College news

Meeting of Council - December In Orthopaedics: Mr J C Angel (The London Hos- At an Ordinary Meeting of the Council on pital), Mr R C Todd (The London Hospital), iith December 1975 with Mr R H Franklin, Senior Mr J D M Blayney (Cardiff Royal Infirmary and Vice-President, in the Chair the Honorary Medal of associated hospitals), Mr T S Kerr (Adden- the College was awarded to Professor L N Pyrah CBE brooke's Hospital, Cambridge), and Mr D J FRCS, of Leeds, in recognition of his pioneering Fuller (Bristol Royal Infirmary and Radcliffe efforts in association with the late Sir Frank Holds- Infirmary, Oxford). worth in designing and helping to establish the In Plastic Surgery: Mr F S C Browning (St James's schemes of higher training in surgery that have Hospital, Leeds, and St. Luke's Hospital, Brad- become the model not only for the surgical special- ford), Mr D M Evans (Churchill Hospital, Ox- ties but also for medicine, dental surgery, and ford), Mr M Gipson (Sheffield Royal Infirmary), anaesthesia throughout the British Isles. It is hoped and Mr D C Herbert (Whiston Hospital, Pres- to present the Medal on the occasion of the Provin- cot). cial Meeting of the College in Leeds in Septem- In Thoracic Surgery: Mr K Jcyasingham (Frenchay ber 1976. Hospital and Royal Infirmary, Bristol), Mr A K Mr Leonard Wolfson, of London, was elected to Deiraniya (Queen Elizabeth Hospital and Child- the Court of Patrons. ren's Hospital, Birmingham), Mr H R Matthews Dr Russell Davies FFARCS was elected McIn- (Broadgreen Hospital, Liverpool), Mr B Picker- doe Memorial Lecturer for 1976 and Mr J R Kir- ing (Hammersmith Hospital, Harefield Hospital, kup FRCS was elected Thomas Vicary Lecturer and Hospital for Sick Children, Great Ormond for the same year. Street), and Mr R N Sapsford (Hammersmith The election of the Rt Hon. Lord Brock of Wim- Hospital, Harefield Hospital, and Hospital for bledon as Chairman of the Board and the election Sick Children, Great Ormond Street). to the Board of Trustees of the Hunterian Collec- The College has received the following gifts, for tion of Sir John Summerson, of London, and Mr which Council has expressed its sincere gratitude: Robert V Cooke, of Bristol, was noted. The award of the Colyer Gold Medal to Profes- Gift from Mrs N L, Capener of a bronze hand (that sor C F Ballard was noted. of the late Mr Norman Capener) by the late Dame Professor A S Prophet was appointed Charles Barbara Hepworth; and bequest from Mr Capener Tomes lecturer for 1977. The appointment of Mr of his sculpture The Political Prisoner. B W Fickling CBE as Webb-Johnson Lecturer for Gift from Sir Harry Platt, Bt, of a silver tankard. 1976/78 was noted. Gift of coat of arms from the Singapore Academy The award of the Faculty of Anaesthetists Fellow- of Medicine. ship Prize to Dr L J Williams was noted. Council has unanimously approved the confer- Certificates of Accreditation of Higher Training ment of the title of Emeritus Professor of the Col- have been granted to the following Fellows of the lege on Professor David Slome, who retired on 3Ist College: December 1975. In General Surgery: Mr J M Kelly (Royal The retirement of Mr Frank Watson, Chief Victoria Hospital, Belfast), Mr M G Johnson Technician, who has assisted many Fellows and (Bristol Royal Infirmary), Mr A Watson (Univer- other research workers at the Buckston Browne sity Hospital of Wales, Cardiff, and Maelor Farm for the past 42 years, has taken place and General Hospital, Wrexham), Mr M R Colmer Council has expressed its appreciation of his out- (United Liverpool Hospitals). Mr D Sarson standing services to surgical research. (United Liverpool Hospitals), Mr T P S Thomson Mrs Margaret Harding, Personal Secretary to the (The Middlesex Hospital). Mr P M Perry (St President and the Secretary, has completed fifteen Bartholomew's Hospital), Mr K T H Moore years with the College. (Sheffield Royal Infirmary), Mr R A D Booth The deaths of Professor T Cid dos Santos, of Lis- (Royal South Hants Hospital, Southampton), bon (Honorary Fellow), of Mr R St L Brockman Mr W H F Thomson (Southampton General Hos- (Past Member of the Court of Examiners), and of pital), and Mr S j A Powis (Queen El;zabeth Mr G F Rowbotham, Fellow (Past Regional Ad- Hospital, Birmingham, and Royal Hospital, viser in the Newcastle Region), have been reported Wolverhampton). with deep regret. In Ophthalmolog: Mr T A Harding (Moorfields Mr R E Robinson, Fellow, has been nominated Eye Hospital, High Holborn Branch), Mr D A R by the College as a member of the Central Mid- McKay (Moorfields Eye Hospital, High Holbom wives Board for three years from ist April 1976. Branch), Mr A T Morris (Moorfields Eve Hospital, Mr R Neill (Macclesfield) and Mr .T Clegg City Road Branch), Mr R B Trimble (King's Col- (Crewe) have been appointed as College Surgical lege Hospital and Moorfields Eye Hospital). Tutors. College news 153 Meetings of Council - January In General Surgery: MIr W Lloyd-Jones and At an Extraordinary Meeting of the Council held Mr J M Shennan (United Liverpool Hospitals). on 7th January I976 with Sir Rodney Smith, Pre- In Orthopaedics: Mr W E Griffith (The Loindon sident, in the Chair diplomas of Fellowship were Hospital) and Mr J R Watson (Harlow Wood granted in accordance with the pass list (see p I62). Orthopaedic and Leicester Hospitals). An address to the new diplomates was delivered by In Thoracic Surgery: Mr F D Salama (St George's Sir Michael Swann, past Vice-Chancellor of the and Southampton Western Hospitals). University of Edinburgh and presently Chairman of the Board of Governors of the BBC. Court of Examiners Notice is hereby given that the Council on 8th July 1976 will elect members of the Court of At a Quarterly Meeting of the Council held on 8th Examiners as follows: January 1976 with Sir Rodney Smith, President, GENERAL SURGERY-seven examiners to be in the Chair the Right Honourable Lord Boyle of elected, three of the retiring examiners being Handsworth and Professor R B Salter, of Toronto, eligible for re-election. were elected to the Honorary Fellowship. OPHTHALMOLOGY-one examiner to be The following motion of condolence on the death elected. of Mr Arthur Dickson Wright, past Member of Fellows of the College desirous of becoming candi- Council and Vice-President, was moved by Mr dates for the office must make application by letter H H G Eastcott and seconded by Mr Ronald W to the Secretary of the College on or before 23rd Raven: April I976, stating their date of birth in the appli- 'The President and Council hereby express their cation. sorrow at the death of Mr Arthur Dickson Wright, MeInber of Council from 1949 to I965 and of the Annual Meeting of Fellows and Court of Examiners from 1952 to 1958. Members 'Arthur Dickson Wright's services to British sur- The I976 Annual Meeting will be held in Leeds on gery and to the College were on a large scale; his 24th and 25th September and will include symposia term of office as a Member of Council coincided of interest to surgeons, detntal surgeons, and anaes- with the important years of post-war expansion and thetists. The detailed programme will be circulated he did much to help form the policies that were to all Fellows resident in Britain; those normally then necessary, as well as playing an important part overseas who wish to attend should obtain a copy in bringing the needs of the College to the notice from the Secretary of the College. of benefactors. His work for the Imperial Cancer Research Fund gave him particular satisfaction and absorbed a large part of his enormous energy. His Donations to the College opinions were always expressed trenchantly and During the past few weeks the following generous often with wit, and his idiosyncratic personality donations have been received: earned for him a reputation that went far beyond Two covenants totalling £IO 500.00. the medical profession. He will be remembered as Three legacies totalling £9oi8.59. a unique character, devoted to the craft of surgery, Gifts of 50oo and over totalling £3315.76. of which he was a master, and to the many patients Gifts under £5oo totalling £4032.87. who benefited from his skill. His death after a long and distressing illness has left a void in British College Dinner surgery that nobody else can fill.' The College Dinner on Wednesday qth June will Mr R H Franklin was appointed Hunterian Orator be followed by a talk by the Right Honourable for 1977 and Mr Selwyn Taylor was appointed Brad- Lord Denning, Master of the Rolls. shaw Lecturer for 1976. Applications for tickets for the Dinner, price £7.00 Professor Bryan Brooke, of St George's Hospital, including cocktails and wines at table, should reach L,ondon, was re-elected and Mr M D M Staunton, Mr W F Davis at the College not later than a week of the Metropolitan, St Leonard's, and Royal before the date of the Dinner. L,ondon Homocopathic Hospitals, London, and Mr .1 F R Withycombe, of Addenbrooke's Hospital, Pancreatic transplantation Cambridge, were elected to the Court of Examiners The following lectures will be delivered in the Col- for the ensuing three years. lege on Wednesday 12th May 1976: The award of the Faculty of Anaesthetists Nuf- Chairman: Sir Rodney Smith KBE PRCS field Prize to Dr M E Jones was noted. 2 p.m. Arris and Gale Lecture-Experimental Council noted with sorrow the deaths of Mr islet transplantation-Dr A Georgakakis MD L, J Williams (Honorary Fellow and Patron), Sir (King Paul Hospital, Athens, formerly Insti- John Bruce (Honorary Fellow), and Mr Harold tuite of Basic Medical Sciences). Burge (Past Member of the Court of Examiners). 3.15 p.m. Hunterian Lecture Isolation and trans- Certificates of Accreditation of Higher Surgical plantation of islets of Langerhans with the Training were granted to the following Fellows of aim of treating diabetes mellitus-Professor the College: Miles Fox FRCS (Sheffield Royal Hospital). I54 College news

