715

SCHOLARSHIPS GIVEN IN AID OF MEDICAL STUDY-continued.

THE NAVAL, MILITARY, AND INDIANMEDICAL SERVICES.

DURING the year no additional changes for the betterhave been made in the great public services.

In all three services the comparative dearth of candi-dates at the entrance examination continues despite thefact that, as we have pointed out in numerous articles,the conditions of employment have much improved. Navalmedical officers are now able to hold appointments as

house surgeons and physicians after they have obtainedtheir commissions in the navy. The allowances havebeen increased, promotion has been accelerated, andfacilities have been given to cfficers for withdrawing fromthe service after a short term of service. The positionand pay of the officers of the Royal Army Medical Corpsare such that a good class of candidates should beattracted to its ranks and the apprehensions of beingcompelled to confront a series of examinations duringlater service seem to have been allayed. The rulersof the Indian Medical Service have seen their way to

improving somewhat the position of its officers ; butunless the Indian Government is converted to more

liberal ideas we fear that the Indian Medical Service willno longer command its former class of medical officer.There has been considerable improvement made under theWarrant of 1904 in general pay. but the pay of administrativeposts remains the same. No officer can receive staff allow-ance until he has passed the lower standard in Hindustani,while opportunities for learning the language may bewithheld from him. The conditions of civil employmentare practically unaltered and are unsatisfactory.

ROYAL NAVY MEDICAL SERVICE.EGULATIONS FOR THE ENTRY OF CANDIDATES FOR COMMISSIONS IN

THE MEDICAL DEPARTMENT OF THE ROYAL NAVY.

Every candidate for admission into the Medical Department of theRoyal Navy must be not under 21 nor over 28 years of age on the dayof the commencement of the competitive examination. He must pro-duce an extract from the register of the date of his birth; or, indefault, a declaration made before a magistrate, from one of his parentsor other near relative, stating the date e of birth. He must also producea certificate of moral character, up to date, and a recommendationsigned by a clergyman or magistrate, to whom he has been for someyears personally known, or by the president or senior professor of thecollege at which he was educated.He must be registered unf-r the Medical Act in force, as qualified tc

practise medicine and surgery in Great Britain and Ireland.He must declare (1) his age and date and place of birth ; (2) that he

is of pure European descent and the son either of natural-bornBritish subjects or of parents naturalised in the United Kingdom :(3) that he labours under no mental or constitutional disease or weakness, nor any other imperfection or disability which may interferewith the most efficient discharge of the duties of a medical officer irany climate; (4) that he is ready to engage for general service at hom<or abroad, as required; 5) whether he holds, or has held, an

commission or appointment in the public services; and (6) that he isregistered under the Medical Act in force as duly qualified profession-allv, and what diplomas, &c., he holds.lHe must be free from organic or other diseases, and his physical

fitness will be determined by a Board of Medical Officers, who are tocertify that his vision comes up to the required standard, which willhe ascertained by the use of Snellen’s Test Types. The certificates ofregistration, character, and birth, must accompany the declaration,which is to be filled up and returned as soon as possible, addressed asabove.Candidates will be examined by the Examining Board in the follow-

ing compulsory subjects and the highest number of marks attainablewill be distributed as follows (a fee of el will have to be paid by eachcandidate to entitle him to take part in the competition): (a) medicine,materia medica, therapeutics and general hygiene, 1200 marks; (b)surgery and surgical anatomy, 1200 marks. The examination inmedicine and surgery will be in part practical and will include,beyond papers, the examination of patients, the examination of patho-logical specimens, a knowledge of bacteriology, the performance ofoperations on the dead body, and the application of surgical apparatus.The attention of candidates is especially drawn to the importance of

the section of Operative Surgery, as a competent knowledge in thissubject is essential in order to qualify for a commission. No candidate

shall be considered eligible who shall not have obtained at least one-third of the maximum marks in each of the above compulsory subjects.; Candidates may be examined in the following voluntary subjects,for which the maximum number of marks obtainable will be-Natural Sciences: chemistry (300); physiology (300) ; zoology (300); botany(300); and geology and physical geography (300). No candidate willbe allowed to present himself for examination in more than two oft these subjects. French and German (3CO each), 600 marks. A numberless than one-third of the marks obtainable in each of these voluntarysubjects will not be allowed to count in favour of the candi-date who has qualified in the compulsory subjects. The knowledge, of modern languages being considered of great importance. all intend-e ing competitors are urged to qualify in French and German. The

examination in chemistry will include the general principles of

einorganic and organic chemistry; the preparation and properties ofthe chief non-metallic and metallic elements and their compoumds ;l the preparation, properties and classification of the more importantie compounds, such as marsh gas, ethylene, acetylene, methyl and ethylalcohols, glycerin, ether, formic, acetic, lactic and oxalic acids ;Lt cyanogen and cyanides : carbohydrates ; fats : proteids. The examina-

tion in physiology will comprise the minute structure and functions ofthe various tissues and organs of the body; the physiology of theblood; the nature of food and the processes of its digestion; themechanics of the circulation and of respiration; the physiology of

nutrition, secretion, and excretion; animal heat, the nature ofsensation, volition, reflex action, inhibition and influence of the

le nervous system on other organs and their functions. The examination3LY in zoology will include-the general principles of biology, and a com-’,0- parison of animals with plants; the distinctive characters of thein larger groups of animals-the protozoa, ccelenterata, vermes, arthro-ts poda, mollusca, echinodermata, and vertebrata-as illustrated byce common types ; the elements of embryology ; animal parasites. Them examination in botany will comprise the general principles of the mor-ne phology and physiology of low forms of life-e.g.. torula, bacteria,he spirogyra, moss fern ; the general morphology of flowering plants ;

diagnosis of the important British natural orders; medicinal plants.to The examination in geology and physical geography will be limited to

general principles. The examination in geology and physical geographyhe will be limited to general principles, such as : the relations of the earthrn to the rest of the solar system; nature of the earth’s crust and thechief kinds of rocks; general configuration of land and water,

mountains, plains, islands, rivers, lakes, glaciers and icebergs, ocean)re

1 If any doubt should arise on this question the burden of cleary proof that he is qualified will rest upon the candidate himself.

716

currents, tides, winds, storms, (lew, rain, climate, vulcanoes, earth-quakes, distribution uf auimal ancl vegetable life.The appointments announced for competition will be filled from the

list of qualitied candidates, arranged in order of merit; but should itat any time be considered expedient to grant Commissions beyond thoseperiodically competed for, the Admiralty have power to admit annually(a) two candidates-proposed by the governing bodies of schools ofmedicine in the United Kingdom&mdash;who have satisfactorily filled theoffice of house surgeon in a large civil hospital for at least six months ;and (b) not more than six candidates, according to requirements,specially recommended by the governing bodies of such colonial univer-sities as may be selected and whose qualifications are recognised by theGeneral Medical Council. Candidates so proposed are to be approvedby the Director-General of the Medical Department of the Navy andare to be certified by the governing body proposing them as dulyqualified according to the regulations in force for the entry of candi-dates. In cases uf colonial nominations, registration of professionalqualifications may be deferred until after the arrival in England of acandidate who has been passed on the station, but a Commission asSurgeon will not be granted until the certificate of the Registrar of theMedical Council has been produced at the Medical Department of theNavy. Candidates from schools at home will be required to pass aphysical examination in London which will be arranged for by theMedical Director-General. Colonial candidates will have to pass aphysical and test examination before a board of Naval Medical Officerson the station. Successful candidates immediately after passing theexamination in London will receive commissions as Surgeons in theRoyal Navy, and will undergo a course of practical instruction in NavalHygiene, &c., at Haslar Hospital. Three prizes of the approximatevalue of &pound;10 each will be awarded at the close of each session at Haslarto the students who have shown the greatest proficiency.Surgeons on entry are only required to provide themselves with a

pocket case of instruments, a stethoscope, and three clinical thermo-meters. All other instruments are provided at the public expense.

Promotion.

An Inspector-General of Hospitals and Fleets will be selected fromamongst Deputy Inspectors-General who have in that rank three years’full pay service and who have not at any time declined foreign serviceexcept for reasons which the Lords Commissioners of the Admiraltyregard as good and sufficient.A Deputy Inspector-General of Hospitals and Fleets will be selected

for ability and merit from amongst Fleet Surgeons,(a) Subject to the approval of the Lords Commissioners of the

Admiralty rank as Fleet Surgeon will be granted to Staff Surgeons atthe expiration of eight years from the date of promotion to StaffSurgeon, provided they are recommended by the Medical Director-General and have not declined service except for reasons which in theopinion of the Lords Commissioners of the Admiralty are satis-factory. (b) Special promotions from the rank of Staff Surgeon tothat of Fleet Surgeon will be made at their Lordships’ discretion incases of distinguished service or conspicuous professional merit. Suchpromotions will be exceptional and will not exceed the rate of one intwo years ; the total number at any one time of Fleet Surgeons hold-ing that rank hy such special promotions will not exceed six.

