of 2 /2
335 Postgraduate Education In London The BRITISH POSTGRADUATE MEDICAL FEDERATION will be a school of the University of London. For the graduate who has already started his specialist training, university departments at the Postgraduate Medical School, Ham- mersmith, and at institutes in association with special hospitals provide organised teaching. Advanced instruc- tion in general medicine, general surgery, obstetrics and gynaecology, and pathology is provided at the Post- graduate Medical School. Institutes which are now functioning satisfactorily are those of Laryngology and Otology, Child Health, Neurology, Ophthalmology, and Psychiatry. Institutes of Orthopaedic Surgery, Urology, Diseases of the Chest, Cardiology, Dermatology, , and Dental Surgery are at various stages of development, and are able to provide training for limited numbers. The usual resident appointments are available at the hospitals associated with these schools and institutes. The Postgraduate Medical School of London (formerly the British Postgraduate Medical School) is associated with the Hammersmith Hospital, and has university departments in medicine, surgery, obstetrics and gynaecology, and pathology. Continuous teaching, based on ward-work, is supplemented by lectures during three fourteen-week sessions. A course for the university diploma in clinical pathology, lasting one year, begins in October. Refresher courses are held in practical anaesthetics. Courses are also provided for the diplomas in medical radiology of the university and Conjoint Board. The Institute of Child Health is in association with the Hospital for Sick Children, Great Ormond Street, and the Postgraduate Medical School at Hammersmith Hospital, and also has an arrangement with the Queen Elizabeth Hospital- for Children, Hackney. The institute provides tuition throughout the year in three terms of three months each. The Institute of Neurology is in association with the National Hospital for Nervous Diseases, Queen Square. The teaching is mainly by attendance on the hospital practice, and there are three terms annually. In addition, whole-time courses, each lasting ten weeks, are held in the autumn and spring terms. The Institute of Laryngology and Otology is in association with the Royal National Throat, Nose, and Ear Hospital at Gray’s Inn Road and Golden Square. -A comprehensive course lasting twenty weeks and designed to cover the whole field of the specialty is held twice a year in January and July. The Ophthalmic Institute, is in association with the Moor- fields group of hospitals (Royal London Ophthalmic, Royal Westminster Ophthalmic, and Central London Ophthalmic hospitals). In addition to teaching by means of hospital practice, a course lasting four to five months is held twice a year, starting in March and October. Institute of Psychiatry (medical school of the Maudsley Hospital).-The present short course will be the last of its kind. The future training in psychiatry will be a long-term training covering two or three years, after preliminary experi- ence elsewhere in general medicine, and it will be based on responsible hospital duties under supervision. The ultimate aim is to provide a wide clinical training in psychiatry, with special experience in one or more of its subdivisions. Institute of Orthopœdic Surgery (medical school of the Royal National Orthopaedic Hospital).-In addition to the hospital practice, courses lasting six months are to be held. Institute of Urology (combined school of St. Peter’s and St. Paul’s hospitals).-Three courses of fourteen weeks’ duration are held annually. Institute of Diseases of the Chest (medical school of the Brompton Hospital).-The teaching is primarily by means of attendance on hospital practice. A whole-time programme can be arranged, but the numbers are restricted for the present by lack of accommodation. There are three terms annually. InstEticte of Dermatology (medical school of St. John’s Hospital for Diseases of the Skin, Lisle Street, W.C.2).- Clinical teaching takes place in the outpatient department twice daily. A course is to be arranged for the winter. Institute of Cardiology (medical school of the National Heart Hospital, Westmoreland Street, W.1).-The aim of the institute is to train cardiological specialists and to provide courses of instruction in cardiology for general physicians. Physicians in training as cardiologists are expected to attend whole-time for at least one year. There are three terms annually. Three intensive courses of lectures and demon- strat.ionF’, each lasting a fortnight, are held in February, July, and November. In addition there are series of weekly lectures in the summer and winter for general practitioners. In all the institutes considerable expansion is planned as soon as the necessary trained staff and accommodation are obtained. It is essential for prospective students to make their arrangements well in advance. Those spon- sored by their governments or by other official bodies and selected for training in one of the specialties will receive first consideration in the allotment of vacancies. Established specialists from overseas who wish to see something of the practice of this country, and who are here for a relatively short time, are always welcome. They are regarded as visiting colleagues, and the experts in their specialties are always ready to receive them and let them accompany them in their work and teaching. The work at the institutes is of an advanced type and is sufficiently comprehensive to enable graduates with suitable practical experience to prepare for higher degrees or diplomas. Emphasis is placed on clinical and labora- tory teaching, supplemented by lectures and demonstra- tions. Advanced revision courses in general medicine and general surgery for graduates who have already completed their practical training and wish to sit for higher degrees and diplomas are being developed. In addition, refresher courses for general practitioners are held at non-teaching hospitals in London and the Home Counties. The federation has a central administrative office at 2, Gordon Square, London, W.C.1, to which inquiries should be directed. An information bureau of post- graduate medical activities in London and the other university centres is maintained. The FELLOWSHIP OF POSTGRADUATE MEDICINE, which has a bureau at 1, Wimpole Street, London, W.l, provides general information on postgraduate work, and arranges, at various hospitals, courses of instruction which may be classed under two main headings : 1. Weekend courses, occupying the whole of a Saturday and Sunday, for general practitioners. These are given in various general and special hospitals in such subjects as general medicine and surgery, obstetrics and gyn2e- cology, ear, nose, and throat conditions, children’s diseases, and rheumatic diseases. 2. Short clinical courses for candidates for the n2.R.e.r. and F.R.C.S. (final) given shortly before the examinations. Twice a year revision courses in - anaesthetics are arranged in Oxford and in London ; also lecture-demon- stcations for primary F.R.c.s. candidates, and occasional courses for D.c.H. candidates. Other courses are arranged from time to time in proctology and urology. It is hoped to add to the number and variety of courses as facilities permit. In Scotland The EDINBURGH POSTGRADUATE BOARD FOR MEDICINE, representing the University and the Royal Colleges of Physicians and Surgeons of Edinburgh, arranges pro- grammes of graduate studies. Two courses in internal medicine lasting eleven weeks are held, starting in April and October of each year. These classes comprise lectures, lecture-demonstrations, and clinical teaching, and are suitable for graduates wishing to specialise in medicine or who require a refresher course in the current outlook on internal medicine. Two courses in general surgery are held each year, starting in March and October. These courses are of 41/2 months’ duration ; they include lectures on surgical anatomy, surgical pathology, and selected surgical subjects, as well as clinical demonstrations and ward visits for sections of the class. In addition to the Edinburgh Royal Infirmary, other general and special hospitals in the city cooperate in the provision of clinical teaching facilities. General refresher courses lasting two weeks, for N.H.I. practi- tioners and demobilised general practitioners, are con- ducted according to the demand ; and ten classes of this type, in addition to two short courses in obstetrics, gynaecology, and paediatrics, have so far been held. Open postgraduate lectures on subjects of wide biological interest are arranged each term in connexion with the other organised teaching of the Board. Future plans include the further extension of hospital facilities for clinical teaching, and the provision of hostel accom- modation for graduates.