i.15 p.m. Tea. the I976 award of the Jacksonian Prize, which con- Chairman: Mr Peter Bevan FRCS sists of the sum of £52.50 and a bronze medal. The 4.45 p.m. Arris and Gale Lecture The current state Prize is open to Fellows and Members of the College, of transplantation of the pancreas-Mr J Fellows in Dental Surgery, and Fellows in the Faculty Collin FRCS (University of Newvcastle upon of Anaethetists. Dissertations must be related to a Tyne). practical subject in surgery. There is no charge for attendanice at the above lectures, at which all medical practitioners and Intending candidates are strongly advisedl to obtain advanced students wA:1l be welcome, and tickets are the full regulations from the Secretary of the College, niot required. who must be notified of the subject prop')sed not less than six calendar months before the closrng Jacksonian Prize date for receipt of dissertations, which is 3Ist Decem- The Council invite the submission of dissertations for ber 1976.

HONOURS CONFERRED ON FELLOWS AND MEMBERS The following Fellows, Members, and others closely connected with the College were included in the New Year Honours List: Knight Bachelor JAMES RALPH HUDSON IlRCS (past co-opted ARNOLD STANLEY VINCENT BURGEN member of Counicil). MRCS JOHN VIVIAN DACIE MRCS OBE GORDON ETHELBERT WARD WOLSTEN- JOHN THOMAS CORBETT MIRCS HOLME MIRCS ANTHONY LEE DE SILVA MRCS ROBERT BRASH WRIGHT Hon. FRCS RONALD STUART JOHNSON-GILBERT (Secretary of the College) CMG ERNEST PHILIP QUIBELL MRCS STANLEY (GEORGE BROWNE FRCS SURGEON COMMANDER PHILIP CHARLES FULFORD FRCS CBE JAMES WILLIAM DOUGLAS BULL FRCS (past co-opted member of Council) CHARLES ENRIQUE DENT MRCS On the recommendation of the Prime Minister, THOMAS CECIL GRAY FRCS FFARCS (past HM the Queen has also recently created Dr Deani of the Faculty of Anacsthetists and co-opted MICHAEI, PLATT WINSTANLEY MRCs a Life member of Council) Peer.

ANNUAL MEETING OF FELLOWS AND MEMBERS, ioth DECEMBER 1975 The President's Address to the Annual Meet- Faculty of Anaesthetists ing was printed in full in the January issue of The Dean reported that with an increase of the Annals (pp. 1-3). The remainder of the 2oo in the past year there were now 3450 proceedings are reported below. Fellows in the Faculty. There were I400 con- sultant anaesthetists and 2000 in training Faculty of Dental Surgery grades in British hospitals. He referred to the The Dean of the Faculty thanked the Presi- Faculty's educational activities, both central dent for the leadership he was giving in the and various present crisis. The Facuilty was an integral regional, at levels, to the reorgan- part of the College with similar objectives and ization of the work of the Board, to the im- much time was devoted to maintaining stan- portant role of the Faculty's representation dards of education, training, and treatment, in on advisory appointment committees in main- particular through representation on advisory taining standards, and to other national activ- appointment comnmittees and the approval ities in which the Faculty was actively in- of training posts Mr Hovel] referred also to the work of the Department of Dental Science volved. He expressed his thanks for the co- and to the reduction of the Faculty's ad- op-ration of the Council and especially to the ministrative staff as an economic measu've. President. College news 155 The Finances of the College testing the very foundations of our corporate The Chairman of the Finance Committee, Mr existence. Ronald W Raven OBE TD, addressed the meet- For 25 years, following the havoc of the ing on 'The finances of the College today'. The war, the College was largely able, with the following is the text of his speech: help of magnificent benefactions, to determine I appreciate the privilege of addressing the its own financial destiny. During the last 5 Annual General Meeting on 'The finances of years, and particularly the last 2 years, this the College today' for this is a testing time was impossible. Decisions and disasters in the for our country and its institutions, large or outside world, from which the College can small. Many charities are in financial difficulty never be dissociated, have become the govern- and I feel it is right that vou should know ing influences. about the position of the College with its The present vulnerable position must be strategy for survival. seen against the historic background of the Midsummer Day I975 was unique in the I950s, when the College assumed huge College's financial history because it marked physical and scientific responsibilities without the end of an accounting year when inflation sufficient resources to finance them. That in Great Britain was more than 25/%; and decade may well rank as the most decisive in also the end of a quarter of a century during the long life of the College; certainly it was which the finances of the College and the activ- the most decisive financially. The physical ex- ities they reflect were completely transformed. pansion created virtually a new Royal College The extent of our present activities is reflec- of Surgeons of England with new functions ted in the recurrent expediture last year, which to sustain, especially research and teaching. reached the formidable total of £ 170 000, The 7 years between I95i and I958 saw a with a dramatic rise of Li 8o ooo over the five-fold rise in those General Fund assets- previous year. The General Funds underpin owner-occupied property-that produce ex- all College liabilities, and were therefore re- penditure in overheads, staff, and other forms sponsible for the largest single share of but had witnessed a virtual standstill in those £535 ooo, a rise of £122 000 almost 30%. assets that produce income. Therefore I 958 This massive expenditture last year was the was a year of crisis and reassessment, for it end-product of College commitments accumu- was obvious that Trust income with grants lated during the previous 25 years. Similar- from outside bodies could never meet all the ly the income marshalled to meet that expen- growing expenses of the scientific departments diture has been built up by a strenuous effort and the continued subsidy for Nuffield College. over many years, for it was realized that Against this background of crisis and con- accumulating commitments required accumu- cern two major decisions were reached that lating resources. would shape the whole of the College's future The vital connection between present and and not merely its finances. future burdens and the action taken to anti- A compulsory subscription for newly ad- cipate and meet them is my theme today. mitted Fellows was introduced and the Annual accounts and balance sheets are College established a Fund-Raising Organiza- really a narrative of College life. They bear tion. certificates signed by independent auditors The combined annual receipts from compul- which declare that they give a true and fair sory and voluntary subscriptions have grown view of the College's affairs. They are used, from £3I7I in I957/58 to £78 749 in the therefore, as the material for this simplified year to Midsummer 1975, when compulsory but, I believe, reliable explanation of our subscriptions brought in £64 556 and volun- finances. tary subscriptions £I4 I93. The capital and revenue accounts clearly In the first year of General Purposes show that the I950s were a decade of physic- Fund-Raising, 1958/59, £170 005 was al expansion, the Ig6os were a decade of received, and by 1974/75 the cumulative financial expansion, and the 1970S are proving receipts of 17 years totalled £3 672 236. to be a decade of external pre-,sures which are The charitable status of the College, I56 College news granted in 1952, by exempting it from flation of I970 has continued since with central taxation (except VAT) has saved hun- serious effects for the College. In dreds of thousands of pounds. 