... ;.i-

f.il>; 0ss

Vgs, f; 010:;

B.jr

., -Jor

", 't:?=

J-= e

wX.

No. 46

AL EMERGENCIESmerling,L$c.M$I., Ch.B.,

MJdW.PA.DM.R .D, F.F.R.IN E CONSERVATIVE CARE OF EAD INJURIESHnte,M.D., FR.RF.iS.GFq.PAiIODERNACCIDENT SERVICEHerscB,M.., F.R.C.S., and R. H. Maudsey, M., F.R.C.S.ASE:WITH CARCINOMA OF THE COLON

c.P.(Edin, and J. P. Cy, M.B., M..P.

;.44BM,, MA.,: .Ch(Cata.),F , ,ilAPVEIC SYMPOSIA -NEW DIURE:T'$O)OTHIAZIDE AND HYDROFLUMEHAZIDEeaF. Ziha .,M.D., M.R.C.P.NT OF DISAMIDE, A NEW ORAL DIU eIC

M)., MJ.RCJ., KathlnBarbM. M.R.C.P.NE ANTAGONISM BY-SPIROLACTSEROIS:. D. H. $atr,M, MM.RMC.P.

BOOK REVIEWSPOSTRADUATE NEWS

6/1-(ANNUAL SUBSCRIPTION 63/.)- -? -bb'db

-IT: 1 BE AXFJRISWFF' P2tw

rA~i-a:i,9WNSm

iJUNtB ALME ICtl L'BR RY

THE

POSTGRADUATEMEDICAL JtOURNAL

VOLUME 36 NUMBER 4I6 JUNE 1960

CONTENTSPAGE

EDITORIAL 36ICEREBRAL ANGIOGRAPHY IN NEUROSURGICAL EMERGENCIES

R. Myles Gibsont, M.D., M.Sc., F.R.C.S., and Michael D. Sumerling, B.Sc., M.B., Ch.B.M.R.C.P., D.M.R.D., F.F.R. 362

BASIC CONSIDERATIONS IN THE CONSERVATIVE CARE OF HEAD INJURIESA. R. Huinter, M.D., F.R.F.P.S.G., F.F.A. 370

A MODERN ACCIDENT SERVICEG. P. Arden, M.B., F.R.C.S., Wf. Herschell, M.B., F.R.C.S., and R. H. Mazudsley, M.B., F.R.C.S. 376CROHN'S DISEASE WITH CARCINOMA OF THE COLON

A. Davis, M.B., M.R.C.P.(Edin.), andy. P. Caley, M.B., M.R.C.P. 380ACUTE HAEMOLYTIC ANAEMIA COMPLICATING PRIMARY ATYPICAL PNEUMONIA

Y. Trevor Hughes, M.B., M.R.C.P.(Edin.), and P. C. Mallam, D.M., M.R.C.P. 384BURST ABDOMNEN J. P. Lythgoe, M.A., M.B., B.Chir.(Cantab.), F.R.C.S. 388

THERAPEUTIC SYMPOSIA 2-NEW DIURETICSHYDROCHLOROTHIAZIDE AND HYDROFLUMETHIAZIDE

Joan F. Zilva, B.Sc., M.D., M.R.C.P. 39ZAN ASSESSMENT OF DISAMIDE, A NEW ORAL DIURETIC

Cecil Symons, M.D., M.R.C.P., and Kathleen Barber, M.B., M.R.C.P. 395ALDOSTERONE ANTAGONISM BY 17-SPIROLACTOSTEROIDS

Y. D. H. Slater, M.A., M.B., MV.R.C.P. 399BOOK REVIEWS 406POSTGRADUATE NEWS 408

All rights reserved. No part of this journal may be reproducedin any form without permission in writing from the publishers

EDITORA. A. G. Lewis. B.Sc., M.D., F.R.C.P.

ADVISORY EDITORIAL BOARDMaurice Davidson, D.M., F.R.C.P. David Levi, M.S., F.R.C.S.Colin Edwards, M.B., M.R.C.P. K. I. Nissen, F.R.C.S.J. Hopewell, F.R.C.S. R. J. V. Pulvertaft, O.B.E., M.D., F.R.C.P.T. D. Kellock, M.D., M.R.C.P. R. Bodlev Scott, D.M., F.R.C.P.L. P. Le Quesne, D.MN., F.R.C.S. W. Somerville, M.D., F.R.C.P.

Prof. R. Woolmer, B.M., B.Ch., F.F.A.

Editorial Representative for Australia: Clive Fitts, M.D.(Melb.), F.R.C.P.(Lond.), F.R.A.C.P.Editorial Representative for Ceylon: M. M. A. Cader, M.S.(Lond.)

Editorial Representative for South Africa: Arthur J. Helfet, M.D., F.R.C.S.

PUBLISHERSThe Fellowship of Postgraduate Medicine, 6o Portland Place, London, Wr.x

408

POSTGRADUATE NEWSJune I960

The information contatned in this section is published by courtesy of theorganizations concerns and no responsibility for any changes of detailor omissions can be accepted by the publishers. In all cases, applicationsfor enrolment or further information should be made direct to thesponsors of the course.

F.4IOWSHIP OF POSTGRADUATEMEDICNThe following courses are planned but the dates anddetails are subject to alteration.Ge4eral Medicine (M.R.C.P.). Week-end. June i8and I9. Queen Mary's Hospital for the East End.COURSE CANCELLED.Orthopaedics (F.R.C.S.). Week-ends. September I7and i8, October I, 2, I5 and i6. Saturdays and Sundays.Rowley Bristow Orthopaedic Hospital, Pyrford. Fee£15 15S. (no entries accepted until syllabus has beenpublished and circulated).Surgery (F.R.C.S.). General and Genito-Urinary.September Ic9 to October 5. Mondays and Wednes-days at 5 p.m. Whittington Hospital, Archway Wing.Limited. Fee £5 5s.Obstetrics (D.Obst.R.C.O.G.). September 26 to Octo-ber i. All day. West Middlesex Hospital, Isleworth.Limited. Fee C6 6s. %

Please note that instruction arranged by the Fellowshipof Postgraduate Medicine is open only to members (annualsubscription, 2IS.). No entries for courses are acceptedin advance of the detailed syllabuses being publishedand circulated; postgraduates (whether members or not)are not automatically included in the mailing lists butmust notify the Fellowship of Postgraduate Medicine,6o Portland Place, London, W.i, if they wish to be sentsyllabuses as published, and must specify the subjects inwhich they are interested. Information regarding coursescan be obtained from the office daily between IO a.m. and5 p.m. (Mondays to Fridays). Telephone: Langham 4266.

ROYAL COLLEGE OF SURGEONS OFENGLANDThe following courses will be held:Clinical Surgery. During September and October,1960. Fee £42. (Entries by May 31, I960.)Surgery Lectures and Clinical Conferences.During October, I960. Fee £15 15s. Lectures only,CIO IOS.Application for further information should be made toMr. R. S. Johnson-Gilbert, Assistant Secretary, RovalCollege of Surgeons, Lincoln's Inn Fields, London, W.C.2.

SOCIETY OF APOTHECARIES OF LONDONDiploma in Industrial Health (D.I.H.). Theexaminations are held in July and December each year.Diploma of Mastery of Midwifery (M.M.S.A.). Theexaminations are held in May and November each year.For further information applications should be addressed

to the Registrar, Society of Apothecaries, Black FriarsLane, London, E.C.4.

