502

METROPOLITAN CENTRES AFFORDING

EDUCATIONAL FACILITIES

Certain organisations and institutions provide forthe needs of the medical student in his curriculumand for the post-graduate student requiring specialforms of instruction and opportunities for clinicalobservation. Many of the institutions are recognisedby the English Conjoint Examining Board as a placeof study for the fifth year of the curriculum.

Special Diplomas in public health, tropical,psychological, and ophthalmic medicine, medicalradiology and electrology, laryngology, otology, andtuberculosis are now granted in proof of intensivework along the different lines indicated. Of these,the Diploma in Public Health, being regulated bythe General Medical Council, is registrable. Appoint-ments to and promotion in the various Services arelargely dependent on the possession of a particulardiploma, and each syllabus of the special coursesavailable at the institutions which follow, eitherwith or without association with the Fellowshipof Medicine, is planned to afford the necessaryinstruction.

The courses arranged at the Bethlem Royal Hospital,the Maudsley Hospital, and the Tavistock Clinic forthe Diploma in Psychological Medicine are referredto on the following page. Similarly the Hospitalsof the London County Council, Public HealthDepartment (Special Hospitals Division), providepost-graduate as well as undergraduate facili-ties, while the hospitals of the Seamen’s HospitalSociety both supply the instruction necessaryfor the Diploma in Tropical Medicine and Hygiene,and cooperate in the activities of the Fellow-ship of Medicine and Post-Graduate MedicalAssociation.

All further information will be given by thesecretaries of the various institutions.

The Fellowship of Medicine and Post-GraduateMedical Association

Some 50 general and special London hospitals workin conjunction with this Association, which has itsoffice at Room 28 in the House of the Royal Society ofMedicine, 1, Wimpole-street, London, W. 1. Arrange-ments are made for courses in medicine and in surgeryand the specialties, occupying the whole or part ofeach day for periods of one to four weeks. Dailyclinical teaching arranged. Special evening clinicalcourses for the M.R.C.P. and F.R.C.S. (Primary andFinal) Examinations are organised at intervals.Courses, demonstrations, and lectures arranged bythe Fellowship of Medicine are open only to membersof the Fellowship. The membership fee is 21 Is. perannum, which includes the subscription to themonthly Post-Graduate M edical Journal. The pro-visional list of Special Courses impending will shortlybe available. Full information regarding the coursesof study and fees can be obtained from the Secretary.Infectious Hospitals of the London County Council

Classes of instruction in fevers for undergraduatemedical students are given at the various hospitals,normally commencing in January, May, and Octobereach year. The minimum duration of the courseis eight weeks, and sixteen attendances are

necessary before a certificate can be granted to astudent that he has satisfactorily completed hiscourse. The prescribed fee for a two months’ courseis B3 3s. The medical superintendents arrange directwith the deans of the medical schools concerned as tothe days and hours of the classes. Students desiringto take this course should apply to their dean forinformation. In addition, classes of instruction forthe Diploma of Public Health, which comply withthe rules of the General Medical Council for thatDiploma, are given at two of these hospitals-viz.,North-Western Hospital and Brook Hospital. Theminimum duration of this course is three months,and twenty-four attendances are necessary beforecertificates can be granted. The prescribed fee for

a three months’ course is 23 13s. 6d. Full particularsrelating to these classes may be obtained on applica-tion to the Medical Officer of Health, London CountyCouncil, Public Health Department, Special HospitalsDivision, County Hall, Westminster Bridge, S.E.1.Seamen’s Hospital SocietyThe society possesses six establishments: the

Dreadnought Hospital at Greenwich, 257 beds ; theAlbert Dock Hospital, E.16, 53 beds ; the Hospitalfor Tropical Diseases, Endsleigh-gardens, W.C.1,76 beds ; Tilbury Hospital, Tilbury Docks, Essex,94 beds ; King George’s Sanatorium for Sailors,Bramshott, Hants, 80 beds ; and the Angas Home,Cudham, 36 beds. The first and second house surgeonsat the Dreadnought Hospital are recognised by theCouncil of the Royal College of Surgeons of Englandfor the purpose of Regulations 21 and 23 relatingto the examinations for the Diploma of Fellow.The London School of Clinical Medicine is attachedto the Dreadnought Hospital. Residential facilitiesfor the observation of the practice of the wards,special departments and pathological laboratoryof the Dreadnought Hospital are available to shipsurgeons upon the recommendation of their shippingcompany.The clinical teaching of the London School of

Hygiene and Tropical Medicine is given at theSociety’s Hospital for Tropical Diseases, Endsleigh-gardens, W.C.1.

GENERAL

Royal Northern Group of HospitalsThe Royal Northern Hospital, Holloway, London,

N.7, is the main institution of the Royal NorthernGroup of Hospitals, which includes the St. David’sWing for private patients, the Royal Chest Hospital,City-road, E.C., Grovelands Hospital (RecoveryBranch), Southgate, the Maternity Nursing Associa-tion, and the Reckitt Convalescent Home, Clacton-on-Sea. The total number of beds in the group is 480.Besides the honorary staff, there are six anaesthetists,two pathologists, medical and surgical registrars,resident medical officer, two resident house physicians,three resident house surgeons, two resident casualtyofficers, one resident obstetric surgeon, and one

resident anaesthetist. The large rectangular andcircular wards, each of which contains 25 beds, thematernity ward and children’s ward for children upto 5 years of age, the observation wards in the newCasualty Department, the six operation theatres, andout-patient department are designed with a viewto offer the greatest facilities for clinical work. TheSpecial Departments include the following : ortho-paedic, genito-urinary, and neurological, physiothera-peutic, pathological, tuberculosis, venereal diseases,X ray and radiotherapeutic. Patients are removedto the Recovery Branch by ambulance a few daysafter operation. Demonstrations are given daily inthe wards and out-patient departments. Clinicalassistants (qualified), clinical clerks, and patho-logical clerks are appointed in the general and specialdepartments, and may receive certificates at the endof their terms of office. The hospital for payingpatients has recently been enlarged.Prince of Wales’s General Hospital

