SOME OF THE CHIEF APPOINTMENTS HELD BY MEDICAL MEN.
employ in the more special branches of medical and surgical work. At the classes and clinical demonstrations dealing with these subjects, as in the laboratory, the professor or lecturer will tell his pupils what books he desires them to read and the particular book will depend upon the scope of his addresses and demonstration. In previous Students’ Numbers of THE LANCET will be found an exhaustive list with critical comments of all the best text-books.
649
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.
Factory ,Surgeon.-Under the Factory and Workshop Act certifying surgeons are appointed by the inspectors of factories. The duties are to certify as to the fitness for employment of children and young persons about to be engaged in factories and workshops and to investigate and
SOME OF THE CHIEF APPOINTMENTS report on accidents. There is a standard scale of fees for HELD BY MEDICAL MEN. special cases and the following fees are allowed for investigating and reporting on accidents sanctioned by the Secretary of State. For the examinations and report on Medical
Officer
to the Local Government Board.-This
the hands of the President of the Local Government Board for the time being, and has hitherto been filled by the promotion of one of the two assistant medical officers of that Board.
appointment is in
llledical Inspectors of the Local Government Board.-These appointments also are made by the President of the Local Government Board. Qualification and experience in public
health are taken into consideration. Medical Officers to Poor-law Districts.-These
appoint-
by the guardians of the union or parish in question, subject to the approval of the Local Government Board, which approval is primarily concerned with the medical and surgical qualifications of the persons appointed ments
are
made
and the locality of their residences. District Medical Officers of Health.--The appointments are made by the urban or rural district council in question subject to the sanction of the Local Government Board which sanction takes account of qualifications, salary, area of district, &c. County Medical Officers of Health.-The appointments are made by the respective county councils, with whom the question in all its details absolutely rests. Lord Chancellor’s Visitors in Lunacy.-There are two Medical Visitors in Lunacy nominated by the Lord Chancellor. The appointments are usually bestowed on gentlemen who have distinguished themselves in psychological medicine. Prison Medical Service.-The medical officers attached to the larger prisons are required to devote their whole The service is a small one time to their official duties. and vacancies do not often occur. Forms of application can be procured from the Secretary to the Prison Department at the Home Office. The salary commences at E250 per annum, with free quarters, or an allowance in lieu thereof. Jledical Officers of the Mercantile Harine.-The Illerchant Shipping Act, 1894, directs (Section 209) that every foreigngoing ship having 100 persons or upwards on board shall carry a duly qualified medical practitioner. Ship’s medical officers, however, are more often appointed under the part of the same Act relative to "emigrant ships." For the purposes of the Act an emigrant ship is defined as one which carries more than 50 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 50 and also where the number of persons on board (including cabin passengers, officers, and crew) exceeds 300. A medical practitioner shall not be considered to be duly authorised for the purposes of this Act unless (a) he is authorised by law to practise 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 that officer; 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 autborised 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
any accident which may not require the surgeon to travel a greater distance than one mile, 3s. For the examinations and report on any accident which may require the surgeon to travel a greater distance than one mile, and not more than two miles, 4s. For the examinations ana report on any accident which may require the surgeon to travel a greater distance than two miles, and not more than three miles, 5s. Where any examination or report may require the surgeon to travel a greater distance than three miles a further sum of 6d. for each half mile that such distance may exceed three miles. In any intricate case, or when any peculiar circumstances arise either in making the inquiry or in framing the report, the inspectors may recommend a higher fee than those above stated, so that no fee exceeding 10s. be assigned for any one accident, and provided the reason for assigning such higher fee be stated by the inspector. P1tblic Taceinator.