GEERAL DENTAL COUNCILThe Dental Postgraduate Bureau has issued threebooklets, as follows:' Facilities for Dental Postgraduate Study in the UnitedKingdom and Ireland,' containing a list of schools andinstitutions at which postgraduate courses are held orwhich provide facilities for individual students, and analphabetical list of subjects showing where instructionin each can be obtained; ' Scholarships and Student-ships for Advanced Studies and Research in Dentistry,'including many open to British subjects tenable abroad;' Higher Dental Qualifications,' setting out in generalterms the conditions to be satisfied by candidates.Copies of these booklets, particulars of films of interest todentists, and further information can be obtained onapplication to the Registrar, General Dental Council,37 Wimpole Street, London, W. i.

BRITISH POSTGRADUATE MEDICALFEDERATION (University of London)The Federation provides:(i) Training for prospective specialists, supplementing

the work of the undergraduate medical and dentalschools.

(2) Advanced revision for practising specialists.(3) Instruction for medical and dental practitioners who,

though not specialists, desire more detailed know-ledge of any branch of medicine or dentistry.

(4) Instruction for general practitioners.Comprising the Federation at present are the Post-graduate Medical School of London, Institute of BasicMedical Sciences, Institute of Cancer Research, Instituteof Cardiology, Institute of Child Health, Institute ofDental Surgery, Institute of Dennatology, Institute ofDiseases of the Chest, Institute of Laryngology andOtology, Institute of Neurology, Institute of Obstetricsand Gynaecology, Institute of Ophthalmology, Instituteof Orthopaedics, Institute of Psychiatry, Institute ofUrology.Applications for further information should be made tothe Secretary. British Postgraduate Medical FederationI8 Guilford Street, London, W.C. i.

POSTGRADUATE MEDICAL SCHOOL OFLONDONThe Postgraduate Medical School is associated withHammersmith Hospital. Its teaching is directedprimarily to the training of teachers and specialists ingeneral medicine, general surgery, anaesthetics, path-

June I960 Postgraduate News 409

ology and radiology and is based on advanced clinicalstudies, supplemented by conferences, lectures anddiscussions, with an emphasis on the scientific aspect ofinvestigation and treatment. The organized work of theclinical department is concentrated into three universityto-week terms, starting in January, April and October,leaving the vacations for more intensive research work.Research students are accepted for training and practicein methods of clinical investigation. The ordinarypractice of the hospital is continuous throughout theyear, but those not familiar with the School are advisednot to start work in vacation time. A year's com-prehensive work in anaesthetics is provided suitable forcandidates for the D.A. or F.F.A. The work of theDepartment of Pathology includes a year's course for theuniversity Diploma in Clinical Pathology, for whichi6 students with previous pathology experience areselected. The hospital Departments of Radiology traindoctors for the radiological diplomas. The Departmentof Obstetrics and Gynaecology, together with QueenCharlotte's and the Chelsea Hospitals, form theInstitute of Obstetrics and Gynaecology. Many houseofficer and registrar posts are available in the appropriatedepartments.For further information application should be made tothe Dean, Postgraduate Medical School of LondonDutcane Road, London, W. I2.

THE CHEST AND HEART ASSOCIATION' Current Trends in Cardiology.' A symposium.Wednesday, June 8, I960, 3.30 to 6.30 p.m. BarnesHall, Royal Society of Medicine, i Wimpole Street,London, W. i. Admission by ticket, 25s., obtainablefrom The Chest and Heart Association, TavistockHouse North, London W.C. i.

INSTITUTE OF BASIC MEDICAL SCIENCES(Royal CoLlege of Surgeons of England)The Institute p--operates with other specialist Institutesof the. Federntion in providing facilities for practicalwork and instruction in the basic medical sciences.Twice a year, beginning in January and September,th'Fre is a full demonstration and lecture course which isfill-time and extends over a period of fifteen weeks.In addition, there are two revision courses a year of lec-tures only, which take place at the same time as theother course. Applications for this course can be ac-cepted up to six weeks before the course begins. Fees:Demonstrations and lectures, £73 Ios. od.; lectures only,£42 0s. od. A two-months' course for Primary F.D.S.candidates is also held twice a year beginning in Decem-ber and June. The course is full-time and the fee£36 I5s. od.For further information please apply to the Secretary,Institute of Basic and Medical Sciences, Royal College ofSurgeons of England, Lincolns Inn Fields, London, W.C.2.

INSIITUTE OF CANCER RESEARCH(Royal Cancer Hospital)Postgraduate lectures and courses of instruction are heldin biophysics for students studying for the M.Sc.degree in Biophysics, and for students studying for aDiploma in Medical Radiotherapy.Enquiries should be made to the Dean, Institute of CancerResearch, Royal Cancer Hospital, Fulham Road, London,S.W.3.

INSTITUE OF CARDIOLOGY(National Heart Hospital)Courses of instruction lasting I I weeks are available in

the autumn and summer terms for both full-time andpart-time students; fees £36 I5S. od. and £i8 i8s. od.respectively. Special short course lasting two weeks isheld in February; fee Li8 i8s. od.Enquiries, and applications for admission to courses, shouldbe addressed to the Dean, Institute of Cardiology, 35Wimpole Street, W.i. -

INSTITUTE OF DISEASES OF THE CHEST(Brompton Hospital and the London ChestHospital)The Institute of Diseases of the Chest (Medical Schoolof the Hospitals for Diseases of the Chest) is situated inthe grounds of the Brompton Hospital, S.W.3.MedicalInstruction in diseases of the chest including tuberculosisis conducted during three terms of ten weeks each year.It consists of clinical work in wards and out-patientdepartments, lectures and demonstrations. A whole-time programme is arranged for not more than I 2graduates each term, preferably those specializing indiseases of the chest. A larger number of graduatescan be accepted for part-time study. If vacancies areavailable it may be possible to accept graduates forshorter periods of part-time study.SurgicalWhole-time courses in chest surgery are conductedduring three terms of ten weeks each. They includeattendance at out-patient clinics, operating sessions,ward clinics, case demonstrations and discussions, andlectures, and are conducted partly at the BromptonHospital and partly at the London Chest Hospital. Theyare intended as an introduction to thoracic, cardiac andoesophageal surgery. The fees are the same as those ofthe whole-time medical course.Fees for whole-time course (Medical or Surgical) are£zI for one term and £37 for two terms, and for part-time courses £C13 for one term or £6 for one month.RadiologyPart-time instruction in radiology of the chest for traineeradiologists only is given each term. Fee £i i for oneterm.Clinical demonstrations are given on Fridays at5 p.m. Open lectures are given on Wednesdays at5 p.m. during University Terms. Admission free.For further general information application shouild beaddressed to the Dean, Institute of Diseases of the Chest,Brompton Hospital, Fulham Road, S. W.3.

INSTITUTE OF CHIELD HEALTH(Hospital for Sick Children, Queen ElizabethHospital for Children, Postgraduate MedicalSchool)The Institute of Child Health is associated with TheHospital for Sick Children, Great Ormond Street, thePostgraduate Medical School of London at Hammer-smith Hospital, and the Queen Elizabeth Hospital forChildren. In its programme teaching on every aspectof child health and disease is provided. Visits are arrangedto the department for the new-born and premature infantat the Postgraduate Medical School of London, Hammer-smith Hospital, Maternity and Child Welfare Clinics,Nursery Schools, etc. The Institute provides tuitionthroughout the year in three terms of 12 weeks' durationeach, beginning in January, Mav and September.Several guest lectures are given during the summerterm by visiting paediatricians from abroad. The fees

410 POSTGRADUATE MEDICAL JOURNAL June 1960

are 25 guineas for one term and 45 guineas for twoterms.Application should be addressed to the Dean, Inistituteof Child Health, Hospital for Sick Children, GreatOrmond Street, Lcndon, W.V. i.

