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THE CONJOINT EXAMINATION SCHEME FOR ENGLAND.
387 osteology ; for the second examination, anatomy and physiology; and for the third, or final examination, the principles and practice of medicine, including medical anatomy and pathology, the principles and practice of surgery, including surgical anatomy and pathology, and lastly, midwifery and diseases of women. Every candidate who shall have passed the third or final examination is, subject to the bye-laws of each licensing body, and the provisions therein contained, entitled to receive the licence of the Royal College of Physicians, the diploma of member of the Royal College of Surgeons, and the licence of the Society of Apothecaries. It is recommended that the first examination be held at the Apothecaries’ Hall, the second at the Royal College of Surgeons, and the third, or final, partly at the Royal College of Physicians, and partly at the Royal College of Surgeons. Respecting the admission of women to the conjoint examination, the committee suggest that the scheme should contain a clause providing that any of the co-operating medical authorities willing to confer on women its degree, diploma, or licence may require the conjoint examining board to admit such women to examination; but such women shall not, on passing such examination, be entitled to claim a degree, diploma, or licence from any authority other than that requiring them to be examined. The Committee recommend the appointment of forty-eight examiners-five each in chemistry, materia medica, anatomy, and physiology, eight in midwifery, and ten each in medicine and surgery ; the three co-operating authorities each to appoint sixteen examiners. By this plan the Royal College of Physicians will have more or less examiners in all the subjects, the Apothecaries’ Society in all but surgery, while the Royal College of Surgeons will haveexaminers in the four subjects of anatomy, physiology, surgery, and midwifery only. The examiners are to be nominated by the Committee of Reference, and to be appointed by the several co-operating
Far be it from us to insinuate anyreligious convictions which lead missionaries to visit these wretched homes; but it is impossible to inquire into the distress without feeling that more care has been taken to progagate dogmas concerning the soul than facts concerning the body. The want of what we would call sanitary missionaries is the one fact that has more especially impressed itself on us during these in-
and
the Old Testament !
thing against the
earnest
vestigations. Leaving Whitechapel, and approaching
the docks, we found more distress among those connected with the shipping trade. We visited, for instance, the home of a man who for sailors, and had been in very easy had kept circumstances. He had now, however, been compelled to give up his house, and was living, with his wife, his four children, and their grandmother, in a single small back room, that scarcely contained 900 cubic feet of air. Among unmarried women and widows the distress is naturally very great. There is but little sewing to be done, and a general falling off in all demands. We met several skilled sempstresses and umbrella trimmers who had found it impossible to get employment this year, and who exhibited marked symptoms of exhaustion and wasting of muscular tissue. One girl, a skilled worker, had only been able to earn 3s. 6d. a week at umbrella trimming. She was an orphan, was weak in health, and lived with an old woman of eighty, who had adopted her, but could not help, as she was herself in receipt of parish relief, and therefore
lodgings
poor if not poorer. of course, may be raised to the typical cases of distress which we have described on the ground that similar instances may always be found in a large town like London. But we would urge that they are rarely so general, and that this is proved by the testimony of tradesmen in poor quarters, by the overcrowding of the workhouses, and by the facility with which we have discovered in all parts of the metropolis the most harrowing cases of starvation. These are not always, happily, so self-evident nor so worthy of sympathy. Immediate relief is the cheapest. of remedies. Nothing is more costly in the long-run than to the ground starve a population, particularly as this for epidemic disease, which may spread from the starving. to the rich. Perhaps, also, these facts have - special import authorities. The members of the Committee of Reference are at this moment, when the plague is reported to be travellingto act as visitors of examinations. The number of written westwards ! questions on each subject will, as a rule, be six; the time allowed for each paper being three hours. As respects the payment of examiners, the Committee THE CONJOINT EXAMINATION SCHEME recommend that at first the examiners be not paid by fixed FOR ENGLAND. annual sum, but by percentages on the total sum available for the payment of examiners and other expenses of the in THE Committee of Reference appointed accordance examinations-that is, half the total sum received as fees for with the Conjoint Scheme of the 1st of May, 1877, approved amount would be thus apportioned the examinations. The by the General Medical Council, have just finished their to the examiners in 5’75 per cent., to those in preliminary labours and presented their report to the co- materia medica and chemistry in each 7’25 per cent., to osteology operating medical authorities. The report is divided into) those in in and each 8’75 per cent., to anatomy physiology three parts: the first containing the proposed regulations! in and each 21-5 per cent., and to medicine surgery to the relating professional education and examination ofthose in 12’5 per cent., the incidental expenses midwifery those the the candidates; second, proposed regulations relating to examiners and the conduct of examinations; and the; of the examinations taking up the remaining 6’75per cent. third, the regulations relating to the payment of examiners and other expenses of examinations. Although it is not ROYAL COLLEGE OF PHYSICIANS. likely that any action will be taken on this report until the fate of the Government and other Medical Bills now before AT a meeting of the Fellows of the Royal College of PhyParliament is decided, a brief summary of the contents of held on Thursday last, the proposed regulations of sicians, the report may not be unacceptable. the Committee of Reference on the Conjoint Scheme was . Few material changes are proposed in the curriculum of After a long discussion, the first part was considered. study. Lectures on chemistry and on botany may be, adopted, but the consideration of the second and third parts attended before registration as a medical student. Only was postponed until Saturday, the 15th inst. one course of lectures on anatomy, during not less than six months, will be compulsory; but dissections must be practised for not less than twelve months. Lastly, attendROYAL COLLEGE OF SURGEONS. ance at a course of lectures on the principles of public health will be required. AT an ordinary meeting of the Council of the Royal As to the examinations, it is proposed that there shall be College of Surgeons held on Thursday last, the President three professional examinations instead of two, as here- made a statement respecting the new (Government) Medical tofore, each being partly written, partly oral, and partly Bill, to the effect that the question of the revision of the practical. The subjects for the first examination will be Medical Council will be considered by a Select Committee chemistry, materia medica, medical botany and pharmacy, of the House of Commons. He also called attention to
as
Objection,
,
,
prepares
’
‘
.
