DOCSLIB.ORG

Annals Royal College of Surgeons

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Annals Royal College of Surgeons ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND Editor: SIR CECIL WAKELEY, BT., K.B.E., C.B., LL.D., M.Ch., D.SC., F.R.C.S., F.R.S.E., F.F.R., F.D.S.R.C.S. VOLUME 35 JULY-DECEMBER 1964 Published by THE ROYAL COLLEGE OF SURGEONS OF ENGLAND LINCOLN'S INN FIELDS LONDON, W.C.2 CONTENTS VOLUME 35 . JULY-DECEMBER 1964 JULY 1964 Page ON THE INTERDEPENDENCE OF SCIENCE AND THE HEALING ART Sir Charles Illingworth 1 HONOURS CONFERRED ON FELLOWS AND MEMBERS 14 THE GUBERNACULUM TESTIS HUNTERI: TESTICULAR DESCENT AND MALDESCENT .. K. M. Backhouse 15 PLASMA PEPSINOGEN: NORMAL AND ABNORMAL SECRETION A. R. Anscombe 34 GRANT OF FELLOWSHIP DIPLOMAS .. .. 49 CEREMONY OF PRESENTATION OF DIPLOMATES 52 APPOINTMENT OF FELLOWS AND MEMBERS TO CONSULTANT POSTS 56 COUNCIL AND COURT DINNER 57 PROCEEDINGS OF THE COUNCIL IN JUNE 60 IMPERIAL CANCER RESEARCH FUND .. 64 BINDING OF THE ANNALS .. 66 DIARY FOR JULY .. .. 66 DIARY FOR AUGUST .. .. 66 AUGUST 1964 PULMONARY TUBERCULOSIS IN RETROSPECT AND PROSPECT Sir Clement Price Thomas 67 ELECTION TO THE COUNCIL .. .. .. 83 PERMANENT URINARY DIVERSION IN CHILDHOOD P. P. Rickham 84 SIR HUGH LETT, BT... .. .. .. .. 105 TiHE BRITISH CLUB FOR SURGERY OF THE HAND .. 105 THE SEGMENTAL INNERVATION OF THE LOWER LIMB MUSCLES IN MAN .. .. .. .. .. W. J. W. SHARRARD 106 APPOINTMENT OF FELLOWS AND MEMBERS TO CONSULTANT POSTS 122 IN MEMORIAM: JAMES J. MASON BROWN .. .. 123 PROCEEDINGS OF THE COUNCIL IN JULY .. .. 125 BOOKS ADDED TO THE LIBRARY: JANUARY-MARCH 1964 127 DONATIONS .. .. .. .. .. .. 129 DIARY FOR AUGUST .. .. .. 130 DIARY FOR SEPTEMBER .. 1 3-i VOLUME 35 JULY-DECEMBER 1964 SEPTEMBER 1964 Page THE VISUAL PIGMENTS: A PHOTOBIOLOGICAL STUDY H. J. A. Dartnall 131 THE WORSHIPFUL SOCIETY OF APOTHECARIES IN LONDON .. 150 PATTERNS OF INTESTINAL ISCHAEMIA .. .. A. Marston 151 DONATIONS .. .. .. .. .. .. .. 181 BUCKSTON BROWNE DINNER .. .. .. .. .. 182 IN MEMORIAM: SIR HUGH LETT, Bt. .. .. .. .. 185 FACULTY OF ANAESTHETISTS .. .. .. .. .. .. 187 PROCEEDINGS OF THE COUNCIL IN JULY .. .. .. .. 188 BOOKS ADDED TO THE LIBRARY: APRIL-JUNE 1964 .. .. 190 APPOINTMENT OF FELLOWS AND MEMBERS TO CONSULTANT POSTS 192 DIARY FOR SEPTEMBER .* .. .. .. .. 192 DIARY FOR OCTOBER .. .. .. .. .. .. .. 193 OCTOBER 1964 THORACIC SURGERY: AND THE LONG-TERM RESULTS OF OPERATION FOR BRONCHIAL CARCINOMA .. .. sir Russell Brock 195 OBSERVATIONS ON THE PHYSIOLOGY OF THE CIRCULATION IN BONES N. E. Shaw 214 INTER-DEPARTMENTAL COLLOQUIUM .. .. .. .. 234 ANNUAL MEETING OF FELLOWS AND MEMBERS .. .. .. 244 THE PRIMARY FELLOWSHIP OVERSEAS .. .. .. 245 IN MEMORIAM: PROFESSOR T. P. KILNER .. .. .. 251 IN MEMORIAM: MRS. TERENCE KENNEDY .. .. .. 254 HEROES OF THE EXAMINATION BOOKS: 9. SIR SAMUEL HOOD, BT. 254 APPOINTMENT OF FELLOWS AND MEMBERS TO CONSULTANT POSTS 256 DONATIONS .. .. .. .. .. .. .. .. 