1970/71 the General Funds deficit was The I96os were far different from the 1950s. £53 OI6 and in 1971/72 it rose to Right from the start Fund-Raising began to £65 I42. In that year the total College ex- redress the balance of General Funds assets in penditure was around £8oo 000, with favour of investment and thus strengthened £359 000 falling on the General Funds, while greatly the financial structure of the College. its income was only £294 000. The major By I97I, I0 years later, total assets had contributions to this income were examinations reached over £7 ooo ooo. The position of the at £47 ooo, Fellows' subscriptions at £6i 000, General Funds had been completely changed, and investment interest at £129 000. both relatively and absolutely, by the policy The actual and potential seriousness of this of financial expansion during the Ig6os. Its financial position of the College was examined assets had more than doubled to around exhaustively, and by the autumn of I972 the £4 300 ooo and far exceeded those of the strategy to combat it was clearly worked out. Trusts and departments. General Funds in- Already it had been accepted that the Fund- vestments had actually quadrupled in Io years Raising investment target, previously put at to reach their I97 figure of nearly a minimum of £ Ioo 000 a year, must be raised £2 400 000. to £200 000. While physical expansion continued at There was agreement at Finance Committee Lincoln's Inn Fields until the mid-sixties, it and Couincil levels that without radical action had yielded its dominance to the expansion of in relation to either income or expenditure financial assets in the form of marketable the deficit was likely to increase annually and securities. When phvsical expansion did take that only a reduction in expenditure would place at Downe in Kent it was carried out on decrease noticeably the size of the deficit. Ac- a self-financing basis, which was applied to all tion was taken to increase income by raising the capital expenditure and the consequent examination fees and increasing residents' dues heavy annual running expenses of the dental and charges for the use of the College, and the and teratology projects. compulsory annual subscription for Fellows This successful example of making projects abroad was raised from 0.oo0 to £io.oo. But pay for themselves has encouraged the Col- these increases could not go far to raise the lege's view that it should work towards a income that would be necessary during com- situation in which, although the costs of pro- ing years. viding a physical and administrative environ- Half of the General Funds income was de- ment for scientific research must usually be ex- rived from investments, and unless this could pected to be a liability of the General Funds, be raised very substantially by new investment the direct research expenses should be met in and a complete, continuous overhaul of the full by Trusts and grant-aid from bodies out- portfolios there was a distinct danger that the side the College. College would eventually have to consider The I970S began with the College's income- making inroads into its accumulated capital earning assets in an apparently strong position in order to meet annual expenditure. and its revenue account looking healthier than at any time during the previous 20 years. In In the event, Fund-Raising did provide the last 2 years of the sixties there were small considerable new investment, for no less than surpluses in the General Funds revenue ac- £591 000 was provided during the 3 years count which raised hopes of a long ending at Midsummer this year. respite from deficit financing. These Simultaneously the Investment Sub-Commit- hopes rested on a somewhat naive assump- tee has made a determined effort to maximize tion that inflation, although a national investment income. During the past 2 years in feature of the post-war period, might be con- particular it has anticipated the movements tained at a low and regular rate. This assump- of interest rates and share values to the great tion proved groundless, for the accelerating in- advantage of the College. During 1974 hold- College news I57 ings of ordinary shares were reduced drastic- Council, boards, and committees be reduced ally in time to use the proceeds, along with the immediately by at least 30%; that the resi- new money, to take advantage of the abnor- dents' dues in Nuffield College be increased mal high rates obtaining in the short-term progressively to meet all direct outgoings at- market. Later there was a partial switch of tributable to residential occupation. Council funds into gilt-edged securities when their has also reluctantly decided that the Annals yields had improved. will be published in alternate months from Because of these efforts General Funds January 1976 because of the continuous rise investment income more than doubled over in postal and production costs. This will dim- the 3 years from £X39 000 in 1971/72 to inish the charge on General Funds, and the £3I I 000 in 1974/75; although on grounds annual subscription for non-Fellows is un- of prudence not all of this income has been changed. Many other economies are now being made available for annual spending. Gen- studied, for more are essential in the immedi- eral Funds available income from all ate future. sources rose in that 3-year period from The economic situation of our country is so £294 000 to £400 ooo, an increase of serious that it would have been wrong if I £ I 96 000. had not explained at some length the financial This tremendous expansion in income, how- position of the College and the steps we are ever, did little more than match the upsurge taking to safeguard it. I should regret very in General Funds expenditure, which rose by much were I to leave you with a sense of £176000 to reach £535000 last year and any financial weakness of the College. As produced a deficit of £45 000. Chairman of the Finance Committee I know Today it is plainer than ever that whatever from intimate knowledge that the College has is done to try to raise College income, and the underlying financial strength that should quite as much will need to be done in the certainly withstand the external pressures of future as in the recent past, only a reduction in the 1970s, and this will be preserved, and not the commitments behind College expenditure sacrificed, by all that has been done and will decrease noticeably the General Funds planned to resist those pressures. deficit. I would stress that the College is entirely The need for planned economies was re- free of debt. In the Institute of Basic Medical inforced last April when the prospects for the Sciences it has a continuing, if limited, link coming year-the one in which we find our- with public funds. Through the Fund-Raising selves-were considered by the Finance Com- Organization its status as a nationally recog- mittee. It was then visualized that if the com- nized charity draws substantial support from its mitments forecast ran on unchecked the friends. Through the subscriptions from its I975/76 General Funds deficit was likely to Fellows the College demonstrates its capacity reach £I20000. for self-help. The Council therefore endorsed the setting up of a Presidential Working Party to evolve Fund-Raising is a fundamental necessity a plan to reduce substantially the General which must continue to provide large annual Funds deficit. The Working Party has already additions to our income-producing assets acted, particularly in relation to the non-filling through a widening circle of donors. It is cer- of staff vacancies, with the intention of hold- tain also that the College will continue to be ing this year's deficit to a figure that should supported by its Fellows and thus enabled to not be greatly in exces of last year's deficit of carry the increasing national and international £45 000. Other measures formulated have be- burdens imposed by its major role in surgery. come resolutions of Council: that the staff re- In conclusion I wish to express my gratitude ductions will continue throughout the College for the most helpful collaboration I enjoy in during the next 3 years with the object of re- this work with Mr G A Taylor, the Finance ducing the permanent establishment by at Officer of the College, and his staff, and with least Io%; that the number of meetings of Mr W F Davis and the Appeal Office. 