The Royal College of General Practitioners Volume 24 No

The Journal of The Royal College of General Practitioners Volume 24 No. 141 April 1974

HONORARY EDITOR D. J. PEREIRA GRAY, M.A., M.B., B.Chir. Cantab., F.R.C.G.P.

EDITORIAL BOARD S. L. BARLEY, M.B., B.S. Lond., M.R.C.G.P. LORD HUNT OF FAWLEY, C.B.E., M.A., D.M. Oxon., F.R.C.P., F.R.C.S., F.R.C.G.P., F.R.A.C.G.P. D. H. IRVINE, M.D. Newc., F.R.C.G.P., D.Obst.R.C.O.G. E. V. KUENSSBERG, C.B.E., M.B., Ch.B., Ed., F.R.C.G.P. PROFESSOR M. L. MARINKER, M.B., B.S. Lond., F.R.C.G.P. G. N. MARSH, M.B., B.S. Durh., F.R.C.G.P., D.C.H., D.Obst.R.C.O.G. J. R. MILES, M.B., B.S. Lond., F.R.C.G.P. R. J. F. H. PINSENT, O.B.E., M.A., M.D. Cantab., F.R.C.G.P., F.R.A.C.G.P. G. I. WATSON, O.B.E., M.A., M.D. Cantab., F.R.C.G.P., F.R.A.C.G.P., D.T.M. & H. Eng. H. J. WRIGHT, M.B., Ch.B. Leeds, F.R.C.S., F.R.C.G.P., D.C.H.

CONTENTS page EDITORIALS Unified services-progress or not? * * 219 Nursing comes of age * * 220 Treating depression at home * 221 COMMUNITY CARE The pathology of planning by Mervyn Goodman * 223 INVESTIGATIONS iN GENERAL PRACTICE Diagnostic procedure and the general practitioner by H. R. Patterson, R. C. Fraser and Eileen Peacock * * * * 237 Three years' experience of electrocardiography in a general practice by John M. Henderson 243 THE PATIENT'S POINT OF VIEW Patient-doctor seminars by T. W. B. Cull and A. P. Bird 247 FAMILY CARE Frequent attendance in a family practice by M. J. F. Courtenay et al. 251 PERSONAL CARE How personal is personal care in general practice? by Max B. Clyne * * * * 263 NEWS College news * * * * 267 Medical news * * 275 CORRESPONDENCE * * * 277 BOOK REVIEWS * * * * * * * * 279 GENERAL PRACTITIONERS AND THE ENVIRONMENT Airs, waters and places 3-the enclosed environment by R. A. Yorke- * * * 285 REPORT Psychology in general practice by J. A. Kincey * * * * * * 291 COLLEGE NEWS

SUMMARY OF COUNCIL Clyne and Freeling, and the meetings had been MEETING held at the Royal College ofPsychiatrists. The Council congratulated the authors on this The Council of the College met at 14 Princes document which receivedwidespread approval, Gate, London at 09.00 hours on 9 March 1974, with the exception of two of its recommenda¬ with Dr J. A. R. Lawson in the chair. tions which were redrafted in the light of The appeal proposals made by Dr George Swift. It was reported that the total had now passed Overseas doctors £150,000 and gratitude was expressed to Mrs Council discussed the who educational require¬ Thelma Glyn-Hughes had suggested that ments of overseas doctors for work in their to donations should be made the College own and in the instead of floral tributes for her husband's country British Isles. It was agreed to form a working party to funeral. consider this topic further, and this included Higher Training Committee the Wolfson Professor, Dr George Swift, Dr Council discussed the functions and composi¬ Pinsent who was carrying out a survey for the tion of the joint higher training committee in WorldOrganisation ofCollegesand Academies general practice in relation to the function of of General Practice, and nominees from the the Education Committee. The College Education Committee and the Board of Censors. Dr Burdon that was Officers were empowered to continue negotia¬ reported he tions with other bodies and it was that preparing papers for the Board of Censors agreed and the the content ofgeneral practice should remain a comparing contrasting requirements main function of the Education Com¬ for the examinations for membership of other college of mittee, but the executive function of super¬ colleges general