-A candidate for this office must hold a certificate of proficiency in vaccination from an authorised person, and produce it to the guardians unless it was required for his degree or diploma. Except in the case of the medical officer of a workhouse, the contract must provide for a payment to the public vaccinator of not less than 18. in respect of each child registered in the district from Sept. lst, 1898, or resident there and afterwards registered or not registered at all, except where such child has before attaining the age of four months died, or been removed, or had small-pox, or been duly certified as vaccinated by another practitioner,’or where a certificate of exemption has been obtained by the parent; a payment of not less than 5s. for each successful primary vaccinaticn or revaccination at the home of the person vaccinated, and a payment of not less than 23. 6d. for each successful primary vaccination of a person other than a child, or successful revaccination at the surgery or elsewhere than at such home. No payment is to be made for revaccination of a person less than 10 years old or who has been revaccinated within 10 years. These payments include postage unless otherwise agreed. In the case of a workhouse medical officer a fee of not less than 2s. 6d. is to be paid for each successful primary vaccination or revaccination. A visit must be paid to the home of the child on the request of its parent or custodian, or after notice from the vaccination officer, between 9 A.M. and 4 P.M., and 24 hours’ notice must be given to the parent or custodian, unless otherwise
arranged. Colonial Appointments. --West Africa and the West Indies the places where medical officers are chiefly required. As vacancies occur, which are not very frequent, the Colonial Office fill them in British Guiana, Jamaica, Trinidad, Windward Islands, Leeward Islands, British Honduras, Fiji, Sierra Leone, Gambia, Gold Coast, Lagos, Ceylon, Straits Settlements. Hong-Kong, Cyprus, Gibraltar, St. Helena, and the Falkland Islands. In Ceylon and Jamaica local candidates usually receive the vacant appointments. West Indian appointments as a rule involve medical charge of a district, including the care of a hospital, poor-house, asylum, or other institution and free attendance on the aged and children. In West Africa the medical officers are also required to take charge of any hospital, public dispensary, lunatic asylum, or other Government institution at their respective stations, to supervise the sanitation of the district, to perform vaccination, and to give gratuitous attendance to all Government officials and, in most cases, the families of such officials also. are
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2
650
GENERAL COUNCIL OF MEDICAL EDUCATION.
University of Aberdeen.-Local Examinations (Senior and Junior). Preliminary Examination for Graduation in Arts or SESSION 1900-1901. Science or Medicine and Surgery. Final Examination for a degree in Arts or Science. GENERAL COUNCIL OF MEDICAL EDUCAUniversity of Glasgow. Preliminary Examination for -
TION AND REGISTRATION OF UNITED KINGDOM.
Graduation in Arts or Science or Medicine and Surgery. Final Examination for a degree in Arts or Science. University of St. Andrews.-Preliminary Examination for
THE
Graduation in Arts or Science or Medicine and Surgery. Medical Students.-The following are the Final Examination for a degree in Arts or Science or for the General Medical Council’s Regulations in reference to the diploma of L.L,A. registration of students in medicine :University of Dublin. Public Entrance Examination. Every medical student shall be registered in the manner Examination for the first, second, third, or fourth year in prescribed by the General Medical Council. No medical Arts. Final Examination for a degree in Arts. student shall be registered until he has passed a preliminary Royal Uiziversity of Ireland.-Matriculation Examinatioi2, examination as required by the General Medical Council and Final Examination for a degree in Arts or Science. has produced evidence that he has commenced medical Oxford and Cambridge Schools Examination Board.Hudy. The commencement of the course of professional Lower certificate (to include all the required subjects at one study recognised by any of the qualifying bodies shall not time). Higher certificate (to include the required subjects). he reckoned as dating earlier than fifteen days before the II.—MEDICAL LICENSING BODIES. date of registration. The registration of medical students shall be placed under the charge of the branch registrars. Royal Colleges of Physicians and Surgeons in Ireland.of as ; desirous a medical being registered Every person student Preliminary Examination.l shall apply to the branch registrar of the division of the III -EDUCATIONAL BODIES OTHER THAN UNIVERSITIES. United Kingdom in which he is residing ; and shall produce . College of Preceptors. -Examination for a First Class or forward to the branch registrar a certificate of his having Certificate. a as the examination General passed preliminary required by Intermediate Education Board of Ireland.-Junior or Medical Council, and evidence that he has commenced medical Middle Grade Examination ; Senior Grade Examination. The , branch shall enter the name study. registrar applicant’s Educational Institute oj Scotland. Preliminary Medical and other particulars in the Students’ Register, and shall Examination. him a Each of the certificate of such give registration. Scotch Education Departznertt. Leaving Certificates in branch registrars shall supply to the several qualifying bodies, medical schools, and hospitals, in that part of the United Lower and Higher Grades and in Honours. Central Welsh Board.