158 College news Motions by Fellows and Members in an atmosphere free of political interference. Mr Patrick Smith FRCS proposed the motion The so-called Olympian heights of surgery are 'That disquiet among young surgeons has in- hard won. There is no birthright, no privilege creased, is increasing, and ought to be dim- in a surgical career. Surgery is a hard mistress inished'. He spoke as follows: to serve, as those of us who have taken it up 'In its original version by John Wilkes this can surely testify. The enormous demands on motion had the phrase "power of the Crown" one's own life and that of one's family are in place of "disquiet among young surgeons". clear to all who care to look. Despite this altered wording the concern ex- 'Wordsworth in his "Resolution and Inde- pressed is curiously similar in both motions. pendence" begins: For just as he then was complaining about "We poets in our youth begin in gladness, the interference of the Crown in political life, But thereof in the end come despondency so now this motion seeks to reflect a similar and madness". concern about government interference in our Well, madness is probably an essential ingre- professional life. dient for anyone taking up surgery, but des- 'There has, I believe, Mr President, devel- pondency till now was not a feature of the oped in our community an altogether too rev- life of the surgical poet, yet now it is all about erent approach to government. A group of uis. This despondency is not from within the politicians elected by a minority of the elector- profession, its source is without, from the ever- ate seek to impose doctrinaire views which in increasing insinuation of oblique political turn will limit the professional independence of forces which threaten the most precious pos- the surgeon and demean his hard-won status. session of surgeons namely, their status and An independence and status, furthermore, independence. Possessions which have been which is embodied in the Charter of this Col- translated in this College into the standards lege. These have been inherited from previous of surgical care. This is the crux of the con- generations of surgeons, many of them Fellows flict-the attack on surgical standards. It is of this College, who have trusted us, the pres- the responsibility of this College to preserve ent generation, first to consolidate and then these surgical standards and every effort to further advance the art and science of surgery. weaken or destroy them must be fought tooth 'Yet we see today a determined attempt by and nail. To quote Lord Milner, again rebuk- a Minister of the Crown to destroy this legacy ing power abuse, this time by the House of of the past, a Minister who apparently cares Lords in I 909, "If we believe a thing to be bad and if we little for the fears of the present and even les have the right to prevent it, it is our duty for the dreams and hopes of the future. This to prevent it and damn the consequences". is the disquiet that grips many young surgeons 'There must be no quarter in this struggle of today. with the Government. Our surgical status is 'And what of (government ?-remember absolute and we can brook no interference Tom Paine's words in The Rights of Man: with it. If we did we would betray our pre- "Government even in its best state is but a decessors in the profession, our contemporaries, necessary evil; in its worst an intolerable one". both patients and colleagues, and perhaps Politicians, and those of this Government in worst of all, destroy the future. Young sur- particular, should remember that politics is geons are bewildered by the sudden change in the business of the whole mass of the common their careers. They feel misunderstood, under- people and not only of the governing oligarchy. valued and even unwanted. They are appalled Life, liberty, and the pursuit of happiness is by the rantings of some politicians and the the only tolerable basis for government pre- outrageous self-rightecusness of some, merci- sence. Tom Paine's sentiments again-and fully few, of their colleagues. how strange after the passage of so many years 'Pope defined the ioth Beatitude as: to realize that they are as real now as they "Blessed is the man who expects nothing, were in his day. for he will never be disappointed". 'Young surgeons desire only to be taught, Well, I, in common with most other young practise, and in turn impart their surgical skills surgeons, do expect something from my sur- College news I59 gical career. I expect to be given the status and 'These men had fulfilled all the academic professional independence that is essential for requirements of their medical schools and a good surgical practice. I believe the firm Royal Colleges. Their capacity to manage stand taken to this end, by this College in patients was proven and their technical skill particular, is right and to be encouraged. With as surgeons was not in doubt, but they were the support of those surgeons who hold high victims of the system in which the National office in this College young surgeons may in- Health Service as a monopolistic employer im- deed "hold to their dreams and fight despair". poses short-term contracts of one to two years ' "These are the times that try men's souls", without guarantee of continuity of career at wrote Tom Paine. Well, Mr President, young the end of any particular post. Intense compe- surgical souls are sorely tried just now. We tition for new posts-and the very real finan- look to you and to the College to ensure that cial problems of selling houses and moving our careers are not to be destroyed for mere around Great Britain at short notice-have political whim or economic convenience. Sur- only added to their problems. Many of us gical standards are not to be compromised. To took on a surgical career accepting I0-12 years do so would be treason to all who over the of relatively low salary in expectation that by centuries have toiled to bring this magnificent the age of 40 we would be able to provide subject to its present high state. financially for our families and educate our 'This motion contains no figures, no graphs children privately if we so desired. But the or statistical trends are shown. It represents profligate economic policies in recent years the feeling of one young surgeon and, I hope, have meant that not only have personal econ- some of his colleagues. In some ways it is de- omic projections been invalidated but the high- liberately vague, for as has been said (Alexis ly trained surgeon seeking a consultant de Tocqueville), appointment is like a girl who has made long "Men living in democratic countries are immaculate preparations for a party only to apt to entertain unsettled ideas and they be telephoned at the last minute to be told that require loose expression to convey them". it has been cancelled. It also seeks to offer a vote of confidence in the 'In the circumstances our options are three- firm stand taken by the President and the fold. First, to follow Sir George Pickering's ad- Council in the current dispute. It seeks to en- vice and emigrate. Second, to accept the re- courage them to maintain that stand. It is versal of policy on hospital size, the curtail- inevitable that high office in this College is ment of capital projects, the ending of private held by the more senior members of the sur- practice in its present form, and the erosion of gical profession, but it does no harm to remind salary by the politics of envy and punitive them that the battle is being fought more for taxation. The third path is more acceptable us, the young surgeons, and for our future. to our surgical mentalities: that is, to go on I would choose to close, therefore, by remind- the offensive. ing them of Yeats's words: 'Firstly, we must undertake a public rela- "I have spread my dreams under your feet. Tread softly because you tread on my tions exercise by all means at our disposal. We dreams".' must explain to everyone that surgical training is a long and arduous process, that graduates Mr David Skidmore FRCS spoke in support of will not undertake this difficult path if the the motion as follows: light at the end of the tunnel is snuffed out. 'It is with sadness that I rise to support this We must also point out that the structure motion. Throughout the 12 years I have been and standards of our acute hospitals will de- qualified it has been my privilege and pleasure pend on the willingness Qf the taxpayer to to work with contemporaries who were the contribute a greater percentage of the gross products of our best schools and universities. national product to the dealth Service. To Unfortunately many of them, in company this end also we must impress on politicians with scientists of other disciplines, have been the need to forewarn the general public about driven out of the United Kingdom with their the consequences of inflation in our labour- wives and families. intensive industry. I am quite sure that the I 6o College news designation of a portion of direct and indirect in committee work so that they may learn taxation as a "health tax" would be a way this as one more aspect of the work of a sur- of bringing home to society the tax conse- geon. It is an abrogation of responsibility to quences of attempting to run a comprehen- patients and colleagues to be absent from sive health service. finance and executive committees at this time. 'Secondly, in the hospitals themselves sur- 'Aneurin Bevan once said, "Politics is the geons must be more than ever willing to serve language of priorities. To decide priorities is on committees that control planning, program- to discriminate". Mr President, the priorities of ming, and budgeting. We must resist the this profession require us to enter the econ- attempts of administrators to, call meetings at omic and political arena as combatants, not as a time when it directly interferes with clinical unwilling victims.' work-and senior staff must try to get senior There being no discussion on the motion, the registrars and the younger consultants involved President declared the meeting closed.

