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IRISH MEDICAL CORPORATIONS

GRANTING DIPLOMAS

CONJOINT EXAMINING BOARD

The Conjoint Board of the Royal College of ,,Physicians of Ireland and Royal College of Surgeonsin Ireland requires of candidates the passage eitherof its own preliminary examination in the subjectsof general education or proof that the candidatehas passed one of the tests accepted by the GeneralMedical Council as well as passing in the Pre-Registra-tion Examinations in Chemistry and Physics andBiology. ,

Professional Examinations.-There are three pro-fessional examinations, the first of which cannot becompleted earlier than the end of the second wintersession, nor the final before the conclusion of full fiveyears of medical study. Before being admitted toany of them the candidate must show that he hasstudied the different subjects in practice and theoryfor the requisite periods, certificates to this effectbeing accepted from the authorities of most of the erecognised medical schools at home and abroad.

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The first examination consists of Part I. (a) Biology,(b) Applied Chemistry and Physics ; Part II., Anatomyand Physiology. The second examination dealswith (a) Pathology, (b) Materia Medica, Pharmacy,and Therapeutics, (c) Forensic Medicine, Hygiene, andPublic Health, (d) Ophthalmology, and may be takenseparately.Final Examination.-This is divided into three

divisions, which cannot be completed until at leastfive years have passed in medical studies other thanthose for the Pre-Registration Examinations, andfive years at least since the beginning of the curri-culum. The divisions are (a) Medicine, includingFevers, Mental Diseases, and Diseases of Children ;(b) Surgery, including Operative Surgery ; (c) Mid-wifery, including Diseases of Women and Children,and the Practice of Vaccination.

Diploma in Psychological Medicine.-There are twoexaminations in connexion with this Diploma :Part I. consists of (a) Anatomy and Physiology of theNervous System; (b) Psychology. Part II.: (a)Neurology, including Clinical and Pathological Neuro-logy ; (b) Psychological Medicine, including its legalrelationships.Further information can be obtained from the

Secretary of the Committee of Management, RoyalCollege of Surgeons, St. Stephen’s Green.

ROYAL COLLEGE OF PHYSICIANS OFIRELAND

The College issues its Licences in Medicine and inMidwifery to practitioners whose names appear on theMedical Register of the United Kingdom.

The Licence in Medicine.-The subjects of examina-tion are : Practice of Medicine, Clinical Medicine,Pathology, Medical Jurisprudence, Midwifery, Hygiene,and Therapeutics.

The Licence in Midwifery.-Candidates must pro-duce certificates of registration. A registered medicalpractitioner of five years’ standing may be exemptedfrom the examination by printed questions.

The Membership.-Examinations for Membershipare held in February, June, and November.

The Fellowship.-Fellows are elected by ballot.An applicant must have been a Member of the Collegefor at least one year and must have attained the ageof 27 years.Further particulars can be obtained from the

Registrar of the Royal College of Physicians ofIreland, 6, Kildare-street. Dublin.

ROYAL COLLEGE OF SURGEONS INIRELAND

The College issues its Licence in Surgery to

practitioners whose names are entered either on theMedical Register for the United Kingdom, the ColonialMedical Register, or the Foreign Medical Registerof the year in which he presents himself for examina-tion, and who satisfies the Council that he has passedthrough a course of study and Examinations equiva-lent to those required by the Regulations of the IrishConjoint Board.

Candidates are examined in General Surgery(paper and oral), Clinical Surgery, Surgical Pathology(oral), Operative Surgery, Surgical Anatomy (paper),and Ophthalmic and Aural Surgery (clinical).

Diploma in Midwifery.-A diploma in Midwifery isgranted after examination to persons possessing aregistrable qualification.

Fellowship Examinations.-Candidates for the Fel-lowship shall make application to the President andCouncil to be admitted to examination. They arerequired to pass two examinations-Primary andFinal. Candidates may present themselves for theFinal Examination immediately after passing thePrimary part, provided they have complied with the’necessary regulations. The subjects for the PrimaryExamination are (a) Anatomy, including Dissections ;and (b) Physiology and Histology. The subjects forthe Final Examination are Surgery, including SurgicalAnatomy and Pathology. For admission to the FinalExamination the candidate must have passed thePrimary Examination, and must be a Licentiate orGraduate in Surgery of a university or licensing bodyrecognised by the General Medical Council; all suchcandidates must not be less than 25 years of age.