INSTITUTE OF DERMATOLOGYSt. John's Hospital for Diseases of the SkinHospital Practice. This includes clinical instructionin the Out-Patient Department daily, in the In-PatientDepartment twice weekly, tutorials in clinical dermat-ology and histopathology, attendance in the Departmentof Pathology and other departments of the Hospital.Arrangements exist for selected students to be attachedto the In-Patient Department as supernumerary resi-dential house officers. Senior students are eligible toapply for clinical assistantships in the Out-PatientClinics.Fees. 25 guineas for one term; 6o guineas for one- year.Laboratory. The facilities for students include tech-nical work in histology, bacteriology and medicalmycology.Museum. A collection of moulages is available. Thereis access to a large collection of histopathological sections.Exhibitions. Semi-permanent exhibitions are availableduring the summer term. The second, from June Ito 30, will be by Dr. K. V. Sanderson on 'The Archi-tecture of Basal-Cell Carcinoma.'Lectures. This year's lecture course commences onOctober 7 and continues until the beginning of July.Those who wish to attend are advised to come full-timefor the whole year. Lectures are at 5.30 p.m. on Tues-days, Wednesdays and Thursdays, unless otherwiseindicated.June

I Dr. V. H. Witten. The use of ionizing radiation indermatology.

7 Dr. A. Rook. Skin sensitivity to plants.8 Dr. A. Tickner. Fats in relation to skin disease.9 Dr. H. Haber. Primary skin cancer, clinical and

pathological.13 (Mon., 5 p.m.) Dr. P. Wade. Radiotherapy of

malignant skin conditions (I). At the BritishInstitute of Radiology.

15 Dr. H. Haber. Recent advances in histopathologyof the skin.

21 (5 p.m.) Dr. P. Wade. Radiotherapy of malignantskin conditions (II). At the British Institute ofRadiologv.

22 Dr. R. W. Riddell. Infections due to yeasts.23 Dr. Brian Russell. Uncommon skin tumours,

clinical and pathological.27 (Mon., 5 p.m.) Mr. I. Muir. Reconstructive sur-

gery and malignant disease. At the British Instituteof Radiology.

28 (5 p.m.) Dr. A. W. G. Goolden. Carcinogeniceffects of irradiation. At the British Institute ofRadiology.

29 Dr. R. W. Riddell. Histopathology of fungusinfections.

30 Mr. A. K. Monro. Malignant melanoma, clinicaland pathological.

Clinical Demonstrations. These are held on Fridaysat 5.30 p.m., designed for those intending to sit for theM.R.C.P. examinations. Fee for course of demonstra-tions is 5 guineas.June3 Dr. M. Feiwel.io Dr. D. I. Williams.

JuneI7 Dr. R. H.. Meara.24 Dr.. Brian Russell.July

I Dr. S. C. Gold.Enquiries should be made to the Dean, Institute of Der-matology, St John's Hospital for Diseases of the Skin,Lisle Street, Leicester Square, London, W.C.2.

INSTITUTE OF D;ENTAL;SURGERY(Eastman Dental Hospital)The Institute holds courses in orthodonties (full-time,for one year), and in periodontology, conservativedentistry, prosthetic dentistry, minor oral surgery, oralpathology and children's dentistry (variable length, full-and part-time). Refresher courses are arranged twiceyearly for general practitioners. Courses are also heldin conjunction with the Faculty of Dental Surgery ofthe Royal Collegc of Surgeons and are suitable forcandidates preparing for the final examination for theFellowship in Dental Surgery of the College. Thesebegin in April and October (lasting for approximatelyeight months), fee /j6o, and in April and October thereare revision courses lasting eight weeks, fee £3' sos. od.Special arrangements can be made for students requiringcourses of study and research experience not fallingwithin the scope of the courses listed above.For further information apply to the Dean,- Institute ofDental Surgery, Eastman Dental Hospital, Gray's IntRoad, London, W.C.i.

INSTITUTE OF LARYNGOLOGY ANDOTOLOGY(Royal National Throat, Nose and EarHospital)There is daily clinical teaching throughout the yearand the theoretical aspects of the specialty and of thebasic sciences upon which it is founded are covered bycourses of lectures and demonstrations which are heldtwice annually, commencing in February and August.There are facilities for dissection as part of the course;for appointments as clinical assistants in the associatedHospital and for higher posts for advanced students.Twice yearly there are advanced revision classes forM.S. and F.R.C.S. students and practical revisionclasses for Part II D.L.O. students. Short coursesin endoscopy, malignant diseases, aural surgery, thedeaf child and pathology are arranged periodically.For further information application should be addressedto the Dean, Institute of Laryngology and Otology,330 Gray's Inn Road, W.C.I.

INSTITUTE OF NEUROLOGY(The National Hospital, Queen Square, andthe Maida Vale Hospital for NervousDiseases)The teaching is mainly by attendance on the hospitalpractice. Some advanced students are appointed asfull-time clinical clerks at the National Hospital, QueenSquare, or to the electro-encephalographic or- one ofthe other special departments, or to the research labora-tories. A limited number of-part-time clinical -clerkshipsare available at the Maida Vale Hospital with opportunityfor examining patients.In addition elementary neurology is taught in threeterms each of ten weeks. The syllabus deals with theanatomy and physiology of the nervous system, methodsof examination, neuro-pathology, and neuro-chemistry;

June I960 Postgraduate News 4II

and includes lectures and demonstrations on clinicalneurology (medical and surgical), psychological medicineand ancillary subjects.' While the'lectures are- arrangedto cover the whole year, the instruction in each term isentirely inclusive and the section on clinical examinationis completely comprehensive in each term. Speciallectures by neurologists from outside London and fromabroad are held throughout these courses. Fees forattending the full-time course of ten weeks, C25; forattending hospital practice, £i8 for, three months or £C32for six months.Courses on the technique and application of the electro-encephalogram are given in the autumn and spring terms.The' fee for the course of ten weeks, CI5 I5s. od.Part-time teaching is given in the Out-Patient Depart-ment at the National Hospital-, Queen Square, on fivedays a week throughout the year (public holidaysexcepted) and at Maida Vale Hospital.Courses of clinical dernonstrations are given on Wednes-days and Saturdays at the National Hospital, QueenSquare. Fee for either 'course, 2 2S. od. Advertise-ments concerning these appear from time to time inthe medical journals.For further particulars please applv to the Dean, Iins-tituiteof Neutrology, National Hospital, Quieen Square, London,W.C.i.

INSTITUTE OF OBSTETRICS ANDGYNAECOLOGY(Queen Charlotte's Maternity Hospital,Chelsea Hospital for Women, Departmentof Obstetrics and Gynaecology of Hammer-smith Hospital)Two terms of 13 weeks each are held, beginning in thefirst week of March and the first week of September(enrolment'fee £3; £36 for the term's course). Generalpractitioners ate' accepted to attend -for short periodsduring term time (fee £3 IOS. od. per week). Generalpractitioner refresher courses lasting one week are held atthe end of Februarv and the end of June (fee £s5 5s. od.).Ministry of Health grants are payable for approved prac-titkoners attending either for one or two weeks duringterm, or -the one week refresher course. An intensivecourse suitable for those preparing for higher examina-tis is held during the first two weeks of December andthe first two weeks of June (fee £I4 14S. od.). A limitednumb6r of postgraduates can be accepted to'attend thepractice of the hospital during the winter vacation (feeCi per week). Laboratory training in pathology, endo-crinology and cytology is available for a limited numberof postgraduates. The Institute has hostel rooms atQueen Charlotte's Hospital and Hammersmith Hospital.Further information and enrolment forms can be obtainedfrom the Secretary, Ismtitute of Obstetrics and GvnaecologyChelsea Hospital for Women, Dovehouse Street, London,S.W.3.

