- Email: [email protected]
The Defence Services
330
equivalent to the period of the appointment, but not exceeding one year. Accepted applicants will be required to serve in any part of the world and will be required to pass an examination by a Service medical board to assess their fitness to do so, and also their fitness to fly as passengers. Further particulars can be obtained on application to the Under-Secretary of State for Air (D.G.M.S.), Awdry House, Kingsway, London, W.C.2.
The Defence Services Medical Service Medical officers are now admitted to the Royal Navy on a short-service engagement of four years or, in the case of National Service candidates who do not wish to serve for this period, are granted temporary commissions -in the Royal Naval Volunteer Reserve. Candidates must have had at least six months’ experience in a house-appointment. At present no women medical officers are employed. Candidates for the Royal Naval Dental Service are entered on short-service engagements of four years only. Opportunities are given to medical and dental officers during their temporary service or short-service engagement to apply for transfer to the permanent service. Copies of regulations and forms of application may be had from the Medical Department of the Navy, Queen Anne’s Mansions, St. James’s Park, London, S.W.I.
Royal Naval
Royal Army Medical Corps No direct applications for regular commissions in the R.A.M.C. are being invited at present. On the nomina-
tion of the Central Medical War Committee doctors are appointed to emergency commissions with the rank of lieutenant. After serving as emergency commissioned officers, medical officers have an opportunity of applying for a regular short-service commission under conditions set out in Army Council Instructions, and they may subsequently be considered for permanent Regular Army commissions. Revised conditions for the granting of these short-service commissions are to be announced shortly. Recently qualified doctors wishing to be appointed to emergency commissions should apply to the secretary of the Central Medical War Committee at B.M:A. House, Tavistock Square, London, W.C.1; or, if resident in Scotland, to the Scottish Central Medical War Committee, 7, Drumsheugh Gardens, Edinburgh, 3: Applicants should have held an appointment either as house,-surgeon or house-physician for six months. -
ROYAL ARMY DENTAL CORPS
As in the R.A.M.C., no direct applications for regular commissions in the Royal Army Dental Corps are being invited On the nomination of the Ministry of Health at present. dental. surgeons are appointed to emergency commissions with the rank of lieutenant. Such officers may apply at once for a regular short-service commission under existing regulations, and if selected are eligible for appointment at any time to a permanent Regular Army commission. Revised conditions governing the grant of short-service commissions will be announced shortly. Immediately on qualification dental surgeons wishing to enter the Royal Army Dental Corps should
notify
the
secretary, Ministry of Health, Whitehall, London,
S.W.I.
Royal Air
Force Medical Branch scheme to grant short-service commissions to registered medical men of British nationality who wish to serve iii the R.A.F. Medical Branch, or who wish to re-enter the Service, has now been approved. By its terms doctors under 30 years of age on application (for the next few years the age will be 32) will be considered for the grant of commissions for a period of four years on the active list, followed by a period of four years on the reserve. During his service on the active list a medical officer will be considered for the grant of a permanent commission. Should he not be selected for a permanent commission he will be eligible for a gratuity of 2600 on completion of four years’ active-list service on the short-service commission. The rank on entry will normally be that of flying officer, but allowance will be made for the full period of any previous service as a medical officer in the Royal Navy, the Army, the R.A.F., or the Indian Medical Service. There are also provisions under which entrants may first engage in a whole-time postgraduate appointment in a recognised hospital, or complete such an appointment if already held ; in either case the period of the appointment, up to a maximum of one year, will count towards seniority in the rank of flight lieutenant. Similarly, an entrant who has previously held such a postgraduate appointment may receive an antedate of his commission
A
R.A.F. DENTAL BRANCH
Those wishing to join the Dental Branch of the R.A.F. should notify the secretary, Ministry of Health, Whitehall, London, S.W.I. The granting of regular commissions, suspended during the war, has now been resumed, subject to satisfactory service in a short-service commission.