practice. visingandcontrollingthequalityofeducational Social workers schemes should be within the remit of the new Higher Training Committee. Council debated a discussion paper by Dr L. Ratoff on the relationship between general European Economic Community practitioners and social workers. It was Dr Alan Rowe addressed the Council and agreed to ask members of Council to send reported there had been several recent meet¬ comments to the secretary as there had not ings, and sought advice about college policy. been enough time to distribute the document Several members ofCouncil expressed concern before the Council meeting. at the of this and it was complexity subject, Education Committee agreed to form a new working party which would report to Council and identify the main Professor Marinker presented a paper written issues. in the light of the Education Committee's Dr Rowe said that the word 'doctor' previous decision to reshape its function. He within the European Economic Community stressed that some difficulties with the Higher would refer to those who were fully registered. Training Committee had been recently re¬ There was therefore great discussion about moved by the new relationship of that com¬ what constituted full registration. Holland mittee to the Council of the College. Subcom¬ was now requiring vocational training for mittees were being reduced and it was hoped entry into general practice, and the Danes to replace them with small task groups and a were concerned because they foresaw that it closer relationship with the faculties. would take eight and a half years before their doctors would be fully registered for general Faculty involvement practice. There was growing emphasis in the This theme was echoed by the chairmen of the community on quality rather than quantity of Research Committee, Dr Clifford Kay, and of training. the Practice Organisation Committee, Dr V. M. Drury, both of whom hoped for a closer Psychiatric training working relationship between their com¬ The report of a joint working party on mittees and the faculties, and both of whom psychiatric training of the general practitioner foresaw specific problems being dealt with by was presented and considered in detail. The task groups rather than by standing com¬ college representatives had been Drs Horder, mittees. Journal ofthe Royal College ofGeneral Practitioners, 1974, 24, 267 268 College news Publications Committee NEW MEMBERS Council approved recommendations from the The following candidates were successful in the Publications Committee that the Journal membership examination of the Royal College should remain published in the learned-society of General Practitioners in February-March, format. 1974: Board of Censors Adey, Evelyn M., 17 Regent's Park Terrace, The report of the Board of Censors was London, NW1. presented by the Chairman, Dr John Fry. The Ahmad, Shabbir, Kisumu, Kenya. Board had invited the following to become new Amin, M. D., 122 Sussex Way, Holloway, London, examiners of the Drs J. S. N7. College: Norell, Arasu, S. T., 1571 Jalan Kota, Alor Star, West R. J. Bennisson, William Roy, V. W. M. Malaysia. Drury and K. J. Bolden. Ashley, A. M., 7 Lochend Road, Bearsden, The meeting ended at 15.00 hours. Glasgow. Austin, A. J., 45 Shortheath Crest, Farnham, UNDERGRADUATE Surrey. ESSAY PRIZE COMPETITION 1974 Barber, V. E., Llys Ifor, 1 Warren Drive, Deganwy, Caerns. The Royal College of General Practitioners Beckitt, David, 177 Scrub Lane, Hadleigh, Ben- is awarding three prizes.