PRESENTATION OF HONORARY MEDAL Lord Brock, Past President At a meeting of the Council on iith December I975 strengthening of the links between clinical surgery w%ith Mr R H Franklin, Senior Vice-President, in in all its specialties and laboratory research. In the Chair, the Right Honourable Lord Brock was conclusion Mr Franklin said: 'Lord Brock has fol- presented with the Honorary Medal. Mr R H lowed his profession with a single-minded devotion Franklin delivered a Citation in his honour in which to surgery in general and to this Royal College in he recounted Lord Brock's many surgical achieve- particular. He has been sustained in all his endea- ments and his outstanding services to the College. vours by Lady Brock, whom we are so happy to see A list of College distinctions included the Jacksonian here today. In presenting this medal for your past Prize (I935), a Hunterian Professorship (1938), services to this College, I am sure that Council Bradshaw Lectureship (1957), Tudor Edwards would like me to express the hope that we shall Memorial Lectureship (I963), delivery of the Hunter- continue to receive your wise advice and support ian Oration (i96i), and Lister Medallist and Orator in your role as Chairman of the Hunterian Trustees'. (I967). He served on Council from 1949 to I967. Lord Brock replied as follows: 'Members of was Vice-President from 1956 to I958, and held the Council, Mr Franklin. I thank you very much for office of President from I963 to I966. the kind way in which you have presented this medal Mr Franklin paid special tribute to Lord Brock's to me today, and I thank you, Mr Franklin, for the work in establishing the Department of Surgical kind things you have said in your Citation. I feel Sciences, with the generous support of the 25oth very privileged that I have been able to serve the Anniversary Fund of the United Grand Lodge of College in various ways for over 25 years, and I Freemasons since iq66. The task entrusted to Lord realize that this medal, which I am very proud to Brock as the first Director had been to create the receive, is in the nature of a farewell gift. I am basis of a department concerned with the biological equally privileged to know that I shall be continuing foundations of surgery and this Lord Brock had my association with the College for a short time yet. done with conspicuous success. He had formed in- I have a small research grant from the College which valuable links with other departmenits of the College enables me to continue a project which I began when and with hospitals and institutes outside the College; I was in charge of the Department of Surgical and he had set meticulous standards for animal ex- perimentation that would long influence experiment- Sciences, and this research grant enables me to con- al research both at the College and elsewhere. The tinue some clinical work at Guy's Hospital. Thank department he had created was now to be combined you, Members of Council, once more for receiving with the Department of Applied Physiology, and me today and you, Mr Franklin, for the kind words this natural development offered great hope of a you have said'.

DEATHS OF FELLOWS 1975 In addition to those listed in the January issue the BURGE, Harold William MBE FRCS (Past Member following Fellows are knows!n to have died d(uring of Court of Examiners) COOPER, Bryan Paul FRCS 1975: HENDERSON, William Robert OBE FRCS LEIGHT, Morton Digby FFARCS BIRCH, Doreen Ashmel FRCS MORETON, Adrian Leonard FRCS BRUCE, Sir John CB( TD Hon. FRCS WILLIAMS, Leonard John Hon. FRCS. i62 College news

REPORT OF THE COURT OF EXAMINERS, 26th NOVEMBER 1975 At the recent Final Examination for the Fellow- *BENJAMIN, Frederick Arumanayagam (Ceylon). ship 38 candidates presented themselves for the JAFAR, Ali Hashim (Baghdad). Examination in Ophthalmology, 9 of whom ac- MANNEH, Ebrima Momodou (Ireland). quitted themselves satisfactorily; 39 candidates pre- *§MOHAN, Veena (Delhi). sented themselves for the Examination in Otolaryng- SWEDAN, Mohamed Ibrahim (Cairo). ology, 5 of whom acquitted themselves satisfactor- YOUNUS, Mohammed (Sind). ily; and 364 candidates presented themselves for EL-BAYOUMI, Abd El Hamid Sami Mahmoud the Examination in General Surgery, 135 of whom (Cairo). acquitted themselves satisfactorily. HEJAZY, Mohamed Osama Touny (Cairo). The following are the names of the 146 can- KUNDU, Biswanath (Calcutta). didates who are entitled to the Diploma of Fellow: BARSOUM, Maged Sami (Cairo). ISMAIL, Gamal Eldin Gad (Ein Shams). PERCIVAL, Hubert George MRCS (Birmingham). FELAHI, Nowfel Abdul-Rahman (Baghdad). REEVE, David Robert Emest MRCS (St. Bart's). *MICHELL, David Robert (St. Bart's). SIBUNRUANG, Sutharm MRCS (St. Bart's). RADWAN, Mohamed Hosny Aly (Ain