(a) Rank as Staff Surgeon will be granted, subject to their Lordships’approval, to surgeons at the expiration of eight years from the date ofentry, provided they are recommended by the Medical Director-General,and have passed such examination as may be required after completionof five years from the date of entry in the rank of surgeon. (b) Specialpromotions will be made at their Lordships’ discretion to the rank ofStaff Surgeon in cases of distinguished service or conspicuous profes-sional merit. Such promotions will be exceptional and not exceed therate of one a year. The total number at any one time of Staff Surgeonsholding that rank by such special promotions will not exceed eight.No officer will be so promoted unless he passes the examination pre-scribed for other surgeons, but in such a case the requirement of liveyears’ time in rank of surgeon will be dispensed with. (c) When a sur-geon’s promotion to the rank of Staff Surgeon has been retarded byfailure to pass the qualifying examination he will, should he pass andbe promoted, be dealt with as follows. He will be granted the seniorityas Staff Surgeon he would have received had he passed in ordinarycourse. He will reckon service for increase of full and half pay onlyfrom the date of appointment to full pay as Staff Surgeon. If on halfpay, or if placed on half pay when promoted, he will receive the lowestrate of half pay of the new rank from the date of passing the qualifyingexamination. Where delay in passing the qualifying examination maybe due to unavoidable circumstances special consideration will begiven. (d) The seniority of surgeons on entry will be determinedby the sum total of the marks they obtain at the London exa-mination and those at the conclusion of the Haslar course and theirnames will then be placed in the official navy list, except in the caseof candidates who hold, or are about to hold, a post as resident medicalofficer or surgical oflicer to a recognised civil hospital. These candidateswill retain the position in the list which they obtained on entry, andwhen their period of service as resident officer is over they will join thenext Haslar course and will be required to obtain qualifying marks.Surgeons entered without competition will take seniority next after thelast surgeon entered at the same time by competition. (e) The examina-tion for promotion to the rank of staff surgeon will be held by the Exa-mining Board, to which a naval medical otlicer will be attached to con-duct the examination in naval hygiene. The subjects of examinationwill be in writing and will include mectieme, surgery, pathology.general hygiene, naval hygiene. Earlier promotion to the rank of staffsurgeon may be granted to those surgeons who, before entry, have heldthe post of legally qualified resident medical or surgical officer to acivil hospital of not less than 100 beds for a period of not lessthan six months, provided their cnnduct and professional abilitieshave been favourably reported on during the time they have served inthe Navy. They may be granted from six months to one year’sseniority, according to the time they have held their civil appoint-ments, but in no case will more than one year’s seniority be granted.This only applies to officers who enter by competition. A candidatewho at the time of passing the examination for entry into the medicalbranch oi’the Royal Navy holds, or is about to hold, an appointment asresident medical or surgical officer ill a recognised civil hospital, maybe allowed to serve ill snell civil appointment provided that the periodof such service after the date of entry into the Royal Navy does notexceed one year. Pay trom naval funds will be withheld from oflicerswhile thus serving, but the time corrcerned will reckon for increase of

full and halfpay while on ttte active list, and retired pay nr gratuity onretirement or withdrawal, except that ito otliwa will be alloveci toretire on a, gratuity until he has completed four years’ service exclusiveof the time spent as resident medical or wrl;ica oil!(.(,I.. The elegi-bility of this appointment will also he decided hy the llLmlical DirectorGcneral.

Fult Pay and Allowances.

The medical officers in charge of the following hospitals and sickquarters will be granted charge pay: llaslar, Plymouth, Chatham,Malta, Hong-Kong, Bermuda, Jamaica, Portland, Yarmouth, Haul-bowtinp. Cape, Gibrattar, Yokohama, Esquinmlt, and Asccusioji. Therate ot charge pay will be as follows:-

s. d.Inspcetors-General..... 10 0 a day.Deputy InspPCtors-GenM’al ......... 7 6 Fleet Surgeons..... 5 0 "

Staff Surgeons................... 2 6 "

The hospital allowances for naval medical officers at home andabroad, in lieu of provisions, for themselves and servants, and for fueland lights, are as follows :-

’’’ Except at Malta, where the allowance will be &pound;70, hut servants willbe provided at the public expense. These allowances are also grantedto medical officers of marine divisions and dockyards.An allowance of 5s. a day, in addition to full pay, is granted to the

senior medical officer, being a Fleet or Staff Sligeoii, of a flag-shipbearing the flag of a Commander-in-Chief on a foreign station or of thesenior officer commanding the Channel Squadron; and an allowance of2s. 6d. a day to the senior medical officer, being a Fleet or Staff Surgeon,of the ship of a Commodore or of a senior officer commanding a foreignstation. An allowance of 2s. 6d. a day may also be granted to the seniormedical officer, being a Fleet or Staff Surgeon, in ships carrying theflags of flag officers or the broad pendants of Commodores not com-manding stations. The following charge allowances may be granted tomedical officers in charge of hospital ships: if above the rank of fleetsurgeon, 5s. a day ; and if of the rank of fleet surgeon or junior, 3s. Bd.a day. The Fleet and Staff Surgeons serving in the Admiralty and theMarine Rendezvous will be granted the Hospital allowance of B53 ayear in addition to the usual lodging money. Medical officers con-ducting the course of instruction at Haslar Hospital will receive thefollowing allowances: two senior officers employed upon this duty,2150 a year each; the junior officer assisting, &pound;50 a year; and the juniorofficer instructing the Sick Berth Staff, &pound;50 a year. The junior officerinstructing the Sick Berth Staff at Plymouth, &pound;50 a year. Medicalofficers employed elsewhere than at a hospital, and not victualled inkind, receive an allowance of is. 6d. a day in lieu of provisions, fuel,and lights. The travelling allowances, extra pay, lodging money, andcompensation for losses are fixed for naval medical officers according totheir relative rank in the service.

Half Pay.

717

Candidates will do well to notice that the regulations issued to appli- cants do not put any limit on the amount of half-pay service which they may be compelled to undergo.

Retirement.

Oomnulsorv retirement will be as follows :-

At the age of 60, or at any age, 1if he has had three years’ non-employment in any one rank, Ior after four years’ continuousnon-employment in any tworanks combined. Except that

Inspector and if in any particular case the IDeputy In- Lords Commissioners of thespector-General Admiralty may consider thatof Hospitals the interests of the public m be retiredand Fleets. service will be materially ad- irrespective ofvanced by the further retention age if found

of an Inspector-General of physically un-Hospitals and Fleets on the physically un-active list, the age for the re-

fit for service.

tirement of such Inspector-General may be extended to 62.

At the age of 55. or at any age,Fleet Surgeon, ) if he has had three years’ non-

employment in any’ one rank,Staff Surgeon, or after four vears’ continuous and Surgeon. or after tour years continuousnon-employment in any two

ranks combined.

Should an officer leave the service after four years with a gratuityof &pound;500 lie will be required to join the reserve of naval medical officersfor a period not exceeding eight years. During this period his namewill appear in the Navy List, he will be allowed to wear naval uniformunder the usual regulations applying to officers on the retired andreserved lists, and lie may place lt.N. after his name. lIe may choosehis service in the reserve as follows :-

(1) He may simply enter the reserve with power to give six months’notice of his intention to resign his position, the total period ofmembership, however, not to exceed eight years.

(2) He may bind himself to remain in the reserve for four years,receiving a retaining fee of 1:25 per annum, and at the expiration ofthis time he may again bind himself to serve for another four years,receiving the same retaining fee. ,

(3) He may enter the reserve for the first four years as in Para-graph 2, and then by renouncing his retaining fee volunteer to coli-tinue membership for another four years as in Paragraph 1.

Officers of the Reserve will be liable to serve in the Royal Navy intime of war or emergency. When called up for such service after theexpiration of any period unemployed they will immediately receivethe rate of pay to which they would have been entitled atter four years’service-viz., 17s. a day.Voluntary retirement and withdrawal will be allowed as follows.

(a) Every officer will have the option, subject to their Lordships’approval, of retiring after 20 years’ full-pay service on the scale ofretired pay provided in Paragraph 16, or with a gratuity on the scaleprovided in that paragraph if not eligible for retired pay. (b) At the ex-piration of tour. eight, 12, or 16 years’ full-pay service every officer will bepermitted, subject to their Lordships’ approval, to withdraw from theNaval Service, receiving a gratuity on the scale laid down in Paragraph16. The name of an officer so withdrawing will be removed from the listsof the Navy, with which all connexion will then be severed, except inthe case of officers who withdraw after four years who are liable toserve in the Iteserve. (e) Voluntary retirement and withdrawal at thediscretion of their Lordships will be allowed, as a rule, only when anofficer is unemployed or serving at home. Under very special circum-stances, however, it may be permitted in the case of an officer servingabroad, provided he pays his successor’s passage to relieve him.

(d) Applications from officers to retire or withdraw or resign theiIcommissions will receive every consideration, but no officer will, as arule, be permitted to resign under three years from the date of entry. *

* The Admiralty reserve to themselves power to remove any office]from the list for misconduct.

Gratuities and retired pay will be awarded on retirement and withdrawal on the under-mentioned scale (Paragraph 16) :

* To obtain this rate an officer must hold the commission of FleetSurgeon.An officer retired with less than 20 years’ service on account of dis-

ability, contracted in and attributable to the Service, will receive the

talf pay of his rank, or, with the consent of their Lordships, a gratuitym the scales given in Paragraphs 16 and 18 (b), but such officer will not)e entitled to receive any special compensation for the disability inddition to the gratuity as above (Paragraph 17).2An oflicer retired with less than 20 years’ service on account of dis-

bility, contracted in but not attributable to the Service, will receive-a) if he has over eight years’ full-pay service, either a gratuity on theicale given in Paragraph 16 or half-pay according as their Lordshipshink fit ; (b) if he has less than eight years’ full-pay service,uch gratuity as their Lordships think iit, not exceeding theate of Bl25 for each year of full-pay service (Paragraph 18).In circumstances other than those specified in Paragraphs 17nd 18, and other than misconduct, neglect of duty, &c., an

fficer retired with less than 20 years’ service will not be allowedhalf pay or retired pay, but will receive a gratuity on the scale laiddown in Paragraph 16 if he has eight years’ full-pay service, and onthat provided in Paragraph 18 (b) should his full-pay service not amountto eight years. The power vested in their Lordships of grantingreduced rates of half pay and retired pay in cases of misconduct isextended to the award of gratuities on retirement, and the gratuityawarded will be reduced to such an amount as is thonght fit. Anoflicer retiring after 20 vears’ full-pay service will be eligible, if recom-mended by the Medical Director-General for distinguished or

meritorious service, to receive a step of honorary rank, such step to beawarded at their Lordships’ discretion, and not to confer any claim toincrease of retired pay or of widow’s pension. All retired oflicers willbe liable, till the age of 55, to serve in time of declared national emer-gency, in a rank not lower than that held on retirement. Retiredofficers will receive special consideration as regards appointments onshore connected with the Admiralty now filled by civilians.