.
Far be it from us to insinuate anyreligious convictions which lead missionaries to visit these wretched homes; but it is impossible to inquire into the distress without feeling that more care has been taken to progagate dogmas concerning the soul than facts concerning the body. The want of what we would call sanitary missionaries is the one fact that has more especially impressed itself on us during these in-
and
the Old Testament !
thing against the
earnest
vestigations. Leaving Whitechapel, and approaching
the docks, we found more distress among those connected with the shipping trade. We visited, for instance, the home of a man who for sailors, and had been in very easy had kept circumstances. He had now, however, been compelled to give up his house, and was living, with his wife, his four children, and their grandmother, in a single small back room, that scarcely contained 900 cubic feet of air. Among unmarried women and widows the distress is naturally very great. There is but little sewing to be done, and a general falling off in all demands. We met several skilled sempstresses and umbrella trimmers who had found it impossible to get employment this year, and who exhibited marked symptoms of exhaustion and wasting of muscular tissue. One girl, a skilled worker, had only been able to earn 3s. 6d. a week at umbrella trimming. She was an orphan, was weak in health, and lived with an old woman of eighty, who had adopted her, but could not help, as she was herself in receipt of parish relief, and therefore
lodgings
poor if not poorer. of course, may be raised to the typical cases of distress which we have described on the ground that similar instances may always be found in a large town like London. But we would urge that they are rarely so general, and that this is proved by the testimony of tradesmen in poor quarters, by the overcrowding of the workhouses, and by the facility with which we have discovered in all parts of the metropolis the most harrowing cases of starvation. These are not always, happily, so self-evident nor so worthy of sympathy. Immediate relief is the cheapest. of remedies. Nothing is more costly in the long-run than to the ground starve a population, particularly as this for epidemic disease, which may spread from the starving. to the rich. Perhaps, also, these facts have - special import authorities. The members of the Committee of Reference are at this moment, when the plague is reported to be travellingto act as visitors of examinations. The number of written westwards ! questions on each subject will, as a rule, be six; the time allowed for each paper being three hours. As respects the payment of examiners, the Committee THE CONJOINT EXAMINATION SCHEME recommend that at first the examiners be not paid by fixed FOR ENGLAND. annual sum, but by percentages on the total sum available for the payment of examiners and other expenses of the in THE Committee of Reference appointed accordance examinations-that is, half the total sum received as fees for with the Conjoint Scheme of the 1st of May, 1877, approved amount would be thus apportioned the examinations. The by the General Medical Council, have just finished their to the examiners in 5’75 per cent., to those in preliminary labours and presented their report to the co- materia medica and chemistry in each 7’25 per cent., to osteology operating medical authorities. The report is divided into) those in in and each 8’75 per cent., to anatomy physiology three parts: the first containing the proposed regulations! in and each 21-5 per cent., and to medicine surgery to the relating professional education and examination ofthose in 12’5 per cent., the incidental expenses midwifery those the the candidates; second, proposed regulations relating to examiners and the conduct of examinations; and the; of the examinations taking up the remaining 6’75per cent. third, the regulations relating to the payment of examiners and other expenses of examinations. Although it is not ROYAL COLLEGE OF PHYSICIANS. likely that any action will be taken on this report until the fate of the Government and other Medical Bills now before AT a meeting of the Fellows of the Royal College of PhyParliament is decided, a brief summary of the contents of held on Thursday last, the proposed regulations of sicians, the report may not be unacceptable. the Committee of Reference on the Conjoint Scheme was . Few material changes are proposed in the curriculum of After a long discussion, the first part was considered. study. Lectures on chemistry and on botany may be, adopted, but the consideration of the second and third parts attended before registration as a medical student. Only was postponed until Saturday, the 15th inst. one course of lectures on anatomy, during not less than six months, will be compulsory; but dissections must be practised for not less than twelve months. Lastly, attendROYAL COLLEGE OF SURGEONS. ance at a course of lectures on the principles of public health will be required. AT an ordinary meeting of the Council of the Royal As to the examinations, it is proposed that there shall be College of Surgeons held on Thursday last, the President three professional examinations instead of two, as here- made a statement respecting the new (Government) Medical tofore, each being partly written, partly oral, and partly Bill, to the effect that the question of the revision of the practical. The subjects for the first examination will be Medical Council will be considered by a Select Committee chemistry, materia medica, medical botany and pharmacy, of the House of Commons. He also called attention to
as
Objection,
,
,
prepares
’
‘
.
.