Shams). tCVIJETIC, Bosko MRCS (Middlesex). SEN, Adosh Kumar (Delhi). OSBORNE, Anthony Howard MRCS (Guy's) ELSEFI, Talaat Ali Megahed (Alexandria). ANDERSON, John Keith MRCS (St. Bart's). *FREEM4AN, Laurence Brian (U.C.H.). *WHITELOCKE, Rodger Alexander Frederick GATELY, John Frederick (St. Bart's). MRCS (St. Bart's). tBERMAN, Joel Michael (Cape Town). BARLOW, John Sutherland MRCS (U.C.H.). BHATTACHARYA, Somangsu (Calcutta). DOVE, John MRCS (St. Thomas's). BOLAND, Patrick Joseph (N.U.l.). MACKINLAY, Gordon Alexander MRCS (Charing BOPAIAH, Vinod Paravangada (Poona). Cross). GONSALVES, Hannibal Joseph Billy (Dacca). BAGSHAW, Hillary Ashton MRCS (St. Bart's). KAISARY, Amir Victor (Cairo). CLOTHIER, John Campbell MRCS (K.C.H.). KARIM, Mohammad Sarkawt (Baghdad). FRENCH, Anthony John MRCS (Guy's). MACKAY, John Richard (Melbourne). MILLER, lain McNeil MRCS (St. Bart's). SALMAN, Ahmad Abdulla Abdul Muti (Cairo). CHATAMRA, Krisna MRCS (Westminster). SAMBASIVARAO, Yellaveera Venkata Satya COYLE, Patrick Joseph MRCS (Charing Cross). (Andhra). BOOTH, Christopher Michael MRCS (St. Bart's). AL-ANSARI, Mohammed Ridha Abd Almajed GOWER, Richard Lewis MRCS (St. Thomas's). (Baghdad). JONES, Robert Norman MRCS (St. Thomas's). BASUR, Roshan Lal (Jammu & Kashmir). LAKE, David Nigel Wynn MRCS (U.C.H.). BRANSOM, Clive John (Oxford). PEASE, Richard MRCS (Royal Free). GARESARATNAM, Mailoo (Ceylon). ALVEY, Peter Leonard MRCS (St. Bart's). HEDE, John Edwin (Queensland). FRASER, Michael Ronald MRCS (Westminster). JADID, Hassan (Damascus). MORSMAN, John Murray MRCS (Guy's). NAGESH, Ananthaswamy (Mysore). ELLIOT, Michael Scott MRCS (St. Bart's). OGUNNAIKE, Henry Olabisi (Ibadan). COOPER, Martin John MRCS (Royal Free). RAJE, Anil Madhukar (Bombay). JONES, Nigel Andrew Gordon MRCS (Guy's). REDDY, Kuroparti Rajasekhara (Andhra). GREENWAY, Brian Arthur MRCS (K.C.H.). SINGHAL, Budh Prakash (Agra). KENNEDY, Colin Leslie MRCS (The London). TOTONCHI, Emil Fadhil Houdi (Baghdad). THOMAS, Tudor Lloyd MRCS (Middlesex). WALIA, Harinderjit Singh (Jammu & Kashmir). DOWN, Roger Hugh Langdon MRCS (St. Bart's). EL-KABROUN, Mohamed Abdel Raouf JOHNSON, Jonathan Richard MRCS (St. Bart's). (Alexandria). RADCLIFFE, Andrew Grieg MRCS (U.C.H.). GRIMLEY, Ronald Patrick (Birmingham). SHEPHERD, John Henry MRCS (St. Bart's). HAZELTON, Stuart John (Sydney). tMOFFAT, David Andrew MRCS (The London). MEMON, Rasool Bux (Sind). STANBRIDGE, Rex De Lisle MRCS (St. Mary's). MITCHELL, Ian Charles (Melbourne). DE HAAS, Hans Anthony, MRCS (K.C.H.). O'CONNOR, Richard Geoffrey (Dublin). JONES, Peter Alan MRCS (Westminster). PADWELL, Alan (Leeds). FARAG, Adel Fahmy (Alexandria). RAFTERY, Andrew Thomas (Leeds). RAY, Nanigopal (Calcutta). ROWSE, Alistair David (Birmingham). DHAR, Mohammed Yusuf (Agra). *ST.JOHN, Edward Henry (West Indies). BHATTACHERJEE, Subrata (Calcutta). WOOD, Christopher Patrick Langton (St. Bart's). BAGCHI, Sibsekhar (Calcutta). AUKLAND, Andrew (Liverpool). *MAILER, Colin McGregor (Edinburgh). tBLACK, Bruce (Queensland). MISHRA, Ram Narayan (Patna). CLEAK, David Kenneth (Birmingham). ISLAM, Mohammed Shamsul (Dacca). tDONALDSON, Ivor (Birmingham). *In Ophthalmology. tIn Otolaryngology. §Woman. College news i 63 GRAHAM, David Francis (Newcastle). BIRD, David Robert (St. Thomas's). GUILLOU, Pierre John (Leeds). BRANICKI, Franik James (St. George's). HOOPER, Geoffrey (St. Andrews). BURGE, Peter Denis (Oxford). HOPE, David Terence (Liverpool). *§CARRUTHERS, Jean Diana Averil IBRAHIM, Shakir Zein-Elabdin (Khartoum). (British Columbia). JABER, Adel Jaber Ibrahim (Cairo). CHAHAL, Sukhjit Singh (Punjab (India)). JAYACHANDRAN, Ramasamy (Madras). CROTON, Roger Stephen (Sheffield). MORGAN, Cerys Ashton (Wales). FYFE, Neil Cameron Matthew (St. Thomas's). ODAIBO, Stephen Kirtsiner (Lagos). GLASS, Richard Edmund (The London). PHILIP, Nigel Hastings (Liverpool). GOODMAN, Paul Lionel (Sydney). *RAMSAY, James Hamilton (Middlesex). HIGSON, Roger Heyworth (Oxford). SAMUEL, Alan Warwick (Manchester). JOHN, Joseph (Banaras Hindu). SHARPE, David Thomas (Oxford). LEACH, Robin Dudlcy (St. Thomas's). SPENCER, Peter John (St. Thomas's). LLOYD, John Mervyn (Middlesex). SUKHTANKAR, Subhash Jagannath (Bombay). MOORE, Peter John (St. George's). TREGONING, David (Newcastle). PROUD, George (Newcastle). WARNE, Roger Beresford (Monash). WEAVER, Hugh Lloyd (Melbourne). PSAILA, Joseph Victor (Malta). WEAVER, Ralph Michael (U.C.H.). SHORE, Darryl Francis (Sheffield). ALLEN, Nigel Horace (Sheffield). SHORTHOUSE, Andrew John (St. Mary's). BABEKIR, Abdel Rahman El Tayeb (Khartoum). VAUGHTON, Keith Chivers (Oxford). BETT, Nicholas James (St. George's). DEVITT, Peter Geoffrey (Middlesex). BEYNON, Leonard Lewis (St. Thomas's). MASON, Richard Ray (Sydney). *In Ophthalmology. §Woman.