Widow’s Pension.

When an officer retires or withdraws on a gratuity his widow andchildren will have no claim to pension or compassionate allowance.Oflicers serving in the reserve who during re-employment are injuredon duty, or lose their lives from causes attributable to the service, comeunder the same regulations as regards compensation for themselves, orpensions and compassionate allowances for their w idows and children,as officers of the same rank on the permanent Active List.

Miscellaneous.

A special cabin will be appropriated to the Fleet or Staff Surgeon orthe Surgeon in charge of the medical duties in each ship. Specialregulations have been made as regards the mess expenses of medicalofficers appointed to the several divisions of Royal Marines for limitedperiods. Every medical officer will be required to undergo a post-graduate course of three months’ duration at a Metropolitan Hospitalonce in every eight years (should the exigencies of the Service permit),and this as far as possible during his Surgeon’s, Staff Surgeon’s, andFleet Surgeon’s period of service. While carrying out this course themedical officer will be borne on a ship’s books for full pay and will begranted lodging and provision allowances and travelling expenses as forservice under the Regulations to and from his home or port; the feesfor each course (not exceeding &pound;25) will be paid by the Admiralty onthe production of vouchers at the end of the course. Themedical officerwill be required to produce separate certificates of efficient attendancein the following : (1) the medical and surgical practice of the hospital;(2) a course of operative surgery on the dead body; (3) a course ofbacteriology ; (4) a course of ophthalmic surgery, particular attentionbeing paid to the diagnosis of errors of refraction ; and (5) a practicalcourse of skiagraphy. Relative rank is accorded to medical officers aslaid down in the King’s Regulations and Admiralty Instructions.

The Admiralty has made a considerable effort to make theMedical Service attractive to men of a good professionalstamp. The new regulations promulgated on Oct. 31st,1903, are of course included in the above account of theNaval Medical Service. By these regulations promotion wasaccelerated, special promotion in the lower grades was madepossible in cases of distinguished service or conspicuous pro-fessional merit, and encouragement to enter the service, inthe shape of earlier promotion, was given to men who haveheld resident posts in recognised hospitals. A feature ofthe latest regulations is the permission to withdraw at theend of four years with a gratuity of &pound;500. The pay hasbeen increased but, in respect of allowances, the medicalofficers of the navy, up to the senior ranks, are not as welloff as those of the Royal Army Medical Corps. In spite ofthe steps taken by the Admiralty there is still much dis-content among naval medical officers, and such discontentwill exist until the medical officers are unhampered in theperformance of their important work by the executiveofficers. The medical officers should have control over thesick pay staff in ships and over nurses and other attendantsin hospitals and executive officers should no longer figure aspresidents of "medical surveys." The authority of theDirector-General must be made adequate. More care mustalso be taken that medical officers are assigned fitting cabinaccommodation, and they should have boats at their disposalto go on shore. To make the service thoroughly efficientthe medical officers must be given authority and positioncommensurate with their responsibilities.

2 If the health of a surgeon breaks down before he completes 20years’ service, even if his disability he contracted in the Service or bedue to climatic causes, he is liable at once to be placed on the retiredlist, receiving only a gratuity. This point should be well noted, as it isa most unjust one.

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THE ARMY.

Consequent upon the issue of the Royal Warrant publishedin Army Orders dated July lst, 1898, the Army MedicalStaff and the Medical Staff Corps were formed into the RoyalArmy Medical Corps. Medical officers also have been placed.as regards sick leave of absence on full pay, on the samefooting as that laid down for regimental officers. By a RoyalWarrant dated Nov. 10th, 1891, Art. 1208b of the PayWarrant was revised by inserting the words "an officer ofour Royal Army Medical Corps " after the words "combatantofficer," thus giving medical officers an equal title with com-batant officers to reckon time on half-pay towards retirementwhen the half-pay has been due to ill health contracted inthe performance of military duty. Under the Royal Warrantof July, 1895, time on half-pay not exceeding a year may in similar circumstances also reckon towards promotion.In the New Royal Warrant it was announced that the late Queen had been pleased to approve of the following ranks for the officers of the Royal Army Medical Corps : Colonel,Lieutenant-Colonel, Major, Captain, and Lieutenant. TheWarrant also states that the Medical Staff of the Army shallin future consist of Surgeon-Generals (ranking as Major-Generals). Officers of the Royal Army Medical Corps hold-ing appointments in the Household Troops are to be borneas seconded officers on the establishment of the Royal ArmyMedical Corps.REGULATIONS TOR ADMISSION TO THE ROYAL ARMY MEDICAL CORPS

(PROMULGATED BY ARMY ORDERS DATED MAY 1ST, 1902).A candidate for a commission in the Royal Army Medical Corps

must be 21 years and not over 28 years of age at the date of the com-mencement of the entrance examination. He must possess a regis-trable qualification to practise. He must complete the subjoined formof application and declaration and submit it to the Director-General.A.M.S., in sufficient time to permit of reference to the medical schoolin which the candidate completed his course as a medical student.

Application oJ a Candidate jor a Commission in the Royal ArmyMedical Corps.

1. Name in full.....................................................................2. Addresi ........................................................................

3. Date of birth .........................................................4. Registrable qualifications &dagger; .........................................................

5. Academic and other distinc-tions ...........................................................................

6. Name of the Dean or otherresponsible authority of theschool in which the candidatecompleted his course as a

medical student ..................................................................

7. Particulars of any commissionor appointment held in thepublic services ..................................................................

8. Date of examination at whichthe candidate proposes to pre-sent himself .....................................................................

Declaration.(N.B.-A mis-statement by the candidate will invalidate any sub-

sequent appointment and cause forfeiture of all privileges for servicesrendered )

I hereby declare upon my honour that the above statements are trueto the best of my knowledge and belief and that I am a British subjectof unmixed European blood.

Signed) ..........................................

* A certificate of registration of birth or other satisfactory evidenceof age. such as a declaration made before a magistrate by one of hisparents or guardians, giving the date of his birth, to be furnished.

t A reference to be given to the Medical Register or, in the absence ofsuch reference, other satisfactory evidence to be furnished.

The dean of the candidate’s school will be requested bythe Director-General to render a confidential report as to hischaracter, conduct, professional ability, and fitness to holda commission in the corps and to this report special import-ance will be attached. A candidate whose application isregarded as satisfactory will be directed to appear before theDirector-General, Army Medical Service, a few days (usuallyon the fourth Thurad )y of the month) preceding the examina-tion. The Director-General will decide if the candidate maybe allowed to compete for a commission. If approved, hewill then be examined as to his physical fitness by a boardof medical officers. The following is the order of theexamination :-

1. A candidate for a commission in the Royal Army Medical Corpsmust be in good mental and odily health and free from any physicaldefect likely to interfere with the efficient performance of militaryduty.

2. The examination will be conducted by a board of medical officers.3. The attention of the board will be directed to the following

points : (a) That the correlation of age, height, weight, and chestgirth is equal or superior to that which is given in the table innext column.

(b) Measurement of height. The candidate will be placed against thestandard with his feet together and the weight thrown on the heelsand not on the toes or outside of the feet. He will stand erect withoutrigidity and with the heels. calves, buttocks, and shoulders touchingthe standard ; the chin will be depressed to bring the vertex of thehead level under the horizontal bar and the height will be noted inparts of an inch to eighths.

(c) Measurement of chest. The candidate will be made to stand

Physical Equivalents.

erect with his feet together and to raise his hands above his head.rhe tape will be carefully adjusted round the chest with its posteriorupper edge touching the inferior angles of the shoulder blades and itsanterior lower edge the upper part of the nipples. The arms will thenbe lowered to hang loosely by the side and care will be taken that theshoulders are not thrown upwards or backwards so as to displace thetape. The candidate will then be directed to empty his chest of air asmuch as is possible. This is best done by continuous whistling withthe lips as long as sound can be produced. The tape is carefullygathered in during the process and when the minimum measurementis reached it is recorded. lie will then be directed to inflate his chestto its utmost capacity. This maximum measurement will likewise benoted. The girth with the chest fully expanded and the range ofexpansion between the minimum and maximum will then he recorded.

(d) Weight. The candidate will also be weighed and his weightrecorded in the proceedings of the Board.The regulations regarding the examination of eyesight are as

follows :-1. If a candidate can read D. =6 at 6 metres (20 English feet) and

D.=0’6 at any distance selected by himself, with each eye withoutglasses, he will be considered fit.

2. If a candidate can only read D.=24 at 6 metres (20 English feet)with each eye without glasses, his visual deiiciency being due to faultyrefraction which can be corrected by glasses which enable him to readD.=6 at 6 metres 20 English feet) with one eye, and D.=12, at the samedistance with the other eye, and can also read D.=0’8 with each eyewithout glasses, at any distance selected by himself, he will be con-sidered fit.