£70 (plus £10 in fleet, Essex. book tokens), £50 and £40.for the best Bennett, P. S., 21 St John's Hill, Shrewsbury, reports on one or more patients seen in SY11JJ. general practice from senior medical students Blyth, M. J., Ingaville, Scalloway, Shetland, in the United and the of ZE10UX. Kingdom Republic Bouchier-Hayes, Thomas, 13 Coldstream Gardens, Ireland. London, SW18. Further details and application forms may Bourne, S. J., 109 Grange Crescent, Chigwell, be obtained from the College or the Dean of Essex. the student's medical school. Bower-Williams, Roger, Families Medical Centre, Entries should be sent to the Secretary, BFPO 23. Royal College of General Practitioners, 14 Bradbrooke, J. G., Lovemead Surgery, Trow- Princes Gate, Hyde Park, London SW7 1PU bridge, Wilts. by 31 May 1974. Bradford, T. C, Snigs Acre, Staunton, Gloucester. Brewster, B. S., The Surgery, Victoria Street, Settle, Yorks. RCGP/STANNING Burns, I. J., Medical Centre, Bankhead Road, OVERSEAS FELLOWSHIP Wick,KW15LB. Canniff, E. B., Medical Centre, 4th Field Regiment Through the generosity of Mr Ellis Stanning RA, BFPO 37. the Royal College of General Practitioners Carter, Philip P., 2 Highfield Crescent, Southamp¬ has instituted overseas fellowships for younger ton, S091WT. doctors to be awarded annually, with the Carter, William J., Trenerrys, Cox Hill, Perran- following aims: porth, Cornwall. To provide an opportunity to study and Chapman, A. J. Stonecroft, Bredon, Tewkesbury, compare general practice abroad; to enable Gloucestershire. them to study some particular aspect of Charlwood, R. R., 21 Holcombe Drive, Chandlers to learn about Ford, Hampshire. general practice abroad; Clark, Peter B., The Old Manor House, Llanwarae, methods in other countries; to learn about Hereford. other systems of medical care; to report on Clark, Robert W., The Spinney, Hunt's Lane, their experience to the profession in the Felmersham, Bedford. United Kingdom. Coleman, G. P., Orchard Cottage, Highfield, Applications for these Fellowships are now Southampton. invited from members or associates of the Cosgrove, I. M., Brookfield House, Bakewell, College who are principals in general practice Derbyshire. in the United Kingdom of at least three years' Davison, Margaret C, 36 Court Lodge, Heaton but who are under 38 of Mersey, Stockport. standing, years age Delvin, D. G., Yew Tree House, Morley Road, at the time of their application. Chislehurst Common, Kent. Enquiries should be made to the Secretary of Drinkwater, C. K., 82 St Keverne Square, the Royal College of General Practitioners, Newcastle-upon-Tyne. 14 Princes Gate, Hyde Park, London SW7 Elliott, Donald, 317 Horbury Road, Wakefield, 1PU. The closing date will be 31 May 1974. Yorkshire. College news 273 Evans, Anne L., 8 Princes Court, Pilgrims Lane, Lawson, T. D., 5 Kings Crescent, Camberley, London, NW3 ISP. Surrey. Fraser, D. D. A., 115 Craigmount Avenue North, Lee, Robert D., 24 Melrose Road, Shirley, Edinburgh, EH48BR. Southampton. Gallivan, T. J., Chiverton, Gwent Close, Watford, Lee-Jones, Michael, Castle Street, Wallingford, Herts, WD2 6LG. Berkshire. Gamman, F. R., Oatridge House, Coaley, Dursley, Lees, R. F. B.: St Ninians, Banff. Gloucester. Legge, R. I., 7 Hope Terrace, Edinburgh. Carrigan, C. T., Braecote, Gateside Road, Barr- Leiper, N. K, 78 Thornhill Park Road, South¬ head, Renfrewshire. ampton. Gaston, W. D. McL, Morven, Cullybackey, Leon, C. M., South View House, Felling, Co. Ballymena, Co. Antrim. Durham. Gill, C. R. W., Burwood Park, Walton-on- Lewis, Elkan, 202 High Road, Leyton, London, Thames, Surrey. E10. Gompertz, H. R., Elmfield, Tenterden, Kent. Lloyd-Williams, John, 45b The Avenue, Worcester Graham, Joan T., The Knowe, Gretna Green, By Park, Surrey. Carlisle. Low, B. T., Jalan Pudu, Kuala Lumpur, W. Graham, Peter, 