BOOKS AND PAMPHLETS ADDED TO THE LIBRARY May-September 1975 The library is a reference library, but books and *BAILEY, H H, and LOVE, R J McN Bailey and Love's pamphlets are lent to other libraries. Reference works short practice of surgery, rev. by A J Harding Rains and books used by students attending the courses for and H David Ritchie. i6th ed., 1975. the Fellowship examinations are not available for BARR, N R The hand: principles and techniques loan. Such books are marked with an asterisk. Manu- of simple splint making in rehabilitation. I975. scripts and historic texts cannot be lent. BECK, F Anatomy: phoenix or fraud. I974. *BECK, F, and LLOYD, J B The cell in medical i) Modern works science. Vol. I: the cell and its organelles. 1974. ABSE, D W, et al., eds. Marital and sexual counsel- BEDER, 0 E Fundamentals for maxillofacial pros- ing in medical practice. I974. thetics. 1974. ALI, S Y, ELVES, M W, and LEABANK, D H Normal BLADES, B Surgical diseases of the chest. 3rd ed., and osteoarthritic articular cartilage. 1974. I974- ALLEGRA, G, et al. Gastroscopy with the fiberscope. *BONNEY, W F V Bonney's gynaecological surgery I971. [by] J Howkins and Sir John Stallworthy. 8th ed., *AMERICAN PHYSIOLOGICAL SOCIETY. Handbook of 1974- physiology. Section 7: Endocrinology, Vol. 4: pitui- BORGES, A F Elective incisions and scar revisions. tary gland, part 2. 1974. *AMERICAN PHYSIOLOGICAL SOCIETY. Handbook of I973. physiology. Section 7: Endocrinology, Vol. 5: *BROWN, R W, SALISBURY, J R, and WHITE, W E, male reproductive system. 1975. eds. Recent advances in hydatid disease. 1973. *AMERICAN SOCIETY OF PLASTIC AND RECONSTRUCTIVE *CAMPBELL, E J M, DICKINSON, C J, and SLATER, SURGEONS. Symposium no. 8: management of cleft J D H Clinical physiology. 4th ed., I974. lip. 1974- CARTER, C 0, and FAIRBANK, T J The genetics of *AMERICAN SOCIETY OF PLASTIC AND RECONSTRUCTIVE locomotor disorders. 1974. SURGEONS. Symposium no. 9: reconstructive hand CASSELS, D E The ductus arteriosus. 1973. surgery. 1975. CECIL, R C, and LOEB, J Cecil and Loeb's text- *APLEY, J Modern trends in paediatrics-4. I974. book of medicine. Asian version. 3rd ed., I97I. ATKINSON, L, et al. Epidemiology of cancer in Papua CHILD, C G III, ed. Portal hypertension. 3rd ed., -New Guinea. I974. 1974. AVERY, M E The lung and its disorders in the new- *CHRISTIE, A B Infectious diseases. 2nd ed., I974. born infant. 3rd ed., 1974. CHUNG, E K Vectocardiography. I974. BACON, E S The New York Academy of Dentistry. CIBA FOUNDATION Symposium, n.s. 24: The physio- Its first fifty years. 1974. logical basis for Starling's law of the heart. I974. I 64 College news COGAN, D G Ophthalmic manifestations of systemic *ILLINGWORTH, Sir C, and DICK, B M A textbook vascular disease. 1974. of surgical pathology. iith ed., 1975. COOLEY, D A Collected papers. Vol. 9 1972-73. INTERNATIONAL ASSOCIATION FOR DENTAL RESEARCH COMAN, C G Pleureziile purulente. 1973. The first fifty year history of the International CORNWALL, I W Bones for the archaeologist. 2nd Association for Dental Research. 1973. ed., 1974. JENKINS, J J, et al. Schuell's aphasia in adults. 2nd *COTES, J E Lung function. 3rd ed., 1975. ed., 1975. CROLL, M M, et al., eds. New techniques in tumor JOHNSON, H, and PFLUG, J The swollen leg. I975. localization and radioimmunoassay. 1974. KAO, F F Respiratory research in the People's *CURRAN, R C, and JONES, E L Gross pathology. A Republic of China. 1975. colour atlas. 1974. KELIUAN, H H Congenital deformities of the hand CURTIS, A S G Decompression and narcosis. 1974. and forearm. I974. DAVIDSON, S I, ed. Aspects of neuroophthalmology. KIRKLIN, J W, ed. Advances in cardiovascular 1974. surgery. 1973. DEPARTMENT OF HEALTH AND SOCIAL SECURITY. KOHN, F, and DALRYMPLE, J Plastic reconstruction Accident and emergency services. 1975. of the breast. I967. DrTZEL, J, and LEWIS, D H Clinical aspects of KRICUN, M E, and EDEIKEN, J Roentgenologic atlas microcirculation [Bibliotheca anatomica, no. 12.] of the hand and wrist in systemic disease. 1973. I973- KRUPP, M A, and CHATTON, M J Current medical DLUGATZ, P M Astley Cooper's contribution to the diagnosis and treatment. 1975. knowledge of dislocations and fractures. I968. KUN, M Colpopoiesis from the colon. 1974. DOMMISSE, G F The arteries and veins of the LARSEN, D E, and LoVE, E J, eds. Health care human spinal cord. 1975. research. 1974. A LAW, F W The history and traditions of Moor- *DOWN BROTHERS AND MAYER AND PHELPS LTD. fields Eye Hospital, vol. 2. 1975. catalogue for the family practitioner and group LAW COMMISSION Report on injuries to unborn practice. I974. children. 1974. *DOWN BROTHERS AND MAYER AND PHELPS LTD. LAWIN, P, and BEER, R Ethrane. 1974. Catalogue of instruments. Sections F, G and H: gynaecology and obstetrics; orthopaedic surgery, *LEE, J A, and ATKINSON, R S A synopsis of and 1975. anaesthesia. 7th ed., 1973. ENT surgery. 1974 LEPADAT, P Infarctul intestinal. 1973. *DORLAND, W A N Dorland's illustrated medical Li, C P Chinese herbal medicine. 1974. dictionary. 25th ed., 1974. LICHTIGER, M, and MOYA, F Introduction to the DUNPHY, J E, and WAY, L W Current surgical practise of anesthesia. 1974. diagnosis and treatment. 2nd ed., 1975. LIEB, J, and SLABY, A S Integrated psychiatric *DYNSKI-KLEIN, M A colour atlas of paediatrics. treatment. 1975. 1975. *LODGE, Sir T, and STEINER, R E, eds. Recent EDHOLM, 0 G, and GUNDERSON, E K E Polar advances in radiology-S. 1975. human biology. 1973. *MCCANN, S M, ed. MTP International review of ELLIS, J Getting it straight. 1974. science. Vol. 5: endocrine physiology. 1974. FELDMAN, S A, LEIGH, J M, and SPIERDUK, J, eds. MACEWEN, H A The man in the white coat. 1975. Measurement in anaesthesia. I974. in FLYNN, G T Acute renal failure. I974. *McKIBBIN, B, ed. Recent advances orthopaedics FoGARTY INTERNATIONAL CENTER An economic -2. 1975. services in the MEDICO-PHARMACEUTICAL FORUM. Continuing edu- analysis of the cooperative medical cation of doctors in medical therapeutics. 1975. People's Republic of China. 1975. MERRISON, A W, Chairman. Committee of in- GILORTEANU, M, and LEPADAT, P Zona reflexogena quiry into the regulation of the medical profession; pancreatica. I973. report. 