INSTUTE OF OPHTHALMOLOGY(Royal London Ophthalmic, Royal West-minster Ophthalmic, Central LondonOphthalmic Hospitals)Courses of lectures and classes beginning March i andOctober i each year to meet the requirements of can-didates entering for the examination for the Diploma inOphthalmology and other ophthalmological examinationswill be given by members of the staff of the Hospital andInstitute. Each course is designed to :extend over twoterms of approximately i6 weeks each and is normallydivided into two parts.

Part I. Anatomy (including embryology and normalhistology), elementary physiology of the eyye, optics(elementary and physiological), practical tutorials inrefraction work and clinical subjects.Part II. All clinical branches of the subject, togetherwith bacteriology and pathology. Students can attendthe daily clinical practice of the two branches of theMoorfields Eye Hospital and hold the appointments ofCli-nical Assistants concurrently with the above courses.A composition fee of C3I ios. od.'will admit students,once to the lectures and tutorial classes of any one-term,with six months' clinical- practice in the hospital.Extra Courses. Orthoptic training (one week's inte.n-sive course, fee C5 5s. od.); contact lenses (one week'sintensive course, fee Lio Ios. od.). Additional coursesby arrangement.Hospital Practice only. Fees as follows: One month',L 2S. od.; three months, C5 5s. od.; six months,Lio ios. od.Facilities for research.For further information applv to the Dctm, Institute ofOphthalmology, J7udd Street, London, W.C.i.

INSTITUTE OF ORTHOPAEDICS(Royal National Orthopaedic Hospital)The Institute is concerned with postgraduate educationin orthopaedics and with research. The practice of theHospital (both at the town section in Great PortlandStreet and at the country section at Stanmore) and aRadiological Museum and the Wellcome Museum ofOrthopaedics are open to postgraduates, who' may joinat any time. In addition to hospital 'practice, formalcourses of various lengths are held during academicterms.JuneI1 IO a.m. Dr. F. Harwood Stevenson. Teaching

ward -round. Country section.14 6 p.m. Registrars' meeting. Town section.25 Royal Society of Medicine meeting.

Country section.Further particulars may be obtained from the Dean,Institute of Orthopaedics, Royal National OrthopaedicHospital, 234 Great Portland Street, London, W. I.

INSTITUTE OF PSYCHIATRY (BethlemRoyal Hospital and Maudsley Hospital)The Institute is concerned with postgraduate educationin psychiatrv and allied subjects, and with research. Acourse of instruction covering up to three years, andstarting in October yearly, is provided for medicalpractitioners who wish to specialize in psychiatry or toprepare for the Diploma in Psychological Medicine.Clinical instruction, which includes case conferences,seminars, and practical experience in case-taking, isgiven at associated hospitals in the mornings, andsystematic lectures and demonstrations are arranged forthe afternoons. Students mav also enrol for shorterperiods or for single series of lectures.The subjects- covered include anatomy and biochemistryof the nervous system, neurophysiology, pathology ofnervous and mental diseases, psvchiatry of children andadults, delinquency, principles of psychotherapy,forensic psychiatry and criminology, psychology, mentaltesting and statistics. There is a special six months'course in child psychiatry, comprising clinical instruc-tion and lectures, which starts on October I. Lectureson subjects of special interest are arranged from time totime. The tuition fee for a full year's course is,C65 8s. od., including enrqlment fee. For shorter

4I2 POSTGRADUATE MEDICAL JOURNAL June I960

periods the fee varies with the type of course chosen.Selected students are eligible for appointmnents on thestaff of the Joint HIospital.Facilities for research and supervision of study forhigher degrees can be provid;ed in clinical work and inthe biochemical, physiological, neuro-endocrinological,neuropathological and psychological laboratories.A course for Honours Graduates in Psychology is avail-able in clinical psychology for the Academic Post-graiuate Diploma in Psychology. In conjunction withthe Institute of Neurology, a course in the techniquesof electroencephalography is provided for doctors whoexpect to take up electroencephalographic appointmentsin hospitals.Further information may be obtained from the Dean,Institute of Psychiatry, Maudsley Hospital. DenmarkHill, London, S.E.5.

INSTIlTUTE OF UROLOGY (St. Peter's, St.Paul's and St. Philip's Hospitals)Week-end cours of lectures and demonstrations,beginning on Friday afternoon and ending on Sundayabout tea-time, are given about once a month, fromOctober to April, as advertised. Fee C5 ss. od. for eachcourse.Lectures for general practitioners are given on Wednes-days, throughout the winter months, at 4.30 p.m. for5 p.m. No fee.The practice of the hospitals, including the use of theInstitute museum, reading room and library, is open tostudents attending the courses.Applications should be addressed to the Secretary, Instituteof Urology, io Henrietta Street, Covent Garden, London,W.C.2.

NORTH LONDON POSTGRADUATEMEDICAL WSIT UTECourses in advanced medicine, advanced surgery, andobstetrics and gynaecology. Instruction in pathology,anaesthetics and radiodiagnosis. Clinical instruction atBearsted Memorial Hospital, Chase Farm Hospital,North Middlesex Hospital, The Prince of Wales'sGeneral Hospital and St. Ann's General Hospital.For further information apply to the Dean, the Prince ofWales's General Hospital, London, N. I5.

PLASTOW HOSPITAL CHEST UNITIn-patient round every Thursday at 4.30 p.m.Apply Registrar, Plaistow Hospital, Samson Street,Plaistow, London, E.I3.

ROYAL LONDON HOMOEOPATHICHOSPITALClinical Tutorials. Practical instruction in the appli-cation of homoeopathic principles is given by theTutor, Dr. D. M. Foubister and Dr. L. R. Twentyman,at their tutorial clinics in the O.P. department onThursday at 9.30 and 1.30 p.m. throughout the year.Open to medical practitioners without fee.A course of lectures is also given from October to Juneunder the auspices of the Homoeopathic Research andEducational Trust. These lectures deal with the sub-jects required for examination for the Diploma of theFaculty of Homoeopathy. Fee for registered medicalpractitioners, C£io IOs. od. per session; medical studentsadmitted without charge.For further information application should be made to

the Dean of the Education Course, Royal London Homoeo-pathic Hospital, Gteat Ormond Street, Londtn, W.C. I.

ST. MAY'S HOSPITAL MEDICAL SCHOOLObstetrical and gynaecological conferences will be heldin the Wright-Flerning Institute Theatre on Tuesdaysat 5 p.m. Admission free.

ST. STEPHEN'S HOSPITAL(Rheumatism Unit)A concentra.ted week-end course in the rheumnaticdiseases is given each year, in March, und-er the auspicesof the Fellowship of Postgraduate Medicine.A limited number of postgraduates can attend the out-patient sessions of the unit on Wednesday and Fridaymorninigs at io a.m.Applications for attendance at these sessions should bemade to the Medical Registrar, Rheumatism Unit, St.Stephen's Hospital, Pulham Road, S.W. I o.

EMPIRE RHEUMATISM COUNCILLecture courses in rheumatic diseases are arrangedfor general practitioners and other postgraduatesperiodically.Particulars are obtainable from the General Secretary,Empire Rheumatism Council, Tavistock Hotse (N),Tavistock Square, London, W.C. i.

EAST HAM CHEST CLINICOut-patient teaching. Mondays at 2.30 p.m.Apply Senior Registrar, East Ham Chest Clinic, KatherineRoad, Forest Gate, London, E.7.