Health Services
at
Home
PUBLIC HEALTH Tms year is the centenary of the appointment of the first medical officer of health. In the past century great improvements’ in environmental hygiene have been achieved under the direct control of medical officers of health. Gradually the standards they demanded have been generally accepted and applied, and the present-day M.o.H. has less need, to supervise this work in detail than his forerunner. Nevertheless much still remains to be done-for instance, in improving rural water-supplies and urban housing. The medical officer must retain general control and supervision of this environmental work, but its detailed execution he largely delegates to sanitary inspectors, health visitors, and others. So long as the general control remains with the medical officer trained in public health, there can be nothing but good in this. Control of infectious diseases has always been one of the main concerns of the M.O.H. , The old emphasis on isolation of infected persons has now been replaced by the provision of modern hospital treatment, but there remains the active home follow-up. Bacteriologists have made great advances in the identification of different strains within certain of the pathogenic species, and these new techniques, applied to epidemic control, have given the M.o.H. an- instrument of precision in much of his epidemiological work. The application of specific prophylactic measures against various of the acute infections is now a major function of health departments ; and already the control of such diseases as diphtheria fever is in sight. and enteric During the last thirty years most of the medical officers of public-health departments have been occupied in preventive clinic work. The organisation of maternity, infant welfare, and school health services occupies much of the time of the M.o.H. of a county or county borough. Part in of the National Health Service Act will add responsibility for home nursing and ambulance services, and will give more scope for care and aftercare. Schemes for immunisation and vaccination, health visiting, and maternity and child welfare must also be prepared. All these services become obligatory for the new local health authorities. Probably there will be a steady increase in the part played by experienced general practitioners in the clinical work, but the administration must clearly remain with the M.o.H:., who is responsible for the general organisation of preventive measures. It is probable, too, that counties will devise a system of administration .through divisional subcommittees of the health committees, and that divisional medical officers will undertake the detailed administration of the preventive services in these divisions and usually the environmental hygiene of parts of the divisions at least. This should lead to closer association between public-health medical officers and general practitioners. The tuberculosis and venereal-disease services are specialist clinical services which must be closely linked with epidemiological and preventive work, in which both clinician and JBI.O.H. are concerned. The provision of treatment is a hospital function, whether outpatient or inpatient, but more is required than this. The follow-up of contacts in both diseases is of the highest importance, and in tuberculosis there is a special field of family care. This common ground should lead to closer association between M.o.H. and clinician, even though the hospital service now passes to another authority. ,
equivalent to the period of the appointment, but not exceeding one year. Accepted applicants will be required to serve in any part of the world and will be required to pass an examination by a Service medical board to assess their fitness to do so, and also their fitness to fly as passengers. Further particulars can be obtained on application to the Under-Secretary of State for Air (D.G.M.S.), Awdry House, Kingsway, London, W.C.2.
The Defence Services Medical Service Medical officers are now admitted to the Royal Navy on a short-service engagement of four years or, in the case of National Service candidates who do not wish to serve for this period, are granted temporary commissions -in the Royal Naval Volunteer Reserve. Candidates must have had at least six months’ experience in a house-appointment. At present no women medical officers are employed. Candidates for the Royal Naval Dental Service are entered on short-service engagements of four years only. Opportunities are given to medical and dental officers during their temporary service or short-service engagement to apply for transfer to the permanent service. Copies of regulations and forms of application may be had from the Medical Department of the Navy, Queen Anne’s Mansions, St. James’s Park, London, S.W.I.
Royal Naval
Royal Army Medical Corps No direct applications for regular commissions in the R.A.M.C. are being invited at present. On the nomina-
tion of the Central Medical War Committee doctors are appointed to emergency commissions with the rank of lieutenant. After serving as emergency commissioned officers, medical officers have an opportunity of applying for a regular short-service commission under conditions set out in Army Council Instructions, and they may subsequently be considered for permanent Regular Army commissions. Revised conditions for the granting of these short-service commissions are to be announced shortly. Recently qualified doctors wishing to be appointed to emergency commissions should apply to the secretary of the Central Medical War Committee at B.M:A. House, Tavistock Square, London, W.C.1; or, if resident in Scotland, to the Scottish Central Medical War Committee, 7, Drumsheugh Gardens, Edinburgh, 3: Applicants should have held an appointment either as house,-surgeon or house-physician for six months. -
ROYAL ARMY DENTAL CORPS
As in the R.A.M.C., no direct applications for regular commissions in the Royal Army Dental Corps are being invited On the nomination of the Ministry of Health at present. dental. surgeons are appointed to emergency commissions with the rank of lieutenant. Such officers may apply at once for a regular short-service commission under existing regulations, and if selected are eligible for appointment at any time to a permanent Regular Army commission. Revised conditions governing the grant of short-service commissions will be announced shortly. Immediately on qualification dental surgeons wishing to enter the Royal Army Dental Corps should
notify
the
secretary, Ministry of Health, Whitehall, London,
S.W.I.