256 DIARY FOR OCTOBER .. .. .. .. .. .. 257 DIARY FOR NOVEMBER .. .. .. .. .. .. 258 VOLUME 35 . JULY-DECEMBER 1964 NOVEMBER 1964 Page THE IMPACT OF MAN, MACHINES AND MECHANISMS ON THE CLINICAL PRACTICE OF ANAESTHESIA .. E. M. Papper 259 ENDOCRINE ASPECTS OF THE METABOLIC RESPONSE TO SURGICAL OPERATION.. .. .. .. .. I. D. A. Johnston 270 THE FEASIBILITY OF PREPARING AN IDEAL SUBSTITUTE FOR THE URINARY BLADDER .. .. .. .. J. P. Blandy 287 HEROES OF THE EXAMINATION BOOKS: 10. THOMAS GRAVES, LORD GRAVES .. .. .. .. .. 311 PROCEEDINGS OF THE COUNCIL IN OCTOBER .. 312 GRANT OF DIPLOMAS TO FELLOWS IN THE FACULTY OF ANAESTHETISTS .. .. .. .. 314 GRANT OF DIPLOMAS TO FELLOWS IN DENTAL SURGERY 315 INTERNATIONAL FEDERATION OF SURGICAL COLLEGES 316 APPOINTMENT OF FELLOWS AND MEMBERS TO CONSULTANT POSTS 316 DONATIONS .. .. .. .. .. 317 DIARY FOR NOVEMBER .. .. .. 318 DIARY FOR DECEMBER .. .. .. 318 DECEMBER 1964 MYCETOMA IN THE SUDAN .. .. .. .. J. B. Lynch 319 THE DIAGNOSIS OF THE DEPTH OF THERMAL BURNS IN CHILDREN A. V. Forage 341 DONATIONS .. .. .. 361 DENTAL ANAESTHESIA .. .. I?. W. Thompson 362 PROCEEDINGS OF THE COUNCIL IN NOVEMBER 379 THOMAS VICARY COMMEMORATION .. 380 LONG SERVICE AWARD .. 381 APPOINTMENT OF FELLOWS AND MEMBERS TO CoNSULTANT POSTS 381 DIARY FOR DECEMBER .. 382 DIARY FOR JANUARY .. .. 382 INDEX TO VOLUME 35.. 383 SIR CHARLES ILLINGWORTH inhibited to a lesser extent. In their susceptibility to oxygen poisoning they behaved like cells ofthe brain or the liver, but even more emphatically. Thus we have a situation in which this new agent, hyperbaric oxygen, may have a double effect on a contaminated wound. It will bring more oxygen to the ischaemic tissue and thus improve its nutrition and it may have a direct effect on the infecting bacteria. We do not yet know that it will be effective in vivo and it can hardly be expected to be so dramatic in its effects on a wound as the direct application of carbolic acid in the boy James Greenlees in 1865. But at any rate it leaves us with the salutary reflection that, nearly a hundred years after Lister's first case, there is still room for original research and experimentation on the subject of putrefaction in wounds. HONOURS CONFERRED ON FELLOWS AND MEMBERS IN THE RECENT Birthday Honours List, the following Fellows and Members were graciously honoured by Her Majesty The Queen: JOHN NIGEL LORING, C.V.O., M.R.C.S. K.C.V.O. DEREK DUNCOMBE STEELE-PERKINS, C.B., C.V.O., F.R.C.S. TERENCE EDWARD CAWTHORNE, F.R.C.S. Knighthood LEONARD CHARLES EDWARD LINDON, F.R.C.S. ALAN AIRD MONCRIEFF, C.B.E., F.R.C.P., M.R.C.S. LEWIS TREVOR FURNIVALL, D.S.O., M.R.C.S. C.B. (Military) PERCY CYRIL CLAUDE GARNHAM, F.R.S., M.R.C.S. C.M.G. ERNEST THOMAS CONYBEARE, O.B.E., F.R.C.P., M.R.C.S. C.B.E. (Civil) CECIL WOOD FLEMMING, O.B.E., F.R.C.S. .. MAURICE CHARLES WILLIAM