This hospital, situated in Tottenham, is in the midstof a densely populated neighbourhood, and containsmedical, surgical, gynaecological, and children’s wards,having 238 beds. There are special departments forgynaecological cases, diseases of the eye, ear, throat,and nose, skin diseases, medical electricity, radio-graphy, and dentistry. Operations are performed everyafternoon of the week (except Saturday) at 2.30 P.M.Clinical instruction is given in the wards and out-patient departments, laboratories, and lecture hall inconnexion with the North-East London Post-GraduateCollege attached. There are six resident’ medicalofficers, and clinical assistants are appointed undercertain conditions. Special intensive post-graduatecourses are also held at intervals throughout theyear.

503

West London HospitalThis hospital has 220 beds. Attached to the

hospital is the West London Post-Graduate College.The practice of the hospital is reserved for qualifiedmen and those referred in the final examinations.Instruction is given in the medical and surgicalout-patient rooms and demonstrations are given inthe wards. Clinical assistantships are obtainable inthe various general and special out-patient depart-ments. The accommodation for post-graduates con-sists of a lecture-room, together with reading, writing,and class-rooms. The hospital has a fully equippedpathological laboratory and museum. The certificateof the hospital is accepted by the Admiralty, WarOffice, Colonial Office, and India Office in cases ofstudy leave, and by the Conjoint Board of Examiners.National Temperance HospitalThe hospital (Hampstead-road, N.W.) contains

160 beds. The medical and surgical practice of thehospital is open to students and practitioners.Operations : Monday, 1.30 P.M. ; Tuesday, 2 P.M. ;Wednesday, 2 P.M. ; Thursday, 9.15 A.M. ; Friday,11 A.M. Out-patient departments for the followingclasses of case have been opened : dermatology,ophthalmology, oto-rhino-laryngology, diseases ofthe chest and of the rectum. There are also an out-patient gynaecological clinic, a fracture clinic, and anartificial pneumothorax clinic.Hampstead General and North-West LondonHospitalIn-patient department: Haverstock-hill, N.W. ;

out-patient department: Bayham-street, CamdenTown (138 beds-viz., 109 free, 8 isolation andobservation, and 21 paying or contributory). ServesHampstead and the populous districts of KentishTown and Camden Town. The out-patient andcasualty departments are at Bayham-street, CamdenTown. Hampstead casualties are received at Haver-stock-hill. In addition, consultative clinics are heldat Haverstock-hill, where patients are seen uponpresenting letters from their doctors. There is a

post-graduate school free to the medical practitionersof the district; the courses are for the winter months.

Metropolitan HospitalThis hospital has 150 beds, 17 of which are reserved

for children. The adult accommodation includesspecial wards for the reception of Hebrew patients,and there is a Kosher kitchen and Jewish cook.Operations are held on Monday, Tuesday, Thursday,and Friday afternoons. The out-patient departmentis a large one, and has facilities for the treatment ofall diseases. Special departments comprising : neuro-logical, ophthalmic, rectal diseases, diseases ofwomen, genito-urinary, diseases of the throat andear, eye and skin, electrotherapeutics, dental, andV.D.; Jewish patients can attend special sessions.Attached to the hospital is a tuberculosis dispensaryfor patients from the boroughs of Hackney andStoke Newington.Queen Mary’s Hospital for the East End

This hospital has developed from the West Ham andEastern General Hospital. It has 219 beds andministers to a very poor public. Founded as a

dispensary in 1861, and developing into a hospital in1890, steady extensions have been made duringthis century. A Royal Charter was obtained in1917, and the hospital has become a valuable charitywith a full medical staff of physicians and surgeons,and specialists for gynaecology, obstetrics, ophthalmo-logical surgery, radiology, dermatology, and dentalsurgery. The Fellowship of Medicine makes frequentuse of the opportunities.

PSYCHOLOGICAL MEDICINE

Maudsley HospitalThe hospital contains 235 beds, and a large out-

patient department, dealing separately with childrenand adults. The clinical material covers practicallythe whole range of psychological medicine, but chronic

or unwilling cases are not admitted to the wards ;there are facilities for clinical assistants at the hospitalto observe such cases by attending the practice of anobservation ward in the district. In the clinical unitthe teaching and research are directed by the professorof clinical psychiatry, and the clinical director.Appointments as non-resident clinical assistant andother facilities for gaining clinical experience or forcarrying out research are open to qualified medicalpractitioners. There is a vacancy every six monthsfor a resident clinical assistant. The clinical staffof the hospital consists of a professor, who is alsothe medical superintendent, a deputy superintendent,a clinical director, ten full-time physicians, four half-time physicians engaged in psychotherapy, and twoin diagnostic work in the out-patient department.There are also two full-time research psychiatrists.With the hospital is associated the Central Patho-logical Laboratory of the mental hospitals of theLondon County Council, directed by the professorof pathology of mental disorder, with an establishedstaff of three members, and in addition seven researchworkers. Grants-in-aid are available for approvedresearch. A course of lectures and demonstrationsfor the diploma of psychological medicine is heldannually from January to June. The holding of anappointment as a clinical assistant at the hospitalfor a sufficient period meets the requirements of thedifferent examining bodies in respect of practicalstudy in psychological medicine. An advancedcourse of lectures is held in the autumn each year.