Royal Air
Force Medical Branch scheme to grant short-service commissions to registered medical men of British nationality who wish to serve iii the R.A.F. Medical Branch, or who wish to re-enter the Service, has now been approved. By its terms doctors under 30 years of age on application (for the next few years the age will be 32) will be considered for the grant of commissions for a period of four years on the active list, followed by a period of four years on the reserve. During his service on the active list a medical officer will be considered for the grant of a permanent commission. Should he not be selected for a permanent commission he will be eligible for a gratuity of 2600 on completion of four years’ active-list service on the short-service commission. The rank on entry will normally be that of flying officer, but allowance will be made for the full period of any previous service as a medical officer in the Royal Navy, the Army, the R.A.F., or the Indian Medical Service. There are also provisions under which entrants may first engage in a whole-time postgraduate appointment in a recognised hospital, or complete such an appointment if already held ; in either case the period of the appointment, up to a maximum of one year, will count towards seniority in the rank of flight lieutenant. Similarly, an entrant who has previously held such a postgraduate appointment may receive an antedate of his commission
A
R.A.F. DENTAL BRANCH
Those wishing to join the Dental Branch of the R.A.F. should notify the secretary, Ministry of Health, Whitehall, London, S.W.I. The granting of regular commissions, suspended during the war, has now been resumed, subject to satisfactory service in a short-service commission.
Health Services
at
Home
PUBLIC HEALTH Tms year is the centenary of the appointment of the first medical officer of health. In the past century great improvements’ in environmental hygiene have been achieved under the direct control of medical officers of health. Gradually the standards they demanded have been generally accepted and applied, and the present-day M.o.H. has less need, to supervise this work in detail than his forerunner. Nevertheless much still remains to be done-for instance, in improving rural water-supplies and urban housing. The medical officer must retain general control and supervision of this environmental work, but its detailed execution he largely delegates to sanitary inspectors, health visitors, and others. So long as the general control remains with the medical officer trained in public health, there can be nothing but good in this. Control of infectious diseases has always been one of the main concerns of the M.O.H. , The old emphasis on isolation of infected persons has now been replaced by the provision of modern hospital treatment, but there remains the active home follow-up. Bacteriologists have made great advances in the identification of different strains within certain of the pathogenic species, and these new techniques, applied to epidemic control, have given the M.o.H. an- instrument of precision in much of his epidemiological work. The application of specific prophylactic measures against various of the acute infections is now a major function of health departments ; and already the control of such diseases as diphtheria fever is in sight. and enteric During the last thirty years most of the medical officers of public-health departments have been occupied in preventive clinic work. The organisation of maternity, infant welfare, and school health services occupies much of the time of the M.o.H. of a county or county borough. Part in of the National Health Service Act will add responsibility for home nursing and ambulance services, and will give more scope for care and aftercare. Schemes for immunisation and vaccination, health visiting, and maternity and child welfare must also be prepared. All these services become obligatory for the new local health authorities. Probably there will be a steady increase in the part played by experienced general practitioners in the clinical work, but the administration must clearly remain with the M.o.H:., who is responsible for the general organisation of preventive measures. It is probable, too, that counties will devise a system of administration .through divisional subcommittees of the health committees, and that divisional medical officers will undertake the detailed administration of the preventive services in these divisions and usually the environmental hygiene of parts of the divisions at least. This should lead to closer association between public-health medical officers and general practitioners. The tuberculosis and venereal-disease services are specialist clinical services which must be closely linked with epidemiological and preventive work, in which both clinician and JBI.O.H. are concerned. The provision of treatment is a hospital function, whether outpatient or inpatient, but more is required than this. The follow-up of contacts in both diseases is of the highest importance, and in tuberculosis there is a special field of family care. This common ground should lead to closer association between M.o.H. and clinician, even though the hospital service now passes to another authority. ,