LONDON SCHOOL OF HYGIENE ANDTROPICAL MEDICINE INCORPORATINGTHE ROSS INSTITUTE(University ofLondon)Courses of study are arranged for the D.P.H. (LondonUniversity); D.T.M. & H. (London University);D.T.M. & H. (Eng.); D.A.P. & E. (London UniversitY);and Academic Diploma in Bacteriology. Short coursesare arranged in the Principles of Medical Statistics andEpidemniology, Statistical Methods and their Applica-tion in Medicine, Applied Helminthology and Environ-mental Coixtrol.For further information and enrolment application shouldbe addressed to the Secretary, London School of Hygieneand Tropical Medicine, Keppel Street, Gower Street,London, W.C.i.

ROYAL INSTITUTE OF PUBLIC HEALTHAND HYGIENEThe Royal Institute of Public Health and Hygieneconducts recognized courses of instruction (startingannually in March and September) for the examinatioisof the Conjoint Board of the Royal College of Physiciahsof London and the Royal College of Surgeons ofEngland for the Diploma in Public Health. Studentsare also prepared for the Diploma in Industrial Healthexaminations of the Conjoint Board and of the Societyof Apothecaries of London. Courses, the next whole-time. beginning on March i I, I960, may be takenwhole-time or part-time. Part-time courses may becommenced at any time, and all courses consist of bothlectures and visits. In the D.P.H. the practical work, iscarried out at a county or metropolitan borough.Prospectuses, enrolment forms and full pattictleTs may be

June I960 Postgraduate News 413

obtained from the Dean, The Royal Institute of PublicHealth and Hygiene, 23 Queen Square, London, W.C.i.Telephone: Terminus 4788 and 62o6.

BIRMINGHAMBirmingham and Midland Eye HospitalPostgraduate Course in Industrial Ophthalmology.September I9 to 23. The course is for ophthalmologistsand industrial medical officers, but is open to all regis-tered medical practitioners. It will include clinicaldemonstrations, lectures on industrial diseases andinjuries, etc., also visits to local factories. Fees: £5 5s.for the full course; Cz2 I2s. 6d. for morning sessions only.Syllabus can be obtained from the Secretary, IndustrialOphthalmology Course, Birmingham and Midland EyeHospital, Church Street, Birmingham, 3.

BRISTOL UNIVERSITYPostgraduate Diploma Courses. Courses of instruc-tion are provided for the University's Diploma inPublic Health and for the following diplomas ot theConjoint Board: child health and radio-diagnosis.Further information, copies of regulations for the BristolDiploma, and application forms for the courses may beobtained from the AMIedical Postgraduate Dean, TheUniversity, Bristol, 8.

CAMBRIDGECambridge University Medical SchoolSummary of postgraduate facilities for general medicalpractitioners from October i, I959, to July 31, I960(Bank Holidays excepted), at Addenbrooke's Hospitalunless otherwise stated.Each week. Mondays: 9 a.m. to II a.m., radiothera-peutic centre, gynaecological radium treatment (Prof.J. S. Mitchell, jointly with Mr. 0. Lloyd or Miss J.Bottomley); I0.I5 a.m., Maternity Hospital, MillRoad, abnormal ante-natal clinic (Miss J. Bottomley);I0.30 a.m., ward round, medical cases (Dr. A. P.Dick); 2.30 p.m., ward round, medical cases (Dr. L. C.Martin); 2.30 p.m., O.P. clinic, 2 Bene't Place, psychi-atric cases or subject (Dr. D. Russell Davis); 2.30 p.m.,Chest Clinic, Castle Hill, diseases of the chest (Dr.M\. J. Greenberg). Tuesdays: 9 a.m., RadiotherapeuticCentre (Prof. J. S. Mitchell). Discussion of patientsfollowed by ward round; 9.15 a.m., O.P. department,dermatological clinic (Dr. A. J. Rook); io a.m. Pap-worth Hospital, cardiac catheterization (Dr. H. A.Fleming) and angiocardiography (Dr. D. McC. Gregg);10.30 a.m., ward round, medical cases (Dr. L. B. Cole);2 p.m. (Papworth Hospital), ward round (Dr. H. A.Fleming); 2.15 p.m., O.P. department, dermatologicalclinic (Dr. A. J. Rook). Wednesday: 9 a.m. to II a.m.,radiotherapeutic centre, discussion of cases under treat-ment (Prof. J. S. Mitchell); io a.m., ward round,haematological cases (Dr. F. G. J. Hayhoe); i i a.m.,O.P. department, dermatological clinic (Dr. C. H.Whittle); 2 p.m., O.P. department, E.N.T. cases (Mr.K. F. Wilsdon); 2.30 p.m., O.P. department, dermato-logical cases (Dr. C. H. Whittle). Thursdays: 9.30 a.rn.(Papworth Hospital), Case Conference or Clinico-Pathological Meeting; I0.30 a.m., ward round, medicalcases (Dr. L. B. Cole); 2 p.m., cardiac outpatients(Dr. H. A. Fleming); 2.15 p.m., O.P. department,cardiac clinic (Dr. L. B. Cole); 2.30 p.m., ward round,Papworth Hospital, thoracic medical cases (Dr. M. J.Greenberg); 4 p.m., X-ray department, cardioscopy(Dr. L. B. Cole and Dr. D. McC. Gregg). Fridavs:9.30 a.m., special clinic, neurological outpatients (Dr.M. F. T. Yealland); io a.m., department of physical

medicine, demonstration of cases and methods (Dr.W. A. Fell); Io a.m., O.P. department, thoracic sur-gical cases (Mr. C. Parish); io a.m., ward round,surgical cases (Mr. J. F. R. Withycombe); 2.I5 p.m.,ward round, paediatric cases (Dr. D. M. T. Gairdner);2.15 p.m., O.P. department, dermatological clinic (Dr.A. J. Rook); 2.30 p.m., O.P. department, endocrineclinic (Dr. L. C. Martin); 2.30 p.m., O.P. department,gastro-enterological clinic (Dr. A. P. Dick and Dr.F. R. Berridge); 4.30 p.m., except on the days of theClinical and Clinico-Pathological meetings, Radio-therapeutic Centre (Prof. J. S. Mitchell with Dr. F. R.Berridge), Joint X-ray Diagnostic Session. Saturdays:10.30 a.m., ward round, medical cases (Dr. L. B. Cole).Each month. First Monday (by arrangement): 2.30p.m., radio-therapeutic centre, diagnosis and treatmentof cancer (Dr. D. G. Bratherton); 2.30 p.m., X-raydepartment, radiological demonstration (Dr. D. McC.Gregg). First Wednesday: io a.m., ward round, Pap-worth Hospital, thoracic surgical unit (Mr. C. Parishand Mr. B. B. Milstein). First Thursday: 2.30 p.m.,orthopaedic O.P. department, orthopaedic cases or sub-ject (Mr. T. J. Fairbank). Second Thursday:9.30 a.m., O.P. department, plastic surgery clinic (Mr.L. M. Rouillard). Third Monday: 2 p.m., ward round,surgical cases (Mr. B. McN. Truscott). Third Tuesday:9.30 a.m., O.P. department, 2 Bene't Place, gynaeco-logical cases (Mr. 0. Lloyd); 3 p.m., O.P. department,clinical psychiatry (Dr. E. Beresford Davies). ThirdWednesday: 9.3o a.m., O.P. department, urological andgeneral surgical cases (Mr. J. F. R. Withycombe);10.30 a.m., orthopaedic O.P. cases (Mr. R. W. Butler);2.30 p.m., X-ray department radiological demonstration(Dr. F. R. Berridge). Third Thursday: I0.30 a.m.,O.P. department, E.N.T. cases (Mr. A. S. H. Walford).Fourth Mondav: 9.30 a.m., ward round, general sur-gical cases (Mr. P. H. R. Ghey); io a.m., O.P. depart-ment, ophthalmic cases (Mr. G. F. Wright).Anaesthetic instruction daily by arrangement with theConsultant Anaesthetists.Post-mortem demonstrations daily (except Saturdavs)at 12 noon.Clinical and clinico-pathological meetings are heldat 4. I5 p.m. every Friday (except June 24, July I and 29).A Refresher Course for General Practitioners willbe held from June i6 to 22, I960. Accommodation willbe available in Downing College.One-day Symposia will be held on Saturdavs at10.30 a.m. and Sundays as follows:July 9 Infectious diseases, at Addenbrooke's Hos-

pital, Cambridge.23 Psychiatry, at Addenbrooke's Hospital, Cam-

bridge.Further particulars may be obtained from the Secretary,Cambridge University Medical School, Tennis CourtRoad, Cambridge.

