POST-GRADUATE STUDY IN SOUTH-WEST LONDON.

POST-GRADUATE STUDY IN SOUTH-WEST LONDON.

POST-GRADUATE STUDY ]X SOUTH-WEST LOXDOX. the families of the notified is not a task to be lightly undertaken, even in those instances where the dise...

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POST-GRADUATE STUDY ]X SOUTH-WEST LOXDOX.

the families of the notified is not a task to be lightly undertaken, even in those instances where the dise pensary is fulfilling its function as a purely consultative centre : where it is a clearing-house for all types of diseases, as happens when its doors are thrown open to all and sundry who demand, it becomes an impossibility. Tt is here that the help of the general practitioner would be invaluable. - He can in the 1Îrst instance exclude large numbers of people who are quite obviously not in need of the services of the dispensary, and so free the physician to attend to those who are. But the general practitioner should have remuneration for his work in excluding these cases and thereby ascertaining those who are, possibly or probably, suffering from tuberculosis, for whom he desires a further opinion or treatment other than that which he is competent to give. Until the dispensaries, therefore, are freed entirely from much of the routine and unnecessary examination work which they do, and are equipped to perform their rightful function of a consultative centre, and until the general practitioner is paid a sum commensurate with the trouble he must take in attempting faithfully to discover the signs of tuberculosis in those of his patients who complain of symptoms that may be, and in all probability are, due to a thousand and one other causes, the service cannot hope to rise beyond the modest level assigned to it in a section of the daily press.

DENTAL

REGISTRATION.

THE regulations of the Dental Board, adopted by the Board on Dec. 9th and approved by the General Medical C’ouncil on Dec. ] ,3th, 1921. were finally approved by the Privy Council on Jan. 16th, and have now been made public. The new Dentists Register, like the old one and the Medical Register, is to -contain three lists-namely, United Kingdom dentists, Colonial dentists, and foreign dentists-entry in each case carrying the The list is to same privileges and responsibilities. record, as now, the name, address, date of registration, and qualifications or status, and, in addition, in the case of persons registered after July 27th, 1921, the number of the original certificate and the number of the annual practising certificate ; for retention of a name on the Register is from henceforth dependent In the sixth column on the annual payment of a fee. of the list there will appear against every name the legend " Dentist, 1921," except for the small group of survivors of those who registered under Section 6 (c) of the Dentists Act of 1878 as being in practice at that date. Registration is still granted under the Act of 1878 to any dental graduate or licentiate of the United Kingdom or to anyone who can establish a title on the ground of colonial or foreign diplomas. This registration follows on application without further

formality.

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Under the

POST-GRADUATE STUDY IN SOUTH-WEST LONDON.

193

three other groups of for registration on with certain additional formalities. In the case of persons who have been in practice for five of the seven years prior to July 28th, 1921, a statutory declaration must be made in prescribed form and sent with references to the Registrar, who satisfies himself by inquiry of the referees. This done, public notice of the application must be issued, objectors being given a calendar month in which to allege their grounds. If no objection is received, registration follows. Members of the Incorporated Dental Society have to fill in a form and also to supply references. Pharmaceutical chemists, or chemists and druggists, who claim registration on the ground of substantial practice in dentistry prior to July 28th, 1921, are required to make a statutory declaration and supply references. In the case of each of these three groups the Registrar, if not satisfied by the documentary evidence he receives, refers the application to the Registration Committee, and the Committee, if in doubt, in their turn to the Dental Board for final decision. Any dental practitioner of less than five years’ standing, but who is yet engaged in the practice of dentistry as his principal means of livelihood, may express his intention of passing the prescribed examination not later than July 28th, 1923, and may then have his name entered in a separate list, to be transferred after passing this examination. The examination will be held at four localities-London, Manchester, Edinburgh, and Dublin-in July and November, 1922. and in April and July, 1923, should sufficient candidates apply. The fee for this examination is jB5 ; the same fee is prescribed for original entry in the Register and for annual retention on the Register. Medical practitioners pay j62 only for registration. The regulations provide also for the registration of dental mechanics and of dental companies, and set out at length the formalities preceding removal of a name from the Register on disciplinary or non-disciplinary grounds, and for restoration thereto. Copies of the regulations are to be obtained from the Registrar at the office of the Dental Board, 44, Hallam-street, London, W. 1, for 2s. 6d.

compliance

THERE is no difference of opinion concerning the need of post-graduate study for members of the medical profession in activepractice ; assiduous reading of current literature cannot altogether take the place of the spoken word and the practical demonstration. A large central post-graduate centre will, however, hardly provide for the needs of all the 6000 doctors practising in and around the metropolis ; for men from outlying suburbs would find it difficult to attend such a centre regularly. An interesting scheme for local postgraduate education is being developed in the southwestern district of London. Over a year ago a committee was formed in the district composed of representatives from the South-West London Medical Society, the local branch of the British Medical Association and the visiting staff of the Bolingbroke Hospital, to which the superintendent of St. James Hospital was coopted. With the sanction of the Ministry of Health, 12 consultants have recently been appointed to attend St. James Municipal Hospital as .a regular visiting staff, the departments of general medicine, surgery, neurology, urology, otology, rhino-

laryngology, pathology, gynaecology, ophthalmology, pediatrics, and dermatology being represented. Since there are 750 beds at St. James Hospital and 60 at the Bolingbroke Hospital it is clear that there will be no lack of clinical material for teaching purposes, and permission has been obtained for practitioners to follow the practice of both hospitals. It is proposed that the clinics of all the visiting staff to these hospitals shall be open to all practitioners in the district who care In to avail themselves of those facilities offered. addition to the ordinary clinical routine it is proposed to have at least one clinical demonstration or special lecture given weekly by one of the visiting staff. Additional arrangements will no doubt be made to suit the special needs of those who support the scheme. The project will depend for its success upon the whole-hearted support of the doctors in practice in the south-western district. The hospitals mentioned are easily accessible from Wandsworth, Battersea, Clapham, Balham, Tooting, and Streatham, in which districts there are at least 300 practitioners. An inaugural lecture is to be given on Wednesday, Feb. lst, at 4.30 by Sir Almroth Wright, F.R.S., at the St. James Hospital, Ouseley-road, Balham, on which occasion further details of the scheme will be announced.

Act of 1921

practitioners become eligible

Dr. Norman Walker is proceeding to India to confer with the authorities of the Universities in India over the situation which has arisen in respect of the standards of education in the subject of mid-

wifery

and

gyns&cology.