11 Tudor Close, Woodford Green, Malaysia. Essex. McCulloch, G. M., 16 Strangford Avenue, Belfast. Green, Eric P., 43 Chattenden Lane, Rochester, Macdonald, A. C., Harland House, Norton, Kent. Teesside. Hales, C. L., 11 Linton Terrace, Perth. Mclntyre, G. B., 19 Grosvenor Road, Jesmond, Hall, T. L. R., 49 Larkham Lane, Plympton, Newcastle-upon-Tyne. Plymouth. McKay, D. J., Arizuk Woodlands Hospital, Handford, M. H., 23 Ashley Piece, Ramsbury, Nr. ANZUKFP05. Marlborough, Wilts. McLaren, G. P. C, Erichtbank, Blairgowrie, Harden, K. A., Cherry Orchard, Craigton, Perthshire. Milngavie, Glasgow. McLellan, I. R., Kirkgate House, Thirsk, York¬ Hardway, R. L., 6 Crugan Avenue, Kinmel Bay, shire. Rhyl, Flintshire. McNutt, D. C, 26 Monckton Road, Gosport, Hart, M. T. W-, Cheriton House, Mill Street, Hants. Houghton, Hunts. Marriott, R. G., 10 Ludgate Avenue, Kidder¬ Hartley, D. I., 31 Oxford Close, Bassingbourn, Nr minster, Worcestershire. Royston, Herts. Marsh, S. G., 66 Great Bowden Road, Market Harvey, K. C, 11 Kings Drive, Talgarth, Brecon- Harborough, Leicestershire. shire. Marshall, N. W., Temple Cloud, Bristol. Haworth, John, 40 Brampton Road, Carlisle. Martin, Desmond A., Basingstoke District Hertnon, P. D., 10 Buskett's Way, Ashurst, Hospital, Basingstoke. Southampton. Martin, Edwin E. J., 15 Church End, Biddenham, Heslop, Michael, 2 Lanchester Road, Maiden Law, Bedfordshire. Durham. Mathewson, W. B., 28 Harburn Road, West Hickman, Philip, Scallard House, North Currey, Calder, Midlothian. Taunton, Somerset. Moran, P. F., Low Fell, Gateshead, Co. Durham. Hughes, R. C. W., Hill House, Iron Acton, Morgan, G. F., 2 The Grange, Fairwater Road, Bristol. Cardiff. Jackson, P. A., Irchester, Wellingborough, Mousley, A. A. Woodthorpe, Nottingham. Northamptonshire. Neophytou, Michael, Hilderstone Road, Meir Jarvis, Anthony, 24 Glenfield Lane, Kirby Heath, Stoke-on-Trent. Muxloe, Leicestershire. Nicol, Harvey, 88 Grattan Place, Fraserburgh. Jeffery, R. N., 35 Marchants Road, Hurstpier- Nolan, P. J., Almondbury, Huddersfield. point, Sussex. O'Ryan, M. F. N., Eccleston Park, Prescot, Jenkins, David, 63 Oathall Road, Haywards Lancashire. Heath, Sussex. Ottley, R. B., 153 Maiden Road, New Maiden, Jenkins, John T., 52 Bath Street, Syston, Leicester. Surrey. Johnson, R. A., Grasscroft, Oldham, Lancashire. Paton, E. R. L., The Medical Centre, Churchill Jones, Kenneth, Pattingham, Wolverhampton, BFPO 107. Staffordshire. Barracks, Kershaw, H. M., 228 Bradford Road, Wakefield, Paul, D. W. T., Teviotdale, Thurso Road, Wick, Yorkshire. Caithness. Kirwan, Michael, 98 Park Avenue North, North¬ Price, Dennis T., 83 Manchester Road, Wilmslow, ampton. Cheshire. Lancaster, J. G., East Cailton, Market Harbor- Proudfoot, James, Stanton-under-Bardon, Leices¬ ough, Leicestershire. ter. Lane, M. S., 91 Whitefriars, Rushden, Northamp¬ Randall, C. F., 35 Lower Port View, Saltash, tonshire. Cornwall. 274 College news Rennie, Jean G., Douglas Road, Melrose, Ros- M.R.C.G.P. EXAMINATION burghshire. Two modified are Renton, G. H., High Street, Wickford, Essex. sample essay questions Richards, D. A., 17 Millwood, Lisvane, Cardiff. available from the Membership Secretary, Robertson, J. T. W., Victoria Avenue, Woodhall Royal College of General Practitioners, 14 Spa, Lincolnshire. Princes Gate, London, SW7 1PU. Price: £1 -00. Russell-Wells, S. J. E., Wood End, Coltishall, These will be of particular assistance to Norfolk. those candidates who have not taken voca¬ Salinsky, J. V., 32 Wentworth Hill, Wembley, tional training courses and to trainers and Middlesex. course organisers. It would be helpful if Savile, C. W., 6 College