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SCHOLARSHIPS GIVEN IN AID OF MEDICAL STUDY-continued.

THE NAVAL, MILITARY, AND INDIANMEDICAL SERVICES.

DURING the year some changes for the better have beenmade in the regulations for the Royal Army Medical Corps.The conditions of service in the medical departmentof the Royal Navy and in the Indian Medical Serviceremain much as they were at the date of the issue ofthe Students’ Number in 1905 ; the few unimportant changesare, however, incorporated in this article. The markedimprovement in the quality of the candidates for the serviceswhich was hoped for as the result of the beneficial alterationswhich have been introduced into the conditions of servicecannot be said to have been realised yet. There is, however,a supply of candidates and it is true that the social standardof the selected candidates for the Royal Army Medical Corps

° has improved and that the process of weeding out before theLondon examination, however it may be effected, is doinggood to the service, though even now some men who areconsidered undesirable manage to pass the portals. Asto the medical qualifications of the competitors, there doesnot appear to be any great change since the Netley daysthough there may be a few more men who can writeM.B. Lond. or F.R.C.S. Eng. after their names. An

improvement in the professional knowledge and practicalwork of the lieutenants-on-probation passing through theMedical Staff College in London has, we believe, not beenevident. The new regulations as regards pay for the civil sideof the Indian Medical Service should go some way towards

reinstating the service in the favour of the young medicalman and his advisers, but as private practice up countryis much less than in the old days we believe that astill more liberal scale of pay will have to be granted.We desire to call attention to a proposal which wemake for the alteration of the date of first commissionin the Indian Medical Service; the proposal will befound towards the -end of the information which we

print relative to that service. With reference to thecourse of instruction given at the Medical Staff College forthe probationers of the Royal Army Medical Corps and theIndian Medical Service it cannot be said that at present thecourse is any improvement on that given in the old ArmyMedical School at Netley. The work of the lieutenants-on-

probation is done at too high a pressure to be really valuable,but this defect, we believe, is recognised and can be easilyremedied by extending the period of instruction. No doubtwhen the new college is built and all the work of the courseis done there, close to the military hospital, much betterarrangements will be made than at present exist. The new

Army Medical College will, it is estimated, cost .6250,000.ROYAL NAVY MEDICAL SERVICE.

REGULATIONS FOR THE ENTRY OF CANDIDATES FOR COMMISSIONS INTHE 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 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 some

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years personally known, or by the president or senior professor of thecallage at which he was educated.

.,&bgr;e,must be registered under the Medical Aot in force, as qualified topractise 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;(5) that he labours under no mental or constitutional disease or weak-ness, nor any other imperfection or disability which may interferewith the most efficient discharge of the duties of a medical officer intiny climate; (4) that he is ready to engage for general service at homeor abroad, as required ; (5) whether he holds, or has held, anycommission or appointment in the public services ; and (6) that he is

sgistered under the Medical Act in force as duly qualified profession-ally, 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 to.certify that his vision comes up to the required standard, which willbe ascertained by the use of Snellen’s Test Types. The certificates ofregistration, character, and birth, must accompany the declaration, whichis to be filled up and returned as soon as possible, addressed as

above.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 21 will have to be paid by each- candidate to entitle him to take part in the competition) : (a) medicine,materia medica, therapeutics and general hygiene, 1200 marks; (b)s1il!)gery and surgical anatomy, 1200 marks. Tho examination inmedicine and surgery will be in part practical and will include,ibeyond 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 ofthe section of Operative Surgery, as a competent knowledge in thissubject is essential in order to qualify for a commission. No candidateshall 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-NaturalSciences: chemistry (300); physiology (300); zoology (300); botany(3QO); and geology and physical geography (300). No candidate willbe allowed to present himself for examination in more than two ofthese subjects. French and German (300 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 knowledgeof modern languages being considered of great importance, all intend-ing competitors are urged to qualify in French and German. The.examination in chemistry will include the general principles ofinorganic and organic chemistry; the preparation and properties ofthe chief non-metallic and metallic elements and their compounds;the preparation, properties and classification of the more importanteompounds, such as marsh gas, ethylene, acetylene, methyl and ethylalcohols, glycerin, ether, formic, acetic, lactic and oxalic acids;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 ofnutrition, secretion, and excretion ; animal heat, the nature ofsensation, volition, reflex action, inhibition and influence of the

nervous system on other organs aLd their functions. The examinationin zoology will include-the general principles of biology, and a com-parison of animals with plants; the distinctive characters of the4arger groups of animals-the protozoa, ccelenterata, vermes, arthro-poda, mollusca, echinodermata, and vertebrata-as illustrated by’common types ; the elements of embryology; animal parasites. Theexamination in botany will comprise the general principles of the mor-phology and physiology of low forms of life-e.g., torula, bacteria,spirogyra, moss fern; the general morphology of flowering plants ;diagnosis of the important British natural orders ; medicinal plants.’The examination in geology and physical geography will belimited to general principles, such as: the relations of the earthto 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

currents, tides, winds, storms, dew, rain, climate, vulcanoes, earth-quakes, distribution of animal and vegetable life.The appointments announced for competition will be filled from the

list of qualified candidates, arranged in order of merit; but should itatany 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-who have satisfactorily filled theofficer 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 of 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 a

physical examination in London which will be arranged for by th(Medical Director-General. Colonial candidates will have to pass E

physical and test examination before a board of Naval Medical Officer:on the station. Successful candidates immediately after passing th<examination in London will receive commissions as Surgeons in thERoyal Navy, and will undergo a course of practical instruction in NavaHygiene, &c., at Haslar Hospital. Three prizes of the approximat<

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

value of JE10 eaoh 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 from

amongst 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 by 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 fiveyears’ time in rank of surgeon will be dispensed with. (e) 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 obtaiii 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 officer 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 officer will be attached to con-duct the examination in naval hygiene. The subjects of examinationwill be in writing and will include medicine, 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 conduct and professional abilitieshave been favourably reported on during the time they have served intheNavy. They may be granted from six months to one year’s seniority,according to the time they have held their civil appointments, but inno case will more than one year’s seniority be granted. This onlyapplies to officers who enter by competition (Para. 4 (J)). A candidatewho at the time of passing the examination for entry into the medicalbranch of the Royal Navy holds, or is about to hold, an appointment asresident medical or surgical officer in a recognised civil hospital, maybe allowed to serve in such civil appointment provided that the periodof such service after the date of entry into the Royal Navy does notexceed one year. Pay from naval funds will be withheld from officerswhile thus serving, but the time concerned will reckon for increase offull and half pay while on the active list, and retired pay or gratuity onretirement or withdrawal, except that no officer will be allowed toretire on a gratuity until he has completed four years’ service exclusiveof the time spent as resident medical or surgical officer. The elegi-bility of this appointment will also be decided by the Medical Director-fTynl

Full Pay and Allowances.

