long series of examinations to the degree." He also clinical study. material in workhouses and dispensaries. He pointed out how mooted the questions whether the institution of a bachelorin Medicine would be desirable, or only a doctorate, hopeless it was in a general hospital to show students zymotic ship and whether diplomates of proper status might not proceed diseases, functional derangements, and the failures and tothe degree per saltum. It must at once be pointed out troubles of old age. He said that the Leeds newspapers attri- that these are simply indications as to Sir George Young’s buted a late outbreak of small-pox to the circumstance own opinions on these subjects, and, important as they that the earlier cases were mistaken for chicken-pox. are in that respect, must not be considered as anything In a recent visit to the great infirmary at Birmingham he more than personal suggestions. The Charter of the new has not yet passed through the two Houses of saw large numbers of cases of all kinds of disease that are university Parliament. Moreover, it contains only two clauses bearseldom seen in general hospitals-fevers, measles, scarlet on medical education in London and on ing primarily During last year those who have studied or are studying in the metrofever, chicken-pox, whooping-cough, &c. 5117 cases were received for treatment, exclusive of 140 lying- polis. Its medical degrees can only be given to persons in cases and 200 or 300 lock cases. What a field is here for already in possession of a diploma, and to those who instruction in common disease, and there was not one pupil have passed their final two years of study in the admitted. It is incontestable that opportunities of seeing London medical schools. The Charter contains no condition besides these, and when ib is passed through common diseases as much as possible in the conditions of Parliament the Council which will then have to be formed ordinary practice should be given to students. Opinions will set about putting the new institution in proper differ as to the best time for such an experience or pupilage. working order. It is obvious that until the actual formaThere can be none as to its utility. Some favour such lessons tion of the Council has taken place all conjectures as to at the outset of medical education. We think it would come in their action must be purely speculative. It is to be hoped, much better at its close, when the general principles of medi- however, in the interests of a large number of practitioners cine have been learnt and the mind is eager to see instances who have studied in London, that the authorities of the new university will give their claims a favourable conor cases and ready to profit by the opportunity. But this is a sideration. Matriculation and preliminary science will be detail. The reluctance to admit the advantages of such an quite out of the question, but we see no adequate reason experience is too curious for us to discuss fully just now. why a thoroughly good examination in the final professional One explanation is obvious. The name of pupilage carries! subjects should not be required. This would give the new the mind back to a time when a long period of comparativeuniversity at its start the advantage of a large number of drudgery constituted the chief part of medical education; medical graduates whose attainments and position would add to its prestige. and this it is easy and right to denounce. Nobody pro. But the demand for oppor poses to revive such a system. THE HOSPITAL SUNDAY FUND. tunities of seeing general practice as well as hospita IT is announced that the Hospital Sunday Fund collection practice is too reasonable to belong disregarded. in the has reached the total sum of an
general culture,
,
on
--
present year aggregate which exceeds by nearly
WE are asked to remind our readers that the dinner of the Harveian Society of London will take place on Thursday Oct. 22nd, at Limmer’s Hotel. As the number of applica tions is, we understand, very large, and the space limited tickets for guests will necessarily be allotted in order c priority of application.
£45,300,
.E2500 the highest This result is the more satis-
previously received. because it has been reached under circumstances factory which occasioned in advance no little anxiety to the friends of the movement. The present Lord Mayor-who has been certainly in no degree behind his predecessors in respect of the interest which he has taken in the work of the Council-found
amount