LONG, T.D., M.R.C.S. .. .. JAMES BAGOT OLDHAM, V.R.D., F.R.C.S. .. .. ROBERT MILNES WALKER, F.R.C.S. ..S. JOHN MARSDEN HAUGHTON, M.R.C.S., F.F.A.R.C.S. M.V.O. (Fourth Class) HENRY DAVIES LLEWELLYN, M.R.C.S. O.B.E. (Civil) IVOR ANDERSON MACDOUGALL, M.B.E., M.R.C.S. .. .. CHARLES MALCOLM PHILLIPS, F.R.C.S. .. .. BERTIE JAMES WILKEN, F.R.C.S. M.B.E. (Military) FRANK ROGER WILKES, M.R.C.S. 14 PLASMA PEPSINOGEN: NORMAL AND ABNORMAL SECRETION SCHWANN, T. (1836) Arch. Anat. Physiol. wiss. Med. p. 90. SPIRO, H. M., RYAN, A. E., and JoNES, C. M. (1955) New Engl. J. Med. 253, 261. and SCHWARTZ, R. D. (1958) New Engl. J. Med. 259, 682. TUDHOPE, G. R., and WILSON, G. M. (1960) Quiart. J. Med. 29, 513. VARRO, V., FAREDIN, I., and NOVASGEL, F. (1956) Acta med. scand. 153, 211. WEINER, H., THALER M., REISER, M. F., and MIRSKY, I. A. (1957) Psychosom. Med. 19, 1. GRANT OF FELLOWSHIP DIPLOMAS AT THE RECENT Final Examination for the Fellowship, 12 candidates out of 42 were successful in Ophthalmology, 10 candidates out of 44 in Otolaryngology, and 141 out of 541 in General Surgery. At an extraordinary meeting of Council on Wednesday, 10th June, Diplomas of Fellowship were granted to the following: CARRUTHERS, Richard Hugh (The London). *WRIGHT, Peter (King's College). BLAXLAND, John William (St. Mary's). SOUTHCOTT, Roy David Creswick (Guy's). tBICKNELL, Michael Raymond (Middlesex). PITT, Peter Clive Crawford (Guy's). *MATHALONE, Michael Bruce Ronald (St. AMary's). NWAKANMA, Benson Ihukwumere (St. George's). CULLUM, Patric Anthony (The London). RICHARDS, Derek James (Guy's). TIDMAN, Melvyn Keith (University College). WELCH, Theodore Phillips (University College). BURGESS, John Nigel (The London). MOTT, Terence John (Westminster). AICHROTH, Paul Michael (Westminster). RENDALL, Max (Middlesex). JAMIESON, Crawford William (Guy's). BERRY, Hedley Edward (King's College). DEVERALL, Philip Brook (University College). KAUFMAN, Harvey David (Liverpool). REECE, Aneurin Roy (King's College). ROBINSON, Ralph Eldon (St. Mary's). ALLISON, John Douglas (St. Mary's). RAMARAO, Wunnava Gandhi (Patna). KEANE, Brendan (Dublin). ANGORN, Israel Barnett (Witwatersrand). BROWN, Raymond Henry Leighton (Manchester). COLMAN, Robin Reuben Simon (Svdney). IBRAHIM, Mohamed Sayed (Cairo). *ROMANO, John Henry Morad (Cairo). SHAH, Jayantilal Shantilal (Bombay). TIWARI, Chandra Prakash (Luicknow). *tCONNELL, Anthea Mary Stewart (Birmingham). SINNATHAMBY, Subramaniam (Ceylon). ADAM, Ahmed Hassan (Cairo). ALLEN, Geoffrey Louis (Madras). KHATER, Mohammed Salah El-Din (Royal College of Surgeons in Ireland). PATEL, Fakirdas Mangaldas (Gujarat). SAMAAN, Hakim Abdel Malak (Cairo). tTOMA, Gilbert Anwar (Baghdad). BHATTACHARJEE, Sisir Kumar (Calcutta). BREEN, John Joseph (Queensland). GADO, Salah Abdel Mageed Abdel Rahman (Cairo). JOHNSTON, Richard David (The London). * In Ophthalmology. t In Otolaryngology. j Woman. 