Bethlem Royal HospitalA course of lectures and practical instruction for

the Diploma in Psychological Medicine, granted bythe various universities and the Conjoint Board, inassociation with St. Bartholomew’s Hospital medicalschool, is held at the school, and at Bethlem RoyalHospital, twice annually, during the spring andautumn. Part A or Part B, however, may be takenseparately. In addition to the above, clinical instruc-tion in Psychological Medicine is given at BethlemRoyal Hospital every morning (except Wednesdays)at 11 A.M. A reduction is made to those who attendthe Diploma Course. House physicians are appointedat Bethlem Royal Hospital for a term of six months,which may be extended. These appointments aremade at the beginning of February, May, August,and November in each year, and the vacancies areadvertised in the medical papers. Apartments,complete board, attendance, and laundry are pro-vided, and a salary at the rate of j6150 per annumfor the first three months, rising, if commendableservice be given, to the rate of Z200 per annum forthe second period of three months. Clinical assistantsare often appointed from time to time for periods ofthree months or longer. These are non-salaried andnon-resident posts, but partial board is provided.The physician-superintendent at the hospital, MonksOrchard, Eden Park, Beckenham, will supply furtherparticulars; the courses have been arranged andschedules will be sent on inquiry.Tavistock Clinic

The courses of training arranged by the TavistockClinic (Institute of Medical Psychology), Malet-place,London, W.C.1, are intended for post-graduatestudents, and those intending to specialise in psycho-therapy. The clinic provides facilities for the studyand practice of psychoneurotic and early psychoticpatients, and is recognised by the University ofLondon for the requirements of the post-graduatediploma in psychological medicine, under Regulation3, Section 2 (d) and (e).

There is a five weeks’ introductory course in Octoberand November, three hours each day, on Monday andThursday afternoons. These lectures are now alsoopen to fourth- and fifth-year medical students. Thisis followed by a systematic course of lectures twice aweek until the following June. These lectures areopen only to fully qualified medical practitioners.A clinical course of work and instruction, including

504

nine hours’ treatment of cases each week, with personal supervision of such treatment by a seniormember of the staff, tutorials and case discussions,is limited to a membership of twelve students.The complete course of the clinic, for those proposing

to specialise in psychotherapy, is now a two years’course. Those who have completed the year’s coursemay apply for the second year of instruction inclinical work, tutorials, study groups, &c.A special course of ten lectures on the neuroses in

general practice is being given this autumn on

Thursday evenings at 8.30 P.M., beginning in October.These lectures are open to all qualified doctors, andare especially intended for the general practitioner.Lecture discussions on advanced psychopathologyare taking place early in 1938, and are open only tothose who have already attended the systematiccourse.

NEUROLOGY

National Hospital, Queen-squareThe hospital, with the convalescent home at East

Finchley and branch at Clapham Park, contains 265beds and cots. The out-patient physicians attendevery Monday, Tuesday, Wednesday, Thursday, andFriday at 2 P.M., and the physicians on the same days.Clinical clerks are appointed under physicians andclinical assistants to out-patient physicians. Post-graduate courses of lectures and demonstrationsare held twice every year, usually commencing inJanuary and October, and lasting about nine weeks.Special courses in neurological ophthalmology,neuro-pathology, and the anatomy and physiologyof the nervous system are given. The pathologicallaboratory is available for special work under thepathologist.West End Hospital for Nervous DiseasesThe annual attendance at this hospital is

between 38,000 and 40,000 at the out-patientdepartment, Welbeck-street, W.1. The in-patientdepartment, Outer Circle, Gloucester-gate, Regent’s-park, provides 76 beds, including 25 cots forchildren, and is fully equipped with pathological,X ray (diagnostic and deep therapy), and otherspecial departments. The clinical and teachingfacilities of the hospital fulfil the requirements of theexamining bodies for the diploma in psychologicalmedicine, and for the London University M.D.degree, Part III. Attendance on the general practiceof the hospital is open to post-graduates. There areopportunities for personal examination of cases. Inaddition, systematic courses of instruction in neurologyand in related subjects are held throughout the year.Special courses are given for the D.P.M. and forthe M.R.C.P. Tuition for senior undergraduates isalso arranged. The courses of instruction in neuro-logy consist of out-patient demonstrations, wardrounds in the in-patient department, and lecturedemonstrations by the physicians and surgeons ;clinical demonstrations of psychological cases are

given by members of the psychiatric department,with pathological discussions, special demonstra-tions upon child guidance, and the neurologicalaspects of various subjects, including radiology,ophthalmology, orthopsedics, physical medicine, andoto-rhino-laryngology. A department of clinicalresearch has been founded and any qualified personsdesirous of working in this department should apply tothe director. The Savill Memorial prize (value 215and medal) is offered biennially for competitionamong post-graduate students of the hospital.Honorary clinical assistantships are available in theout-patient department, and application for theseshould be made to the house governor, to whomapplication should also be made for particulars ofthe courses of instruction.

St. Marylebone Hospital for Nervous Diseases *

This hospital in Maida Vale, W., contains 85 beds,including 20 private wards and 6 pay beds. Both

* Formerly the Hospital for Epilepsy and Paralysis.

in-patient and out-patient departments are open freeto students, as well as to medical graduates. Theout-patient department is open every week-dayexcept Saturday at 2 P.M.

HEART AND LUNGS

Royal Chest HospitalThe Royal Chest Hospital, City-road, E.C., asso-

ciated with the Royal Northern Group of Hospitals,has accommodation for 84 in-patients and a large out-patient department, open daily. Special departmentsinclude Thoracic Surgery, Cardiology, Laryngology,Radiology, Electrocardiograph, Massage and PhysicalExercises, and an Ultra-violet Light clinic. ClinicalAssistants are appointed to work with the physiciansin the out-patient department.’ Post-graduate coursesare held three or four times a year. The TuberculosisDispensary for Islington South is attached to thehospital.