Further particulars can be obtained from theRegistrar of the College, Stephen’s Green West, Dublin.Schools of SurgeryThe Schools of Surgery are attached by Charter

to the Royal College of Surgeons and have existedas a department of the College for over a century.They are carried on within the College buildingsand are specially subject to the supervision andcontrol of the Council, who are empowered to appointand remove the professors and to regulate the methodsof teaching pursued. The buildings have been recon-structed, the capacity of the dissecting-room nearlytrebled, and special pathological and bacteriologicallaboratories are fitted with the most approvedappliances in order that students may have theadvantage of the most modern methods of instruction.Winter Session commences in October; SummerSession in April. Scholarships and Prizes : CarmichaelScholarship, B15 ; Mayne Scholarship, jS8 ; StoneyMemorial gold medal; Operative Surgery, gold andsilver medals ; Barker Prize, jB26 5s. ; H. Mac-naughton-Jones gold medal in Obstetrics andGynaecology ; and class prizes and medals. Pros-pectus and guide for medical students can be obtainedpost free on written application to the Registrar,Royal College of Surgeons, Stephen’s Green W.,Dublin. > ______________

APOTHECARIES’ HALL OF IRELANDThe Licence of this Hall is granted to students who

present certificates of having fully completed the courseof study as laid down in the curriculum and who passthe necessary examinations. The diploma of theHall entitles the holder to be registered as a practi-tioner in medicine, surgery, and midwifery, with alsothe privileges of the Apothecary’s Licence.

Candidates must pass three Professional Examina-tions, called the First and Second ProfessionalExaminations and the Final Examination, which areconducted at separate times, partly in writing andpartly practically and orally. The Examinations areheld thrice a year-viz., in March,June, and November,or such other dates as may be determined.

Candidates who produce satisfactory evidence ofhaving passed an examination for a Degree or Licencein Medicine, conducted by any University or Royal

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College in the British Empire, or by any ForeignUniversity whose Degrees are recognised in theForeign List of the Medical Register, will be exemptedfrom the Primary Examination.The subjects for the First Professional Examina-

tion are : Anatomy, Physiology and Histology,including Biochemistry ; and for the Second Profes-sional, Materia Medica and Pharmacy, Pathology, andMedical Jurisprudence and Hygiene.For the Final Examination the subjects are :

(a) Medicine and Clinical Medicine and ClinicalMethods. (b) Surgery-Clinical, Ophthalmic, andOperative ; and Surgical Anatomy. (c) Midwifery andGynaecology, and Practical Pharmacy and MateriaMedica (if not taken at Intermediate Examination).Each candidate before receiving his diploma must

produce evidence that he has attained the age of 21years. The details of the course of education requiredand syllabus of the examinations will be suppliedby the Registrar at 95, Merrion-square. Dublin.

WE take this opportunity of thanking the officialsof Government Departments and the Deans andSecretaries of the various institutions for theirkind cooperation in enabling us to bring theinformation contained in our Students’ Number upto date.

This is the last issue of the Students’ Numberprepared with the collaboration of Mr. E. M. Ryder,who is now retiring from the staff of THE LANCETafter 43 years of devoted service.

THE L.C.C. HOSPITAL SERVICE

THE hospital service of the London County Councilprovides opportunities for valuable experience formedical graduates who intend to be general practi-tioners or consultants, as well as for those who intendto make the public health service their career. Underthe operation of the Local Government Act, 1929,the L.C.C. became responsible for the managementof 74 hospitals (excluding mental hospitals)-namely,28 general hospitals, 17 fever and other infectiousdiseases hospitals, 6 tuberculosis hospitals and sana-toria, 9 hospitals and convalescent homes for children,12 hospitals and institutions for chronic sick patients,and 2 colonies for sane epileptics ; 2 convalescenthospitals were subsequently acquired, making a

total of 76.Medical superintendents of the hospitals, who are

expected to be experienced hospital administrators,receive 900 to 21650 a year, corresponding to hos-pitals varying in accommodation from 160 to 1390patients. In addition, medical superintendents areprovided with an unfurnished house or quarters, withpayment by the Council of local and water rates. Thesubordinate staff is classified thus :

_. Scale ofGrade. annual salary.

