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2. The scale will be as follows, subject to the reductionof 6 per cent. referred to below :-

(a) Service element.—JB15 a year for each completedyear of service as a medical officer.

(b) Rank element.-

The retired pay of an officer retiring with less than onecomplete year’s service in the rank from which he retires willbe assessed as though he had retired from the rank below.Maximum rates of retired pay (a) and (b) together :-

The above rates are those laid down in the Pay Warrant.They have been reduced by approximately 6 per cent. asfrom July lst, 1927, and are subject to future variationwith fluctuation in the cost of living.

3. Officers with seven and less than 20 years’ service asmedical officers may be permitted to retire with a gratuity inaccordance with the following scale :-

After 7 years’ service as a medical officer.....8100015 " " 22800

18 " ,, .. :1:3500

THE ARMY DENTAL CORPS.

The Corps is administered by the Director-General,Army Medical Services. It is a joint service for theArmy and Royal Air Force, and personnel is requiredto serve under either force and be interchangeable.Officers and other ranks posted for duty with theRoyal Air Force will perform their duties under theRegulations of the Royal Air Force for the employ-ment of dental personnel, but the conditions in thefollowing tables apply equally in either force. Pro-motion is carried out on one general list. Regulationsfor admission to the Army Dental Corps should beobtained from the Under-Secretary of State, WarOffice, and carefully studied.

OFFICERS: Appointment and Promotion.1. Commissions as Lieutenants in the Army Dental Corps

may be given to persons duly qualified under regulationsapproved by the Army Council.

2. An officer who is commissioned after holding a whole-time appointment in a recognised civil dental hospital orin the dental department of a recognised civil generalhospital for a period of not less than six months, may begranted an antedate covering the period of his appointment,but not exceeding six months, provided that the intervalbetween the termination of the hospital appointment andthe date of entry into the Service shall not ordinarilyexceed six months. The period of such antedate willreckon towards promotion, increase of pay, gratuity or

pension.3. An officer is eligible for promotion to the rank of

Captain on completion of three and a half years’ service and tothe rank of Major on completion of 12 years’ service in theCorps, provided he has previously qualified in such manneras may be prescribed by the Army Council.

4. Promotion to the rank of Lieutenant-Colonel andColonel to fill the establishments laid down from time to timefor those ranks shall be made by selection of the ArmyCouncil, provided the officer has previously qualified forpromotion to those ranks in such manner as may be pre-scribed by the Army Council.

Pay.The following are the rates for officers of the Army Dental

Corps.These rates are 6 per cent. below those shown in the

Pay Warrant, 1926, as amended by Army Order 196/26.

The latter are subject to revision to an extent not exceeding20 per cent., according to variation in the cost of living.The next revision takes place on July 1st, 1930.

Per diem.

2 s. d.Lieutenant 0 18 10Captain 1 3 6

Captain after 8 years’ total service 164,, 10 ,, ,, ,, .. .. 1 8 2

Major 1 12 10Major, after 15 years’ total service 1 17 8

" " 18 .... 2 0 0" 20 2 4 8

Lieutenant-Colonel ..... 2 11 8Lieutenant-Colonel after 3 years’ service as such 2 16 4Colonel ............ 3 3 6

Charge Pay.The officer in charge of the Dental Laboratories, Aldershot,

receives charge pay at the rate of 5s. a day if holding the rankof Captain, or 2s. 6d. a day if holding the rank of Major.

Allowances.The allowances for officers of the Army Dental Corps are

at the same rates as for officers of the Royal Army MedicalCorps.

Retirement and Retired Pay or Gratuity.(1) The rates of retired pay will be the same as for officers

of the Royal Army Medical Corps.(2) Voluntary retirement on retired pay will not be allowed

until after twenty years’ service.

(3) Earlier retirement on gratuity may be allowed :—

After 8 years’ l service as a Dental gratuity of 21000.,, 15 ,, Officer, ,, £2000.,, 18 ,, ,, £3000.

The aim of the Corps is the prevention of wastageon account of dental disease or dental deficiency,and, to enable this to be carried out. everyrecruit is inspected by a dental officer immediatelyafter joining and all necessary treatment carried out.The soldier is re-inspected at least once a year andhis dental efficiency maintained at the best standardpossible.

INDIAN MEDICAL SERVICE.