Brompton Hospital for Consumption and Diseasesof the Chest

The hospital contains 368 beds, of which 57 areallocated to the surgical side and 98 to payingpatients. A further 150 beds are provided at thesanatorium at Frimley, which also contains beds forpaying patients. The beds for paying patients atthe hospital are so divided up as to provide wardsof two and five beds each at a small inclusive fee,and single bedrooms in which the fees are non-

inclusive. In addition to the resident medical officerthere are two resident surgical officers appointedannually ; an assistant resident medical officer, whoassists in the artificial pneumothorax clinic, andsix resident house physicians, whose duties includeattendance at the out-patients’ and special depart-ments, and one of whom serves as assistant to theTuberculosis Officer for Chelsea ; these officers areappointed for a term of six months each. Post-graduates are admitted to the practice of the hospital.Clinical assistants are appointed to the in-patient andout-patient physicians, the surgeons, and the specialdepartments of the hospital. Clinical demonstrationsin the wards, the out-patient and special departments,are given throughout the year, and two special post-graduate courses of one week each, and three week-end courses are held annually. Special courses arealso held in the pathological department. Themedical practice of the hospital is recognised bythe Conjoint Board, the Society of Apothecaries, theuniversities of London and Wales, and the MedicalBoards of the Army, Navy, and India. Four specialcourses for students, of eight demonstrations eachare held during the year before each final ConjointBoard Examination.

London Chest Hospital *

(190 beds). Special Departments : Surgical, Laryn-gological, Bronchoscopical, Radiological, Pathological,Electrocardiographic. Assistants are appointed to theClinics, and a limited number of research workers tothe Pathological Department. The in-patient staffvisit generally in the afternoon ; out-patients at2 P.M. Graduates are admitted on payment of feeswhich entitle them to attendance at clinics, post-mortem demonstrations, and operations. Specialdemonstration and lecture courses are provided, and aclub room. Graduates desiring Assistantships in anydepartment should address applications to the Headof that department. A Tuberculosis Dispensary(Boroughs of Bethnal Green and part Hackney) isestablished at the hospital.

National Hospital for Diseases of the HeartThe practice of the hospital, with 46 beds and a large

out-patient department, is open daily to post-graduatesand others. Systematic courses of instruction, withlectures and clinical demonstrations, are arranged

* Formerly City of London Hospital for Diseases of the Heartand Lungs, Victoria Park, E.2.

505

during the winter and summer sessions ; in additionan intensive course, of a fortnight’s duration, takesplace in January, and October of each year. Thehospital is fully equipped with all the modern in-struments for the investigation of the diseases of thecardiovascular system, and facilities exist for thoserequiring practical instruction in electrocardiography,X rays, and other graphic methods. Clinical Assis-tants in the out-patient department are appointedfrom time to time.

DISEASES OF WOMEN AND CHILDREN

Hospital for Sick Children, Great Ormond Street.The hospital contains 257 beds, and has an out-

patients’ department attended by about 30,000new cases each year. Clinical instruction is givendaily by members of the honorary medical staff.There are asthma, dental, rheumatic, venerealdiseases, skin, aural, ophthalmic, and child guidanceclinics, and X ray and electrotherapy departments.Morning sessions, 10 A.M. to 12 noon, out-patients’clinics. Afternoon sessions, 2-4 P.M., include wardvisits and surgical operations. The practice is opento students of both sexes who have completed fouryears’ medical study and also to qualified medicalmen and women, who may attend for periods of oneweek upwards, the year being divided into threeterms of approximately thirteen weeks. Speciallectures are given at the hospital weekly; detailsof these appear in the medical notes published fromtime to time in the columns of this journal. Clinicalclerks are appointed once a month, these appoint-ments being open to fourth- and fifth-year studentsof recognised medical schools. Time spent in clerkingand dressing is recognised by the Universities ofLondon, Oxford, and Cambridge as part of the finalcurriculum. Facilities are available to post-graduatesfor obtaining theoretical and practical instructionin clinical pathology, bacteriology, and medicalbiochemistry in the laboratories.

Queen Charlotte’s Maternity Hospital and MidwiferyTraining SchoolThis hospital, formerly Queen Charlotte’s Lying-in

Hospital, is situated in Marylebone-road, N.W. Thehospital receives over 2900 patients annually, besideshaving a large out-patient department. Medicalstudents and qualified practitioners are received atall times of the year. They have unusual opportuni-ties of seeing obstetric complications and operativemidwifery on account of the very large number ofprimiparous cases-nearly one-half of the totaladmissions. Clinical instruction is given on the moreimportant cases which present themselves. They alsoreceive valuable instruction in the Antenatal andChild Welfare Departments and Postnatal Clinics,where over 4000 patients attend yearly. SpecialLecture-demonstrations are given by members ofthe staff. Pupil midwives and maternity nurses arereceived and specially trained. Courses in obstetricanalgesia are also given to midwives. A ResidentialCollege provides accommodation for students andqualified practitioners (both men and women), andis opposite the hospital, with which it is in telephonic

. communication.The Isolation Block (30 beds) for Puerperal Fever

and Puerperal Pyrexia, which has been built on thenew site at Ravenscourt Park, Hammersmith, wasopened for the reception of patients in September,1930, and the Research Laboratories, which havebeen erected adjoining this block, are in full workingorder. Students may attend the clinics conductedby the staff at the Isolation Block, and demonstrationsare also given at the Research Laboratories.