I - The medical officers in charge of the following hospitals and sick

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quarters will be granted charge pay: Haslar, Plymouth, Chatham,Malta, Hong-Kong, Bermuda, Portland, Yarmouth, Haulbowline,Cape, Gibraltar, Yokohama, and Ascension. The rate of charge paywill be as follows :- s. d.

Inspectors-General.................. 10 0 a day.

Deputy Inspectors-General ......... 7 6Fleet Surgeons..................... 5 0 "

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

The hospital allowances for naval medical officers at home and

abroad, in lieu of provisions, for themselves and servants, and for fueland lights, are as follows :&mdash;

* Except at Malta, where the allowance will be .E70, but servants will Ibe provided at the public expense. These allowances are also grantedto medical officers of marine divisions and dockyards. IAn allowance of 58. a day, in addition to full pay, is granted to the

senior medical officer, being a Fleet or Staff Sargeon, of a flag-shipbearing the flag of a Commander-in-Chief on a foreign station or of theCommander-in-Chief of the Channel Fleet or North America andParticular Service Squadron. An allowance of 28. 6d. a day isgranted 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, 5a. a day; and if of the rank of fleet surgeon or junior, 38. 6d.a day. The Fleet and Staff Surgeons serving in the Admiralty and theMarine Rendezvous will be granted the Hospital allowance of .c53 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,&pound; 150 ayear each the junior officer assisting, 250 a year; and the juniorofficer instructing the Sick Berth Staff, ;E50 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 1s. 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.

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 whichthey may be compelled to undergo.

Retirement.Compulsory retirement will be as follows :&mdash;

At the age of 60, or at any age, l. if he has had three years’ non- ,

employment in any one rank,or 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 To be retiredand Fleets. service will be materially ad- irrespective ofvanced by the further retention age if foundof an Inspector-General of physically unHospitals and Fleets on the fit for service.

active list, the age for the re- I fit for service.tirement of such Inspector-

’ General may be extended to 62.

At the age of 55. or at any age, IIhFleet Surgeon. if he has had three years non-Staff Surgeon employment in any one rank,and Surgeon. or after four years’ continuous

’

non-employment in any tworanks combined.

The special attention of candidates is directed to the following rulesunder which officers are allowed to withdraw from the service afterfour years’ full pay service in the Royal Navy, with the advantage ofjoining the Reserve of Naval Medical Officers :-After four years’ service in the Roval Navy, an officer, if he wishes,

may pass from active service to the Reserve of Naval Medical Officers,when he will reap the following advantages :-

(1) He will be granted a gratuity of .E500 on passing into the Reserve.(2) His name will be retained in the Navy List; he will retain his

naval rank and be entitled to wear his naval uniform under the regula-tions applying to officers on the retired and reserved lists of His Majesty’sNavy.

(3) If he agree to remain in the Reserve for four years he willreceive a retaining fee of R25 per annum. If at the expiration ofthis period he agree to remain in the Reserve for a further period offour years he will continue to receive the same retaining fee.Should an officer prefer it, however, he may simply enter the Reserve

for a period not exceeding eight years, with power to give six months’notice of his intention to resign his position at any time (in which casehe will receive no retaining tee). He may also adopt this method ofReserve service after the expiration of four years served under theconditions referred to i (3), by renouncing his retaining fee for his lastfour years’ service in the ReserveNo officer will be allowed to remain in the Reserve for a longer period

than eight years.Officers of the Reserve will be liable to serve in the Royal Navy in

time of war or emergency. When called up for such service they willreceive the rate of pay-viz., 17s. a day and allowances-to which theywould have been entitled after four years’ service on the active list.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 four, eight, 12, or 16 years’ full-pay service every officerwill 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, exceptinthe case of officers who withdraw after four years who are liable toserve in the Reserve. (c) 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 theircommissions will receive every consideration, but no officer will, as arule, be permitted to resign under three years from the date of entry.* *In order that arrangements may, as far as possible, be made for therelief of officers who may wish to withdraw on a gratuity it is desirablethat six months’notice of their wish should be forwarded for the con-sideration of their lordships.* The Admiralty reserve to themselves power to remove any officer

from the list for misconduct.Gratuities and retired pay will be awarded on retirement and with-

drawal 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 thehalf pay of his rank, or, with the consent of their Lordships, a gratuityon the scales given in Paragraphs 16 and 18 (b), but such officer will notbe entitled to receive any special compensation for the disability inaddition to the gratuity as above (Paragraph 17).2An officer retired with less than 20 years’ service on account of dis-

ability, contracted in but not attributable to the Service, will receive-(a) if he has over eight years’ full-pay service, either a gratuity on thescale given in Paragraph 16 or half-pay according as their Lordshipsthink fit ; (b) if he has less than eight years’ full-pay service,

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 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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such gratuity as their Lordships think fit, not exceeding therate of :C12b for each year of full-pay service (Paragraph 18).In circumstances other than those specified in Paragraphs 17and 18, and other than misconduct, neglect of duty, &c., an

officer 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 thought fit. Anofficer retiring after 20 years’ 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 officers 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. Thisliability does not exist in cases of officers who withdraw from theNaval Service receiving a gratuity after 8, 12, or 16 years’ full payservice. Retired officers will receive special consideration as regardsappointments on shore connected with the Admiralty now filled bycivilians.

Widow’s Penston.When an officer retires or withdraws on a gratitity his widow and

children will have no claim to pension or compassionate allowance.Officers 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 widows 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 ot 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. The medical officerwill be required to produce separate certificates of efficient attendancein the following: (1) the medical and surgical practice of the hospital,including instruction in anaesthetics ; (2) a course of operative surgeryon the dead body ; (3) a course of bacteriology ; (4) a course of

ophthalmic surgery, particular attention being paid to the diagnosisof errors of refraction ; and (5) a practical course of fkiagraphy.Relative rank is accorded to medical officers as laid down in theKtrg’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 bay 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. To make the service thoroughly efficientthe medical officers must be given authority and positioncommensurate with their responsibilities.

