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OPHTHALMOLOGICAL TRAINING FOR MEDICAL STUDENTS.
309
discovery, Yamagiwa and Schikawa of the University PHYSICAL AND RECREATIONAL TRAINING. of Tokyo. An account of the experiments by which To the Editor of THE LANCET. they produced cancer in animals by the application of coal tar, externally and by injection, is available SIR,-As one of those who were privileged to be in the Journal of Cancer Research, January, 1918. present at the demonstration of physical and Bloch and Driefuss were conducting researches on the recreational training held before the B.M.A. at their effect of coal tar in the production of cancer in 1912 recent meeting in Portsmouth, an account of which and resumed the work in 1920. In mice they produced was given in your issue of last week, may I express the hope that the benefit of this kind of training shall cancer with the whole tar and also with some of its different elements. Thev claim to have isolated the not remain confined to the Navy. I suppose we most cancer-producing constituent of the tar.1 They had of us feel that our board school education fails to been, however, forestalled by the Japanese. If it develop certain sentiments and elements of strong be true as you say in your leading article that probably character which the Naval School of Physical and within the next few years we may see " results in the Recreational Training has managed to include. It is to be hoped, therefore, that the principles diagnosis and treatment of malignant disease which could not have been foreshadowed a very few years involved will not be lost to sight by the educational ago " and these results are achieved along the lines authorities of this country, but that steps will be you suggest, then I think it should be clearly under- taken with the object of founding a national school stood that the discovery that made this advance of physical and recreational training, so that there possible was the experimental production of primary may be gradually accumulated an ample supply of cancer in laboratory animals. skilled instructors. For while there is an unquestionI am. Sir, yours faithfully, able need for this particular kind of training among CHARLES WALKER. the masses, it can be satisfactorily carried out only University of Liverpool. Jul- 30th, 1923. by teachers who have themselves undergone a thorough c course of practical instruction in the principles upon which the system is based.
OPHTHALMOLOGICAL
TRAINING FOR MEDICAL STUDENTS.
I am. Sir. vours faithful1v. HAROLD BURROWS. Southsea, August 2nd, 1923.
To the Editor of THE LANCET. SIR,-A not inappropriate comment on Mr. Percy AN EPIDEMIC OF ERYTHEMA NODOSUM. Flemming’s letter in THE LANCET of last week, relative To the Editor of THE LANCET" to the use of the ophthalmoscope in general practice, a 50 be in sentence written more than reference to the annotation on this found SIR,-With years may ago by the distinguished physician who is now the subject in THE LANCET of July 28th (p. 180), giving Regius Professor of Physic in the University of details of Prof. E. Ledoux’s paper in the Revue de Cambridge. The sentence runs : " Every medical Médecine, may I call the attention of your readers to school is now .... bound to teach its students the an instructive monograph on erythema nodosum by Dr. A. A. Lendon of Adelaide ? It is a little unfortuuse of the ophthalmoscope as carefully as the use of the stethoscope is taught." The task which Sir Clifford nate, perhaps, that the author gave it the title of Allbutt accepted in 1871Mr. Flemming in 1923 pro- " Nodal Fever " (1905). For that reason it may have poses to abandon. This is the more astonishing seeing been overlooked by those interested in the subject. that the difficulties of the earlier date have been largely Dr. Lendon came to the conclusion as a result of special. reduced by the introduction of the electric ophthalmo- observation that the condition was sui generis, and, scope, and yet I should be inclined to accept Mr. from what I have observed. I am inclined to agree Flemming’s conclusion if, as he appears to decide, with Dr. Lendon. I am, Sir, vours faithfully, instruction and practice in the use of the ophthalmoGEORGE PERNET. scope must be limited to the brief period spent by the London, W’., August 3rd, 1923. student in the ophthalmic department. If, however. the exhortation conveyed in Sir Clifford Allbutt’s comparison is accepted, no such limitation can be allowed. For the use of the stethoscope is taught by compelling the student to practise the instrument on every patient, as in this way alone can he acquire the ROYAL NAVAL MEDICAL SERVICE. auditory standard which enables him to recognise both Surg.