3. If a candidate cannot read D. =24 at 6 metres (20 English feet)with each eye without glasses, notwithstanding lie can read D.=0’6,he will be considered unfit. Normal vision of one eye may be sufficientto allow a higher defect in the other, to the extent of one-sixth, if thedefect is simple error in refraction remedied by glasses. The candidatemust be able to read the tests without hesitation in ordinary daylight.(N.B.&mdash;Snellen’s test types will be used for determining the acutenessof vision.) Squint, inability to distinguish the principal colours, orany morbid conditions, subject to the risk of aggravation or recurrencein either eye. will cause the rejection of a candidate.The following additional points will then be observed. (b) That his

hearing is good. (c) That his speech is without impediment. (d) Thathis teeth are in good orde&deg;. Loss or decay of the teeth will be con-sidered a disqualification Decayed teeth if well filled will be con-sidered as sound. (e) That his chest is well formed and that his heartand lungs are sound. (f) That he is not ruptured. (g) That he doesnot suffer from hydrocele, varicocele, varicose veins in a severe degree,or other disease likely to cause inefficiency. A slight defect if success-fully cured by operation is not a disqualification. (h) That his limbsare well formed and developed. (i) That there is free and perfectmotion of all the joints. (j) That his feet and toes are well formed.(k) That he does not suffer trom any inveterate skin disease. (l) Thathe has no congenital malformation or defect. (m) That he does notbear traces of previous acute or chronic disease pointing to an impairedconstitution. In any doubtful case the Board should further state:(n) Whether he is in their opinion of pure European descent. If acandidate be pronounced physically fit for service at home and abroadhe will be eligible to present himself at the entrance examinationwhich will be held twice in the year, usually in January and July.The Secretary of State reserves the right of rejecting any candidate

who may show a deficiency in his general education.An entrance fee of ;E1 is required from each candidate admitted to

the examination and is payable at the conclusion of his physicalexamination, if pronounced fit.A candidate successful at the entrance examination will be appointed

a Lieutenant on probation and will be required to pass through suchcourses of instruction as the Secretary of State shall decide and, afterpassing the examinations in the subjects taught and satisfying theDirector-General that he possesses the necessary skill, knowledge, andcharacter for permanent appointment to the Itoyal Army MedicalCorps, his commission as Lieutenant will be confirmed. The commis-sion shall bear the date of the officer’s appointment as Lieutenant onprobation.Before the commission of a Lieutenant on probation is confirmed

lie must be registered under the Medical Acts in force in the UnitedKingdom at the time of his appointment.The precedence of Lieutenants among each other shall be in order

of merit as determined by the combined results of the entranceexamination and the examinations undergone while on probation,except that the position on the list of a lieutenant on probation,seconded to hold a resident appointment in a recognised civil hospitalshall be determined by the place he has gained at the entranceexamination. In the case of a lieutenant so seconded, the examina-tions after the London and Aldershot courses will he of a qualifyingcharacter and will not influence his position on the seniority list ofthe Corps.Lieutenants when appointed on probation will receive instructions as

to the provision of uniform.

EXAMINATIONS.

Subjects for the Entrance Examinatiozz.Candidates will be examined by the examining hoard in medicine

and surgery. The examination will be of a clinical and practicalcharacter, partly written and partly oral, marks being allotted underthe following scheme.

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The following headings are published as a guide to candidates indrawing up their reports on cases :-(a) A briet history of the case asgiven by the patient, including such points only (if any) in the familyor personal history as have a distinct bearing upon the present illnessor incapacity. (b) A detailed account of the subjective symptoms andphysical signs elicited by the candidate’s personal examination of thepatient, noting the absence of any which might be expected to hepresent in a similar case. (c) Where there is any reasonable doubtin the mind of the candidate as to an exact diagnosis he is to

give the alternatives. with his reasons for making the selection.(d) A commentary upon the case as a whole, pointing out thesymptoms which may he considered typical and those which appear tobe unusual or only accidental complications. (e) Suggestions as to treat-ment. both immediate and possibly necessary at a later date. (f) Aforecast of the progress and probable termination of the case.

Similarly the commentary on the report of a case submitted to thecandidate should discuss : (a) The family and personal history andother conditions preceding the development of the conditiondescribed. (&ugrave;) The relative significance of the physical signs,symptoms, other indications of disease noted, and the generalclinical aspects of the case. (c) The diagnosis, with reasons forselection of the most probable, when a positive diagnosis cannot beattained. (d) The treatment, dietetic, medicinal, operative, &c., in-

cluding a criticism of the plan adopted, and alternative schemes oftreatment in case of disagreement. (e) The morbid appearances andan account of the post-mortem examination (if any).The examination will be held in London and will occupy

about four days.The appointments announced for the competition will be

filled up from the list of qualified candidates arranged in theorder of merit, as determined by the total number of markseach has obtained. Having gained a place in this entranceexamination the successful candidates will undergo twomonths’ instruction in military surgery, hygiene and bacterio-logy, after which they will be examined in these subjects.The maximum number of marks obtainable at this examina-tion will be 100. It has been determined that this courseshall be delivered in London and not as heretofore at

Netley. A military medical staff college is now being builtin London and until the new buildings are completed theinstruction will be given in the laboratories of the ConjointBoard on the Thames Embankment. At the present timethe professors are Surgeon-General W. F. Stevenson, C.B.,in the department of military surgery, Major W. B. Leish-man, M.B., in the department of bacteriology, and MajorR. H. Firth in that of hygiene, Captain D. Harvey, M.B.,and Captain C. E. P. Fowler, F.R.C.S., both of the RoyalArmy Medical Corps, being the respective assistant pro-fessors. Colonel H. R. James, F.R C.S., the commandantof the Medical Staff College, instructs in hospital and

corps administration, in the duties of officers on trans-ports, and in the examination of recruits. The course ofhygiene has hitherto comprised the examinations of waterand air, the general principles of diet with the quality andadulterations of food and beverages, the sanitary require-ments of barracks, hospitals, and camps, the considerationof the clothing, duties, and exercises of the soldier, and thecircumstances affecting his health, with the best means ofpreventing disease and instruction in the mode of preparingthe various statistical and other returns required of themedical officer. The pathological course has up to thepresent time included bacteriology and demonstrations in

physiological chemistry. The surgical course consists oflectures and demonstrations in military surgery and lectureson errors of refraction from a military point of view. Or

completion of the above course lieutenants on probation wilbe ordered to proceed to the dep6t of the Royal Arm3Medical Corps at Aldershot for a three months’ course o:

instruction in the technical duties of the corps, and at th.end of the course will be examined in the subjects taught

The maximum number of marks obtainable at this examina-tion will be 100. A lieutenant on probation who fails toqualify in either of these examinations will be allowed asecond trial, and, should he qualify, will be placed at thebottom of the list. Should he again fail in either examina-tion his commission will not be confirmed.

EXAMINATIONS FOR PROMOTION IN THE ROYAL ARMY MEDICALCORPS.

These examinations are intended to test the progress and proficiencyof officers in those branches of knowledge which are essential to theircontinued efficiency.Lientenant before Promotion to Captain.&mdash;(For Lieutenants appointed

after March 31st, 1901.) This examination may be taken at any timeafter completing 18 months’ service and will be held in the militarydistrict in which the officer is serving. The subjects of this examina-tion, which are detailed in the King’s Regulations, are as follows:(1) regimental duties, (2) drill, (3) military law, (4) duties and accountsconnected with military hospitals and their supplies, and (5) otherduties of executive medical officers.

Cctptctins before Promotion to bfajor.-(For Captains promoted tothat rank after July 27th. 1895.) Captains will be examined under therules laid down in Paragraph 24 and will be eligible for acceleration intheir promotion to the rank of Major under Article 352 of the RoyalWarrant, subject to the following restrictions&mdash;(a) The accelerationwhich can be gained by a Captain promoted to that rank in January,1896, will he limited to six months, and an officer gaining this accelera-tion w ill take precedence after the last Captain promoted Major oncompletion of 12 years’ service. (b) The acceleration which can begained by a Captain promoted to that rank in July, 1896, will similarlybe limited to 12 months, and an officer gaining this acceleration willtake precedence next after the last Captain promoted to that rank inJanuary, 1896, who may have gained six months’ service. (c) A Captainpromoted to that rank in January, 1897. can gain the full accelerationbut will take precedence after any captain promoted to that rank inJuly, 1896, who may have gained 12 months’ acceleration. (d) officersgaining acceleration under (a) will take precedence inter se in order asthey have obtained a special certificate or passed in the first, second, orthird class, and a similar course will be followed under (b) and (c).(e) In all other cases an officer who gains accelerated promotion will beplaced for precedence after the last officer (whether subject to accelera-tion or not) promoted approximately 3, 6, 12, or 18 months before him.

This examination, which may be taken at any time after completingfive years’ service, will be held in London on the termination of aperiod of special study. Courses in militarv surgery, in x rays, andin refraction are held by Surgeon-General W. F. Stevenson, C.B. Theexamination will consist of written papers, essays, oral and practical

,

examinations in the following subjects, which are detailed in the

f King’s Regulations : (1) medicine; (2) surgery; (3) hygiene; (4) bac-teriology and tropical disease; and (5) one special subject from thesubjoined list to which additions may from time to time be made :(a) bacteriology, including the preparation of antitoxins; (b) dental

7surgery; (c) dermatology; (d) laryngology ; (e) midwifery and gynae-cology ; (f) operative surgery, advanced ; (y) ophthalmology ; (h)otology ; (i) paediatrics ; (k) psychological medicine ; (l) skiagraphy ;and (m) specific fevers. Captains serving in that rank before July 27th,

3 1895, will be promoted under the old regulations contained in

S Appendix I., Regulations for Army Medical Services, and will not bee

eligible for acceleration.Majors before Promotion to Lieutenant-Colonel (for Majors promotedto the rank after March 31st, 1895).-This examination, which may be

taken at any time after three years in the rank of Major, will be held, in the military district in which the officer is serving at times which’’ will be duly notified. The subjects of this examination, which are

detailed in the King’s Regulations, are as follows: 1. Military law.e 2. Army medical organisation. 3. Sanitation of towns, camps, trans-t ports, &c. 4. Epidemiology and the management of epidemics. 5. One

special subject from the subjoined list to which additions may fromtime to time be made: (a) medical history of important campaigns;

e (b) a general knowledge of the Army Medical Services of other Powers ;It and (c) the laws and customs of war in relation to the sick wounded.e PAY..