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. Mcdical 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 omcer oiour Royal Army Medical Corps

" after the words " combatant

officer," 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 mayin similar circumstances also reckon towards promotion.In the New Royal Warrant it was announced that the lateQueen had been pleased to approve of the following ranksfor 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 FOR 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-trahle qualification to practise. Candidates who are over the regulatedlimit ot age at the date of the Examination will be permitted todeduct from their actual age any period of service in the field afterOct. lst, 1899, that they could leckon towards retired pay andgratuity if such deduction will bring them within the age limit. Acandidate must complete the subjoined form of application anddeclaration and submit it to the Director-General, A.M.S., in sufficienttime to permit of reference to the medical school in which the can-didate completed his course as a medical student.

Application of a Candidate jor a Commission in the Royal ArmyMedical Corps.*1. Name in full.....................................................................2. Address ........................................................................

3. Date of birth t ..................................................................

4. Registrable qualifications .........................................................

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 the

public 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 further :-

1. That I am a British subject of unmixed European blood.2. That I am not, as far as I know, at present suffering from any

mental or bodily infirmity, or physical imperfection or disability thatis likely to preclude me from efficiently discharging the duties of anofficer in any climate.

3. That I will fully reveal to the Medical Board, when physicallyexamined, all circumstances within my knowledge that concern myhealth.

I also declare that my vision is good with either eye (with or withoutthe aid of glasses as the case may be).

Signature ..........................................Date...................................................

All communications to be addressed to the Secretary of the ArmyCouncil, 68. Victoria-street. London, S. W.

T 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.

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 Thursday 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 theexaminations:-

1. A candidate for a commission in the Royal Army Medical Corps’ must be in good mental and bodily health and free from any physicalL defect likely to interfere with the efficient performance of military’ duty.. 2. The examination will be conducted by a board of medical officers.

3. The attention of the board will be directed to the followingpoints (a) That the correlation of age, height, weight, and chest

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girth, is equal or superior to that which is given in the followingtable :-

, , PhysicaZ Equivalents.

(b) Measurement of height. The candidate will be placed against thstandard with his feet together and the weight thrown on the heeland not on the toes or outside of the feet. He will stand erect withourigidity and with the heels, calves, buttocks, and shoulders touchinthe standard; the chin will be depressed to bring the vertex of thhead 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 stano,erect with his feet together and to raise his hands above his headThe tape will be carefully adjusted round the chest with its posterioupper edge touching the inferior angles of the shoulder blades and itanterior lower edge the upper part of the nipples. The arms will theibe lowered to hang loosely by the side and care will be taken that theshoulders are not thrown upwards or backwards so as to displace th4tape. The candidate will then be directed to empty his chest of air amuch as is possible. This is best done by continuous whistling wittthe lips as long as sound can be produced. The tape is carefull).gathered in during the process and when the minimum measuremen1is reached it is recorded. He 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 oiexpansion between the minimum and maximum will then be 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 ae

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 deficiency 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 he can read D.=06,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.-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 order. 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 from 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 a.candidate be pronounced physically fit for service at home and abroadhe will be eligible to present himself at the next entrance examinationwhich will be held twice in the year, usually in January and July.The Army Council reserves the right of rejecting any candidate

who may show a deficiency in his general education.An entrance fee of P-1 is required from each candidate admitted to

the examination and is payable at the conclusion of his physicalexamination, if pronounced fit.

Candidates who have been specially employed in consequence ofa national emergency, either as an officer or in a position usually filledby an officer, will be allowed to reckon such service towards retired payand gratuity, and if over the regulated limit of age at the date of com-mencement of the competitive examination shall be permitted todeduct from their actual age any period of that service, if suchreduction will bring them within the age limit. The duration ofservice is to be reckoned from the date on which the candidate com-menced such service, except in the case of candidates who have servedfor two or more periods at short intervals. In such cases the totalperiod of service to be considered in granting marks at the entranceexamination shall be specially determined.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 Army Council shall decide and, afterpassing the examinations in the subjects taught and satisfying theDirector-General that he possesses the necessary skill, knowledge, and

character for permanent appointment to the Royal Army MedicalCorps, his commission as Lieutenant will be confirmed. The commis-sion shall bear the date of passing the entrance examination.Before the commission of a Lieutenant on probation is confirmed

he 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. A lieutenant eo seconded will be required, at the con-clusion of his hospital appointment, to attend the course of instructionat the Royal Army Medical College; but the subsequent examinationswill be of a qualifying character and will not influence his positionon the seniority list of the Corps.Lieutenants when appointed on probation will receive instructions as

to the provision of uniform.EXAMINATIONS.

Subjects for the Entrance Examination.Candidates will be examined by the examining board in medicineand surgery. The examination will be of a clinical and practical

character, partly written and partly oral, marks being allotted underthe following scheme.

Medicine (written). Maximum, marks.

A. Examination and report upon a medical case ... 125B. Commentary upon a case in medicine ......... 125

(Three hours allowed for A and B together.)

Medicine (oral).A. Clinical cases; clinical pathology ......... 75B. Morbid Anatomy and Morbid Histology......... 75

(One quarter of an hour allowed for each table.)

Surgery (written).A. Examination and report upon a surgical case ...... 125B. Commentary upon a case in surgery ......... 125

(Three hours allowed for A and B together.)Sztrgery (oral).

A. Clinical cases, including diseases of the eye; surgicalinstruments and appliances ......... ti" 75

(One quarter of an hour allowed for this table.)B. Operative surgery and surgical anatomy ...... 75

Total marks ......... 800

The following headings are published as a guide to candidates indrawing up their reports on cases :-(a) A brief history of the oase 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 bepresent in a similar case. (e) Where there is any reasonable doubtin the mind of the candidate as to an exact diagnosis he is togive the alternatives, with his reasons for making the selection.(d) A commentary upon the case as a whole, pointing out thesymptoms which may be 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 the

candidate should discuss: (a) The family and personal history andother conditions preceding the development of the conditiondescribed. (b) 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 occupyabout 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 hygiene and bacteriology, afterwhich they will be examined in these subjects. Themaximum 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 Major C. G. Spencer, M.B., F.R.C.S.,in the department of military surgery ; Lieutenant-ColonelRobert J. S. Simpson, C.M.G., in the department of militarymedicine ; Major W. B. Leishman, M.B., in the depart.ment of bacteriology ; and Lieutenant-Colonel A. M.

