Primary Examination, to be obtained of the Secretary,iauthorised by the Local Government Board. Candidates i to present themselves for examination are required signed by the Dean of the Medical School or intending I Section I. of the Final Examination to other authority. give fourteen days notice. A form for this purpose will consists of three parts. Part I. includes the Principlesbe sent on application. and Practiee of Surgery, Surgical Pathology, and SurThe fee for the three examinations is 15 guineas, or five gical Anatomy, Operative Manipulation, Instruments,guineas for each examination, except in the case of persons and Appliances. Part II. includes the Principles holding a foreign diploma, who are required to pay the entire of Medicine, Pharmacology, Pathology fee of 15 guineas. The Secretary to the Examiners attends and Practice and Morbid Histology; Forensic Medicine, Hygiene,at i the Hall of the Society, BlackfriaTs, E.C., from 10 to Theory and Practice of Vaccination ; and Mental Diseases. 12 o’clock daily. Part III. includes Midwifery, Gynaecology, and Diseases of the
must be
APOTHECARIES’ HALL OF IRELAND. Apothecaries’ Hall of Ireland grants a full registrable diploma entitling the holder to practise medicine, surgery, and midwifery. For this qualification there are four examinations, the fees for which are C55s. each, and for the Fourth, or Final, ;E66s. The Hall grants the power to practise as an apotbecary throughout Ireland also, but this power is not granted separately except to persons holding other registered qualifications. The Hall grants its licence to qualified practitioners whose names appear on the Medical Register who wish to add this to other qualifications. The fee is Z10 10s. on examination. Further information can be obtained from Mr. R. Montgomery, secretary of the Apothecaries’ Hall, Mary-street, Dublin.
New-born Children and the Use of Obstetric Instruments and Appliances. Part III. may be postponed to Section II. of the Final Examination, and candidates may enter for Parts I., II., and III. together or separately. Section I. of the Final Examination cannot be passed before the expiration of forty-five months after registration as medical student, during which time not less than three winter sessions and two summer sessions must have been passed at one or more of the medical schools connected with a general hospital recognised by the Society. Section II. of the Final Examination consists of two Parts. Part I. Clinical Surgery ; Part II. Clinical Medicine and Medical Anatomy. Section II. cannot be passed before the end of the fifth year. The course of study for the Primary Examination is as follows:- Elementary Biology, not less than three months; Chemistry and Chemical Physics, six months; Practical Chemistry, three months; Pharmacy and Dispensing, three months; Anatomy, six months; Practical
The
Anatomy with Demonstrations, twelve months ; Physiology, six months ; Histology with Demonstrations, three months. The study of these subjects must be pursued at a Medical School or at a place of instruction recognised by the Society. Evidence of having received instruction in the subjects of Part I. of the Primary Examination before registration as
medical student will be accepted. Instruction in Pharmacy and Dispensing must be given by a registered medical practitioner or by a member of the Pharmaceutical Society by examination or in a public hospital, infirmary, or
dispensary.
The course of study for the Final, Section I., Examination includes attendance on the Surgical and Medical Practice (with Post-mortem Examinations) at a hospital connected with a medical school for a period of three winter and two summer sessions ; lectures on the Principles and Practice of Surgery, six months ; Practical Surgery, three months; Clinical Surgical Lectures, nine months; Dressership, six months; Performance of Surgical Operations on the Dead Body ; lectures on Principles and Practice of Medicine, six months ; Pathology, three months ; Clinical Medical Lectures, nine months; Clinical Clerkship,8 six months; Forensic Medicine, Hygiene, and Insanity, three months ; Midwifery and Gynaecology, three months ; Clinical Instruction in the same, three months ; a course of Practical Midwifery ; attendance on twenty Midwifery cases. The course of medical study must extend over the above-mentioned period of forty-five months. The course of study for the Final Examination Section II. includes either attendance on the Practice of Medicine and Surgery at a hospital or other institution recognised by the Society for a further period of twelve months, or six months as above and six months as a pupil of a registered practitioner holding a public medical
surgical appointment, or attendance at two special hospitals for six months (three months at each hospital), and for six months at a general hospital, all such hospitals to be recognised by the Society. Evidence shall also be given of practical instruction in Infectious Diseases’ and in Mental Diseases (at a lunatic asylum or in the wards of an institution containing a special ward set apart for the treatment of mental diseases), and in any two of the following subjects : Ophthalmic Surgery, Laryngology with Rhinology and Otology, Dermatology, and Diseases No candidate is eligible for the Final of Children. Examination who has not completed the curriculum prescribed by the Society, in evidence of which a schedule, to be obtained of the Secretary, must be produced, signed by or
’
’
,
the Dean of the Medical School or other authority. Prior to Section II. of the Final Examination the candidate must produce certificates : (1) of being twenty-one years of age;: (2) of moral character ; (3) of the course of medical study ; and (4) of proficiency in vaccination signed by a teacher,
:
8
These offices must be held at
ecognised by the society.