IT is the view of many senior officers in the Servicethat the period of depression is now passing and thatthe prospect is again bright for those who are fittedin physique and disposition for a medical career inIndia. The offer of permanent commissions on

specially favourable terms to medical men of Europeandescent who were free to sail forthwith to India metlast year with the desired response, and the number ofcommissions granted during the last twelve monthsis 30.But the new outlook involves frank acceptance of

the Indian reform scheme, the essential of which isincreasing participation of Indian-born subjects inthe government of the country, although, so long asEuropeans are employed in the various departmentsof the Indian Civil Service, nothing is more certainthan that there will and must remain Europeandoctors to attend them. India definitely requiresEuropean assistance, not only for the care of themilitary and civil European population, but for themaintenance in the country of that spirit of modernmedicine which has accomplished already suchmighty things, and which day by day is spreadingin influence and value.The Government of India issued a communiqué

last year dealing in detail with the reorganisationof the medical services in India. The scheme thensanctioned is based on proposals framed in consultationwith local governments. The Indian Medical Service,constituted on the same broad lines as at present, willbe retained primarily to meet the needs of the Indianarmy, and in order to maintain two essential requisites-namely, (1) the necessary minimum war reserve ofmedical officers, and (2) the provision for Europeanmedical attendance on officers and their families.

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Local governments in India will be required to employa stated number of I.M.S. officers. It has beencalculated that the war reserve to be employed by thecivil side should consist of 134 British and 66 Indianofficers, the larger proportion of British officers beingdue to the fact that they cannot be recruited onemergency in India from the ranks of private practi-tioners. Medical attendance on British personnel,and the requirements of civil administration, forwhich the Central Government is still responsible,involve the provision of a number of employmentstermed " residuary," the incumbents of which mustbe retained permanently in civil employment, so as toensure the continuance under any circumstances ofa skeleton staff to cope with civil requirements.Further details regarding the posts on the civil sidewere published in the Students’ number of 1928.

Rules forming an integral part of the reorganisationscheme have been drawn up to safeguard the variedinterests of the Indian army, the provincial govern-ments, and the medical officers themselves (videTHE LANCET, May 19th, 1928, p. 1028). Under theseit has now been ruled that as long as any IndianMedical Officers in civil employ in 1928 remain, theadministrative posts will be filled from among them.

Thus the social effect of Indianisation should notpress hardly on the medical service for the reason thatEuropean doctors will be chiefly requisitioned instations with considerable European communities.In these communities the equipment and organisationof hospitals has been steadily improving and men withprofessional ambition will find positions which willsatisfy their aspirations. On the military side thestation hospital system has rendered the position ofmedical officers more independent by making team-work possible and permitting of specialisation invarious departments of medicine and surgery. Lastly,those who join now will have unequalled prospect ofadvancement in a Service which has been so depletedfor 10 or 15 years or more, and the terms ofservice announced by the Secretary of State for Indiain 1926 assure conditions of pay, pension, andfurlough much superior to those previously offered.

The New Regulations.Competitive examination remains suspended for

the present and admission to the Service is on

written application to the India Office. As soundbodily health is a first essential candidates may, ifthey wish it, undergo a preliminary examination bya Medical Board which meets weekly at the IndiaOffice.

Candidates must be under 32 years of age at thetime of application, and must possess a qualificationregistered in Great Britain and Northern Ireland,under the Medical Acts in force at the time of appoint-ment. Arising out of the recommendations of theLee Commission the Secretary of State for India inCouncil after consultation with the Government ofIndia has decided that the Indian Medical Serviceconstituted on the same broad lines as in the pastshall be retained primarily to meet the needs of theIndian Army. In order to maintain the necessaryminimum war reserve of military medical officers,and to provide for European medical attendance forEuropean officers of the Superior Civil Services andtheir families, local governments will be required toemploy a stated number of Indian Medical Serviceofficers. The Government of India will draw on thesame Service to meet the requirements of the civiladministration for which they are responsible. Forthe present 237 such posts have been reserved, andincluding the leave reserve will provide employmentfor 302 officers. 212 of these officers will be Britishmedical men and 90 Indians. As the proportion ofEuropean to Indian civil officers diminishes thesefigures will be subject to periodical scrutiny, and, ifnecessary, to revision. It will be a definite conditionof service for all future entrants to the Service thatthey will be liable to serve on either the civil or themilitary side. All officers are required to perform

two years’ military duty subsequent to permanentappointment before they can be considered eligiblefor civil employment. Executive medical officers inboth civil and military employment may attend

persons unconnected with Government service pro-vided their duty admits of it. On the military side,however, the opportunities for private practice arenot great. Service during the war as a medical orcombatant officer, or in a position usually filled byan officer, counts towards promotion and pensionso long as the rights of officers who have entered bycompetition are not interfered with.

Rates of Pay.The monthly rates of pay for European officers of

non-Asiatic domicile in the Service are as tabulatedbelow. The rupee, it may be remembered, has nowbeen definitely stabilised at Is. 6d.

Note.-Until the completion of 23 years’ total service basicpay is regulated according to rank and service in rank (column I)which, owing to the system of accelerated promotion, may be inadvance of the time-scale of promotion. Overseas pay isregulated solely with reference to length of total service(column 4). In addition to the above rates various allowancesare admissible for a large number of special appointments onboth the military and the civil side which may be held bymembers of the I.M.S. Special high rates of pay are alsoattached to the numerous administrative appointments open toofficers in both branches of the Service. The appointment ofDirector-General, I.M.S., which is held by an I.M.S. officer,carries pay of Rs.3500 per mensem. The appointment ofDirector of Medical Services in India, carrying pay at Rs.3200per mensem, may also be held by an officer of the IndianMedical Service.