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Davies in that of hygiene, Captain D. Harvey, M.B.,and Captain C. E. P. Fowler, F.R.C.S., both of the

Royal Army Medical Corps, being the respective assistant

professors. Colonel H. R. James, F.R.C.S., the commandantof the Medical Staff College, instructs in hospital andQorps administration, in the duties of officers on trans-

ports, and in the examination of recruits. The course of

hygiene 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 the

present time included bacteriology and demonstrations inphysiological chemistry. The surgical course consists oflectures and demonstrations in military surgery and lectureson. errors of refraction from a military point of view. Oncompletion of the above course Lieutenants on probation willbe ordered to proceed to the depot of the Royal ArmyMedical Corps at Aldershot for a three months’ course ofinstruction in the technical duties of the corps, and at theend 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 to

qualify 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.Lieutenant 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) squad, company, and corps drills and exercises; (2) the duties ofwardmasters and stewards in military hospitals, and’the preparation ofreturns, accounts, and requisitions connected therewith; (3) duties ofexecutive medical officers ; and (4) military law.Captains before Promotion to Major.-(For Captains promoted to

that rank after July 27th, 1895.) Captains will be examined under therules laid down in Paragraph 23 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 be limited to six months, and an officer gaining this accelera-tion will 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 completing

five years’ service, will be held in London on the termination of aperiod of special study. Courses in military surgery, in x rays, andin refraction will be held by Major C G. Spencer, M.B., F.R.C.S. Theexamination will consist of written papers, essays, oral and practicalexaminations in the following subjects, which are detailed in theKing’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 ; (b) dental surgery; (e) dermatology, includingvenereal diseases; (d) midwifery and gyn&aelig;cology; (e) operativesurgery, advanced; (f) ophthalmology; (g) otology, including laryn-gology and rhinology; (h) psychological medicine and (i) Statemedicine. Captains serving in that rank before July 27th, 1895, will bepromoted under the old regulations contained in Appendix I.,Regulations for Army Medical Services, and will not be eligible foracceleration.

Majors before Promotion to Lieutenant-Colonel (for Majors promotedto the rank after March 31st, 1895).-This examination, which may betaken at any time after three years in the rank of Major, will be heldin the military district in which the officer is serving at times whichwill be duly notified. The subjects of this examination, which artdetailed in the King’s Regulations, are as follows: 1. Military law2. Army medical organisation in peace and war 3. Sanitation o:

towns, camps, transports, &c. 4. The laws and customs of war, so fa]as they relate to the care of the sick and wounded. 5. On,

special subject from the subjoined list to which additions may frontime to time be made: (a) medical history of important campaignsand (b) a general knowledge of the Army Medical Services of othe:Powers.

PAY.The following shall be the rates of pay, additional pay, and charge-

pay of the Army Medical Staff and Royal Army Medical Corps :-

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 laid’down.

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

of the Advisory Board, &pound;150 a year. An officer serving as secretary of-the Advisory Board and Nursing Board, &pound;100 a year. An officer under,the rank of Lieutenant-Colonel holding an appointment as specialist,2s. 6d. daily.

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

of a general hospital-Daily.s. d.

If in charge of at least 50 beds ............... 2 6" 100 " ... ... ... ... ... 50" 200 " ............... 7 6" 300 " ............... 10 0

(b) Senior medical officer, Royal Arsenal, not exceeding 10 0(c) Officer in command of the Dep&ocirc;t, Royal Army

Medical Corps .................. 6 &(d) The Senior officer of the Army Medical Service with

an army in the field-A rate to be fixed by the Secretary of State,according to the magnitude of the charge.

(e) In a command abroad-The senior medical officer, if the number of

soldiers is 1500 or upwards............ 5 0

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

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

Daily.Daily.8. a.

Acting Adjutant .................... 2 6Acting Quartermaster .................. 2 0

Reserve of Officers.An officer of our Royal Army Medical Corps with at least three, but,

not more than six, years’ service may be permitted by the Secretaryof State to become an Army Reserve Officer for a period of sevenyears, and while so serving he shall receive pay at the rate of &pound;25a year. With the sanction of the Secretary of State such officermay be allowed to return to the active list, and if the period he hasbeen in ,the reserve of officers amounts to at least one year, and notmore than three years, he shall 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 examinth-

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

, PROMOTION.L Every promotion of a medical or departmental officer shall be madei with the approval of the Army Council. Promotion by selection shall: be given on the ground of ability and merit, due consideration being

given, however, to length of efficient service.E An officer shall be eligible for promotion to the rank of Captain onr the completion of three and a half years’ service, and to the rank of

Major on the completion of 12 years’ service, provided that in eachi case he has previously qualified in such manner as may be prescribed; by the Army Council.r Promotion to the rank of Lieutenant-Colonel shall be made by selec-

tion from officers who have completed at least 20 years’ service, and

610

have qualified in such manner as may be prescribed by the ArmyCouncil.

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

Months.If he obtained a " special certificate" ......... 18

,, passed in the 1st Class ............... 12" " 2nd " ............... 6

" " 3rd " ............... 3

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 Army Council for

distinguished 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 of 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 qualifies 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 Army Council have been prevented, in veryspecial circumstances, from qualifying for promotion, or who, havingfailed to qualify, may have been debarred from further opportunity ofqualifying, may be provisionally promoted. If, however, he fails toqualify on the first available opportunity his promotion shall becancelled and he shall be retired from the service. An officer shallreckon towards his promotion anytime, 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 two 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 if recommended by theArmy Council. All other Surgeon-Generals shall 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.Secretary of State.

Scale of Retired Pay.Yearly.

Director-General after 3 years’ service in the appoint- ement (with 30 years’ service) ............ 1125

Under 3 years’ service as Director-General and afternot less than 30 years’ service ............ 875

Daily.B s. d.