The following shall be the rates of pay, additional pay, and chargepay of the Army Medical Staff and Royal Army Medical Corps :&mdash;

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A Captain of the Royal Army Medical Corps, holding the brevet rankof Major, shall receive pay at 2s. a day, in addition to the rates laiddown.

A dditional Pay.An officer not serving on the Headquarters Staff appointed a member

of the Advisory Board, &pound;150 a y-car. An officer serviry as secretary ofthe Advisory Board and Nursing Hoard, f:lOO a year. An officer underthe rank of Lieutenant-Colonel holding an appointment as specialist,28. 6d. daily.

Chccrye Pay.(a) An officer in charge of a general or other hospital, or of a division

of a general hospital-

Extra-duty Pay.An officer of the Royal Army Medical Corps, appointed to act as

adjutant or quartermaster of the Royal Army Medial Corps (Militia)during preliminary drill or training shall receive extra duty pay at thefollowing rates :-

Reserve of OjjiCe1’s.On completion of three years’ service an officer of the Royal Army

Medical Corps may be permitted by the Secretary of State to becomean Army Reserve Officer for a period of seven years, and while soserving he shall receive pay at the rate of B25 a year. With thesanction of the Secretary of State such officer may be allowed toreturn to the active list, and if the period he has been in the reserve ofofficers amounts to at least one year, and not more than three years, heshall be allowed to reckon one-third of such period towards promotion,gratuity, and pension.

Seconded Officers.A Lieutenant on probation who at the time of passing the examina-

tion for admission to the Royal Army Medical Corps holds, or is aboutto hold. a resident appointment in a recognised civil hospital may beseconded for a period not exceeding one year during which he holdsthe appointment. While seconded he shall not receive pay from armyfunds, but his service shall reckon towards promotion, increase of pay,gratuity, and pension.

PROMOTION.

Every promotion of a medical or departmental officer shall be givenupon the recommendation of the Commander-in-Chief with theapproval of the Secretary of State. Promotion by selection shall begiven on the ground of ability and merit, due consideration beinggiven, however, to length of efficient service.An officer shall be eligible for promotion to the rank of Captain on

the completion of three and a half years’ service, and to the rank ofMajor on the completion of 12 years’ service, provided that in eachcase he has previously qualified in such manner as may be prescribedby the Secretary of State.Promotion to the rank of Lieutenant-Colonel shall be made by selec-

tion from officers who have completed at least 20 years’ service, andhave qualified in such manner as may be prescribed by the Secretary ofState.

If an officer has passed with distinction the examination qualifyingfor promotion to the rank of Major, the period of service required torender him eligible for the rank of Major or Lieutenant-Colonel may bereduced as follows :-

Promotion to the rank of Colonel shall be made by selection fromLieutenant-Colonels who have been specially selected for increased payand from Lieutenant-Colonels or Surgeon-Lieutenant-Colonels of theHousehold Troops specially recommended to the Secretary of State fordistinguished service in the field. Promotion to the rank of Surgeon-General shall be made by selection from Colonels. A Colonel may alsobe promoted to the rank of Surgeon-General for distinguished servicein the field. In cases of distinguished service in the field a depart-mental officer may, with the concurrence of the Lords Commissioners ofthe Treasury, be promoted from any rank or class to the next above itand shall, if promoted to a rank or class having a fixed establishment,remain supernumerary in such rank or class until the occurrence ofthe vacancy to which in the ordinary course he would have been pro-moted. An officer of the Royal Army Medical Corps is eligible for pro-motion to brevet rank. A captain after at least 6 years’ service, aMajor or Lieutenant-Colonel, may be promoted to the next higher rankby brevet for distinguished service in the field or for distinguishedservice of an exceptional nature other than in the field. If the officerdies before the date on which the notification of his promotion for dis-tinguished service in the field appears in the London Gazette the pro-motion shall bear the date which it would have borne had the officernot died. Distinction in original investigation or research may, inthe case of officers ot the Royal Army Medical Corps, be regarded as

"distinguished service of an exceptional nature other than in thefield." An officer who does not qualify for promotion to the rank ofCaptain or Major within the periods specified shall be placed on thesupernumerary list until he quali11es or is retired from the service.Service on the supernumerary list shall not reckon towards promotion,

increase of pay, gratuity, or pension. An officer who may in theopinion of the Secretary of State have been prevented, in veryspecial circumstances, from qualifying for promotion, or who. havingfailed to qualify, may have been debarred from further opportunity ofqualifying, may he provisionally promoted. If, however, he fails toqualify on the first available opportunity his promotion shall becancelled and lie shall he retired from the service. An officer shallreckon towards his promotion any time, not exceeding one year, duringwhich he may have been on half-pay on account of ill-health causedby military service; and also any time not exceeding t,wo years duringwhich he may have been on half-pay on reduction. An officer whileseconded shall continue to be eligible for selection for promotion as ifhe had remained on the establishment, and his service while secondedshall reckon towards such promotion.

RANK.The Director-General of the Army Medical Service shall hold the

substantive rank of Surgeon-General and shall rank in relation tocombatant officers as a Lieutenant General. All other Surgeon-Generalsshall rank as Major-Generals in relation to combatant officers.

RETIREMENT.An officer of the Army Medical Service will be permitted to retire in

cases in which such retirement may be deemed expedient by theSecretary of State.

Scale of Retired Pay.

Except in the case of a Lieutenant-Colonel, an officer of the ArmyMedical Service, who, on voluntary retirement, has served for less thanthree years in the rank from which he retires, shall be entitled only tothe gratuity or retired pay assigned to the next lower rank.

Retirement on Account of Age or Limitation of Period of Service.The Director-General of the Army Medical Service shall retire on

completion of the term of his appointment; and the retirement ofother officers of the Army Medical Service (except Quartermasters)shall be compulsory at the following ages: Surgeon-General, 60;Colonel, 57; and other officers, 55. A Major shall retire on completion of25 years’ service ; or, if he fails to qualify for promotion, on completionof 20 years’ service. A Captain or Lieutenant shall retire on completingsix months’ service on the Supernumerary list. It shall be competentto the Secretary of State to place a medical officer on the retired listafter 30 years’ service.

Retirement on Account of Medical Unfitness.An officer of the Army Medical Service or a medical officer of the

Royal Malta Artillery placed on the half-pay list on account of medicalunfitness shall, if not previously retired, be retired from the Army atthe expiration of five years from the date on which he was placed onthe half-pay list, or, if reported by the regulated medical authority tobe permanently unfit for duty, on the officer’s application, at suchearliet date as may be decided by the Secretary of State.An officer, whether on full pay or half pay, placed in detention as a

person of unsound mind, shall be retired from the Army with theretired pay to which he would be entitled if reported by the regulatedmedical authority to be permanently unfit for duty. If his disabilitywas not caused by military service and he is not entitled to permanentretired pay by length of service he shall receive temporary retired payequivalent to the half pay and temporary retired pay, if any, which he would have received ;f his disability had been other than insanity.Rates of Officers not qualified for Retired Pay on Voluntary Retirement.If the unfitness was caused by military service retired pay equal to

the half pay of his rank. If not so caused, provided the officer has atleast 12 years’ service, retired pay equal to the half pay of his rankfor such period only, not exceeding live years from the date of theofficer’s retirement from the Army, after five years on half pay underArticle 306, as the Secretary of State shall determine according to themerits of the case.

KING’S HONORARY PHYSICIANS AND HONORARY SURGEONS.Six of the most meritorious officers of the Army Medical Service

shall be named Honorary Physicians and six Honorary Surgeons. Onappointment as Honorary Physician or Honorary Surgeon an officerunder the rank of Colonel in the Royal Army Medical Corps may be

721

promoted to the brevet rank of Colonel. A Lientenant-Colonel ap-pointed Honorary Physician or Honorary Surgeon shall receive pay atthe rate laid down for a Colonel of the Hoyal Army Medical Corpswhen qualified for promotion to that rank.

MEDICAL OFVICEHS OF THE REGIMENTS OF HOUSEHOLD TROOPS.

Appointment.A Major or Lieutenant-Colonel of the Royal Army Medical Corps

may, on the nomrination of the titular colonel of the regiment, betransferred from his corps into the rank of Surgeon-Major or SurgeonLieutenant-Colonel respectively in one of the regiments of HouseholdTrooDs.

Promotion.A Surgeon-Major shall be eligible for promotion to the rank of

Surgeou-Lieutenant-Colonel on completing 20 years’ service, providedthat he has previously qualified in such manner as may be prescribedby the Secretary of State. Promotion to the rank of Brigade-Surgeon-Lieutenant-Colonel shall be made by seniority on the medical establish-ment of the brigade.A Surgeon Major may be promoted to the rank of Surgeon-Lieutenant-

Colonel for distinguished service in the field.

EXCHANGES AND TRANSFERS.An officer of the Royal Army Medical Corps shall be permitted to

exchange with another officer of such corps, or with a medical officerof the Household Troops, under such conditions and regulations asmay from time to time be made.

A medical officer of the Household Troops may be permitted toexchange with an officer of the Royal Army Medical Corps, providedthat an officer exchanging into the Royal Army Medical Corps hasfulfilled any conditions as to service abroad required of officers of suchcorps.Exchanges between officers of the Royal Army Medical Corps under

the rank of Major and medical officers of the Indian Military Forces, andtransfers of such officers from either of the above services to the other,shall only be permitted subject to the approval of the Secretary ofState for India in Council and on the following conditions : (1) Thatthe officers have less than seven years’ service; (2) that the seniorofficer exchanging takes the place of the ,junior on the list and shall notbe promoted until the officer next above him has been so promoted;(3) that the junior officer exchanging is placed for seniority next belowall medical officers whose commissions have the same date as his own;and (4) that the officer transferred is placed for seniority below allmedical officers holding the same rank at the time of his transfer andshall not be promoted until the officer next above him has been

promoted.An Officer of the Royal Army Medical Corps who has exchanged or

been transferred from the Indian Military Forces shall reckon, subjectto the conditions of Article 364, his previous service with the saidforces towards promotion, increase of pay, gratuity, and pension.