49 GRANT OF FELLOWSHIP DIPLOMAS KLUGMAN, Samuel Norman Patrick (Witwatersrand). LAURENSON, George Richard (New Zealand). MALONE, Padraic Colm (National University of Ireland). OZA, Shivkumar (Bombay). ROYCHOWDHURY, Asim Kumar (Calecutta). *TANDON, Rajeshwar Prasad (Patna). THAKKAR, Chhotalal Rugnath (Agra). WADHWANI, Indur Bhojraj (Bombay). ATALLA, Awny Mohamed Youssef (Cairo). tBASSILIOS, Maurice Iskander (Cairo). BUNYARATAVEJ, Sira (Bangkok). COULDERY, Anthony David (Melbourne). *DAVIES, Ernest Walter Geoffrey (St. Mary's). EL-ZAWAHRY, Mohamed Diaa El Din (Cairo). EVANS, Thomas Arwyn (St. Bartholomew's). *FREEDMAN, Arnold (Westminster). HALDAR, Kali Sadhan (Calcutta). tHALEY, Jennifer Jane (Middlesex). JENKINS, John Dudley (University College). *LOBASCHER, David John (Adelaide). LOWE, Adrian Kenneth (Melbourne). SARWAT, Abdel Khalek (Cairo). SPIRO, Martin (King's College). WALSH, John Francis (Adelaide). BATEMAN, David Ernest Robson (St. Thomas's). BENDALL, Robin (Guy's). CALLANDER, John Donaldson (Melbourne). DESAI,
Load more

Recommended publications
  • The Royal College – Our Professional Home
    The Royal College – Our Professional Home An independent review on diversity and inclusion for the Royal College of Surgeons of England An exciting call for radical change Introduction ‘The President of the Royal College of Surgeons of England (RCS England) Professor Neil Mortensen, asked me to lead this Review soon after he was elected to the Presidency. His decision was triggered by vocal expressions of dissatisfaction from a significant part of the surgical profession, largely women and people of colour. The most recent elections to leadership positions had produced a line-up of senior White men – all very distinguished – who seemingly came from very similar social backgrounds. It was felt that the College was not demonstrating itself to be a diverse and inclusive institution, reflecting the society in which we live or the changing profession of surgery. Any examination of the statistics show that the complaints are well founded. The reputation of the College is affected by such negative feelings, as disaffection can cause long-term loss of confidence in an organisation. The homogeneous nature of the leadership was not a in the diplomatic world and other parts of the civil service, new occurrence. In its long and illustrious history, the on corporate boards, in sport and entertainment. All the College has had only one President of colour and one parts of our social infrastructure are being challenged. female President, and while both were singular leaders, And the challenge is simple. How can positions of they could not change the culture of the College. There authority and power be the dominion of any one group has to be a collective will and real effort to create lasting of people? Surely a healthy society opens opportunities change.