City of London Maternity Hospital and MidwiferyTraining SchoolThis hospital (City-road, E.C.) admitted over 1724

mothers last year and 2701 were attended at its ante-natal clinics. Residential accommodation is pro-

vided for two male students, who are afforded excel-lent facilities for observing operative midwifery andobstetrical complications. Twenty deliveries are

guaranteed to students entering for the four weeks’course to encourage them to take the longer period.Certificates acceptable by the examining bodies areissued. Pupil midwives are received for training,and refresher courses are provided for practisingmidwives. Post-graduates are admitted to the ante-natal clinics by arrangement and week-end post-graduate courses are arranged from time to time.Courses in the administration of analgesia are alsoprovided. A three months’ intensive residentialcourse for the midwife-teachers’ examination of theCentral Midwives Board has been inaugurated, thefirst of its kind in this country.

Royal Waterloo Hospital for Children and WomenThis hospital has now 130 beds, while the latest

buildings include a Nurses’ Home and private paybeds. It has a full staff of surgeons, physicians, andgynaecologists, and also special departments. Amongstthe many valuable additions to the equipment of thehospital is an Electrocardiograph apparatus. A well-equipped Orthopaedic Department is in use, and thePhysiotherapeutic and Electrical Department hasbeen extended and re-equipped. There are facilitiesfor post-graduates to attend the general and specialclinics in medicine and surgery for in-patients, andfor out-patients, including a genito-urinary clinic, aclinic for varicose veins, a L.C.C. Clinic for childrensuffering from rheumatic fever and chorea, and theX ray department for gastro-intestinal diagnosis.Particulars of post-graduate courses, which are heldfrom time to time, can be obtained from the Secretaryof the hospital.

Victoria Hospital for ChildrenThis hospital in Tite-street, Chelsea, S.W., contains

138 beds and a large out-patient department ; thehome at Broadstairs has 50 beds. There are twoprivate wards where patients may be under the careof any medical practitioner holding an appointmenton the staff of a recognised hospital, and the questionof payment for his fees is arranged between himand the child’s parents.

Queen’s Hospital for ChildrenThis hospital, for the sick children of the poor up to

14 years of age, was formerly known as the North-Eastern Hospital for Children. There are 160 bedsin London (Hackney-road, E.2) and 44 at the seasidebranch, Little Folks Home, Bexhill. Specialdepartments in Ear, Nose, Throat, Skin, and Eye,Psychiatrics and Dentistry. Rheumatic Clinic incooperation with L.C.C. schools twice weekly. Aradiologist attends four times weekly. There are

massage and light departments, and a special whoop-ing-cough physician. The practice of the hospitalis open to students by arrangements with the medicalstaff.

Paddington Green Children’s HospitalThis is a hospital of 52 beds, with a large out-

patient department and a full staff, with Eye, Ear,Skin, Light, Psychology, Rheumatism, X ray, andDental departments. The facilities which it offersfor observation of clinical practice are used by theFellowship of Medicine.

Hospital for Women, SohoThis hospital in Soho-square, W., contains 81 beds.

The teaching is available for post-graduates only inlimited numbers. Operations take place on Fridaysat 9,30 A.M., Wednesdays, and Thursdays at 2 P.M.,and Mondays and Fridays at 4 P.M. The X raydepartment is supplied with the latest installationboth for diagnosis and treatment, and experiencecan also be gained in the treatment of malignantdisease by means of radium. Incorporated is the

506

London School of Gynaecology, comprising attendance lat out-patient department, operating theatre, clinical ,

lectures, and X ray treatment. :

Samaritan Free Hospital for WomenContains 88 beds. Qualified practitioners are

admitted as clinical (gynaecological) assistants toboth the in- and out-patient departments. A newradiological department has been opened with modernequipment for deep X ray therapy. Full particularsmay be obtained from the Secretary to the MedicalCommittee at the hospital, Marylebone-road, N.W.

Princess Elizabeth of York Hospital for ChildrenThe hospital has 135 beds and is situated in Glamis-

road, Shadwell, E.I. Resident posts at the hospitalare recognised by the Conjoint Board as fulfillingthe necessary conditions for the Diploma of ChildHealth. Similar recognition is accorded to clinicalassistantships at the hospital. The number of theseposts is limited to four. There is an orthopaedicclinic on Wednesdays and a rheumatic clinic onFridays. Physicians and surgeons pay ward visitsevery morning and periodical intensive courses. inpaediatrics (medical and surgical) are given. Post-graduate courses are arranged at the hospital by theFellowship of Medicine, when the honorary staff givelectures.An appeal has been launched and building opera-

tions have already been started to build a completecountry hospital and convalescent home on an estateof a hundred acres at Banstead, the gift of a generousdonor. The hospital’s intention is to maintain anout-patient department with sufficient emergencybeds as a clearing-station at Shadwell, and to transferits in-patients by motor ambulance to Banstead, onlyfifteen miles distant. The present convalescent homenow at Bognor will be transferred to Banstead, andthe whole will be under the charge of the honorarystaff, when it is hoped that further facilities for post-graduate instruction may. be offered.

Chelsea Hospital for WomenThis hospital has 104 beds ; 18 for.patients paying

25 5s. a week and moderate fees to the surgeonsfor operations. There is a convalescent home of 32beds at St. Leonards. In the out-patient departmentthe patients are seen at a nominal payment or withsubscribers’ letters. The hospital caters for post-graduate teaching. In the out-patients’ departmentclinical assistantships can be obtained which entitlethe holder to attend and examine patients under theinstruction of the visiting surgeons. The operatingtheatre is open to visitors, and all operations aredemonstrated and discussed by the surgeons. ThePathological Department contains one of the finestgynaecological museums in the country. Specialintensive courses, with lectures and special demon-strations, are held three times a year through theorganisation of the Fellowship of Medicine.