LEAVE OF ABSENCE.Full pay during ordinary leave of absence for the period admissible

in the case of a staff officer may be granted to a medical officer providedthat no additional expense is incurred thereby.When the periods of leave referred to in Article 457 have been

exhausted or exceeded in consequence of sickness no further payduring ordinary leave shall remain due.

SICK LEAVE.An officer of the Army Medical Staff or Royal Army Medical Corps

may be allowed full pay during sick leave of absence on the same con-ditions as those laid down for regimental officers.

SERVICE ON THE WEST COAST OF AFRICA.An officer volunteering for, or ordered to, the West Coast of Africa

shall receive double pay while actually serving on the coast, and forany time spent at Madeira or the Canary Islands on sick leave, or onordinary leave not exceeding 61 days in a year.For each year’s service on the coast a medical officer shall be entitled

to full pay during a year’s leave at home, and for every additionalperiod beyond a year he shall have an equivalent extension of full payduring leave.Each year or portion of a year served on the West Coast of Africa by

an officer of the Royal Army Medical Corps shall reckon double towardsvoluntary retirement or retired’ pay, provided that he has served 12months on the coast. In ordinary cases the 12 months may be madeup of two separate periods of not less than six months each ; and if anofficer leaves the coast on account of sickness he may reckon any periodof service on the coast, however short, in order to make up the 12months’ coast service which is required to entitle him to count hisservice double. Except when the officer has been invalided, any brokenperiod, if amounting to less than six months’ of service on the coast,and leave on full pay, shall not reckon double under this article.

WIDOWS’ PENSIONS.Widows’ pensions and compassionate allowances for children and

other relatives of deceased officers are given under certain conditionespecified in the Royal Warrant for Pay and Promotion. There is alsc

an Army Medical Officers’ Widows’ Annuity Fund on mutual assuranc.principles.

INDIAN MEDICAL SERVICE.The grades of officers in the Indian Medical Service ar

the same as those of the Army Medical Service and RoyaArmy Medical Corps.REGULATIONS FOR THE EXAMINATION OF CANDIDATES FOR ADM1SSIO]

TO THE INDIAN MEDICAL SERVICE.Candidates must be natural born subjects of His Majesty, betweel

21 and 28 years of age at the date of the examination, of sound bodil:

alth, and in the opinion of the Secretary of State for India in Councilall respects suitable to hold commissions in the Indian Medical

ervice. They may he married or unmarried. They must possess aploma or diplomas entitling them under the Medical Acts to practise)th medicine and surgery in Great Britain and Ireland.They must subscribe and send in to the Military Secretary, Indiaffice, Westminster, so as to rectelz that address by the (latefixer in thedvertisement of the examination, a declaration according to themexed form.

Declaration and Selaedulr of Qualifications to be Filled up byCandidates.

I ......................................................................................................

......................... Years of Age in ........................... last, vide accom-

anying Certificate, a Candidate for employment in His Majesty’sndjan Medical Service, (-Io herehyattest, my readiness to engage forhat service, and to proceed on duty immediately on being gazetted.I declare that I labour under no Mental or Constitutional Disease,or any imperfection or (lisal)ility that can interfere with the mostfficient discharge of the Duties of a Medical Officer.I received my Medical Education and completed my course as MedicalStudent at........................................................................................

I have the Degree of A.M. or A.B. from the .......................................have the Degree of lvl.D. or M.B. from the .......................................

have a Licence to Practise Medicine from the ....................................

have a Diploma in Surgery from the ................................................

, I have a Licence to Practise Surgery from the ....................................

(Signature at full length) ...................................................

(Date).................................................................................(Place of residence) ............................................................

Candidates who desire to undergo the voluntary examination are to;ign the following declaration :-It is my intention to undergo the voluntary examination in ............ * Christian and surname at full length.t Give colleges and medical schools in full.1 The dates of graduations and the universities or colleges are to be

stated.The candidate should here state whether he has served in the

Medical Department of the Army or Navy or in the subordinate MedicalDepartment in India.

11 State whether Botany or Zoology will be taken up.This declaration must be accompanied by the following documents:-

a. Proof of age either b)7 Registrar-General’s certificate, or, wheresuch certificate is unattainable, by the candidate’s own statutorydeclaration, form of which can be obtained at the India Office,supported, if required by the Secretary of State, by such evidence ashe may consider satisfactory. A certificate of baptism which does notafford proof of age will be useless. b. A recommendation from someperson of standing in society-not a member of his own family-to theeffect that he is of regular and steady habits and likely in everyrespect to prove creditable to the service if admitted ; and a certificateof moral character from a magistrate or a minister of the religiousdenomination to which the candidate belongs. c. A certificate ofregistration, under the Medical Acts, of the degrees, diplomas, andlicences possessed by the candidate. d. A certificate of havingattended a course of instruction for not less than three months at anophthalmic hospital or the ophthalmic department of a general hos-pital, which course shall include instruction in the errors of refraction.The Secretary of State for India reserves the right of deciding

whether the candidate may be allowed to compete for a commission inHis Majesty’s Indian Medical Service.The physical fitness of each candidate will be determined by a Board

of Medical Officers who are required to certify that his vision is

sufficiently good to enable him co pass the tests laid down by theregulations. Every candidate must also be free from all other organicdisease and from constitutional weakness or other disability likely tounfit him for military service in India. The standard of eyesight isthe same as for the Royal Army Medical Corps and the physicalexamination is in all respects the same (see under Royal Army MedicalCorps). Candidates who pass the physical examination will be

required to pay a fee of &pound;1 before being permitted to compete. Nocandidate will be permitted to compete more than three times.On producing the foregoing qualifications the candidate will be

examined by the Examining Board in the following subjects and thehighest number of marks attainable will be distributed as follows :-

N.B.-The examination in medicine and surgery will be in partpractical and will include operations on the dead body, the applicationof surgical apparatus, and the examination of medical and surgicalpatients at the bedside. The examination in chemistry will be limitedto the elements of the science and to its application to medicine,pharmacy, and practical hygiene. No candidate shall be consideredeligible who shall not have obtained at least one third of the marksobtainable in each of the above subjects and one l:ccGf of the aggregatemarks for all the subjects. No candidate will be permitted to competemore than three times.After passing this examination the successful candidates will be

required to attend one entire course of practical instruction at theArmy Medical School and elsewhere, as may be decided in (1) hygiene,(2) clinical and military medicine, (3) clinical and military surgery, and

722

(4) pathology of diseases and injuries incidental to military service. This course will be of not less than four months’ duration.3 During this period of instruction each candidate will receive an

allowance of 14s. per diem, with quarters (where quarters are not pro- vided, with the usual allowances of a subaltern in lieu thereof), with the usual fuel and light allowances of a subaltern, to cover all costsof maintenance, and he will be required to provide himself withuniform (viz., the regulation undress uniform and mess dress of aLieutenant of the Indian Medical Service, as described in Indian ArmyRegulations, Vol. VII.. with Sam Browne belt, but without the sword).Candidates will be required to conform to such rules of discipline as

may from time to time be laid down.At the conclusion of the course candidates will be required to pass an

examination on the subjects taught during the course of instruction.Officers appointed to the Indian Medical Service will be placed on one

list, their position on it being determined by the combined results of thepreliminary and final examinations, and, so far as the requirementsof the service will permit, they will have the choice of commands inIndia (i.e., Bengal, Punjab, Madras, or Bombay), according to theirposition on that list. Though ordinarily employed within the limitsof the command to which they may have been posted they will beliable to employment in any part of India according to the exigenciesof the service. Examinations for admission to the service usually takeplace twice in the year-i.e., in January and July.At Netley the lieutenants on probation for the Indian

Medical Service are required to attend the Royal ArmyMedical Corps mess and to conform to the rules and

regulations thereof. The Professorship of Military Medicineis held by Colonel K. Macleod, M. D., I. M. S. The lectureson Military Medicine treat of tropical and other diseasesto which soldiers are exposed in the course of theirservice, the mortality and invaliding by disease, in

peace and war, at home and abroad, the management oflunatics under the conditions of military service, &c.The course of six lectures on Lunacy and MilitaryAsylum work is delivered at the Netley Lunatic Asylumby Lieutenant-Colonel A. G. Kay, M.B. The proba-tioners are detailed for duty in the wards of the

hospital under the officers in charge of the Medicaland Surgical Divisions of the Hospital. There theyare taught practically the details of the management of

patients in a military hospital, the registration of theirdiseases, the duties of invaliding, the modes of filling upthe regulation statistical returns, and other service docu-ments. The probationers are provided with quartersand are extra members of the mess at Netley. After

having passed through the course of instruction theyare required to pass a qualifying examination inthe subjects taught in the school, and their positionon the list of those recommended for commissions isdetermined by the combined results of the competitiveand final examinations. Of the nine prizes formerly open tocompetition in the old Army Medical School at Netley, sevenprizes have been transferred to the Medical Staff College inLondon and re-distributed as follows : The Herbert Prize,the Parkes Memorial Bronze Medal, and the de Chaumontprize are now set aside to be competed for by the lieutenants-on-probation of the Royal Army Medical Corps, while theWebb prize and the Pathology prize are competed for by theyoung officers of both services. The two Montefiore prizesare open to the competition of the lieutenants-on-probationof the Indian Medical Service, and the Martin Memorial GoldMedal is competed for by the lieutenants-on-probation for thesame service after the course in Military Medicine andLunacy at Netley. The Maclean prize was withdrawn on theabolition of the Army Medical School, and foundation of theMedical Staff College. The Herbert Prize of &pound;20 is awardedto the lieutenant-on-probation who has obtained the highestnumber of marks at the Staff College examination in London ;the Parkes Memorial Bronze Medal to the one who gains thehighest number of marks in the examination in hygiene ; thede Chaumont prize of books to the one who takes secondplace in Hygiene; the Montefiore Medal and f:21 are

awarded for Military Surgery ; the Montefiore Second Prize,a cheque to the lieutenant-on-probation who obtains thesecond highest number of marks in this branch ; a prize ofbooks is given for the highest number of marks gained inPathology ; and the Marshall Webb prize of &pound;5 and a bronzemedal is awarded for Hospital Administration.At the close of the short Netley Session those lieutenants-

on-probation who have obtained one-third of the possible

3 For the present it has been arranged that two months of the coursewill be spent in London where the probationers will be instructed withthe Lieutenants on probation for the Royal Army Medical Corps inHygiene, Bacteriology, and Military Surgery. While in London thelieutenants-on-probation for both services now reside at the St. Ermin’sHotel, Westminster. The probationers for the Indian Service willsubsequently proceed to Netley for a two months’ course in militaryand tropical medicine, and in asylum and hospital administration.While at Netley they will also undergo a course of instruction incompany and ambulance drill and in other military duties.