Road, Eastbourne, members would bring this publication to the Sussex (already a Member). attention of candidates and trainees. Scotson, J. H., 4 Carlton Road, Hale, Cheshire. Shaw, H. L., 54 Berrylands, Surbiton, Suirey. Log-diaries are also available for use by ?Southgate, Lesley J., The Brindles, Hoddesdon, trainers and course organisers in instructing Hertfordshire. candidates. Price: lOp each. Spence, S. D., Moira, Craigavon, Co. Armagh. Spencer, M. C, Fairfield House, Leiston, Suffolk. BUTTERWORTH GOLD MEDAL Spokes, R. M., Hinckley, Leicestershire. The closing date for entries for the Butterworth Stead, S. G., 51 The Avenue, Gravesend, Kent. Gold Medal Essay Competition is 1 August Stein, T. R., 19 Abberbury Road, Iflfley, Oxford. 1974. The title for this year's essay is: The Strath, D. J., Fore Street, Silverton, Devon. management ofhypertension. Styles, W. McN., 4 Chatsworth Close, Chatsworth more than Road, London, W4. Entries should consist of not Sutherland, Elisabeth, Winterton, Sedgefield, 10,000 words, be typed on one side of the Teesside. page only, and be entered under a nom de Swayne, J. M. D., The Surgery, Hendford, Yeovil, plume, accompanied by the author's name Somerset. and address in a sealed envelope. Marcham, P. H. L., Abingdon, Berkshire. They should be addressed to: The Secretary, Taylor, Frederick G., Uddingston, Lanarkshire. The Royal College of General Practitioners, Taylor, Ian W., Broughty Ferry, Dundee. 14 Princes Gate, Hyde Park, London, Taylor, William, 1 Cairnhill Avenue, Airdrie. SW7 and marked * Butterworth Gold Tennant, B. D., Flixton, Urmston, Manchester. 1PU, Tewson, Jocelyn, Manor House, Ickford, Bucks. Medal Essay Competition'. Thompson, N. F., Douglas Avenue, Lenzie, PRACTICE ORGANISATION ROOM Glasgow. Thorpe, Sheila C, Meadowside, Ropley, Alresford, The current display in the practice organi¬ Hampshire. sation room is on A4 records. We have Walton, Pamela, 25 Croye Close, Andover, Hamp¬ examined their evolution and the probable shire. pattern that these records will take.the Wearn, J. L., Ill Knightlow Road, Birmingham, filing of them is also analysed in some detail. B17 8PX. Various of available cabinets Derek 34 Bitterne types filing White, H., Way, Southampton, are on display. Hampshire. continues Willis, P. J. V., St Quintin Avenue, London, W10. The practice organisation study Wilson, W. A., 46 Carlton Place, Aberdeen. to display details of some of the most highly Wishart, 1. H., Blairbeg, Comrie End, Crieff, organised practices in the country, and the Perthshire. Medical Recording Service has made available Woodbine, G. H. E., 10 Abbots Way, Portswood, an audio tape which can be heard on the Southampton. cassette player in the practice organisation Wynn-Williams, D. L., Vine House, Syston, room. Leicester. There are also some monographs on various ?Pass with distinction. aspects of organisation in general practice. 282 BOOK EVEWS Although this work is confined to the exposition In pursuit of the common cold (1973). ANDREWS, of the value of operational research within the SIR CHRISToPHER. Pp. 112. London: William hospital service, nevertheless there are some Heinnemann. Price: £3025. lessons to be discovered from it which could be Admission of patients to hospital (1973). AvERY applied usefully to the study of the construction JONES, SIt FRANCIS, et al. Pp. 51. London: of group practice and health-centre buildings and King Edward's Hospital Fund. Price: £V50. the related problems of practice organisation. It is unfortunate that its lack of literary style, A colour atlas of venereology (1973). WISDoM, due no doubt to multiple authorship, may possibly ANTONY. Pp. 