    [Show full text]
  • [Xzdcl Az 597 Further Point in the System Is That the Student's Own Teachers Commonly Take Some Part in His Examination
    SEPT. 4, 1909.] THE SCOTTISH CORPORATIONS. [xZDCL Az 597 further point in the system is that the student's own teachers commonly take some part in his examination. Of the four examinations, the first deals with physics, botany, zoology, and chemistry; the second with anatomy and physiology; the third with materia THERE are three medical corporations in Scotland- medica and pathology; the fourth with medicine the Royal College of Physicians of Edinburgh, the and surgery (clinical and systematic), midwifery, Royal College of Surgeons of Edinburgh, and the forensic medicine and public health, and clinical Faculty of Physicians and Surgeons of Glasgow. gynaecology. Each of these examinations is held Their Licences can be separately obtained only by three times a year. persons who are already in possession of a recognized Exemption from the first professional examination qualification-in surgery in the case of the College of can be obtained by candidates who have passed an Physicians, and in medicine in the case of the College examination at any recognized university in its of Surgeons and the Faculty of Physicians and Sur- subjects qualifying for a degree in science or in arts. geons of Glasgow. All others must submit to the There are no set periods which must elapse between examinations held by the Conjoint Board which th'e passage of the different examinations, but in every three corporations have combined to form. Details case the student must have attended the necessary concerning this Board and its component colleges course of lectures in each subject and have satisfied follow. The conditions on which their higher qualifi- the examiners in all the subjects of the previous cations are granted will be found set forth separately examination.
    [Show full text]
  • MEDICAL PRACTITIONERS 2 Hospital Staff the People Who Work
    MEDICAL PRACTITIONERS 2 Hospital Staff The people who work in any type of workplace, including hospitals, are called the staff. The medical staff in a British hospital belong to one of four main groups: • A pre-registration house officer (PRHO), or house officer, is a newly graduated doctor in the first year of postgraduate training. After a year, he or she becomes a registered medical practitioner. In the current system of training, the Foundation Programme, the name for these junior doctors is Foundation Year 1 doctor (FYI). • A senior house officer (SHO) is in the second year of postgraduate training. The title is now Foundation Year 2 doctor (FY2), but the old terms senior house officer and SHO are still used. • A specialist registrar (SpR) is a doctor who has completed the Foundation Programme, and is training in one of the medical specialties. There are also some non-training registrars -- doctors who have completed their training but do not wish to specialize yet. • A consultant is a fully qualified specialist. There may also be some associate specialists – senior doctors who do not wish to become consultants. In addition, there is at least one medical (or clinical) director, who is responsible for all of the medical staff. Medical Teams Consultant physicians and surgeons are responsible for a specific number of patients in the hospital. Each consultant has a team of junior doctors to help care for those patients. In many hospitals, there are multidisciplinary teams which consist not only of doctors but also of physiotherapists and other allied health professionals. When patients enter- or are admitted to –hospital, they are usually seen first by one of the junior doctors on the ward where they will receive treatment and care.
    [Show full text]
  • The Royal College Program Directors Handbook: a Practical Guide for Leading an Exceptional Program Preface
    The Royal College program directors handbook: A practical guide for leading an exceptional program Preface Consider the following tale, which will be familiar to many new program directors (PDs) in Canada: When I became a PD in 2000, I thought I knew what I was getting into. I was expecting a rewarding, challenging leadership position in education that would allow me to set a direction and provide support for a future generation of doctors. It turned out to be all of this and more; I’m thankful that the rewards far exceeded my expectations and the challenges were mitigated by a strong support network and resident cohort. But I admit that my initial experiences in the job were largely a trial by fire. I had a brief handover from my predecessor and was given a new book on the “newest thing” in residency education — CanMEDS 2000 — but other than that I was set adrift to run the residency program and seek help when needed. One resource that proved very helpful was the Royal College of Physicians and Surgeons of Canada’s annual workshop for new PDs and accreditation surveyors. I was assigned to the surveyor workshop by mistake; it turned out to be very useful, as our accreditation visit was scheduled to take place in 8 short months’ time, and I had still received no instruction on the nuts and bolts of running a program. PDs come to their positions in a variety of ways. way from peers, support staff and residents. Our own Some PDs seek out the role; others are invited to take experiences, then, prompted our desire to help others the job and either embrace the opportunity or accept prepare for their PD roles.