Surgeon-General .................. 2 0 0Colonel, R.A.M.C., and Surgeon-Colonel Household

Troops ..................... 1 15 0Lieutenant-Colonel, R.A.M.C., and Surgeon-Lieu-

tenant-Colonel Household Troops-After 20 years’ service .......,....... 1 0 025 " ............... 1 2 6" 30 " ............... 1 5 0

Lieutenant-Colonel, after having been in receipt ofthe increased pay (5s. a day additional) for 3years, or a Brigade Surgeon-Lieutenant-Colonelof the Household Troops-

Under 30 years’ service ............... 1 7 6After 30 11 ............... 1 10 0

Major, or Surgeon-Major of the Household Troops-After 20 years’service ............... 1 0 0

Gratuity.Major or Captain- BAfter 5 years’ service in the rank of captain ...... 1000" 3 " " major ...... 1800,, 6 " " 11 ...... 2500

Surgeon-Lieutenant Colonel or Surgeon-Major of theHousehold Troops-

After 15 years’ service.................. 1800" 18 " .................. 2500

Except in the case of a Lieutenant-Colonel, an offleer 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 of

25 years’ service; or, if he fails to qualify for promotion, on completionof 20 years’service. A Lieutenant placed on the special list shall beretired if he fails to qualify at the next succeeding examination. A

Captain placed on the special list shall. if he fails to qualify at thenext succeeding examination, be retired at once on any gratuity forwhich he may be eligible. and if not so eligible shall be retired as soonas he completes five years’ service in the rank of Captain. It shall be

competent to the Secretary of State to place a medical officer on theretired list after 30 years’ service.

Retirement on Aecount 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 suchearlier date as may be decided by the Armv Council.An officer, whether on full pay or half pay, who, to the satisfaction

of the regulated medical authority has been pronounced insane,shall be retired from the Army with the retired pay to which hewould be entitled if reported by the regulated medical authority to bepermanently unfit for duty. If his disability was not caused bymilitary service and he is not entitled to permanent retired pay bylength of service he shall receive temporary retired pay equivalent tothe half pay and temporary retired pay, if any, which he would havereceived :f his disability had been other than insanity.Ratesfor Officers not qualified for Retired Pay on Voluntary Retirement.

If the unfitness was caused by military service retired pay equal tothe 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 five 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 bepromoted to the brevet rank of Colonel. A Lieutenant-Colonel ap-pointed Honorary Physician or Honorary Surgeon shall receive pay atthe rate laid down for a Colonel of the Royal Army Medical Corpswhen qualified for promotion to that rank.

MEDICAL OFFICERS OF THE RE&IMENTS OF HOUSEHOLD TROOPS.Household Cavalry.

Commissions as surgeon-lieutenants in our Household Cavalry shallbe given, on the nomination of the titular colonels of the regiments, topersons approved by our Army Council.

PROMOTION.Household Cavalry.

A Surgeon-Lieutenant shall be eligible for promotion to the rank ofSurgeon-Captain on completing three and a half years’service, and aSurgeon-Major for promotion to the rank of Surgeon-Lieutenaut-Colonel on completing 20 years’ service. Promotion from Surgeon-Captain to Surgeon-Major shall be by seniority on the medical estab-lishment of the brigade, but only on a vacancy occurring for suchpromotion.A Surgeon-Lieutenant, Surgeon-Captain, or Surgeon-Major of our

Household Cavalry may be promoted for distinguished service in thefield under the conditions laid down in Article 327.

PAY. Daily.;B 8. CL.

Surgeon-Lieutenant-Colonel ............... 110 0

Surgeon-Major ...... 1 3 6After three years’ service as such ......... 1 6 0

Surgeon-Captain..................... 0 15 6After seven years’ service ... ... ... ... 0 17 0After ten years’ service ............... 1 1 0

Surgeon-Lieutenant .................. 0 14 0

PROMOTION.A medical officer of our Household Troops shall be eligible for extra

pay under the provisions of Articles 367 and 368.GENERAL REGULATIONS.

In all matters not provided for by Articles 382 to 387 and 555 to 562the medical officers of Our Household Troops shall be governed by thegeneral regulations for regimental officers cf our army.

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 to

exchange 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 beenpromoted.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.

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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.A regimental officer may be permitted to draw full pay for a period

not exceeding one year during sick leave granted on the recommenda-tion of the regulated medical authority, as defined in Article 1320, pro-vided there is a reasonable probability that he will be fit to return toduty at the expiration of his leave.In very special cases, such as loss of health from tropical service,

active operations, or wounds, full pay may be issued for a period orperiods of sick leave in excess of that laid down in Article 298, pro-vided that the officer’s sick leave shall not in all exceed eighteenmonths.When a medical officer is sick at his station, whether in hospital,

quarters, or lodgings, his absence from duty on account of sickness, ifhot exceeding 30 days in duration, and if duly certified by a medicalofficer, shall not be included in the period of absence on leave to whichthe issue of pay is limited by Article 457, provided the general officercommanding at the station considers that the circumstances of thecase warrant such a concession. Any excess of such leave of absenceon account of sickness at an officer’s station beyond the period of 30days shall come under the provisions of Article 458.

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 183 days’ leave at home, and for every additionalperiod beyond a year he shall have a proportionate 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 invalide 1, 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 conditionsspecified in the Royal Warrant for Pay and Promotion. There is alsoan Army Medical Officers’ Widows’ Annuity Fund on mutual assuranceprinciples.

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

the same as those of the Army Medical Service and RoyalArmy Medical Corps. The Director-General will rank eitheras Major-General or Lieutenant-General as may be decidedin each case by the Secretary of State for India in Council.REGULATIONS FOR THE EXAMINATION OF CANDIDATES FOB ADMISSION

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

European or East Indian descent, between 21 and 28 years of age atthe date of the examination, of sound bodily health, and in theopinion of the Secretary of State for India in Council in all respectssuitable to hold commissions in the Indian Medical Service. Theymay be married or unmarried. They must possess a diploma 01

diplomas entitling them under the Medical Acts to practise bothmedicine and surgery in Great Britain and Ireland. Examinations fOIadmission to the service usually take place twice in the year&mdash;inJanuary and July.They must subscribe and send in to the Military Secretary, Indii

OfEce, Westminster, so as to reach that address by the date fixed in theadvertisement of the examination, a declaration according to th<annexed form.

Declaration and Schedule of Qualifications to be Filled up byCandidates.

* .....................................................................................................

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

panying Certificate, a Candidate for employment in His Majesty’Indian Medical Service, do hereby attest my readiness to engage fothat service, and to proceed on duty immediately on being gazetted.

I declare that I labour under no Mental or Constitutional Diseasenor any imperfection or disability that can interfere with the mosefficient discharge of the Duties of a Medical Officer.t received my Medical Education and completed my course as MedicaStudent at......................................................................................

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

I have the following registrable qualifications :-...............................

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

(Date)...............................................................................(Phce of residence) ..........................................................

Candidates who desire to undergo the voluntary examination are tosign the following declaration:-

It is my intention to undergo the voluntary examination in ............ 4* 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 state whether he has served in themedical departments of the army or navy or in the subordinatemedical department in India.