total of marks and have satisfied the authoritiesthat they possess the necessary skill, knowledge, andcharacter for permanent appointment are recommended forcommissions as Lieutenants in the Indian Medical Service. 4

Officers on appointment are, when possible, provided withpassage to India by troopship ; when troopship accommoda-tion is not available passage at the public expense is pro-vided by steamer, or a passage allowance granted if pre-ferred. A charge for messing during the voyage is madeat the rate of 2s. a day. This payment does not includethe cost of liquors, which are charged for as extras. Anyofficer who may neglect or refuse to proceed to Indiaunder the orders of the Secretary of State for Indiawithin two months from the date of leaving Netleyor within 14 days of the termination of his hospitalappointment if the Secretary of State has permitted him tohold one will be considered as having forfeited his com-mission unless special circumstances shall justify a departurefrom this regulation. A Lieutenant’s commission is datedfrom the day on which the course of instruction commencesin London, but his rank will not be gazetted until he haspassed the final examination. Lieutenants may be promotedto the rank of Captain on completing three years’ full-payservice from the date of first commission, but after

completing 18 months’ service and before promotion tothe rank of Captain he will be required to pass an

examination in military law and military medicalorganisation, the result of which may affect his promo-tion. Captains may be promoted to the rank of Majorafter 12 years’ full-pay service, and Majors to the rankof Lieutenant-Colonel after 20 years’ full-pay service. Allpromotions to higher grades are given by selection for

ability and merit. In case of distinguished service in thefield a medical officer may receive substantive or brevet rank.The ages for compulsory retirement are the same as thosefor the Royal Army Medical Corps. Officers of the IndianMedical Service below the rank of Colonel may be granted ’ v1. Privilege leave under such regulations as may fromtime to time be in force. 2. Leave out of India for nolonger period than one year, capable of extension to twoyears’ absence from duty, on the following pay : Afterarrival in India, on first appointment, f’.200 a year ; after thecommencement of the fifth year’s service for pension, &pound;250a year ; after the commencement of the tenth year’s servicefor pension, .E300 a year ; after the commencement of thefifteenth year’s service for pension, &pound;400 a year ; after thecommencement of the twentieth year’s service for pen-sion, E450 a year; and after the commencement of the

twenty-fifth year’s service for pension, R500 a year.3. Leave in India, but for the period of one year only, onfull military pay and half the staff salary of appointment.No extension of leave involving absence from duty for morethan two years, whether taken in or out of India, can begranted except on specially urgent grounds and withoutpay. An officer unable on account of the state of his healthto return to duty within the maximum period of two years’absence, unless he is specially granted an extension of leave

! without pay, is placed on temporary half-pay or the retiredlist, as the circumstances of the case may require. Anofficer is also liable to be placed on half-pay or the retiredlist should his health require an undue amount of leave,whether in or out of India. Leave may be granted at any

; time, but solely at the discretion of the civil or military; authorities in India under whom an officer may be serving.

Officers of the Administrative grades may be granted oneperiod of leave not exceeding eight months during theirtenure of appointment. Extra furlough may be granted to

officers desirous of pursuing special courses of study at the. rate of one month’s furlough for each year’s service up to: 12 months in all. During such leave the ordinary furlough

pay will be given with lodging allowances of 4s., 6s. and 8s.a day for Lieutenants, Captains, and field officers respec-tively. An officer on leave is required to join at once onbeing recalled to duty unless certified by a medical board

.

as unfit to do so.

4 A lieutenant who, before the expiry of one month from the date ofpassing his final examination, furnishes proof of his election to aresident appointment at a recognised civil hospital, may be secondedfor a period not exceeding one year from the date on which he takesup such appointment, provided that he joins it within three monthsof passing his final examination and that he holds himself in readinessto sail for India within 14 days of the termination of the appointment.While seconded he will receive no pay from Indian funds, but hisservice towards promotion, increase of pay, and pension will reckonfrom the date on which the course of instruction for lieutenants onprobation commences.

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PAY AND ALLOWANCES. t

The rate of pay drawn by Lieutenants of the Indian Medical Service sprevious to arrival in India is 14s. a clay, but a Lieutenant (1) who has been permitted by the Secretary of State to hold a hospital appoint-ment will receive no pay while holding it; (2) who is (letaiiied by illnessin this country will be paid at the rate of ;8200 a year from the date onwhich he would otherwise have embarked until the date of embarkation,and at the rate of 14s. a day during the voyage to India.Pay at the above rate is issued in this country up to the date of

embarkation, and an advance of two months’ pay at the same rate isalso made prior to embarkation, which is adjusted in India.The following are the rates of Indian pay drawn by officers of the

Indian Medical Service from the date of their arrival in India:-

NOTES.&mdash;(a) Unemployed pav is drawn by officers of less than seven years’ service who are not holding officiating or substantive charge of Cnative regiments. Officers of more than seven years’ service draw Igrade pay alone when unemployed. Staff pay is the pay of a commandand is drawn in addition to grade pay.

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(b) Horse allowance is granted to officers in substantive charge ofcavalry regiments at the rate of Its 90 a month to Lieutenant-Colonelsand Majors, and Rs. 60 a month to captains and lieutenants. c

Officers holding the principal administrative appointments and sub- stantive military charges of the Indian Medical Service receive at fpresent the following consolidated salaries _

Specialist pay at the rate of Es. 60 a month is granted to officersbelow the rank of Lieutenant-Colonel who may be appointed to certainposts.The salaries of other substantive medical appointments in the Civil

and Military Departments are consolidated and vary from Rs. 1800 toRs. 400 per mensem.

Qualified officers of the Medical Service are also eligible for appoint-ments in the Assay Department. The salaries of these appointmentsare from Rs. 600 to Rs. 2250 per mensem.

Officers are required to perform two years’ regimental duty in Indiabefore they can be considered eligible for civil employment. 5Except in the administrative grades and in certain special appoint-

ments officers are not debarred from taking private practice as long asit does not interfere with their proper duties.

TEXUBE OF OFFICE IN ADMINISTRATIVE GRLDES.The tenure of office of Surgeon-Generals and Colonels is limited to

five years.Colonels, if not disqualified by age, are eligible either for employ-

ment for a second tour of duty in the same grade or for employment inthe higher grade of Surgeon-General by promotion thereto.Absence on leave in excess of eight months during a five years’ tour

of duty involves forfeiture of appointment.Surgeon-Generals and Colonels, on vacating office at the expiration

of the five years’ tour of duty, are permitted to draw in India anunemployed salary of Rs. 1200 per mensem in the former, and Rs. 900in the latter case, for a period of six months from the date of theirvacating office, after which they are placed while unemployed on thefollowing scale of pay :-

A Surgeon-General or Colonel who has completed his term of serviceand has reverted to British pay may reside in Europe, at the same timequalifying for higher pension.

RETIRING PENSIONS AND HALF-PAY.Officers of the Indian Medical Service will be allowed to retire on

5 The subject of the salaries of officers in civil employment is nowunder the consideration of the Government of India.

the following scale of pension on completion of the required periods ofservice:-After 30 years’ service for pension... &pound;700 per annum + E350 after three

years’ active employment inIndia as a Surgeon-General, or+ &pound;250 per annum after fiveyears’ active employment as aColonel or E125 after three yearsas a Colonel.

" 25 " " " ;E500 per annum." 20 " " C400 "

" 17"" " B300 "

Service for pension reckons from date of first commission andincludes all leave taken under the leave rules.Time (not exceeding one year) passed on temporary half pay reckons

as service for promotion and pension, in the case of an officer placedon half pay on account of ill-health contracted in the performance ofmilitary duty.

Officers of the Indian Medical Service are liable after retirement onpension before completing 30 years’ service to recall to military duty incase of any great emergency arising up to 55 years of age.

All officers of the rank of Lieutenant-Colonel and Major are placed onthe retired list at the age of 55, and all Surgeons-General and Colonelsat the age of 60. If a Lieutenant-Colonel has been especially selectedfor increased pay and lie attains the age of 55 years before he becomesentitled to the pension of 30 years’ service he may be retained until thecompletion of such service.

Officers placed on temporary or permanent half-pay will be grantedthe British rate of half-pay of their military rank, as under :-

INVALID PENSIONS.An officer who has become incapacitated for further service in India

on account of unfitness caused by duty may, after he has been twoyears on temporary half-pay, be granted an Invalid Pension on the

* No staff allowance can be drawn until the lower standard exami-nation in the Hindustani has been passed.