    [Show full text]
  • Spending Review 2019 Health Workforce Consultant Pay And
    Spending Review 2019 Health Workforce Consultant Pay and Skills Mix, 2012-2017 DEIRDRE COLLINS HEALTH VOTE, DEPARTMENT OF PUBLIC EXPENDITURE AND REFORM AUGUST 2019 This paper has been prepared by IGEES staff in the Department of Public Expenditure and Reform. The views presented in this paper do not represent the official views of the Department or Minister for Public Expenditure and Reform. Executive Summary Features of Consultant Grade of employment . In the Irish public health service, a Consultant is a specialist grade of doctor working in the acute hospital or community sectors. The purpose of this paper is to ascertain the total number of WTE Consultants employed by the HSE and the categories of consultant specialty employed. It also aims to provide a definite figure on the Consultants pay bill of in the context of over-all public expenditure, use this to undertake an international comparison and draw policy conclusions in light of the analysis. Key Trends . Almost 3% of the total WTE health service employment are Consultants. In the five years from 2012, the number of Consultants employed by the HSE has grown twice as fast as total HSE employment; 18% compared to 9% growth in overall HSE staff. Percentage growth rate WTE Consultants employed/ Percentage growth rate in total HSE WTEs 2012-2017 20% 18% 15% 10% 9% 5% 0% 0% 2012 2013 2014 2015 2016 2017 -5% % Growth rate Consultant WTEs % Growth rate HSE WTE Source: HSE – Health Service Personnel Census . While there has been growth in the overall number of Consultant posts from 2015 to 2017, the Consultant skills mix employed by the HSE has remained relatively consistent.
    [Show full text]
  • Curriculum Vitae Mr GD Hildebrand
    Curriculum vitae Mr GD Hildebrand BM BCH (Oxon) MPhil (Cantab) MD (USA) FEBO (Paris) FRCS (Edinburgh) FRCOphth (London) Consultant Ophthalmic Surgeon and Paediatric Ophthalmologist King Edward VII Hospital, Windsor Royal Berkshire Hospital, Reading West Berkshire Community Hospital, Newbury 1 Personal information / contact details: Mr. G. Darius Hildebrand BM BCH DCH MD MPhil FEBO FRCSEd FRCOphth General Consultant Ophthalmic Surgeon Paediatric Ophthalmology Specialist for Berkshire Prince Charles Eye Unit King Edward VII Hospital Medical Schools and Universities: 1994-97 Oxford University, U.K. Magdalen College, Oxford Clinical Medicine 1992-93 Cambridge University, U.K. Gonville & Caius College, Cambridge Molecular Pathology 1990-92 Dartmouth Medical School, USA 1993-94/97 Pre-/Clinical Medicine 1986-90 Brown University, USA Biology (with honours) 1986-90 Brown University, USA Modern History 1987 Université de Paris La Sorbonne, Paris summer Certificat (French, niveau supérieur) 1986 Harvard University Summer School summer Boston, Massachussetts, USA Biology 2 Academic qualifications: 2009 FRCOphth Royal College of Ophthalmologists, London 2007 CCT Certificate of Completion of Training 2007 GMC Full specialist registration, General Medical Council, London 2007 FRCS Royal College of Surgeons, Edinburgh (Ophthalmology) 2005 FEBO European Board of Ophthalmology, Paris 2001 MRCOphth Royal College of Ophthalmologists, London 2001 MRCS Royal College of Surgeons, Edinburgh 2000 DCH Royal College of Paediatrics and Child Health, London 1994-97
    [Show full text]
  • RESEARCH REPORT 2019 Research and Scholarly Activities At-A-Glance January–December 2019
    RESEARCH REPORT 2019 Research and Scholarly Activities at-a-Glance January–December 2019 Presentations 44 48 Staff Educators 1Award Staff/Educators 7 10 Non-peer reviewed/ Educational Events technical reports/ E-learning modules Staff/Educators Publications 29 37 Staff Educators External Funding Principal investigator, co-investigator or collaborator 3 $193,581.88 Staff Table of Contents Message from Dr. Padmos .................................................................................................................. 2 Message from the CEO ......................................................................................................................... 