State whether Botany or Zoology will be taken up.This declaration must be accompanied by the following documents:&mdash;

a. Proof of age either by 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 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.d. Some evidence of having obtained a registrable qualification. e. Inthe case of natives of India or others educated in that country, inaddition to the certificates referred to in paragraph 2 and paragraph 4(b), (c), and (d), the candidate will be required to produce a certificatesigned by the Director-General, Indian Medical Service, that he is asuitable person to hold a commission in the Indian Medical Service.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 issufficiently 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 berequired to pay a fee of JE1 before being permitted to compete. Nocandidate will be permitted to compete more than three times.On proving possession of the foregoing qualifications the candidate

will be examined by the Examining Board in the following subjectsand the highest number of marks attainable will be distributed asfollows _

Marks.1. Medicine, including therapeutics.................. 12002. Surgery, including diseases of the eye ............ 12003. Surgical anatomy and physiology ............... 6004. Pathology and bacteriology ..................... 9005. Midwifery and diseases of women and children ...... 6006. Chemistry and pharmacy, with either botany or

zoology..........., ..........., ............ 600

N.B.-The examination in medicine and surgery will be in part, practical and will include operations on the dead body, the application

of surgical apparatus, and the examination of medical and surgicalpatients at the bedside. The examination in chemistry will be limited

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to 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 Talf of the aggregatemarks for all the subjects. No syllabus is issued in the subjects ofbotany and zoology; a general knowledge is required.After passing this examination the successful candidates will be

required to attend one entire course of practical instruction at thej Army Medical School and elsewhere, as may be decided in (1) hygiene,

(2) military and tropical medicine, (3) military surgery, and (4) patho-logy of diseases and injuries incidental to military and tropical service.

This course will be of not less than four months’ duration.3During this period of instruction each candidate will receive anr allowance of 14s. per diem, with quarters (where quarters are not pro-vided, with the usual allowances of a subaltern in lieu thereof), with

3 For the present it has been arranged that two months of the coursewill be spent in London where the probationers will be instructed withe the lieutenants on probation for the Royal Army Medical Corps in

Hygiene and Bacteriology. They will attend a course of instructionin tropical medicine and military surgery at the College. In ouropinion as long as the lieutenants-on-probation of the Indian MedicalService receive their instruction at the College, the post of Professor of

. Medicine in the College should be held by a distinguished officer of the

. Indian Medical Service and not as at present by au officer of the RoyalArmy Medical Corps who has had no training as a teacher and does not

’s possess any special knowledge of tropical diseases. The lectures on’r Military Medicine treat of tropical and other diseases to which soldiers

are exposed in the course of their service, the mortality and invalidingby disease, in peace and war, at home and abroad, the management oflunatics under the conditions of military service, &c. The lieutenants-on-probation of both services will attend the New Millbank Hospitalwhere they will be taught practically the details of the management

., of patients in a military hospital, and the registration of their diseases,the duties of invaliding, the modes of filling up the regulation

’ statistical returns, and other service documents. No provision for.. instruction in lunacy has as yet been made in London. The course for

the lieutenants-on-probation in London now lasts two months but it"’ is proposed to extend it to three months and, now that the Netley,.. course does not exist for the Indian Medical Service, the Indian pro-

bationers shall go to Aldershot for a course of drill after the completion" of the instruction in London. While in London the lieutenants-on-... probation for both services now reside at the St. Ermin’s Hotel,

Westminster. The candidate’s commission as lieutenant will bear the... date on which the course of instruction commences, but his rank will... not be gazetted until he has passed the final examination.

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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. VIIL, with Sam Browne belt, but without the sword).A lieutenant-on-probation who is granted sick leave before the com-

pletion of his course of instruction and final admission to the service willreceive furlough pay at the rate of 10s. 6d. a day for the period of hissick leave.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. They will be liable for militaryemployment in any part of India, but in view to future transfers tocivil employment, they will be allowed a choice, according to theirposition on the list above referred to, ot the following civil areas :-(1) Madras and Burma; (2) Bombay with Aden; (3) Upper Provinces-i.e., United Provinces, Punjab, and Central Provinces; and (4) LowerProvinces-i.e., Bengal, and Eastern Bengal and Assam. Officerstransferred to civil employment, though ordinarily employed withinthe area to which they may have been assigned, will remain liable toemployment elsewhere according to the exigencies of the service.

The prizes formerly open to competition in the old ArmJMedical School at Netley have been transferred to thtMedical Staff College in London and at present they arere-distributed as follows (but the arrangements as regardsall the prizes are to be re-made now that all the course isto be attended in London) : The Herbert Prize, the ParkesMemorial Bronze Medal, and the de Chaumont prize 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 forthe same service after the course in Military Medicine.The Maclean prize was ;withdrawn on the abolitionof the Army Medical School and foundation of theMedical Staff College. The Herbert Prize of JS20 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 &pound;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 in

Pathology ; and the Marshall Webb prize of ;S5 and a bronzemedal is awarded for Hospital Administration.At the close of the session those lieutenants-on-probation

who have obtained one-third of the possible total of marksand have satisfied the authorities that they possess the

necessary skill, knowledge, and character for permanentappointment are recommended for commissions as Lieu-tenants in the Indian Medical Service.4

Officers on appointment are, when possible, provided with Ipassage to India by troop transport; when such 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 made atthe rate of 2s. a day. This payment does not include thecost of liquors, which are charged for as extras. Any officerwho may neglect or refuse to proceed to India under theorders of the Secretary of State for India within two monthsfrom the date of terminating his course of instruction,or 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 may be promoted

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-on-probation commences. Before the commission of a lieutenant-on-pro-bation is confirmed he must be registered under the Medical Acts inforce at the time of his appointment.

