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1094 HOSPITAL SLTNDAY.
and is, or should be, part of the regular work of everystudent. Again, there is a great difference between" assistant to " and " pupil of " a general practitioner, andthe compulsory holding of either position would be foundimpracticable. In Ireland, for example, an assistant is
unknown, and important questions affecting unqualifiedassistants would make the carrying out of such a regulationdifficult in England. Sir JOHN SiMON’s question as to what i,was meant by "proper supervision" was also very pertinent. ’’,We cannot but conclude, as the outcome of the discussion,that the Council, although perceiving the advisabilityof every student visiting patients "under proper super-vision" for six months at their own homes, felt that it was
impossible to make such a rule obligatory ; and that is ourown opinion on the subject. If such a course, however, iwere followed by the student, he would gain all the advan-tages of the old apprenticeship system, without the loss oftime and the break in his general and scientific educationwhich the old régime necessarily involved. The resolution as
modified and finally passed, by recognising " the out-patientpractice of a recognised hospital," leaves matters practicallyin statu quo. It runs thus : "That, in addition to the
requirements at present in force with respect to hospitalattendance and duties, all candidates for the final exami-.nation be required to produce evidence that they have,under proper supervision, taken part as pupils for six monthsin the practice of a recognised public dispensary, includingthe visitation of patients at their own homes, or in
the out-patient practice of a recognised hospital, or
have acted for six months as pupil to a registered.practitioner either holding a public appointment or havingsuch opportunities of imparting practical knowledge as
shall be satisfactory to the examining bodies." The objectof this recommendation evidently is that the student shallbe familiarised with the detailed management of the dis-eases met with in the routine of every-day life, and henceDr. GLOvER, desirous of not seeing it remain a dead letter,moved an obvious corollary : " That it be a recommendationto the examining bodies to include in their final examina-tion of candidates tests of their knowledge of common’diseases and their treatment." But this determination to
drive the matter home to the examining bodies did notmeet with the approbation of the Medical Council, andthe clgture was found to be as efficacious a method
in Oxford-street as at Westminster. " That the Council
proceed to the next business" was put, and carried by a
’large majority. We must postpone the consideration of
the other recommendations until next week.
PROFESSOR KuHNE was invited by the Royal Society togive the Croonian lecture, which was delivered on Mondayevening at the Royal Institution. In the lecture, Ueber die
.Entste3tung der vitalen Bezvegung (the causation of vital
movement), he demonstrated most successfully many of theexperiments upon which his well-known theories of mus-cular contraction are founded. He was warmly welcomedby his physiological colleagues, who feel they owe much tohis work upon this and the chemical branches of physiology.lie was entertained at a dinner by the Physiological Society,under the presidency of Professor Michael Foster; Sir G. G.Stokes, M.P., P.R.S,, Sir Wm. Bowman, Sir Andrew Clark,Sir Joseph Lister, Professor Hugo Miiller, and ProfessorAtkinson being of the party.
Annotations.11 No auid nimh."
THE EXAMINATION FOR THE FELLOWSHIP OFTHE ROYAL COLLEGE OF SURGEONS.
As we announced in our last issue, the number of candi-dates for this examination was unusually large, and it wasnecessary to extend the ordeal over six days. Fifty-sixpresented themselves for examination, and of these thirty-four passed. The clinical part was held on Thursday, the24th ult., and the cases were not only unusually numerous,but were also of great interest, as a summary of themwill show:—Myositia ossificans of the calf muscles in anearly stage; infantile paralysis; hyperostosis of tibia, due tocongenital syphilis; double interstitial keratitis; recurrentgrowth of orbit in a case of congenital syphilis; tertiaryulceration of palate and fauces, with gummata of ribs;breaking-down gummata of elbow; periostitis of lower jaw,secondary to disease of the teeth; epithelioma of lip; rodentulcer of face, with (?) epitheliomatous changes; ulceration oftongue; (?) epithelioma; (?) syphilis; leukoplakia; tubercu-lous disease of glands near the breast; ulcerating scirrhus ofbreast; recurrent scirrhus of breast, with disseminated
growths; secondary melanotic sarcoma of glands in axilla andorbit; two cases of multiple exostoses; recurrent serous cyst ofbreast; (?) dermoid cyst of neck; cyst of thyroid; tumour ofthyroid; hypertrophy of accessory thyroid four years afterexcision of the gland; hydro- and pyo-nephrois; thoracicaneurysm; elephantiasis of leg; adenitis due to irritation;fungating strumous glands; osteitis deformans in a woman;strumous disease of the hip; ankylosis of hip after dry caries;rheumatoid arthritis of hip with bossy outgrowths anddevelopment of cyst under the psoas; rheumatoid arthritisof knees with effusion, and a similar condition with a tumourbehind the knee joint; strumous disease commencing inbone, and in synovial membrane; ankylosis of knee; Charcot’sdisease; disease of elbow after injury; of shoulder joint afterfracture, with the formation of a cyst anteriorly; ankylosisof shoulder after injury to epiphysis associated withtubercular axillary glands; early strumous disease of foot;ununited fracture of the right femur; false joint afterfracture of the humerus; symmetrical rupture of the rectusof each thigh of twelve months’ standing; talipes valgus;spina bifida in a boy of eight; and tubercular, syphilitic,and sarcomatous diseases of the testicle; with others of lessimportance. -
TBE public meeting in anticipation of Hospital Sundaywill be held in the Egyptian Hall, under the presidency ofthe Lord Mayor, on Friday, June 8th, at half-past two.
The Prime Minister, the Archbishop of Canterbury, the RightHon. H. H. Fowler, and other eminent speakers are expectedto address the meeting. At the meeting of the Council ofthe Fund on Tuesday last two vacancies in the distributioncommittee were filled by the appointment of Mr. HermannHoskier, Director of the Bank of England, and Mr. HenryCosmo Orme Bonsor, M.P. The advocates of hospitals needto be wise as serpents and harmless as doves in their work.We can imagine no cause more capable of high defencethan the charity which provides aid in sickness for a man,woman, or child whose home accommodation and comfortsare deficient. But charity has become critical, and objectionsshould be met point by point. We shall hope next weekto lay some statistics and comments before the clergy andthe churches which will enable them to rise to the greatargument, and especially to meet objections based on in-adequate estimates of the work to be done.