CARDIFFThe Welsh National School of MedicineD.P.H. Wales (Diploma in Public Health). Part-time course, extending over two academic vears.Courses commence in the October in years of eveni date.D.T.C.D. Wales (Diploma in Tuberculosis andChest Diseases). Five to six months' full-time courseJanuary to June.D.C.H.Eng. (Diploma in Child Health). Foursessions weekly for twelve months, commencing inOctober and April.The number of admissions to each of the above courses isstrictly limited, and early application should be made to

414 POSTGRADUATE MEDICAL JOURNAL June I960

the Secretary, The Welsh National School of Medicine,34 Newport Road, Cardiff.

DUBLINUniversity CollegeThe following couirses will be held during the sessionI959-60:D.P.H. Course. One academic year of whole-time

study. Examinations June and September.D.P.M. Course. Michaelmas term. Examinations,

Parts I and II, December and June.D.C.H. Course. Hilary term. Examinations Juneand December.

Further particulars mnay be obtained on application to theRegistrar, University College, Earlsfort Terrace, Dublin.

EDINBURGHEdinburgh Postgraduate Board for MedicineSurgery. Three months' courses of postgraduatesurgery suitable for surgeons requiring a refreshercourse in the current outlook on general surgery orfor graduates preparing to specialize in surgery, starton September 26, 1960, and March 13, 196I. The pro-gramme has been arranged so as to provide co-ordinatedclinical and systematic instruction in general surgicalwards and specialized surgical units in Edinburgh.Fee ,C37 i2s. 6d.Medical Sciences. Three 12-weeks' courses in thebasic medical sciences (anatomy, physiology, pathologv,including bacteriology) are organized each vear. Thesecourses comprise lectures, demonstrations and practicalinstruction. Courses will commence on June 20 andSeptember 26, i96o. The fee is 137 12S. 6d., whichincludes matriculation.Internal Medicine. Courses lasting 12 weeks, suit-able for graduates wishing a refresher course, or tospecialize in medicine, will begin on September 26,I960, and March 20, I96I. These courses consist of320 hours' instruction, comprising lectures, clinicaldemonstrations and ward visits. Fee £37 I2S. 6d.Additional instruction in clinical paediatrics and tropicalmedicine is arranged in conjunction with the course inmedicine, for which there is a small fee; the numbersare limited.The Royal College of Physicians of Edinburgh awardtwo Hill Pattison-Struthers Bursaries each vear tograduates attending the Internal Medicine course.Each Bursary amounts to £ioo. Applications must besubmitted to the Secretary, Royal College of Physiciansof Edinburgh, before June 29, I960, for those attendinigthe September, I960, course.Applications for enrolment shoutld be addressed to theDirector of Postgraduate Studies, Sturgeons' Hall, Edin-burgh 8, supplying particulars of qualifications andpostgraduate experience.

Royal Medical SocietyThe meetings of the Society are held in the Society'sHall on Friday evenings during the Autumn and SpringTerms. Meetings consist of Private Business (at 7 p.m.)and Public Business (at 8 p.m.) in which dissertationsby members or addresses by prominent medical men onsubjects of medical interest are given. Clinical meetingsare held periodically in the Royal Infirmary and filmshows of the latest medical films are given in the Society'sRooms. Prospective members will be welcomed on anyFriday evening in the Society's Hall before publicbusiness.Applications for further information should be addressed

to the Secretary, Royal Medical Society, MelbournePlace, Edinbiurgh, I.

GLASGOWGlasgow Postgraduate Medical EducationCommitteeThe Committee is prepared to consider applicationsfrom suitably qualified medical pr-actitioners for post-graduate instruction in general medicine, general surgeryand the various specialities. Preference will be given tothose who are proceeding to higher qualifications. Anapplicant who is accepted will be attached to clinicalunits in teaching hospitals in Glasgow for a period ofthree months. Provision will be made to enable thepostgraduate student to obtain intensive clinical experi-ence by sharing in the day-to-day routine of diagnosisand treatment. Emphasis will be placed on clinicalmethods and bedside discussion.A limited number of vacancies is now available. Fee£5 per month.Applicants should write to the Convener of cite PostgraduateMedical Education Committee, The University, Glasgoz,W.2, stating age, qualifications and professional experienceand enclosing two testimnonials from senior clinicians withwhomt they have recently been associated.

LIVERPOOLUniversity of LiverpoolThe following postgraduate courses of instruction areoffered:Surgery. A full-time course of one year suitable forcandidates who have already completed the PrimaryExamination of the F.R.C.S., or undertaken post-graduate study in anatomy and physiology. On com-pletion of the course students become eligible to takethe Mastership of Surgery (Ch.M.) of this Universityprovided they are graduates of an approved Universityor otherwise comply with the regulations. The fee forthe course is £60. The course begins in September.Orthopaedic Surgery. A full-time i2-month courseleading by examination to a Mastership in OrthopaedicSurgery (M.Ch.Orth.) open to all medical graduates ofapproved Universities (and to graduates in otherfaculties with qualifications in medicine) who hold arF.R.C.S. of one of the British colleges or its equivalent.The fee for the course is 0go. The course normallybegins in January.Radiology. A full-time course of two academicyears leading to a D.M.R. (D. or T.) open to medicalgraduates of approved Universities and to medicallyqualified candidates who hold approved higher medicaldiplomas and a degree in a faculty other than medicine.The course allows a candidate to hold suitable approvedhospital appointments during the second year andcovers the regulations required by the Conjoint Board.The fee for the two-year course is £63. The coursebegins in October. The degree of M.Rad. may, afterreport by the Faculty, be conferred on holders of theD.M.R. (D. or T.) of this University under certainconditions.Public Health. A full-time one-year course leading tothe Diploma in Public Health, open to candidates witha medical qualification from an approved medical schoolor licensing body. This qualification should have beenobtained not less than two years before admission tothe course. The tuition, examination and diploma feesamount to £73 13s. od. All courses of instruction beginin October.Tropical Medicine and Hygiene. A full-time three-