349. London: Wolfe Medical detract from its value, particularly to the reader Publishing. Price: £6-00. who is not already acquainted with the research Psychosomatic medicine (1973). Ed. MUNRO, methods which are discussed. In spite of this ALSTAR. Pp. 95. Edinburgh and London: defect there is much to be learned by those who Churchill Livingstone. Price: £175. are interested in the organisation of buildings in The kidney. An outline of normal and abnormal relation to the people who use them and work in structure and function (1973). Fourth edition. them. DE WARDENER, H. E. Pp. 432. Edinburgh and In their final chapter the authors sound a timely Churchill Livingstone. Price: £500. warning of the danger of attempting to relate London: experience of operational research in the industrial Notes on medical virology (1973). Fourth edition. field to the hospital situation. It is hoped that this TIMBuRY, MORAG, C. Pp. 145. Edinburgh and warning may be heeded by those who are charged London: Churchill Livingstone. Price: 80p. with the planning and management of the Health The ch National Health Service (1973). Services in the near future. BROWN, R. G. S. Pp. 118. London: Routledge J. G. R. CLARKE and Kegan Paul. Price: £2-00 cloth; 95p paper- back. Medicine and society (1973). MuILER, HFNRY. BOOKS RECEIVED Pp. 86. London: Oxford University Press. 80p. Occupational health (1973). FFRENCH, G. Pp. 177. Price: Lancaster: Medical and Technical Publishing The digestive system (1973). RYALL, R. J. Pp. 183. Ltd. Price: £4-50. Middlesex: Penguin. Price: 90p. Prolactin: physiology and clinical significance The urological system (1973). CHARLTON, C. A. C. (1973). HoRoBIN, DAVID, F. Pp. 239. Lan- Pp. 188. Middlesex: Penguin. Price: 90p. caster: Medical and Technical Publishing Ltd. The respiratory system (1973). GRENVILLE- Price: not given. MATHERS, R. Pp. 140. Middlesex: Penguin. Sex in later life (1973). FELsTEIN, IVOR. Pp. 144. Price: 90p. Price: Middlesex: Penguin. 35p. The endocrine system (1973). LEwis, J. G. Pp. 208. Psychedelic drugs. Psychological, medical and Middlesex: Penguin. Price: 90p. social issues (1973). WELLS, BRIAN. Pp. 250. Price: 50p. Migraine. Evolution of a common disorder (1973). Middlesex: Penguin. SACKS, OLIVER. Pp. 220. London: Faber. Bor to fail? (1973). WEDGE, P. and PROSSER, Price: £160. HILARY. Pp. 64. London: Arrow Books. Price: 30p. The language of fractures (1972). SCHULTZ, R. J. Pp. 394. Edinburgh and London: Churchill Immumology for undergraduates (1973). Third Livingstone. Price: £10-00. edition. WEJR, D. M. Pp. 190. Edinburgh and London: Churchill Livingstone. Price: 90p. Cardiology (1973). Second edition. JuLIAN, 1). G. Bailliere Tindall. Price: An introduction to medical genetics (1973). Sixth Pp. 341. London: ecition. FRASER ROBERTS, J. A. Pp. 310. £f220. London: Oxford University Press. Price: £3*50. Simple eye diagnosis (1973). CHAWLA, HECTOR, B. The ECG made easy (1973). HAMPTON, J. R. Pp. 86. Edinburgh and London: Churchill Pp. 68. Edinburgh and London: Churchill Livingstone. Price: £100. Livingstone. Price: 80p. Chemotherapy of malaria and resistance to anti- Neglected aspects of psychiatric education (1973). malarials (1973). World Health Organisation Ed. HOWELLs, John, G. Pp. 38. London: The Technical Report Series no. 529. Pp. 121. Society of Clinical Psychiatrists. Price: 50p. Geneva: W.H.O. Price: 90p. Commonsense about babies and children (1973). Thomson's concise medical dictionary (1973). JOLLY, HUGH. Pp. 170. London: Times News- THOMSON, W. A. R. Pp. 439. Edinburgh and papers Ltd. Price: 40p. London: Churchill Livingstone. Price: £1050. Towards evaluation of