Evelina Hospital and Belgrave HospitalThe Evelina Hospital, Southwark (80 cots), and

the Belgrave Hospital (76 cots), Clapham-road, alsogive facilities for out-patient practice.

CANCER

Royal Cancer Hospital (Free)The hospital, situated in Fulham-road, S.W.,

contains 118 beds for poor persons afflicted, whoare admitted free. The Out-patient Department isopen every week-day, except Saturday, at 2 P.M.,also Wednesday morning at 10 and Saturday morningat 10. A course of study in Physics and Radiology,qualifying for the Diplomas in Medical Radiology ofthe University of London and the Conjoint Board,is given. The hospital is a recognised teachingschool of the University of London in MedicalRadiology, Experimental Pathology, and Patho-

logical Chemistry. A Resident Medical Officer isappointed for a period of 12 months at a salary of2200 per annum. Senior and Junior ResidentHouse Surgeons are appointed for a period of 6months at a salary of JE50. Non-resident assis-tants are appointed in the Radiological Depart-ment for a period of 12 months at salaries of:B350.

Mount Vernon HospitalThe hospital contains 130 beds for surgical cancer

cases. Clinical Demonstrations are given by thevisiting Surgical Staff at the hospital at Northwood.Clinical assistants are appointed to surgeons in thewards. Diagnostic and follow-up departments, 14,Riding House-street, W.

Marie Curie HospitalThis hospital, which is officered by medical women,

is a centre for the radiological treatment of womensuffering from cancer and allied diseases. The in-patient department contains 39 beds, of which eightare for private patients. There is a daily out-patient clinic to which cases are sent for diagnosisand at which those already treated are kept underobservation. The hospital has departments forradium and deep X ray therapy, and for X raydiagnosis. The pathological department containslaboratories for clinical and experimental research.The practice of the hospital is open to qualifiedmedical visitors, and one graduate wishing to studythe subject of radiology is accepted for full-timeservice for four to six months.

OPHTHALMOLOGY

Royal London Ophthalmic HospitalThe attendance at Moorfields Eye Hospital (Moor-

fields, 1804-1899), City-road, E.C. (200 beds), is nowvery large. Operations are performed each day from10 A.M. to 1. P.M. and four surgeons attend daily.Students are admitted to the practice of the hospitaland special courses of instruction are given, whichextend over a period of five months, by members of thesurgical staff and certain outside lecturers, beginningin October and March. The instructions and classesare arranged to meet the requirements for the variousdiplomas in Ophthalmology, both for the preliminaryexaminations in Anatomy, Physiology, and Optics,and those subjects required in the second part.Students of the hospital are eligible as house surgeons,out-patient officers, and clinical assistants. Thesenior resident officer and three house surgeonsare appointed every six months. Twenty-four out-patient officers are appointed each year. Clinicalassistants are appointed every three months. Therebuilding of the Out-patients’ Department, MedicalSchool, and Private Wards is now completed, and thebuilding is in use. All these departments are nowvery much improved, as well as the arrangements forinstruction.

Royal Westminster Ophthalmic HospitalThis hospital, in High Holborn, W.C.1 (100 beds,

including 14 rooms for paying patients), has removedfrom its original site at Charing Cross to much largerpremises, well adapted for teaching purposes. Clinicsare held in the afternoons from 1.30 P.M. Operationsare performed daily in the theatres from 2.30 P.M.Lectures and practical classes in the various branchesof ophthalmology for D.O.M.S. examinations, includ-ing operative surgery, bacteriology, and pathologyare held during the winter and summer sessions at5 P.M. Next classes start Oct. 13th, 1937. Thepractice of the hospital is open to both men andwomen practitioners, and medical students. Post-graduate students at the hospital are eligible forappointment as registrar, house surgeon, assistanthouse surgeon (2 appointments), refraction officer(8 appointments paid), and senior and junior assis-

507

tants. A scholarship of 2100 is awarded annuallyfor research work.

Royal Eye HospitalThere are 46 beds at this hospital, which is situated

in St. George’s-circus, Southwark, S.E., and an annualattendance of nearly 80,000 out-patients. The staffattend daily, Mondays to Fridays at 2 P.M., and onSaturdays at 9.30 A.M., when clinical instruction isgiven. Special classes held in May and October areplanned to meet the requirements of students preparingfor the D.O.M.S. and similar examinations, and coverAnatomy, Physiology, Optics, Clinical Ophthalmology,Operative Surgery, and Pathology. Clinical Classesin medical ophthalmology are held for candidates forthe M.R.C.P. examinations. A Course suitable forgeneral practitioners is held in April under theauspices of the Fellowship of Medicine. Apart fromthe Honorary Staff of 6 Surgeons, there are also aPathologist, an Assistant Pathologist, a Bacterio-logist, 3 resident House Surgeons, 11 Chief ClinicalAssistants, 24 Clinical Assistants, 14 L.C.C. Refrac-tion Officers, 10 Hospital Refractionists, and 2 officersin charge of the Squint Training Clinics.

Reference departments for general medicine,neurology, dental treatment, ear, nose, and throatinvestigations, orthoptic training, and radiology,including ultra-violet therapy, are available. Thepathological and bacteriological departments are

available to ophthalmic surgeons and institutionsdesiring reports on specimens, cases of interest beingdealt with without charge. A Research Scholarshipin Ophthalmology to the value of 100 guineas perannum is awarded yearly.

Central London Ophthalmic HospitalThis hospital, in Judd-street, St. Pancras, W.C., has

51 beds, and clinical teaching is given daily. ThePathological and Bacteriological Laboratories are

available for the use of any ophthalmic surgeons whodesire to send specimens for examination; a smallfee is charged for a report. There is an OrthopticDepartment for the treatment of cases of squint, andpupils are taken for training in this work. Voluntaryhospital ophthalmic clinics are held on Mondays andThursdays at 4.30 P.M. Ten private rooms are avail-able for private patients. A department for researchinto and development of the corneo-plastic surgeryof the eye has recently been established.