-Senior Certificate Examination. Kingdom of which he is registrar, a sufficient number of blank forms of application for the registration of medical students. IV. INDIAN, COLONIAL, AND FOREIGN UNIVERSITIES AND COLLEGES. Applications for special exceptions are dealt with by the3 Students’ Registration Committee, which reports all such The Certificates from Indian, Colonial, and Foreign cases to the Council. Universities and Colleges must contain evidence that the The Preliminary Examination in General Education,, Examination has been conducted by or under the authority required to be passed previously to registration as a medical of the Body granting it, must include all the subjects required student, shall be as follows:by the General Medical Council, and must state that all the 1. English language, including grammar and composition. 2. Latin, of Examination have been passed in at one time; including grammar, translation from specified authors, and translation subjectsof the form of the required Certificate are supplied of easy passages not taken from such authors. 3. Mathematics, com- copies prising (a) arithmetic, (b) algebra, as far as simple equations, inclusive;by the Registrar of the Council for the purpose. In the case (c) geometry, the subject matter of Euclid, Books I., II., and III., with of Natives of India or other Oriental countries whose vereasy deductions. 4. One of the following optional subjects: (ft) Greek,’ nacular is other than English an Examination in a Classic (b) French, (e) German, (d) Italian, (e) any other modern language." Oriental Langusge may be accepted instead of an ExaminaIn many cases the Council will not accept certificates of pass in Pre;liminary Examination in General Education unless the whole of thee tion in Latin. subjects included in the Preliminary Examination required by the H. E. Allen, LL.B., Registrar of the General Council Council for Registration of Students of Medicine have been passed at and of the Branch Council for England, 299, Oxford-street, the fMM6 time. W.-James Robertson, Registrar of the Branch London, Professional Education.-The course of professional studyq for Scotland, 48. George-Equare, Edinburgh.-S. W. after registration shall occupy at least five years. Thee Council L.R.C.P. Irel., Registrar of the Branch Council for Final examination in Medicine, Surgery, and Midwiferyy Wilson, c Ireland, 35, Dawson-street, Dublin. must not be passed before the close of the fifth academic year of medical study. The following is a list of Examining Bodies whose exaREGULATIONS minations in general education are recognised by the OF THE General Medical Council as qualifying for registration as a EXAMINING BODIES IN THE MEDICAL medical or dental student the applicant producing satisthem :he has that passed factory evidence UNITED KINGDOM. I.-UNIVERSITIES IN THE UNITED KINGDOM. University of Oxford.-Junior Local Examinations. Senior UNIVERSITY OF OXFORD. Final Local Examinations. Responsions. Moderations. THERE are two degrees in Medicine, B.M. and D.M., and Examination for a degree in Arts. two degrees in Surgery, B.Ch. and M.Ch. University of Cambridqe. -Junior Local Examinations. The B.M. and B. Ch. degrees are granted to those Senior Local Examinations. Higher Local Examinations. members ofthe University who have passed the Second Previous Examination. General Examination. Final ExaExamination. Graduates in Arts (B.A. or M.A.) are alone mination for a degree in Arts. eligible for these two degrees. In order to obtain the of Durham.-Examination for Certificate University of of B.M. and B.Ch. the following examinations must Proficiency. Preliminary Examination in Arts for Gradua- degrees be passed :-1. Preliminary subjects : Mechanics and Physics, tion in Medicine and Science. Final Examination for a Chemistry, Animal Morphology and Botany. 2. Profesdecree in Arts. sional. (a) First Examination: Subjects -Organic CheFinal London.-Matriculation Examination. University of unless the candidate has obtained a first or second mistry, Examination for a degree in Arts or Science. class in Chemistry in the Natural Science School; Human Victoria University.-Preliminary Examination. Entrance unless he has obtained a first or second class in Physiology Examination in Arts. Final Examination for a degree in Animal Physiology in the Natural Science School; Human Arts or Science. and Materia Medica with Pharmacy. (b) Second Anatomy, University of Birmingham.-Matriculation Examination. Examination : Subjects- Medicine, Surgery, Midwifery, University of Wales.-Matriculation Examination. Final Pathology, Forensic Medicine with Hygiene. The approxiExamination for a degree in Arts or Science. mate dates of the examinations are as follows :-PrelimiUniversity of .Edinburgh.-Local Examinations (Senior and naries—Mechanics, Physics and Chemistry, December and Junior). Preliminary Examination for Graduation in Arts Final Examination or Science or Medicine and Surgery. 1 The Council has recommended that this examination be diEfor a degree in Arts or Science. continued.
Registration of
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