&dagger; Officers cannot retire in India on half-pay (No. 45, Feb. 28th, 1865).(This is a rule that should be abolished.)

WOUND PENSIONS.Officers are entitled to the same allowances on account of wounds and

injuries received in action as are granted to combatant officers of HisMajesty’s Indian Military Forces holding the corresponding militaryrank.

FAMILY PENSIONS.The claims to pension of widows and families of officers are treated

under the provisions of such Royal Warrant regulating the grant ofpensions to the widows and families of British officers as may be inforce at the time being.The widows and families of officers are also entitled to pensions under

the Indian Service Family Pension Regulations, for the benefits ofwhich all officers must, as a condition of their appointment, subscribefrom the date of their arrival in India.

HONOURS AND REWARDS.Officers of the Indian Medical Service are eligible for the military

distinction of the Order ot the Bath and for other Orders, British andIndian, and for good service pensions. Six of the most meritoriousofficers are named Honorary Physicians and six are named HonorarySurgeons to His Majesty. On appointment as Honorary Physician orSurgeon an officer below the rank of Colonel is promoted to that rank,remaining supernumerary until absorbed.NOTE.-The following is a list of recognised Civil Hospitals.-

England and Wales.-London : St. Bartholomew’s Hospital, CharingCross Hospital, Guy’s Hospital, King’s College Hospital, London Hos-pital, Middlesex Hospital, St. George’s Hospital, St. Mary’s Hospital,St. Thomas’s Hospital, University College Hospital, and WestminsterHospital. Birmingham: General Hospital and Queen’s Hospital.Bristol: Royal Infirmarv and General Hospital. Cambridge : Adden-brooke’s Hospital. Cardiff : Cardiff Infirmary. Leeds : General Infir-mary. Liverpool: Royal Infirmary and Southern Infirmary. Man-chester : Royal Infirmary. Newcastle-on-Tyne: Royal Infirmary.Oxford: Radcliffe Infirmary. Sheffield: Royal Infirmary and RoyalHospital. Scotland.-Aberdeen: Royal Infirmary. Dundee: RoyalInfirmary. Edinburgh: Royal Infirmary. Glasgow: Royal Infirmaryand Western Infirmary. Ireland.&mdash;Belfast; Royal Victoria Hospital.Cork: North Infirmary and South Infirmary. Dublin: the AdelaideHospital, the City ot Dublin Hospital, the Jervis Street Hospital,the Mater Misericordi&aelig; Hospital, the Meath Hospital, Mercer’s Hos-pital, the Richmond, Whitworth, and Hardwicke Hospital, St.Vincent’s Hospital, Sir Patrick Dun’s Hospital, and Dr. Steeven’sHospital. Galway : The County Hospital and the Union Hospital.The Royal Army Medical Corps is at the present time, we

believe, a contented service, though if the recommendationsof Lord Esher’s committee be carried out the Director-General A.M.S. will be excluded from the Army Council,

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before which he will, however, be summoned whenever hisadvice and specialist knowledge are required.The blots on the present regulations for the Indian Medical

Service are as follows :-1. That no officer, however employed, can receive any

staff allowance unless he has passed the lower standardexamination in Hindustani.

2. That an officer who enters the service after his 25thbirthday forfeits almost to a certainty his chance of ever

reaching a higher pension than C500 per annum.3. The present rate of pay on the civil side of the

service, an increase to which pay has long been underconsideration. The order of the present Government ofIndia that an officer of the Indian Medical Service mustrefer the question of the amount of his fees when above acertain low limit to the civil authority. The recent ordersmight necessitate the violation of professional secrecy.

4. The maximum furlough allowance which is now &pound;500per annum and which should be increased to &pound;700 perannum, the maximum allowance for officers of the Indian

army.5. The neglect of the rule that the office of principal

medical officer to His Majesty’s forces may be held by anofficer of the Indian Medical Service.

6. The present rank of the Director-General.

PUBLIC HEALTH.

INSTRUCTION FOR DIPLOMAS INSTATE MEDICINE.

ENGLAND.THE following recommendations, designed with a view of

ensuring "the possession of a distinctively high proficiency,scientific and practical, in all the branches of study whichconcern the public health," were adopted by the GeneralMedical Council in 1902 and 1903. The regulations requirethat-" (1) A period of not less than twelve months shallelapse between the attainment of a registrable qualification inMedicine, Surgery, and Midwifery and the examination for adiploma in Sanitary Science, Public Health, or State Medi-cine ; (2) every candidate shall have produced evidence ofhaving attended, after obtaining a registrable qualification,during a period of six months, practical instruction in alaboratory, British or foreign, approved of by the bodygranting the qualification, and in which chemistry, bac-teriology, and the pathology of diseases of animals trans-missible to man are taught; (3) every candidate shallhave produced evidence that, after having obtained a regis-trable qualification, he has for six months (of which atleast three months shall be distinct and separate from theperiod of laboratory instruction) practically studied theduties, routine and special, of Public Health administra-tion either under a whole-time medical officer of healthor a medical officer of health who is also a teacher in publichealth in a recognised school, or in England and Walesunder the medical officer of health of a county or of asingle sanitary district of 50,000, or in one or more

districts of 30,000 in Scotland or Ireland, or under asanitary staff officer of the Royal Army Medical Corpshaving charge of an army corps, district, or command

recognised by the General Medical Council, providedthat the six months may be reduced to three if a

candidate produces evidence that after obtaining a

registrable qualification he has for three months attendeda course of recognised instruction in sanitary law, sanitaryengineering, vital statistics, and other subjects bearing onPublic Health administration ; (4) every candidate shall

produce evidence that after having obtained a registrablequalification he has attended during three months the

practice of a hospital for infectious diseases at which oppor-tunities are afforded for the study of methods of admini-stration ; (5) the examination shall have been conducted byexaminers specially qualified, and shall comprise laboratorywork as well as written and oral examination ; (6) therules as to study shall not apply to medical practitionersregistered, or entitled to be registered, on or before Jan. lst,1890." It was enacted by Section 18 (2) of the LocalGovernment Act [England and Wales], 1888, that afterJan. let, 1892, no such appointment (that of medical officerof health) may be made in any county, or in any districtor combination of districts with a population of 50,000 or

upwards, unless the officer&mdash;having, of course, qualificationsin Medicine, Surgery, and Midwifery-is registered as

the holder of a diploma in Sanitary Science, PublicHealth, or State Medicine under Section 21 of the MedicalAct, 1886. or has during any three consecutive years pre.ceding 1892 been medical officer of a district or combina-tion of districts with a population of 20,000 at least, or hasfor three years previously to August 13th, 1888, been a medicalofficer or inspector of the Local Government Board. Withthe sanction of the Local Government Board the same

person may be appointed medical officer for two or moredistricts.The regulations in question as to study may be procured

at the office of the General Medical Council in London.London University. -Sanitary Science is included under

the head of State Medicine in the M.D. degree, and a cer-tificate has to be produced showing that a course of prac-tical instruction has been attended for the prescribedperiod, and that the course has included such chemical,microscopical, and meteorological work and exercises asmore especially relate to sanitation. The attendance in-cludes six months’ practical instruction in a laboratory andsix months’ instruction in public health administration underthe supervision of a medical cfficer of health, and threemonths’ attendance on the practice of a hospital for in-fectious diseases.

Cambridge University.&mdash;Two examinations in so much ofState Medicine as is comprised in the functions of medicalofficers of health will be held during the year 1904-5 inCambridge. Each examination will consist of two parts.Part I. will begin on the first Tuesday in April and Octoberrespectively ; Part II. wilt bpgin on the second Tuesday inApril and October respectively ; and each part will end onthe following Thursday. Any person whose name is on theMedical Register is admissible as a candidate for thisexamination provided (1) a period of not less than twelvemonths shall have elapsed between the attainment ofregistrable qualification and the time when he presents him-self for either part of the examination ; (2) he produceevidence of having, after obtaining a registrable qualifica-tion, attended during three months the practice of a hospitalfor infectious diseases at which opportunities are affordedfor the study of methods of administration ; (3) he produceevidence of having, after obtaining a registrable qualification,attended during a period of six months on one or more

courses, approved by the Syndicate, of practical laboratoryinstruction in Chemistry, Bacteriolcgy, and the Pathologyof those diseases of animals that are transmissible to man;(4) he produce evidence of having, after obtaining a regis- ’trable qualification, for six months (of which at least threemonths shall be distinct and separate from the period oflaboratory instruction) been associated day by day in the duty,routine and special, of public health administration underthe supervision of : (a) In England and Wales either themedical officer of health of a county or of a singlesanitary district having a population of not less than 50,000or a medical officer of health devoting his whole time topublic health work ; or (b) in Scotland or Ireland themedical officer of health of a county or of one or moresanitary districts having a population of not less than30 000 ; or (c) a medical officer of health who is a teacherin the department of public health of a recognised medicalschool ; or (d) a sanitary staff officer of the Royal ArmyMedical Corps having charge of an army corps or district.A certificate of an assistant officer of health of a countyor a large sanitary district may be accepted, providedthe medical officer of health of a county or districtconsents to the assistant officer giving such instruction.Any candidate who shall produce evidence that he hashimself held an appointment as medical officer ofhealth under condtions not requiring the possession ofa special sanitary diploma shall be exempt from thisregulation. The provisions as to previous study shall notapply to medical practitioners registered, or entitledto be registered, on or before Jan. 1st, 1890. Thefirst part of the examination will have reference tothe general principles of sanitary science and will com-

prise the following subjects. The elements of chemistryand physics: methods of chemical analysis and in par-ticular the analysis of air and water. The laws of heatand the elements of pneumatics, hydrostatics, andhydraulics in their application to warming, ventilationwater-supply, and drainage. The geological and other con-ditions determining the healthiness of bites for dwellings.