-Comdr. M. P. Jones is placed on the Retd. List the limits of the normal and departures, slight or gross, from the accepted level. And when in the medical with the rank of Surg.-Capt. ROYAL NAVAL VOLUNTEER RESERVE. wards and out-patient service the ophthalmoscope is The Naval Volunteer Reserve Officers’ Decoration is and as the Roval taught stethoscope taught practised and practised-and the enterprise is easily accom- has been conferred upon Surg.-Capt. A. R. Brailey. plished-the student will become as expert with the ’ The undermentioned appointments are made at the War With neither can one instrument as with the other. he be expected to appreciate, without a long experi- Office : Lt.-Gen. Sir W. B. Leishman, F.R.S. (late R.A.M.C.), to be Director-General vice Lt.-Gen. Sir T. H. J. C. Goodwin ence, the finer shades of change produced by direase. But in each instance he is provided with an opportunity (late R.A.M.C.), who is placed on retired pay. for the self-education which is the avenue to expert ROYAL ARMY MEDICAL CORPS. judgment, and if the medical curriculum affords and enforces this opportunity it has largely fulfilled its Maj. W. Davis to be Lt.-Col., vice Lt.-Col. G. H. Goddard duty. To abandon the ophthalmoscope as beyond (ret. pay). Temp. Capt. T. Brodie relinquishes his eommn. and retains the scope of general practice because all its values cannot be obtained in some few weeks passed in an the rank of Capt. TERRITORIAL ARMY. ophthalmic department would be as reasonable as to S. T. Goodwin Capt. (late R.A.M.C.) to be Capt. abandon the stethoscope because, even at the end of D. R. Lewis and T. D. Overend to be Lts. the curriculum, not all its possibilities have been General Hospitals : The undermentioned relinquish their acquired. Letthe fashion of instruction in the one commns. and retain their rank except where otherwise stated : case be equally applied to the other, and there can be Capts. G. M. Benton (granted the rank of Maj.), J. P. Buckley, no doubt that with each there will be one and the same E. Moir (granted the rank of Maj.), T. P. McMurray, and standard of success. H. H. Rayner.
I
The Services.
-
I am, Sir, yours London, W., August 6th, 1923.
faithfully, C. O. HAWTHORNE.
Squadron 1
Schweizerische Med. Woch.,
Basle, 1921. No. 45,
51.
Class D.2.
ROYAL AIR FORCE. Leader F. C. Jobson is transferred to
Reserve,.
discovery, Yamagiwa and Schikawa of the University PHYSICAL AND RECREATIONAL TRAINING. of Tokyo. An account of the experiments by which To the Editor of THE LANCET. they produced cancer in animals by the application of coal tar, externally and by injection, is available SIR,-As one of those who were privileged to be in the Journal of Cancer Research, January, 1918. present at the demonstration of physical and Bloch and Driefuss were conducting researches on the recreational training held before the B.M.A. at their effect of coal tar in the production of cancer in 1912 recent meeting in Portsmouth, an account of which and resumed the work in 1920. In mice they produced was given in your issue of last week, may I express the hope that the benefit of this kind of training shall cancer with the whole tar and also with some of its different elements. Thev claim to have isolated the not remain confined to the Navy. I suppose we most cancer-producing constituent of the tar.1 They had of us feel that our board school education fails to been, however, forestalled by the Japanese. If it develop certain sentiments and elements of strong be true as you say in your leading article that probably character which the Naval School of Physical and within the next few years we may see " results in the Recreational Training has managed to include. It is to be hoped, therefore, that the principles diagnosis and treatment of malignant disease which could not have been foreshadowed a very few years involved will not be lost to sight by the educational ago " and these results are achieved along the lines authorities of this country, but that steps will be you suggest, then I think it should be clearly under- taken with the object of founding a national school stood that the discovery that made this advance of physical and recreational training, so that there possible was the experimental production of primary may be gradually accumulated an ample supply of cancer in laboratory animals. skilled instructors. For while there is an unquestionI am. Sir, yours faithfully, able need for this particular kind of training among CHARLES WALKER. the masses, it can be satisfactorily carried out only University of Liverpool. Jul- 30th, 1923. by teachers who have themselves undergone a thorough c course of practical instruction in the principles upon which the system is based.
OPHTHALMOLOGICAL
TRAINING FOR MEDICAL STUDENTS.
I am. Sir. vours faithful1v. HAROLD BURROWS. Southsea, August 2nd, 1923.