to 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 medioal

organisation, the result of which may affect his promo-tion. With reference to the extract from the Gazette ofIndia, Medical Department, No. 1047, dated Oct. 24th,1903, paragraph 4, it is notified that the Government ofIndia has decided that the scope of the examination whichlieutenants of the Indian Medical Service will be requiredto pass after completion of 18 months’ service will be asfollows : Subject (A) Text-books, the relevant portions ofthe Army Regulations of India, vols. ii. and vi., and theField Service Departmental Code (Medical). Subhead (a)(2) : The duties of the subordinate personnel of native militaryhospitals and the preparation of returns and requisitionsconnected therewith. Subhead (3) : The duties of executivemedical officers of the Indian Medical Service. Subject (d),subhead (2) : Indian military law and Indian articles of waras laid down for officers of the Supply and Transport Corpsin G.O.C.C. 897 of 1902. One paper will be set in each ofsubheads (2) and (3) of subject (h). The time allowed foreach paper will be three hours. The examinations will takeplace at district headquarters twice annually, on March 1stand Oct. lst, simultaneously with those for other officers,commencing on Oct. lst, 1904. The standard requiredwill be for a pass 5 in (7t) and 5 in law : for specialcertificate 8 in (7t) and 8 in law. An officer may pre.sent himself for examination in the above subjects eitherseparately or conjointly. The above rules apply only toofficers appointed to the Indian Medical Service on or afterJan. 31st, 1900. The names of candidates for examinationwill be submitted by general officers commanding districtsto the Director of Military Education in India so as to reachthat officer by Sept. 1st and Feb. 1st annually. Captainsare promoted to the rank of Major after 12 years’ full-payservice, but this promotion is accelerated by six months inthe case of an officer who produces satisfactory evidence ofprogress in any branch of knowledge which is likely toincrease his efficiency (London Gazette, June 28th, 1905).A Major is promoted to Lieutenant-Colonel on completion ofof eight years’ full-pay service in the rank of Major.All promotions to higher grades are given by selection forability 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:1. Privilege leave under such regulations as may fromtime to time be in force. 2. Leave out of India for no

longer period than one year, capable of extension to twoyears’ absence from duty, on the following pay for officersin military employment (officers in civil employment areentitled to higher rates) :-After arrival in India, on firstappointment, .6250 a year; after the commencement of thetenth year’s service for pension, &pound;300 a year ; after thecommencement of the fifteenth year’s service for pen-sion, jM50 a year ; after the commencement of thetwentieth year’s service for pension, C600 a year ; andafter the commencement of the twenty-fifth year’sservice for pension, &pound;700 a year. 3. Leave in India,but for the period of one year only, on full militarypay and half the staff salary of appointment. Noextension 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 leavewithout 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 anytime, but solely at the discretion of the civil or militaryauthorities 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 toofficers desirous of pursuing special courses of study at therate of one month’s furlough for each year’s service up to12 months in all. During such leave the ordinary furloughpay will be given with lodging allowances of 4s., 6s. and 8. _

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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 boardas unfit to do so.

PAY AND ALLOWANCES.

The rate of pay drawn by Lieutenants of the Indian Medical Serviceprevious to arrival in India is 14s. a day, but a Lieutenant (1) who hasbeen permitted by the Secretary of State to hold a hospital appoint-ment will receive no pay while holding it; (2) who is detained by illnessin this country will be paid at the rate of &pound; 250 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 ofembarkation, and an advance of two months pay at the same rate is

also made prior to embarkation, which is adjusted in India.The following are the monthly rates of Indian pay drawn by officers

of the Indian Medical Service from the date of their arrival inIndia :-

NoTEs.-(a) Unemployed pay is drawn by officers of less than sevenyears’ service who are not holding officiating or substantive charge ofnative regiments. Officers of more than seven years’ service draw

grade pay alone when unemployed. Staff pay is the pay of a commandand is drawn in addition to grade pay. -,,e charge of(b) Horse allowance is granted to officers in substantive charge ofcavalry regiments at the rate of Rs. 90 a month to Lieutenant-Colonelsand Majors, and Rs. 60 a month to captains and lieutenants.Note to paras. 16 to 20.-Under present arrangements, officers of the

Indian Medical Service who are not statutory natives of India receiveexchange compensation allowance to compensate them for the fall ofthe value of the rupee. The allowance consists of an addition to theirsalaries (subject to certain limitations) equal to half the differencebetween their salaries converted at (1) ls. 6d. the rupee, and (2) theaverage market rate for each quarter.

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

Rs. per mensem,

Surgeon-General ............... 2200 to 3000

Colonel 1 from ... 1800Colonel .., ......... to ...... 2500

Specialist pay at the rate of Rs. 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. 2000 toRa. 450 per mensem. The pay of the majority of civil appointmentshas been increased, the increases in this case also being analogous tothe recent increases in the pay of rank. The changes that will affectthe largest number of officers are as follows: (a) The pay of civil andagency surgeons, first and second class, is fixed at Rs.50 a month more,and Rs.50 a month less, respectively, than the pay drawn by officers ofthe same rank in charge of native regiments. (b) Officers in charge offirst- and second-class central jails will receive Rs.100 and Rs.50respectively more than is drawn by officers of the same rank in chargeof native regiments. The following new rates may also be mentioned:(a) Inspector-General of Civil Hospitals, Bengal, Rs.2500; (b) Inspector-General of Civil Hospitals, Punjab and Burma, Rs.2250; and (c)Sanitary Commissioners, Rs.1500-60-1800.

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.Except 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.

TENURE OF OFFICE IN ADIfINI9TRATIVE GBADEB.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.1350 per mensem in the former, and Rs. 1000in the latter case, for a period of six months from the date of their

I vacating 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 higber pension.

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

the following scale of pension on completion of the required periods ofservice :- .

After 30 years’ service for pension... JB700 per annum + JB350 after threeyears’ active employment inIndia as a Surgeon-General, or+ .E250 per annum after fiveyears’ active employment as aColonel or .E125 after three yearsas a Colonel. Eight months’absence on leave is allowed tocount towards actual service inthose grades.

" 25 " E500 per annum. 20 " .E400 "

" 17"" " " a.<6UO

Service for pension reckons from date of first commission andincludes all leave taken under the leave rules.

i Time (not exceeding one year) passed on temporary half pay reckonsas 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, but the Director-General is allowed to seive until hehas attained the age of 62 years. If a Lieutenant-Colonel has beenespecially selected for increased pay and he attains the age of 55 yearsbefore he becomes entitled to the pension of 30 years’ service he may beretained until the completion of such service, and in any special case,where it would appear to be for the good of the Service that an officershould continue in employment, he may be so continued, subject ineach case to the sanction of the Secretary of State for India inCouncil.

Officers placed on temporary or permanent half-pay are granted half-pay at the following rates.

* Officers cannot retire in India on half-pay (No. 45, Feb. 28th, 1865).An officer of less than three years’ service, although he may be

transferred to the half-pay list under the general conditions of transfer,will not be granted any half-pay unless his unfitness has been causedby service.

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 thefollowing scale ;-

Per annum.After 16 years’ pension service .............E272" 15 " ’t ,t f" ........... 252 14 " " ............ 232" 13 " " ...... 212" 12 ...... ,..... 192

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

received in action and injuries sustained through the performance ofmilitary duty as are granted to combatant officers of His Majesty’sIndian Military Forces holding the corresponding military rank.