June 1960 Postgraduate News 415

month course leading to the Diploma in TropicalMedicine and Hygiene (D.T.M. & H.) open to candi-dates with a medical qualification from an approvedmedical school or licensing body. The course beginsin September and January. The tuition, examinationand diploma fees amount to 6i I9s. od.Anaesthesia. A full-time course of postgraduateinstruction, limited to ten students, begins on October Iand lasts for one year. The course combines instructionin the practical administration of anaesthetics with lec-tures and demonstrations in anatomy, physiology,pathology, physics, pharmacology, medicine and surgery,and anaesthesia. For the purpose of gaining practicalexperience, the students are found suitable appointmentsin recognized General Hospitals within the Liverpoolarea. The fee for the course is £75.Psychiatry. A part-time course begins on January Iand lasts for two years. It is divided into two partscorresponding to the two parts of the Diploma in Psy-chological Medicine awarded by the Examining Boardin England (R.C.P. Lond. and R.C.S. Eng.). Part Iprovides instruction in (a) anatomy (macroscopic andmicroscopic) and physiology of the nervous system, and(b) psychology. Part It deals with (a) clinical neurologyand neuropathology, and (b) psychological medicine,including psychoneuroses, mental deficiency, childpsychiatry, forensic psychiatry and social psychiatry.Parts I and II will be held simultaneously. Studentsmay enrol for either part separately but, except inspecial circumstances, will not be permitted to takeboth parts concurrently. Applications to attend inrespect of a special subject in Part II (e.g. mentaldeficiency) will be considered individually. FeesLI2 12S. od. per term or £70 for the whole course..4pplications for further information should be addressedto the appropriate department of the Un'versity, Liver-pool, Z

MANCHESTERUniversity of ManchesterThe following postgraduate courses are offered:D.P.M. A part-time course beginning in October andextending over nine academic terms.D.P.HL A part-time course begins in October inalternate years and extends over two academic years.The next course will begin in October I960.Diploma in Statistics. A full-time course beginningin October and extending over at least one academicyear. Candidates must present evidence of suitableprevious training. (Enquiries should be addressed tothe Professor of Mathematical Statistics, The University,Manchester I3.)Further particulars may be obtained from the Dean of theMedical School, The University, Manchester 13.

NEWCASTLEThe Medical School, King's College(University of Durham)Public Health. A part-time course is held for theD.P.H. The course occupies five terms, two-and-a-halfdays each week being occupied in whole-time study,leaving the remainder of the time free for remuneratedemployment. Several suitable part-time hospital postsin the area are available to candidates attending thecourse. The course is held biennially and the nextcomplete course will begin in January I96I.Psychological Medicine. Courses for the D.P.M.(Dunelm) are held as follows: Part I, part-time courseextending over two terms and beginning October.Part II, part-time course extending over four terms also

beginning in October. Part I and Part II may be takentogether.For further information application should be made to theAssistant Registrar, Medical School, King's College,Newcastle upon Tyne.

OXFORDPostgraduate Medical StudiesSummary of ward rounds, clinics, demonstrations,etc., open to general practitioners during June,1960, in the Radcliffe Infirmary, unless otherwisestated. Trinity full term, April 24 to June i8, I960.Medicine. Ward rounds, 10.15 a.m., Mondaysand Thursdays (Dr. A. M. Cooke); Tuesdays andFridays (Dr. P. C. Mallam); io a.m., Wednesdays(Dr. E. M. Buzzard); io a.m. Tuesdavs and 2 p.m.Fridays (Prof. Sir George Pickering). O.P., 9.15 a.m.,Thursdays (Dr. E. M. Buzzard). Clinical demon-strations, 2.15 p.m., Thursdays in full term (Prof.L. J. Witts, Dr. S. C. Truelove, Dr. J. Badenoch,Dr. Sheila Callender). Medical consilia, 5 p.m.,Wednesdays in alternate weeks in full term (Prof.L. J. Witts and others). Clinical pathology. Con-ferences, 5 p.m. Wednesdays, alternate weeks in fullterm (Dr. A. H. T. Robb-Smith and staff). Chest dis-eases. Clinical demonstrations, by arrangement with Dr.F. Ridehalgh, Osler Hospital. Geriatrics. Clinical de-monstrations by arrangement with Dr. L. Z. Cosin andDr. P. D. Bedford, Cowley Road Hospital. Infectiousdiseases. Clinical demonstrations, by arrangementwith Dr. J. F. Warin, Slade Hospital. Neurology.Clinical demonstrations, 5 p.m., Thursdays in full term(Mr. J. B. Pennybacker, Dr. WV. Ritchie Russell, Mr.W. S. Lewin, Dr. C. W. M. Whitty, Dr. J. Spalding,Dr. Honor Smith); ward rounds, io a.m. Fridays (Dr.Ritchie Russell and Dr. C. W. M. Whitty, ChurchillHospital); O.P., 2 p.m., Tue days (Dr. Ritchie Russell,Dr. C. W. M. Whitty, Dr. I Spalding); 2 p.m., Wed-nesdays (Dr. C. W. M. Whitty, Dr. J. Spalding, Dr.Honor Smith). Neurological surgery. O.P., I.45p.m., Wednesdays (Mr. J. B. Pennybacker, Mr. W. S.Lewin). Paediatrics. Ward rounds, 10.30 a.m.,Saturdays (Dr. Victoria Smallpeice). Psychiatry.O.P. 2 p.m., Wednesdays (Dr. R. G. McInnes). Clinicaldemonstrations, 4 p.m. Fridays in fLull term at WarnefordClinic (Dr. R. G. McInnes). Skin diseases. O.P.,2 p.m.. Mondays and Fridays (Dr. H. R. Vickers)'Social medicine. Demonstrations by arrangementwith Dr. Alice Stewart, Department of Social Medicine,8, Keble Road. Venereal diseases. O.P. male5.30 p.m. WVednesdays, 2 p.m. Saturdays (Dr. P. C.Mallam); O.P. female, 6 p.m. Mondays, 2.30 p.m.\Vednesdays (Dr. Frances Nichol). Surgery. Wardrounds, 10.30 a.m. Thursdays, Churchill Hospital(Mr. A. S. Till). O.P. fractures, io a.m. Mondaysto Fridays (Mr. J. C. Scott, Mr. R. G. Taylor, Mr.J. D. Morgan). Clinical demonstrations, 4.30 p.m.Tuesdays (in full term). Jaw injuries. Ward rounds9 a.m. Wednesdays (Mr. D. S. Hayton-Williams).Orthopaedic surgery. Clinical discussion, 9 a.m.Thursdays and Saturdays at Nuffield OrthopaedicCentre (Prof. J. Trueta, Mr. J. C. Scott, Mr. R. G.Taylor, Mr. E. W. Somerville, Mr. J. Agerholm,Mr. J. D. Morgan, Mr. M. L. H. Lee). Plasticsurgery. Ward rounds, io a.m. Wednesdays, ChurchillHospital (Mr. E. W. Peet). Clinical discussions andO.P., 2 p.m. Wednesdays, Churchill Hospital (Mr.E. W. Peet); io a.m. Thursdays, ChurchiUl Hospital(Mr. T. J. S. Patterson). Radiotherapy. Ward rounds,9.30 a.m. Thursdays, Churchill Hospital (Dr. FrankEllis). Obstetrics. Lecture demonstrations, 9.15 a.m.Mondays and Tuesdays, 2 p.m. Fridays (Prof. J. C.

4I6 POSTGRADUATE MEDICAL JOURNAL June I960

Moir and staff); ward rounds, 10.30 a.m. Tuesdays(Mr. W. Hawksworth), i i a.m. Fridays (Prof. J. C.Moir). O.P. antenatal, 2 p.m. Mondays (Mr. M. P.Embrey), io a.m. Wednesdays (Mr. W. Hawksworth),2 p.m. Thursdays (Mr. J. A. Stallworthy), 2 p.m.Fridays (Nuffield Department staff), 2 p.m. Mondays,Churchill Hospital (Mr. J. A. Stallworthy), io a.m.Fridays, Churchill Hospital (Mr. W. Hawksworth).O.P. post-natal, io a.m. Tuesdays (Nuffield Depart-ment staff); Infant Welfare Clinics, 2 p.m. Wednesdaysand Thursdays, by arrangement with Dr. ElizabethCoulter, City Clinics. Gynaecology. Ward rounds,ii a.m. Tuesdays (Prof. J. C. Moir), 10.3o a.m. Wednes-days (Mr. J. A. Stallworthy). Diabetes clinic. O.P.,2 p.m., Mondays and Fridays (Dr. A. M. Cooke).Obesity clinic. O.P., 2 p.m. Mondays (Dr. P. C.Mallam).General Practitioners wishing to avail themselves of theseacilities should notify the Director of PostgraduateMedical Studies, Osler House, 43 Woodstock Road,Oxford (Telephone: Oxford 4102I).