health centres (1973). Psychopharmacology in family practice (1973). DENNIS, NANCY. Pp. 66. London: King's Fund WHEATLEY, DAvID. Pp. 208. London: William Centre. Price: 50p. Heinemann. Price: £2-95. BOOK REVIEWS 283 Clinical examination (1973). Third edition. Ed. Early days-you and your new baby (1973). MACLEOD, J. Pp. 489. Edinburgh and London: CORNWELL, MORIGUE. Pp. 66. London: Churchill Livingstone. Price: £400. Disabled Living Foundation. Price: £1E25. Recent advances in thrombosis (1973). Ed. POLLER, Direct ultrasonic irradiation of the hypophysis L. Pp. 227. Edinburgh and London: Churchill (1973). ARSLAN, M., et al. Pp. 188. Padua: Livingstone. Price: £5v50. Piccin Medical Books. Price: L10,000. English The Alexander principle (1973). BARLOW, WILFRID. price not given. Pp. 223. London: Gollancz. Price: £3'90. Motherhood and personality. Psychosomatic Management of emergencies in thoracic surgery aspects of childbirth (1973). CHERTOK, LEON. (1973). BARRIE, JoHN. Pp. 478. Middlesex: Pp. 303. London: Tavistock Publications. Appleton-Century-Crofts. Price: £18-70. Price: 95p. Notes on eliciting and recording clinical information (1973). INSTITUTE OF PSYCHIATRY. Pp. 25. French's index of differential diagnosis (1973). London: Oxford University Press. Price: 50p. Tenth edition. Ed. DUDLEY HART, F. Bristol: Wright. Price: £10I00. First aid (1973). PLAYFAIR, A.S. Pp. 42. Havant: Kenneth Mason Publications Ltd. Price: lOp. Textbook of paediatrics (1973). Ed. FORFAR, Clothes sense for handicapped adults of all ages JOHN 0. and ARNEIL, GAVIN, C. Pp. 2115. (1973). MACARTNEY, P. Pp. 157. London: Edinburgh and London: Churchill Livingstone. Disabled Living Foundation. Price: £1E50. Price: £19-50.

Journal of the Royal College ofPhysicians ofLondon This Journal is concerned with the integration of scientific disciplines in the practice of medicine and, by providing a wide ranging commentary on the growing points of medicine, is an essential complement to the specialised journals. CONTENTS OF VOLUME 8, NO. 3 A. M. Cooke The Royal College of Physicians of London. J. V. Dacie The Hereditary Haemolytic Anaemias, (The Croonian Lecture 1973). P. H. S'onksen Clinical Applications of Growth Hormone Assays. Sir Cyril Clarke Lionel Penrose: some aspects of his Life and Work. E. N. Wardle Post-traumatic respiratory insufficiency. What is Shock Lung? Neil McIntyre Obtaining Information from medical Records. William E. Snell Peter Mark Roget, F.R.C.P. (1779-1869). L. M. Payne and C. E. Newman The History of the College Library 1760-1792: in the time of George III. Editor: A. Stuart Mason, M.D., F.R.C.P. Publication: Published quarterly in October, January, April and July. Subscription: £6 per annum (including postage). All Inquiries to Editorial Office: Royal College of Physicians of London, 1I St. Andrew's Place, Regent's Park, London NW1 4LE. Publishing Office: Pitman Medical, Tunbridge Wells. NOTIFICATION FORM No. 113 RESEARCH COMMITTEE EPIDEMIC OBSERVATION UNIT Please complete and return promptly to: The Director, Epidemic Observation Unit, 14 Princes Gate, London SW7 1PU. CURRENT RESEARCH: I would like to receive details about the following studies: * Joint RCGP/PHLS Influenza Study in Families * Influenza in pregnancy RESEARCH ADVISORY SERVICE: I would like to contact the Research Advisory Service * about a tentative project * about an investigation which I have planned (Journal No. 97) I wish to notify the Register of Research Projects of:

(a) a personal/joint investigation in progress .

(b) my/our recent publication on . * Delete if not applicable. Doctor's name and initials. (Block capitals) Address Date...