a
hospital,
or
other
I
UNIVERSITY OF BRUSSELS. British and other practitioners holding registrable qual!^ fications are admitted to the examination for the Doctorate of the University of Brussels without further curriculum. It is essentially a practitioner’s examination and is separate from that intended for the Belgian students who take up the medical curriculum of the University. The fees are-For matriculation, E812s. ;for 1st Part, 48s.for 2nd Part, E44 4s. ;for 3rd Part, E4 8s. ;for legalisation of diploma, 8s.£22. Candidates who have paid in advance the fees for the three examinations, and are unsuccessful in the first, recover the fees paid for the second and third ; those who fail in the second recover the fees paid for the third examination. Unsuccessful candidates are allowed to come up again three months after rejection on payment of examination fees only, provided this second appearance be in the course of the same academical year (October lst to June 30th), otherwise they must renew the payment of the matriculation fee of £812s. There are three examinations, viz.-1st Part: General Medicine ; Pathology and Morbid Anatomy; General Therapeutics; Materia Medica and Pharmacology ; Special Therapeutics and Mental Diseases. 2nd Part : Surgery ; Midwifery; Hygiene; and Medical Juxisprudence. 3rd Part : Clinical Examination in Medicine at the Hospital ; Clinical Surgical Examination ; Examination in Midwifery, consisting of obstetrical operations on the mannequin (doll and model of pelvis) ; Examination in Operative Surgery, consisting of some of the usual operations on the dead subject, such as Amputation, Ligature of an Artery, &c. ; Regional Anatomy on the Dead Body, with Dissections; and Ophthalmology. The first and second parts are theoretical and the third is mainly practical and clinical. The time required for the three examinations seldom exceeds ten days, and is usually less. Candidates have the option of passing each part separately or of taking the three together, and the latter is the usual course ; also of demanding a written examination on payment of an additional fee of one guinea for each part, a rule of which candidates rarely or never avail themselves. The examinations, which are vivâ voce, take place on the first Tuesday in November, December, February, May, and June. Candidates should appear with their diplomas at the Secretary’s office not later than 2 P.M. on the day preceding the examination. Most of the examiners speak Englih and those who do not examine through the medium of an interpreter who is a medical man ; the gentleman now acting in the latter capacity was appointed during the past academical Great importance is year and speaks English fluently. attached to practical knowledge, but candidates must also possess sound theoretical knowledge, the standard required varying with the subject. Pathological and other specimens Dr. Crccq, the late examiner in are not usually shown. medicine, died during last autumn and Dr. Charpentier was appointed in his place. There are in England at present over 600 graduates holding this degree, and an English Association of Brussels Medical Graduates has been in existence for many years. Further information may be obtained from Dr. Walter Reeve, 38, Manchester-street, Manchester-square, W.
institution
641 THE ARMY, NAVY. AND INDIAN MEDICAL SERVICES. Consequent upon the issue of the Royal Warrant published in Army Orders dated July lEt, 1898, the Army Medical Staff and the Medical Staff Carps were formed into the Royal Army Medical Corps. Medical officers also have been placed, as regards sick leave of absence on full pay, on the same footing as that laid down for regimental officers. By a Royal Warrant, dated Nov. 10th, 1891, Art. 1208b of the Pay Warrant was revised by inserting the words "an officer of our , Army Medical Staff " afcer the words combatant officer,’ an title with combatant thus giving medical officers equal officers to reckon time on half-pay towards retirement, when the half-pay has been due to ill-health contracted in the performance of military duty. Under the Royal Warrant of July, 1895, time on half-pay not exceeding a year may under similar circumstances also reckon towards promotion. In the New Royal Warrant it is announced that the Queen has been pleased to approve of the following ranks for the officers of the Royal Army Medical Corps :-Colonel, Lieutenant-Colonel, Major. Captain, and Lieutenant. The Warrant also states that the Medical Staff of the Army shall in future consist of Surgeon-Generals (ranking as Major-Generals). Officers of the Royal Army Medical Corps holding appointments in the Household Troops are to be borne as se conded officers on the establishment of the Royal Army Medical Corps. The substantive rank of the Director-General of the Army Medical Service is that of
compulsory subjects, and
at least one-half of the
aggregate
compulsory subjects. The voluntary (200 marks), German (200 marks), Hindustani (200 marks), and Natural Sciences : (cc) Physics (300 marks) ; (b) Zoolcgy (300 maiks) ; (c) Geology and Physical Geography (300 marks) ; and (d) Botany (300 marks). A candidate may not present himself for examination in more than two of the subjects included
of marks for all the subjects are French
under the term "Natural Sciences." A number less than one-third of the marks obtainable in each of the voluntary subjects will not be allowed to count in favour of a candidate who has qualified in the compulsory subjects. Although the results of the examination in voluntary subjects do not affect the question of the eligibility of the candidate for a commission, they influence his position on the list, which is determined by the numbers obtained under the two heads conjointly. A candidate for the Royal Army Medical Corps when submitting his application may also enter for the Indian Medical Service, subject to his satisfying the Secretary of State for India that he is eligible under the regulations for that service. The names of the successful candidates for the two services will be placed on one list in order of merit, as determined by the total number of marks each has obtained in both the compulsory and voluntary subjects. So far as the number of vacancies will permit, the successful candidates will be allotted, according to their