Deputy Medical Superintendent, Grade I. jE650-S50-jE800

Deputy Medical Superintendent, Grade II. 600-B30-.S750Senior Assistant Medical Officer, Grade I. B550-.e25-.S650Senior Assistant Medical Officer, Grade II. ;l;:500-.&bgr;25-;I;:600Assistant Medical Officer, Grade I... £350-£25-£425Assistant Medical Officer, Grade II. .. £250 (fixed)

In addition all these officers are provided withboard, lodging, and washing, valued at .E150 a year.All the positions mentioned involve full-time duties,and it is a condition of service that such officers shallnot undertake any other paid employment. Thestaffing provides, where necessary, for house physi-cians or house surgeons, remunerated at the rate ofj680 a year, with residence, and for clinical assistants,who are non-resident and receive ;S100, with mealswhen on duty. These officers are not employed in awhole-time capacity and are granted adequate leisurefor study.

Vacancies in the higher grades are filled, as far as

possible, by promotion from the existing staff. Allfull-time medical staff are allowed liberal annualleave with pay, and full pay during sickness for areasonable period. For subordinate staff, the extentand fluidity of the hospital service provides uniqueopportunities for a variety of experience, and facilitiesexist for specialisation and for officers to follow coursesof study outside the service with a view to improvingtheir professional qualifications.

During the past year 113 vacancies have beenfilled, including 5 positions as medical superin-tendents, 1 as deputy medical superintendent, 8 as

senior assistant medical officers, 67 as assistantmedical officers, 31 as house surgeon, house physician,or clinical assistant, and 1 as medical officer of achildren’s hospital. During the year also a largenumber-more than 200-of part-time consultantshave been appointed to the various units and groupsof these hospitals. These appointments, which varyfrom 1 to 6 sessions a week, include physicians,surgeons, obstetricians and gynaecologists, anaesthe-tists, psediatrists, neurologists, orthopaedists, radio-logists, dermatologists, ophthalmologists, urologists,and specialists in ear, nose, and throat.

In addition, other part-time consultants were

appointed for special purposes—e.g., venereal diseasesspecialists, plastic and thoracic surgeons, &c.-andthe services were made available of a tuberculosisofficer at each general hospital having a tuberculosisward.

Post-graduate facilities.-These are as follows :-HAMMERSMITH HOSPITAL : In connexion with the

British Post-Graduate Medical School, of which a fullaccount is given on pp. 407 and 408.PADDINGTON HOSPITAL : Post-graduate instruc-

tion in orthopaedic surgery by clinical demonstrations,in collaboration with Fellowship of Medicine.

ST. ALFEGE’s HOSPITAL: Facilities are afforded tothe Final Fellowship Class of Guy’s Hospital toexamine selected cases. The demonstration is under-taken by a surgical tutor of the class.

ST. ANDREW’S HOSPITAL: Consultant surgeonholds weekly classes for two periods of about 10 weeksprevious to F.R.C.S. examinations.

ST. JAMES’ HOSPITAL: The South-West LondonPost-Graduate Association has its headquarters atthis hospital where three sessions of lectures are givenannually-Christmas, Lent, and Summer. Usually8 or 9 demonstrations are given per session.Instruction in orthopaedic surgery is also given, incollaboration with the Fellowship of Medicine.LAMBETH HOSPITAL : Post-graduate instruction is

given in collaboration with the Fellowship of Medicineat fortnightly classes.

ST. PETER’S HOSPITAL: Post-graduate studentsfrom the London Hospital, who are reading for thefinal F.R.C.S. examination, attend to receive clinicalinstruction by the consulting surgeon.

Post-graduate courses.-Courses of instruction inhospital administration for candidates for the Diplomain Public Health are held at the NORTH-WESTERNHOSPITAL and at the BROOK HOSPITAL.

Under-graduate facilities.--Certain hospitals are

affiliated to medical schools for the purpose of clinicalteaching and, in addition, under-graduates are

accepted as resident students for experience inobstetrics. The fever hospitals provide facilitiesfor under-graduate instruction in infectious disease.

Small-pox.-Provision is also made for demon-strations in the diagnosis and treatment of small-poxfor both under-graduate and post-graduate students.

Special Units.-Special departments in generalhospitals are available-namely, at ST. JAMES’HOSPITAL for the treatment of cases by plastic surgery;at LAMBETH HOSPITAL for the treatment of patientsby radium therapy ; at NEW END HOSPITAL for thetreatment of patients suffering from thyroid disease;and at ST. STEPHEN’S HOSPITAL for rheumatic cases.