Editorial Notice The Journal is published monthly. Articles must be original and should not have been published or submitted to any other journal. Articles should be typed with double or triple spacing, on one side of the paper only, with 25mm margins. The paper size should be A4 or quarto. Graphs and other line drawings must be in Indian ink and drawn to size or capable of reduction to 63 mm. sq. Metric units and the 24-hour clock are preferred. All references must be in the style of the Journal. Authors are requested to submit two copies of their articles with a stamped addressed envelope and the approximate number of words should be stated. The Editor welcomes letters for publication. Authors and correspondents are asked to state their qualifications. All correspondence to the Editor should be addressed to: The Journal of the Royal College of General Practitioners, Alford House, 9 Marlborough Road, Exeter, EX2 4TJ. Circulation. The Journal is circulated to all Fellows, Members and Associates of the Royal College of General Practitioners and to a growing number of private subscribers including universities, medical schools, hospitals, postgraduate medical centres and individuals in over 40 different countries of the world. Subscriptions. The annual subscription is £8-00 ($24*00) post free, including the Reports from General Practice or Journal supplements when published. (Single copies £1-00) ($3-50). Orders and payments should be sent to The Longman Group Ltd., Journals Division, 43 Annandale Street, Edinburgh, EH7 4AT, Scotland. Supplements and back numbers. The Reports from General Practice and Journal supplements are distributed with the Journal to all college members, associates and sub¬ scribers. A list of those still available is published regularly in the Journal. Over 40 of these publications, dealing with many different aspects of general practice are still in print at prices ranging from 25p.lOOp. They can be obtained from 43 Annandale Street, Edinburgh, EH7 4AT, Scotland. Advertising enquiries should be made to Longman Journals Division, Longman House, Burnt Mill, Harlow, Essex. Telephone: 02796 26721. Regional Committee for Postgraduate Vocational Medical Education Training and for General Practice LIVERPOOL UNIVERSITY DEPART- MENT OF CHILD HEALTH SENIOR HOUSE CHILD DEVELOPMENT & OFFICER HANDICAP IN CHILDHOOD A day-release course, supplemented by inten¬ Vacancy available on the I July, 1974 in the sive periods, will commence in October 1974, Windsor Group Vocational Scheme, recognised and continue over three Terms. by R.C.G.P. and for D.(Obst.) in the hospital University posts The three year scheme includes: The course meets the requirements of the of Education and Science, pro- (1) Two years in hospital in service posts in the Department following departments: viding appropriate training for school medical and is also suitable for General medicine, officers, junior hospital Paediatrics, staff and general practitioners. Accident and orthopaedic. Obstetrics and gynaecology. Further details and application forms from: Other appropriate specialities. Postgraduate Office, Faculty of Medicine, (2) Two periods of six months duration in University of Liverpool, P.O. Box 147, general practice LIVERPOOL L69 3BX. Quote ref. RV/ Good facilities for study at Windsor Group JRCGP/80741. Postgraduate Medical Centre. Applicant should be fully registered. Further details and application form from the Hospital Secretary, Heatherwood Hospital, Ascot, Berks University of Bristol POSTGRADUATE MEDICAL INSTITUTE EXETER for General PAEDIATRICS FOR GENERAL Vocational Training PRACTITIONERS Practice Taunton Scheme An exciting opportunity for far-seeing young A refresher course in paediatrics will be held doctors occurs in this scheme which has been at the Postgraduate Medical Centre, Exeter, carefully planned in every detail. from 10-14 June 1974. Places will become available each six months Applications to: Dr. J. E. Cates, Medical and every doctor will gain experience in two Postgraduate Dean, University of Bristol, progressive general practices and be offered 21 Woodland Road, Bristol, BS8 1TE. Tel. options rotating through active, responsible Bristol 24161 ext. 189. posts in paediatrics, medicine, obstetrics, accident and emergency, geriatrics, psychiatry and ENT. This is a three-year course, one year of which will be spent in general practice, half-day release training will be given in opthalmology, community medicine, lab¬ oratory medicine, chest diseases, family UNIVERSITY OF EDINBURGH planning and organisation and methods of HEALTH SERVICE practice. A fifth doctor is required, with a view to The Scheme started in February 1974 and inter¬ partnership, by the group practice whose views are now offered for vacancies commencing main clinical commitment is to provide gen¬ in August 1974, February 1975 and August, eral medical services for students and staff 1975. It is planned that hospital houses will be of Edinburgh University along with their available and that the practices involved will families. Applicants should be aged about also have accommodation. The organisation 30-40 and have wide experience in general will be by the Somerset Post-graduate Centre. medicine including general practice. Further Applications to the Hospital Secretary, Mus- particulars may be obtained from the Physician- grove Park Hospital, Taunton (Tel. 3444 in-Charge, University Health Service, Bristol Ext. 12). St., Edinburgh, EH8 9AL. © Published for the College by E. & S. Livingstone, Longman Group Ltd., Longman House, Burnt Mill, Harlow, Essex and Printed by The Devonshire Press Limited, Torquay