To the Editor of THE LANCET. SIR,-A not inappropriate comment on Mr. Percy AN EPIDEMIC OF ERYTHEMA NODOSUM. Flemming’s letter in THE LANCET of last week, relative To the Editor of THE LANCET" to the use of the ophthalmoscope in general practice, a 50 be in sentence written more than reference to the annotation on this found SIR,-With years may ago by the distinguished physician who is now the subject in THE LANCET of July 28th (p. 180), giving Regius Professor of Physic in the University of details of Prof. E. Ledoux’s paper in the Revue de Cambridge. The sentence runs : " Every medical Médecine, may I call the attention of your readers to school is now .... bound to teach its students the an instructive monograph on erythema nodosum by Dr. A. A. Lendon of Adelaide ? It is a little unfortuuse of the ophthalmoscope as carefully as the use of the stethoscope is taught." The task which Sir Clifford nate, perhaps, that the author gave it the title of Allbutt accepted in 1871Mr. Flemming in 1923 pro- " Nodal Fever " (1905). For that reason it may have poses to abandon. This is the more astonishing seeing been overlooked by those interested in the subject. that the difficulties of the earlier date have been largely Dr. Lendon came to the conclusion as a result of special. reduced by the introduction of the electric ophthalmo- observation that the condition was sui generis, and, scope, and yet I should be inclined to accept Mr. from what I have observed. I am inclined to agree Flemming’s conclusion if, as he appears to decide, with Dr. Lendon. I am, Sir, vours faithfully, instruction and practice in the use of the ophthalmoGEORGE PERNET. scope must be limited to the brief period spent by the London, W’., August 3rd, 1923. student in the ophthalmic department. If, however. the exhortation conveyed in Sir Clifford Allbutt’s comparison is accepted, no such limitation can be allowed. For the use of the stethoscope is taught by compelling the student to practise the instrument on every patient, as in this way alone can he acquire the ROYAL NAVAL MEDICAL SERVICE. auditory standard which enables him to recognise both Surg.-Comdr. M. P. Jones is placed on the Retd. List the limits of the normal and departures, slight or gross, from the accepted level. And when in the medical with the rank of Surg.-Capt. ROYAL NAVAL VOLUNTEER RESERVE. wards and out-patient service the ophthalmoscope is The Naval Volunteer Reserve Officers’ Decoration is and as the Roval taught stethoscope taught practised and practised-and the enterprise is easily accom- has been conferred upon Surg.-Capt. A. R. Brailey. plished-the student will become as expert with the ’ The undermentioned appointments are made at the War With neither can one instrument as with the other. he be expected to appreciate, without a long experi- Office : Lt.-Gen. Sir W. B. Leishman, F.R.S. (late R.A.M.C.), to be Director-General vice Lt.-Gen. Sir T. H. J. C. Goodwin ence, the finer shades of change produced by direase. But in each instance he is provided with an opportunity (late R.A.M.C.), who is placed on retired pay. for the self-education which is the avenue to expert ROYAL ARMY MEDICAL CORPS. judgment, and if the medical curriculum affords and enforces this opportunity it has largely fulfilled its Maj. W. Davis to be Lt.-Col., vice Lt.-Col. G. H. Goddard duty. To abandon the ophthalmoscope as beyond (ret. pay). Temp. Capt. T. Brodie relinquishes his eommn. and retains the scope of general practice because all its values cannot be obtained in some few weeks passed in an the rank of Capt. TERRITORIAL ARMY. ophthalmic department would be as reasonable as to S. T. Goodwin Capt. (late R.A.M.C.) to be Capt. abandon the stethoscope because, even at the end of D. R. Lewis and T. D. Overend to be Lts. the curriculum, not all its possibilities have been General Hospitals : The undermentioned relinquish their acquired. Letthe fashion of instruction in the one commns. and retain their rank except where otherwise stated : case be equally applied to the other, and there can be Capts. G. M. Benton (granted the rank of Maj.), J. P. Buckley, no doubt that with each there will be one and the same E. Moir (granted the rank of Maj.), T. P. McMurray, and standard of success. H. H. Rayner.
I
The Services.
-
I am, Sir, yours London, W., August 6th, 1923.
faithfully, C. O. HAWTHORNE.
Squadron 1
Schweizerische Med. Woch.,
Basle, 1921. No. 45,
51.
Class D.2.
ROYAL AIR FORCE. Leader F. C. Jobson is transferred to
Reserve,.