3 Contributors .......................................................................................................................................... 4 Key Literature in Medical Education (KeyLIME) ................................................................................. 7 Royal College Educators ....................................................................................................................... 8 Major Initiatives & Activities Task Force on Research and Scholarship: Update .................................................................... 10 Task Force on Artificial Intelligence & Emerging Digital Technologies ....................................10 Task Force on Periodic Reaffirmation of Professional Competence .......................................11 Little Things Make Big Differences: Recognizing and Managing Disruptive Behaviour in the
    [Show full text]
  • The General Practitioner and the Hospital*
    LECTURES AND ADDRESSES The general practitioner and the hospital* D. BURRELL, M.B., Ch.B., D.Obst.R.C.O.G., M.R.C.G.P. Basingtoke 1OR the last 18 years I have been closely associated with a cottage hospital and i general-practitioner maternity unit. The interest they give to the family doctor and the confidence he can instil into his own patients mast not be lost sight ofin the changing pattern of practice. The closed door of the district and teaching hospital to all who are not on the consultant staff is a tragedy of the growth of the Health Service. This dichotomy between hospital and community practice has deep-seated roots in their different disciplines and methods. We must not underestimate these since they produce professional tension and sometimes antagonisms and may become more marked as technological complexity increases-the stronghold ofthe consultant cannot be stormed by the mass of general practitioners, we must have a plan of integration that will be to the benefit of patient, consultant and general practitioner, and we shall have to work hard to have this plan accepted and even harder to make it work. In Britain, to quote the Report and Recommendations of a Ministry of Health Interview Board on discussion in N. America with British Trained Doctors (1968), the National Health Service has inspired "an incisive separation . between hospital and general practice." This is not a plea to return to the 'good old days'-but'rather an attempt to put in perspective the various possibilities for a better continuity of care of the patient and a closer relationship between general practitioner and hospital practice.
    [Show full text]
  • Curriculum for Internal Medicine Stage 1 Training 3
    TheCurriculum state of physicianly for Internal training Medicinein the UK ReportStage 1 2017 1 Training ROYAL COLLEGE of PHYSICIANS of EDINBURGH JRCPTB_SoPT_report_.indd 1 12/10/2017 14:19 Curriculum for Internal Medicine Stage 1 Training 3 Contents 1 Introduction 5 2 Purpose 5 2.1 Purpose statement 5 2.2 Rationale 6 2.3 Development 8 2.4 Training pathway 8 2.5 Duration of training 9 2.6 Flexibility 10 2.7 Less than Full Time Training 10 2.8 Generic Professional Capabilities and Good Medical Practice 11 3 Content of Learning 12 3.1 Capabilities in practice (CiPs) 12 3.2 Presentations and conditions 23 3.3 Practical procedures 31 4 Learning and Teaching 33 4.1 The training programme 33 4.2 Teaching and learning methods 34 4.3 Academic training 37 5 Programme of Assessment 37 5.1 Purpose of assessment 37 5.2 Programme of assessment 37 5.3 Assessment of CiPs 38 5.4 Critical progression points 39 5.5 Outline grid of levels expected for CiPs 41 5.6 Evidence of progress 42 5.7 Decisions on progress (ARCP) 44 5.8 Assessment blueprints 44 The Federation of the Royal Colleges of Physicians 2019 Curriculum for Internal Medicine Stage 1 Training 4 6 Supervision and feedback 46 6.1 Supervision 47 6.2 Appraisal 48 7 Quality Management 48 8 Intended use of curriculum by trainers and trainees 49 9 Equality and diversity 50 The Federation of the Royal Colleges of Physicians 2019 Curriculum for Internal Medicine Stage 1 Training 5 1 Introduction Internal Medicine stage 1 will form the first stage of specialty training for most doctors training in physician specialties, i.e.