Initial rates of pay are based on the assumption thatthe majority of newly appointed officers will bebachelors. Officers on arrival in India will beposted for one year to specially selected stations.Officers in military employment, when in command orsecond-in-command of the larger station hospitals,receive special allowances. On the civil side there arepublic health, bacteriological, research, and pro-fessorial appointments carrying special enhancedrates. Officers on appointment receive an outfitallowance of 650.

Pensions and Allowances.The rates of pensions are as shown in the table

below.

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There are additional pensions not subject to theabove reduction ranging from 265 to .B350 per annumfor officers who have held high administrativeappointments as colonels or major-generals.

Note.-The above rates are subject to revision trienniallyupwards or downwards, to an extent not exceeding 20 percent. in all, on account of a rise or fall in the cost of living, ascompared with the year 1919. A deduction of 4t per cent. onthis account has already been made. Nevertheless the fullpension of a lieutenant-colonel cannot be out below themaximum of .8700 under the old rules in the case of officerswho entered the service before July 1st, 1920.

Officers on appointment are provided with freepassage to India, normally by transport. The wivesand families of officers who are married prior to thedate of the officers’ embarkation on first appointmentwill also be given free passage to India. Officers aregranted a certain number of return passages home atGovernment expense during their career. There arespecial allowances for officers whilst on study leave.Further particulars can be obtained on application

to the Secretary, Military Department, India Office,Whitehall, London, S.W. 1. Letters should be marked" Recruitment for I.M.S."

ROYAL AIR FORCE MEDICAL SERVICE.

THE Air Council attach great importance to attract-ing into the Service the best type of medical man,since on the capacity of the Medical Service dependsin a peculiar degree the safety and efficiency of theAir Force. The duties of a medical officer in the AirForce include not only the prevention and treatmentof those ordinary diseases to which the personnel ofany fighting service are liable, but the special studyof the mental and physical stresses imposed on theairman in diverse circumstances and climates-a new Ibranch of medicine which still provides considerablescope for research.As promotion to the higher ranks of the Service is

by selection from officers who are eligible by reasonof length of service, and as a certain proportion of the

higher ranks will be reserved for purely professionalas opposed to administrative appointments, it will beseen that there are excellent prospects for the youngmedical officer who exhibits ability and energy inhis professional work.The work to be done, therefore, has a high professional

interest which, combined with good rates of pay andallowances, offers a career for medical men whichshould prove both attractive and interesting. The lifeis one which is certain to appeal to the man of wideoutlook who desires opportunities for travel, sport, andgames, and can find interest and enjoyment in aviation.His duties will, as a matter of course, give him

flying experience as a passenger, which is necessaryfor the proper study of the medical problems ofaviation and for gaining first-hand knowledge of theconditions under which his comrades serve.The establishment will consist partly of permanent

and partly of short-service officers.,

An officer will on first entry be granted a short-service commission for a period of three years on theactive list (which may be extended to five years atthe discretion of the Air Council if the officer so

wishes on the recommendation of the Director ofMedical Services) and of four years in the Reserve ofAir Force Officers. Selections for permanent com-missions will be made from officers holding short-service commissions, and those who are notselected will be transferred to the Reserve at theexpiration of their period of service on the activelist.

For those entrants who desire it the prospect ofobtaining a permanent commission is approximatelyan even one. Experience has so far shown that theofficers selected have included the great majority ofthose desirous of, and suitable for, retention in theService ; owing to the fact that the short-servicecommission with its gratuity after three or five yearsis in itself an attraction to many entrants who desireto enlarge their experience and outlook from thepoint of view of subsequently entering private practice,or who, on entry, have not made up their minds tothe adoption of a permanent career in the Service andsubsequently find that they would prefer to returnto civil life.For certain purposes medical officers may be

allowed to count as service their time spent inresident appointments in civil hospitals under certainwell-defined and generous conditions.

Officers who have been selected for permanentcommissions may be permitted to attend for a periodnot exceeding nine months a post-graduate course

ROYAL AIR FORCE MEDICAL BRANCH : RATES OF PAY AND ALLOWANCES.

* Except for periods of service under Indian administration. For such periods officers receive pay and allowances at ratesand subject to conditions authorised from time to time by the Government of India.

t These allowances are issued only when accommodation, fuel and light, rations, and personal attendance are not availablein kind. Normally, provision in kind is available for junior officers. " Married " rates of allowances are payable only to marriedofficers who have reached the age of 30 or the rank of Squadron Leader. A colonial allowance is granted in certain commandsabroad. The rates and general scheme of allowances are liable to revision as circumstances may require.