position on the list, to the service for which they have expressed a preference, subject to their having been accepted prior to examination as eligible for that service. After having passed this examination the successful Surgeon-General. Admission into the Royal Army Medical Corps and candidates for both services are sent to the Army Medical Indian Medical Services is gained as the result of com- School at Netley as "surgeons-on-probation," receiving daily pay of 8s. and certain allowances, to go through petitive examination. Under special conditions the admission aa four months’ course of instruction in the special duties may take place by nomination under the authority of the of them in the services. They are required to required of State for nominated War. The number of Secretary attend the Royal Army Medical Corps mess at Netley and to candidates is not to exceed in number those admitted to the conform to the rules and regulations thereof. The staff of Medical School The are examination. candidates Army by nominated by the Secretary of State, who invites such the school consists of four professors, all of them men of in their special departments. The Progoverning bodies of public schools of medicine in the United high standing of Medicine is held by Colonel fessorship Military Kingdom or Colonies, as he may think proper, to propose K. I.M.S. Colonel W. F. Stevenson, M.B., Macleod, M.D., of State for will from time The War Secretary probationers. is of Professor Military Surgery ; Colonel J. L. Notter, M.D., to time fix the order of precedence and the proportion in which the several schools of medicine shall be offered the of Military Hygiene ; and Dr. A. E. Wright, of Pathology. Candidates for both services There is an Assistant Professor for each of these subjects nomination of candidates. must, before being admitted to examination, possess a who is an officer of the Royal Army Medical Corps. The double qualification to practise Medicine and Surgery, and lectures on Military Surgery include gunshot and other be registered under the Medical Act. They are also now wounds, transport of sick and wounded, duties of army field, on board troopships and required to produce certificates of having acted as a medical medical officers in the clinical clerk for six months, as surgical dresser for transports, recruiting, and other duties incident to military another six months, and of having had not less than service. Those on Military Medicine treat of tropical three months’ instruction at an ophthalmic hospital or and other diseases to which soldiers are exposed in the the ophthalmic department of a general hospital, including course of their service, the mortality and invaliding and war, at home and abroad, the a course on errors of refraction. They must also furnish by disease, inof peace lunatics under the conditions of military management A of moral candidate certificates character. satisfactory The course of six lectures on Lunacy and for the Royal Army Medical Corps must be between the service, &c. Military Asylum work is delivered at the Netley Lunatic ages of twenty-one and twenty. eight, in good mental and by Lieutenant-Colonel Chester, M.B. The course bodily health, and must sign a declaration upon honour that Asylum he is of pure European descent; for the Indian Service a can- of Hygiene comprises the examinations of water and air, didate must be between twenty-one and twenty-eight, of sound the general principles of diet, with the quality and adulof food and beverages, the sanitary requirements bodily health, and a natural-born subject of Her Majesty. terations of barracks, hospitals, and camps, the consideration of the Both are examined as to physical fitness by a Board of Medical Officers. These conditions being satisfied, the can- clothing, duties, and exercises of the soldier, and the cirdidate is admitted to the competitive examination, which cumstances affecting his health, with the best means of is usually held in London twice a year, in the months preventing disease, and instruction in the mode of preparing of February and August. An entrance fee of f,1is required the various statistical and other returns required of the The Pathological course includes from each candidate admitted to the competition, and is pay- medical officer. able at the conclusion of the candidate’s physical examina- bacteriology and demonstrations in physiological chemistry. tion, if he be pronounced fit. No candidate for the Indian The surgeons - on - probation are detailed for duty in Service will be allowed to compete on more than three the wards of the hospital, under the Professors and occasions. The subjects of examination are divided into Assistant Professors of Medicine and Surgery. They spend two months in the medical and two months in the surgical compulsory and voluntary. The former comprise Surgery division of the hospital, and there they are taught (1200 marks), Medicine, including Therapeutics and the Diseases of Women and Children (1200 marks), Anatomy practically the details of the management of patients and Physiology (600 marks), Chemistry and Pharmacy, and in a military hospital, the registration of their diseases, a practical knowledge of Drugs (600 marks). The examina- the duties of invaliding, the modes of filling up the tion in Medicine and Surgery will be in part practical, and regulation statistical returns and other service docuThe surgeons - on - probation are provided with will include operations on the dead body, the application ments. of surgical apparatus, and the examination of medical quarters and are extra members of the mess at Netley. and surgical patients at the bedside. The eligi- They are required to provide themselves with the regulation of the candidate for into admission the service is undress and mess uniform of a lieutenant, but without the bility determined by the result of this part of the examination. sword, sword-belt, dress trousers, forage cap, patrol jacket, badge of rank. After having passed through the course By an Army Order dated May 1st, 1895, no candidate shall and of instruction they are required to pass a qualifying examinabe considered eligible who shall not have obtained at of the obtainable in each of the tion in the subjects taught in the school, and their position
least one-third
marks