CONFERENCES, PRIZES, Etc.Riker Feliowship in Pharmacology. The firstFellowship has been provided since I 954, and com-mencing the next academic year two will be awardedannually. The Fellowships provide a grant of L',ooofor one year of postgraduate study in pharmacologicallaboratories in Great Britain. Two similar Riker Fellow-ships are available in the United States. The Fellow-ships are awarded and adnministered by the InternationalCouncil of Pharmacologists in association with theBritish Pharmacological Society and other pharmaco-logical societies affiliated with the International Council.The Fellowships aim to provide opportunities forgraduates to pursue research abroad, thus one of theconditions of their award is that pharmacologists are noteligible for Fellowships tenable in their country ofresidence.Full particulars from Riker Laboratories Ltd., MorleyStreet, Loughborough, Leicestershire.

UPJOHN TRAVELLING FELLOWSHIPS I96oApplications are invited from members of the Collegeof General Practitioners for not less than fifteen travel-ling fellowships of up to &0oo each in value. Thesefellowships are to enable general practitioners to carryout a minimum of two weeks' postgraduate study attheir old teaching hospitals or at any other hospitals

clinics, health centres or general practices of theirchoice in the United Kingdom or Eire. They are notavailable for study overseasThe award made to each successful applicant is intendedto cover his expenses while pursuing his studies, andto enable him to organize his practice-including, ifnecessary, a locum tenens-during his absence.These Upjohn Travelling Fellowships are presentedannuallyby Messrs. Upjohn of England Ltd. to members(not associates) of the College of General Practitionerspractising in the United Kingdom or Eire, who havenot previously been awarded an Upjohn Fellowship.They will not be awarded where a government grant isavailable for attending a course which would cover thefield of study.Application forms for the I960 Upjohn Fellowshipsmay be obtained from the Secretary, The College ofGeneral Practitioners, 41 Cadogan Gardens, London,S.W.3. They should be returned, together with adescription of the proposed study, not exceeding 250words, to the Chairman, Postgraduate Education Com-mittee of Council, before August I, I960.The names of the successful applicants will be an-nounced on November i9, I960.

6th INTERNATIONAL CONGRESS OFINTERNAL MEDICINEAugust 24 to 27, I960, Basle (Switzerland); organizedby the International Society of Internal Medicine(President: Sir Russell Brain, F.A.C.P.(Hon.), London).President of the Congress: Prof. Dr. A. Gigon, Basle;Secretary: Prof. Dr. H. Ludwig, Basle.Principal subjects of the Congress: Pathogenesy andTherapy in the Edema; Enzymic Regulations in theClinic. Panels: Interstitial Nephritis; Nephrosis;Diuretics; Diagnostic Value of the Enzymes; Thera-peutic Indications of the Enzymes; Serology in Rheu-matic Diseases; Instruction in Internal Medicine.Lectures on subjects of free choice. Seventy leadinginternists from all over the world will take part in themain scientific programme by reading their papers orjoining in the panel discussions.Official languages: German, French, English. Simul-taneous translation for the principal lectures. Pro-grammes and registration forms for the Congress maybe obtained from the Secretary of the 6th InternationalCongress of Internal Medicine, Steinentorstrasse 13,Basle I0 (Switzerland). Registrations should reach theSecretary if possible by April 30, ig60.

NOTICE OF SPECIAL INTEREST TO SUBSCRIBERS: WHY'WHY NOT HAVE YOUR COPIES OF THIS NJOURNAL BOUND INTO YEARLY VOLUMES?'

You can have your twelve monthly issues fully bound in dark green pin headdoth, lettered in gilt on spine with name of Journal, Volume Number and year,complete with index at front, for 22s. 6d. post free. A limited number of out of * *lprint Journals ire avaioble tO binl into volumes and mke your library complete . UPricn on application giving detoind of issues required to oomplete back .olumes.

THE FELLOWSHIP OF POSTGRADUATE MEDICINE BOU60 PORTLAND PLACE. LONDON. W.l

THE FELLOWSHIP OF POSTGRADUATEMEDICINE

6o PORTLAND PLACE, LONDON, W.ITelephone: LANGHAM 4266

PresidentSIR GORDON GORDON-TAYLOR, K.B.E., C.B., M.S., F.R.C.S.

Chairman of Executive CommitteeMAURICE DAVIDSON, D.M., F.R.C.P.

Honorary TreasurerA. A. G. LEWIS, B.SC., M.D., F.R.C.P.

Honorary SecretanresMAURICE DAVIDSON, D.M., F.R.C.P.

DAVID LEVI, M.S., F.R.C.S.Executive Committee

COLIN I:DWARDS, M.B., M.R.C.P. K. I. NISSEN, F.R.C.S.J. HOPEWELL, F.R.C.S. R. J. V. PULVERTAFTr, O.B.), M.D., F.RC.P.T. D'. KLLOCK, M.D., M.R.C.P. R. BODLEY SCOTT, D.M., F.R.C.P.L. P. LE QUESNE, D.M., F.R.C.S. W. SOMERVILLE, M.D., F.R.C.P.

PROF. R. WOOLMER, B.M., B.CH., F.F.A.Editor: A. A. G. LEWIS, B.SC. M.D., F.R.C.P. Secretary: Miss P. BARKER

EDITORIAL REPRESENTATIVE FOR AUSTRALIA: Clive Fitts, M.D.(MELB.), F-.R.C.P.(LOND.), F.R.A.C.P.EDITORIAL REPRESENTATIVE FOR CEYLON: M. M. A. Cader, M.S.(LOND.)

EDITORIAL REPRESENTATIVE FOR SOUTH AFRICA: Arthur J. Helfet, M.D., F.R.C.S.

Only qualified medical practitioners may become Members of the Fellowship of Postgraduate Medicine,Instruction arranged by the Fellowship of Postgraduate Medicine is open only to Members 4n pa*ment.of therequisite fees. Postgraduates (whether Members or not) are not automatically included in th* mailing lists, butmust notify the Fellowship of Postgraduate Medicine if they wish to be sent syllabuses- as p d and mtspecify the sects in which they are interested. Information regarding courses can be obtained from the Office,Mwnday tt Friday betwep s a.mn. and 5 pmr-. Telephone: LANGH 4266

A. I wish to become a Member of the Fellowship of Postgraduate Medicine; annual subscription 213. od.(if syllabuses of courses are required, please state subjects of interest).

B. I wish to subscribe to the monthly POSTGRADUATE MEDICAL JOURNAL; annual subscription, 63$. postfree. (All subscrptions from month of joining unless otherwise requested. Banker's Order- form, forsubscriptions to the JOURNAL are obtainable on application.)

Surname-(in block letters) .................................................(Dr., Mrs., Niss)

Forenanne ....................................................................

Nationality..............................

Address......................................................................

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

Telephone No. (if any)..................

Permanent address (if different from above)...........................................

Applicants for Membership of the Fellowship must also complete the following:Medical qualifications, University or Medical School and year of graduation

June i96o.