GENITO-URINARY AND VENEREAL DISEASES

London Lock Hospital and Home

There are 74 beds for men, women, and children.Male out-patients are seen at 91, Dean-street, Oxford-street, W.1, at any time from 10.30 A.M. until 10 P.M.daily (Sunday, noon-10 P.M.). Intravenous injectionsare given at every clinic. Irrigations for males aregiven daily from 9 A.M. to 10 P.M. Female out-patients and children are seen daily at 283, Harrow-road, Paddington, W.9, from 9 A.M. until 8 P.M.

Irrigations for females are given at any time. Thehospital is linked up with the Fellowship of Medicine ;special courses of lectures are held in May andNovember each year, and application for ticketsshould be made direct to the Secretary of theFellowship.Only a limited number of practitioners and students

are permitted to attend the practice of the FemaleLock Hospital, and application should be made tothe Dean at the Male Lock Hospital between thehours of 11 A.M. and 5 P.M.

St. Mark’s Hospital for Cancer, Fistula, and otherDiseases of the Rectum

At this hospital in City-road, E.C. (founded 1835),for men and women, there are 63 general beds and9 private beds. Operations are performed on

Mondays, Tuesdays, Thursdays, and Fridays at2 P.M. and Saturdays at 11 A.M. Medical practi-

tioners and students are invited to the operationsand to the clinical instruction in the wards and inthe out-patient department. Four weekly coursesare held during the year in cooperation with theFellowship of Medicine.

St. Paul’s Hospital for Urological and Skin DiseasesThis hospital is situated in Endell-street, Holborn.

It specialises in the treatment of patients sufferingfrom diseases of the kidneys, bladder, prostate, fromstone, stricture, or other urinary diseases, and fromaffections of the skin. There are 33 beds, ten beingfor private patients and four for women. The hospitalis open from Mondays to Fridays for out-patients(men, women, and children) at 1.30 P.M. and 5 P.M.(Saturdays 1.30 P.M. only). The operating days areMondays, Wednesdays, and Fridays in the afternoon.Cystoscopy sessions are held on Tuesdays, Thursdays,and Fridays in the morning. Skin cases are seen onMondays and Fridays at 9 A.M.

St. Peter’s Hospital for StoneThe hospital in Covent Garden is thoroughly up to

date in all departments, and research is still carriedout with radium specially loaned for the purpose bythe British Empire Cancer Campaign. Medicalpractitioners and students are invited to attend thepractice of the hospital in the out-patient department,excepting that the only clinic open to medical womenis that held at 9.30 A.M. Fridays for women andchildren. The operating theatre is open to medicalvisitors as follows : Mondays, Tuesdays, Thursdays2 P.M., Fridays 3 P.M. Special courses oflectures and demonstrations lasting a fortnight areheld in January, May, and November by arrangementwith the Fellowship of Medicine.

All Saints’ HospitalThe in-patient department of the All Saints’

Hospital for Genito-Urinary Diseases is at Austral-street, West-square, St. George’s-road, S.E., contains55 beds, including those in 4 private wards andcubicles, and the terms of admission are free or bypayment according to means. The out-patientdepartment provides clinical instruction through theFellowship of Medicine, in addition to which demon-strations in cystoscopy and other branches of genito-urinary work are available for all medical practitionersat the out-patient department on Monday, Tuesday,Wednesday, Thursday, Friday, and Saturday after-noons at 2 P.M., without fee. A new X raydepartment, embodying the latest developments inradiology as applicable to urological cases, was openedlast June.

ORTHOP2EDTCS

Royal National Orthopaedic HospitalThis institution, situated in Great Portland-street

(490 beds), is a good example of the fusion ofscattered activities for the creation of an effectivewhole. The three orthopsedic hospitals of themetropolis were combined for the formation of thiscentral institution at the instance of King Edward’sHospital Fund, with the result that the grants fromthis Fund and the income from subscriptions can nowbe used to far better purpose and with economy.The hospital has also been approved by the Ministryof Health for the treatment of surgical tuberculosis,the connexion between orthopaedics and the thera-peutics required in many forms of tuberculosis havingbecome obvious. Country branch at Brockley Hill,Stanmore (280 beds). Both branches of the hospitalare residential schools for physically defective children,certified by the Board of Education. The hospitalprovides also a convalescent branch at Stanmore for44 children and a residential training college for 100cripples aged 16-22. A post-graduate course of14 days is held about March each year. The out-patient department is open every week-day, except

508

Saturday, at 1.30 P.M. The evening clinic on Tuesdaysfrom 6 P.M. to 8 P.M.

FAR, NOSE, AND THROAT

Central London Throat, Nose and Ear HospitalThis hospital in Gray’s Inn-road with recovery

home at Ealing (104 beds) is open daily to all qualifiedmedical practitioners on presentation of their visitingcards. Demonstrations of the cases and clinicalinstruction are given daily by the chief surgeon ofeach clinic and in the operating theatre. Lectureseach Friday at 4 P.M. Courses in Anatomy andPhysiology for Part I. of the D.L.O. Examinationby a Teacher of Anatomy and Clinical Courses bythe Honorary Medical Staf for Part II. of theExamination are given twice yearly, in May andOctober. In addition there are Peroral Endoscopyand Pathology and Bacteriology classes. Courses inmethods of Examination and Diagnosis are givenat frequent intervals during the year. ClinicalAssistants are appointed and are expected to holdoffice for at least three months. They are requiredto attend twice weekly at 1.30 o’clock for the after-noon, and at 4.30 o’clock for the evening clinics,to take notes of the new cases and thus have anopportunity of examining the patients.