    [Show full text]
  • Senior House Officers and Their Training BMJ: First Published As 10.1136/Bmj.299.6710.1263 on 18 November 1989
    Senior house officers and their training BMJ: first published as 10.1136/bmj.299.6710.1263 on 18 November 1989. Downloaded from I. Personal characteristics and professional circumstances Janet Grant, P Marsden, R C King Abstract revised scheme, the role ofpostgraduate examinations, To assess the experience and perceptions of training current and future learning methods, study leave, and of senior house officers in medicine a population the relation between training and service. In addition, survey ofsenior house officer training was conducted space was given for free comment. The questionnaire on senior house officers, registrars, senior registrars, was constructed on the basis of the interview data, and consultants in six medical specialties in South and the items were almost exclusively drawn from East Thames region by interview and postal quotations from the interviews. Basic principles of questionnaire. The overall response rate was 72%, constructing questionnaires were closely followed.6 varying from 62% to 83% according to status and The questionnaire was sent to the subjects after an from 61% to 80% according to specialty. Although introductory letter from one of us (RCK) and was most of the 226 senior house officer respondents followed up with a letter of reminder and personal were aged 28 or under (168/225), had been qualified communication from ourselves and other colleagues. for four years or less (168/225) and were British (176/ Statistical analysis-Data analysis used tabulated 223), a quarter were older and had been qualified for frequency counts by actual numbers and percentages, five years or more; in all, 17 other nationalities were cross tabulations and matrices,X2 analysis, and analysis represented.
    [Show full text]
  • Standards of Accreditation for Residency Programs in Ophthalmology (338A) - Published July 2020
    Standards of Accreditation for Residency Programs in Ophthalmology (338A) - published July 2020 Standards of Accreditation for Residency Programs in Ophthalmology The Standards of Accreditation for Residency Programs in Ophthalmology are a national set of standards maintained by the Royal College for the evaluation and accreditation of Ophthalmology residency programs. The standards aim to ensure the quality of residency education provided across Canada, and ensure Ophthalmology residency programs adequately prepare residents to meet the health care needs of their patient population(s), during and upon completion of training. The standards include expectations specific to the discipline, as well as the expectations set out in the General Standards of Accreditation for Residency Programs, which are applicable to all residency programs. In instances where the indicators reflected in the General Standards of Accreditation for Residency Programs have been modified within this document to reflect a discipline-specific expectation, the indicator as reflected in this document takes precedence. The standards are intended to be read in conjunction with the national discipline-specific documents for Ophthalmology. 1 © 2020 The Royal College of Physicians and Surgeons of Canada. All rights reserved. This document may be reproduced for educational purposes only provided that the following phrase is included in all related materials: Copyright © 2020 The Royal College of Physicians and Surgeons of Canada. Referenced and produced with permission. Please forward a copy of the final product to the Office of Specialty Education, attn: Associate Director, Specialties. Written permission from the Royal College is required for all other uses. For further information regarding intellectual property, please contact: [email protected].
    [Show full text]
  • Modern Cardiac Surgery Modern Cardiac Surgery
    Modern Cardiac Surgery Modern Cardiac Surgery Based on the Proceedings of the Eighth Annual Course on Cardiac Surgery, organised by the British Postgraduate Medical Federation Edited by D. B. Longmore Consultant Clinical Physiologist, The National Heart Hospital, London ~~ MTPPRESS LIMITED intl'nllltiOllll/ MediclI/ nlWshers Published by MTP Press Limited Falcon House Lancaster England Copyright © 1978 MTP Press Limited Softcover reprint of the hardcover 1st edition 1978 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from the publishers. ISBN-13: 978-94-011-6202-9 e-ISBN-13: 978-94-011-6200-5 DOl: 10.1007/978-94-011-6200-5 Contents List of Contributors x Foreword Xlii SECTION I INVITED LECTURES The National Heart Hospital Surgical Lecture 'Transplantation of the heart' 3 E. B. Stinson and N. E. Shumway The Hammersmith Cardiac Surgery~ Lecture 'Tissue valve grafting'. Aortic valve replacement with autologous fascia lata 19 A. Senning SECTION II THE MITRAL VALVE I. Echocardiography 27 T. A. Traill 2. Mitral valve disease: the case for cardiac catheterization 37 Celia M. Oakley 3. Closed mitral valvotomy 45 W. P. Cleland 4. Open mitral valvotomy 49 S. C. Lennox 5. Reconstruction of the mitral valve 53 M. Paneth 6. Fluid dynamics of prosthetic heart valves 59 D. E. M. Taylor 7. Aortic homograft valves for mitral valve replacement 67 M. Yacoub 8. Echocardiographic studies after mitral valve replacement 75 D. G. Gibson v MODERN CARDIAC SURGERY 9.
    [Show full text]