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.

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

distinction of the Order of the Bath and for other Orders, British andIndian, and for good service pensions. Six of the most meritorioue

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officers are named Honorary Physicians and six are named HonorarSurgeons to His Majesty. On appointment as Honorary Physician oSurgeon an officer below the rank of Colonel is promoted to that raniiremaining supernumerary until absorbed. A retired officer appointeHonorary Physician or Surgeon to the King is granted the honorarrank of Colonel, if on retirement he had not attained to that rank.NOTE.-The following is a list of recognised Civil Hospitals.-

England and Wales.-London : St. Bartholomew’s Hospital, CharinjCross Hospital, Guy’s Hospital, King’s College Hospital. London Hos

pital, Middlesex Hospital, bt. George’s Hospital, St. Mary’s HospitalSt. Thomas’s Hospital, University College Hospital, and WestminsteHospital. Birmingham : General Hospital and Queen’s HospitalBristol: Royal Infirmarv and General Hospital. Cambridge: Addenbrooke’s Hospital. Cardiff : Cardiff Infirmary. Leeds: General Infirmary. Liverpool: Royal Infirmary and Southern Infirmary. Manchester: Royal Infirmary. Newcastle-on-Tyne: Royal InfirmaryOxford: Radcliffe Infirmary. Sheffield: Royal Infirmary and RoyaHospital. Scotland.-Aberdeen: Royal Infirmary. Dundee: RoyaInfirmary. Edinburgh: Royal Infirmary. Glasgow : Royal Infirmar]and Western Infirmary. Ireland.&mdash;Belfast: Royal Victoria HospitalCork: North Infirmary and South Infirmary. Dublin: the AdelaideHospital, the City of Dublin Hospital, the Jervis Street Hospitalthe Mater Misericordiae Hospital, the Meath Hospital, Mercer’s Hospital, the Richmond, Whitworth, and Hardwicke Hospital, StVincent’s Hospital, Sir Patrick Dun’s Hospital, and Dr. Steeven’iHospital. Galway: The County Hospital and the Union Hospital.The Royal Army Medical Corps is at the present time, we

believe, a contented service, though the Director-GeneralA.M.S. is excluded from the Army Council, before whicbhe will, however, be summoned whenever his advice andspecialist knowledge are required.The blots on the present regulations for the Indian Medical

Service are as follows :&mdash;

1. That no officer, however employed, can receive anystaff allowance unless he has passed the lower standardexamination in Hindustani.

2. That an offilJer who enters the service after his 25thbirthday forfeits almost to a certainty his chance of everreaching a higher pension than L500 per annum.

3. The order of the present Government of India thatan officer of the Indian Medical Service must refer thequestion of the amount of his fees when above a certainlow limit to the civil authority. The recent orders mightnecessitate the violation of professional secrecy.

4. The neglect of the rule that the office of principalmedical officer to His Majesty’s forces may be held by anofficer of the Indian Medical Service.We wish to draw the attention of the Secretary of State

for India to the circumstance that the candidate’s commis-sion as a lieutenant in the Indian Medical Service bearsthe date on which the course of instruction commences inLondon, while the date of a commission of a lieutenant inthe Royal Army Medical Corps is the day of passing theentrance examination. This is rather an important matterand is of consequence when officers meet in India. Thedate of commission for the Indian officers should be regu-lated by the same rule as is applicable to officers of thesister service.SPECIALIST PAY FOR OFFICERS OF THE ROYAL ARMY MEDICAL CORPS

AND INDIAN MEDICAL SERVICE IN INDIA.On July 5th, 1905, the Government of India sanctioned the pro-

visional adoption of the following rules for the granting of specialist’spay to officers of the Royal Army Medical Corps and the IndianMedical Service :-

1. Specialist pay is an allowance to officers below the rank ofLieutenant-Colonel for special sanitary or medical work done for theState which is not in the power of the ordinary medical officer to per-form with the same efficiency as the specialist. It will not be apersonal allowance but will be granted only to the incumbents ofcertain specified appointments.

2. Specialist pay will not be given to officers of the Indian MedicalService in civil employ.

3. The services of specialists are absolutely at the disposal of theGovernment in any way they may direct without further claim forremuneration.

4. Except in connexion with dental appointments, the duties ofspecialist appointments must be carried out in addition to ordinaryhospital duties.

5. Officers of the Royal Army Medical Corps in India will be eligiblefor appointment as specialists under the qualifications laid down bythe Army Council for the Royal Army Medical Corps.

6. The eligibility of an officer of the Indian Medical Service forspecialist pav will be decided by the Director-General of the IndianMedical Service, whose decision will be based either on certificates ofa recognised institution, or by the examination of the candidate. Anofficer may qualify as a specialist at any period of his service ; theallowance will be admissible to any officer who is in a position actuallyto perform the duties for which he is given the appointment.

7. There shall be 105 appointments in India for which specialist payat Rs. 60 a month shall be granted; of these appointments 55 willbelong to the Royal Army Medical Corps and 50 to the Indian MedicalService, military branch. The selection for appointments will bemade under the orders of His Excellency the Commander-in-Chief.

It does not appear probable to us that the above rules willattract many men to the rank of the so-called specialist orthat the Government can regard with much esteem a statusfor which it can frame such regulations.

PUBLIC HEALTH.

INSTRUCTION FOR DIPLOMAS INSTATE MEDICINE.

ENGLAND.THE following resolutions, 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 from 1902 to 1905. The regulations requirethat-" (1) A period of not less than twelve months shallelapse between the attainment of a registrable qualificationin Medicine, Surgery, and Midwifery and the examinationfor a diploma in Sanitary Science, Public Health or StateMedicine ; (2) every candidate shall produce 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 diploma and in which chemistry, bac-teriology, and the pathology of diseases of animals trans-missible to man are taught; (3) every candidate shallproduce 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 a

sanitary staff officer of the Royal Army Medical Corpshaving charge of an army corps, district, or commandrecognised 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. lst, 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-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 amedical officer or inspector of the Local Government Board.With the sanction of the Local Government Board thesame person may be appointed medical officer for two ormore districts.The regulations in question as to study may be procured

at the office of the General Medical Council in London.

London Unive’l’Sity.-Sanitary Science is included underthe 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 officer of health, and thrtemonths’ attendance on the practice of a hospital for in-fectious diseases.