Golden-square Throat, Nose, and Ear HospitalThe hospital (101 beds), which has absorbed the

London Throat Hospital, is situated in Golden-square,near Piccadilly Circus. Clinical instruction in thediagnosis and treatment of disease is given daily in theout-patient department from 2 to 4 P.M., and onTuesdays and Thursdays from 6.30 to 7.30 P.M. Thereis an annual out-patient attendance of 35,000. Minoroperations are performed on Mondays and Fridays sat 9.30 A.M. Practitioners and post-graduate studentsare admitted to the practice of the hospital, andclinical assistants are appointed periodically.

Metropolitan Ear, Nose, and Throat HospitalThe hospital is in Fitzroy-square and contains 22

beds. The out-patient department is opened dailyat 2 P.M., Saturdays 1 P.M., to all medical practitionersand senior students for acquiring clinical instructionand technical knowledge. Operations upon in-patientsare performed on Tuesdays, Wednesdays, Thursdays,and Fridays at 10 A.M. Clinical Assistants are

appointed as vacancies occur.

SKIN

London School of DermatologyThe London School of Dermatology, St. John’s

Hospital for Diseases of the Skin, has an in-patientdepartment (40 beds) at 262, Uxbridge-road, W.,and out-patient clinics, at 5, Lisle-street, W.C.2, areheld daily at 2 and 6 P.M. (Saturdays at 2 P.M. only),when demonstrations are given on the cases presentingthemselves. The Chesterfield Lectures, constitutinga systematic course in dermatology, are given on

.

Tuesdays and Thursdays at 5 P.M., during Octoberand November and January and February, by thehon. medical staff of St. John’s Hospital and thephysicians in charge of the Dermatological Depart-ments of the London Teaching Hospitals. Thelectures are free to those attending the practice ofthe hospital and to registered medical students.At the end of the course an examination is held forthe Chesterfield Medal in Dermatology, and is opento all medical practitioners. A summer course oflectures is also held during the month of May eachyear. The electrical department is open, Monday toFriday inclusive, from 2 to 7 P.M. LaboratoryCourses in the Pathology and Bacteriology of theSkin can be arranged. A minor examination, ifdesired by post-graduates, is held by the honorarymedical staff of St. John’s Hospital in October orNovember of each year.

London Skin Hospital and Hospital for Diseases ofthe Skin

The hospitals admit graduates to their practice,which is among out-patients. London Skin Hospital,daily at 2 P.M. and 5.30 P.M., Saturdays 2 P.M. only.Hospital for Diseases of the Skin, daily at 2 P.M., andFridays, 5.30 P.M., not on Saturdays.

CENTRES OUTSIDE LONDON AFFORDING

EDUCATIONAL FACILITIES

Nearly every hospital of a general character inthe country having more than 150 beds falls withinthis category, and certain of them have already beennoticed in connexion with the universities to whichtheir clinical practice is attached. The hospitals varymuch in size and scope.The following alphabetical list includes the

provincial hospitals which are recognised by theEnglish Conjoint Board for a part of the requiredtraining in medical and surgical practice throughclerkships and dresserships. Further information canbe obtained from the secretaries of the institutions.

Bath Royal United HospitalThis hospital contains 284 beds of modern con-

struction, 72 of which are for paying patients only ;it possesses bacteriological and pathological labora-tories, X ray, massage, obstetric and gynaecological,ear, nose, and throat, skin, neurological departments,and fracture service. V.D. clinics are held on

Tuesdays for women, and on Fridays and Saturdaysfor men, at 5 P.M. A resident staff of two housephysicians is maintained, together with three housesurgeons, the appointment of the latter being recog-nised by the Royal College of Surgeons to qualifycandidates for the final fellowship examination. A

post-graduate course is held every autumn and a

programme of clinical ward rounds is carried outduring the first six months of each year.

Bedford County HospitalThis hospital at Bedford has 124 beds, including

15 beds in the paying and 13 beds in the maternitywards ; Ear, Nose, and Throat Departments, andX Ray and Pathological Departments. There is inconnexion with the institution a convalescent home(20 beds) at Aspley Heath, near Woburn Sands. Thehospital is approved by the English Conjoint Boardfor the examinations.

Berkshire Royal HospitalThis hospital at Reading, which contains 274 beds,

includes an Out-patient Department, a CasualtyDepartment, an X Ray and Radiotherapeutic Depart-ment, Electrotherapeutic and Massage Department,an Orthopaedic Department, an Orthoptic Clinic,a V.D. Clinic, a Laboratory, an Eye Theatre, EyeWards, a Maternity Ward, a Paying Patients Unit,and a Private Nursing Staff, and two motor ambu-lances. The hospital is approved as a TrainingSchool for Nurses and by the Ministry of Health forV.D. Treatment. The Blagrave Branch, Calcot, con-tains in addition to the above, 64 beds for cases ofdisease of bones and joints and those requiringopen-air treatment.

Bradford Royal InfirmaryThis hospital contains 345 beds and, in addition,

has 50 recovery beds at the Woodlands ConvalescentHome, Rawdon. The honorary acting staff consistsof 3 physicians, 4 surgeons, 1 radiologist, 2 laryngo-logists, 2 ophthalmic surgeons, 1 dental surgeon,2 assistant physicians, 2 assistant surgeons, togetherwith 6 anaesthetists, 1 pathologist, 1 assistant patho-logist, 1 physician-in-charge of radium therapydepartment, 1 resident surgical officer, 1 residentmedical officer, 2 house physicians, and 5 house