1975. *GOLIGHER, J C Surgery of the anus, rectum and MICHON, J, and VILAIN, R Lesions traumatiques colon. 3rd ed., 1975. des tendons de la main. 2nd ed., 1974. GOSSET, J, et al. Les mutilations de la main. I975. NEWMAN, P P Visceral afferent functions of the *HAM, A W Histology. 7th ed., I974. nervous system. I974. *HARDISTY, R M, and WEATHERALL, D J Blood and *OLIVER, M F Modern trends in cardiology its disorders. 1974. -3. 1975. HARDY, J E, ed. Spinal deformity in neurological OPEN UNIVERSITY Significance testing applied non- and muscular disorders. 1974. parametric statistics. 1974. HARPER, R M J Evolutionary origins of disease. PALLISTER, G Thomas Addison (1795-1860). 1975. 1975. PAYNE, J P, and HILI., D W, eds. Oxygen measure- *HARRISON, C V, and WEINBREN, K, eds. Recent ments in biology and medicine. 1975. advances in pathology. gth ed., 1975. PENGELLY, L D, REBUCK, A S, and CAMPBELL, HILLS, B A Gas transfer in the lung. 1974. C J M Loaded breathing. 1974. HUESTON, J T, and TUBIANA, R, eds. Dupuytren's PETERS, G Control mechanisms of drinking. 1975. disease. 3rd ed., I974. PICKERING, Sir G Creative malady. Illness in the HUGHES, J T Pathology of muscle. 1974. lives and minds of Charles Darwin, Florence College news I 65 Nightingale, Mary Baker Eddy, Sigmund Freud, TORPIN, R Reproduction in man aIid his ancestors: Marcel Proust and Elizabeth Barrett Browning. for 700 million years. 1974. '974- TRAPNELL, D H, and BOWERMAN, J E Dental PLARR, V G The poems of Victor Plarr, ed. by manifestations of systemic disease. I973. Ian Fletcher. 1974. TREVOR-RoPER, P D Lecture notes on ophthalmo- PORTER, K R, and BONNEVILLE, M A Fine struc- logy. 5th ed., 1974. ture of cells and tissues. 4th ed., 1975. TURNER, T B Heritage of excellence: the Johns *RACE, R R, and SANGER, R Blood groups in man. Hopkins medical institutions. 1914-1947. 1974. 6th ed., 1975. WADDY, F F A history of Northampton General RAVEN, R W, ed. Cancer: the patient and the Hospital, 1743-I948- I974. family. 1974. WARD, C S Anaesthetic equipment. 1975. *RHODIN, J A G Histology. A text and atlas. I974. WASTELL, C, ed. Westminster Hospital sympo- RICHARDSON, R G Larrey: surgeon to Napoleon's sium on chronic duodenal ulcer. 1974. Imperial Guard. I974. WECKESSER, E C Treatment of hand injuries. I974. ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH *WILKINSON, A W, ed. Recent advances in paediatric Symposium on viral diseases. I975. surgery-3. 1975. *RoYAL COLLEGE OF PHYSICIANS OF LONDON *WOODRUFF, M F A Surgery for dental students. Symposium on advanced medicine-9. 1973. 3rd ed., I974. *ROYAL COLLEGE OF PHYSICIANS OF LONDON WORKING PARTY ON ACRYLIC CEMENT IN ORTIIO- Symposium on advanced medicine-io. I974. PAEDIC SURGERY. Report. I974. RUBIN, S Medieval English medicine. I974. WORLD HEALTH ORGANIZATION. Congenital heart *RRUCH, T C, and PATTON, H D Physiology and disease in Europe. Report of a working group. biophysics. 20th ed. Vol. 2: circulation, respiration 1972. and fluid balance. I974. *WYKE, B D, ed. Ventilatory and phonatory con- RUSSELL, W J Central venous pressure. Its clin- trol systems. I975. ical use and role in cardiovascular dynamics. 1974. ZORAB, P A, ed. Scoliosis and muscle. Proceedings SAILER, F X, and GIERHAKE, F W Chirurgie his- of a 4th symposium . . . 1973. I974. torisch gesehen. 1973. ZUCKERMAN, S, Baron Doctor and paticnts. 1975. SANKARAN, P S Sushrata's contribution to sur- gery. 1974. SEDGWICK, C E Surgery of the thyroid gland. 1974. 2) Historic texts *SHAFER, W; G, HINE, M K, and LEVY, B M A text- BELL, Sir C An exposition of the natural system book of oral physiology. I974. of the nerves of the human body. I st American 0 The acid base status of ed., I 825. SIGAARD-ANDERSEN, BELL, Sir C The hand. 6th ed., revised, I 86o. the blood. 4th ed., 1975. COOPER, Sir A A series of lectures of the most SILVER, H K, KEMPE, C E, and BRUYN, H B Hand- approved principles and practice of modem surgery. book of paediatrics. iith ed., 1975. 2nd ed., I82I. SMITH, Sir R Surgical forum-gastric surgery. J 1975- JOSEPH, Nasenplastik und sonstige Gesichts- SMYTH, D H Intestinal absorbtion. Biomembranes. plastik. 3 vols. 1928-1931. 1974- KEYNES, Sir G John Ray: a handlist of his works. SOCIETE FRANCAISE DE CHIRURGIE ORTHOPEDIQUE 1944- ET TRAUMATOLOGIE. Conferences d'enseignement, LEEDHAM-GREEN, Charles The sterilisationi of the 1973. 1974- hands: a bacteriological inquiry into the relative SORSBY, A, ed. Tenements of clay. An anthology value of various agents used in the disinfection of of medical biographical essays. 1974. the hands. 1904. STARK, D C C Practical points in anesthesiology. McGREGOR-ROBERTSON, J The household physician. 1974. 2 vols. I 907. STOLL, B A, ed. Host defences in cancer. 1975. MIHLES, S The elements of suirgery. 2nd ed., 1764. STOLL, B A, ed. Mammary cancer and neuroendo- NEEDHAM, N J J M Biochemistry and morpho- crine therapy. 1974. genisis. I966. TAYLOR, S F, ed. Endocrinology 1973: proceedings ROMANES, E The life and letters of G J Romanes. of 4th international symposium. 1974. 2nd ed., 1896. TEXAS HEART INSTITUTE Horizons in cardiology: proceedings of the 3rd annual symposium. 1972. 3) Manuscripts *THOMSON, W A R, ed. Black's medical dictionary. FINSTERER, H 4 autograph letters sigiled to F Kohn. .3oth ed., 1974. GORDON-TAYLOR, Sir G 4j ALS to A S Till. THORNTON, H L Emergency anaesthesia. 2nd ed., SHAW, G B ALS to Sir Herbert Barker. 1975- SURGICAL CLUB Minute books, 1910-1936 and THORNTON, J A, and LEVY, C J Techniques of 1q36-i940. anaesthesia. 1974. WALTON, Sir J Two notebooks on zoology and on *TOPLEY, W W C, and WILSON, Sir G S Topley anatomy and embryology. and Wilson's principles of bacteriology, virology WALTON, Sir J. THORNTON SHIIEILS, W, arid and immunity. 6th ed., 1975. McLARTY, M Album of drawings. I66 College news Gifts of books and pamphlets are gratefully ac- FFARCS; A J Harding Rains FRCS; R W Raven FRCS; knowledged from the following: B J Aarons; M A M Royal College of Physicians of London Library; H Ali; Annals of the Royal College of Surgeons of P Scurlock MRCS; Sir Rodney Smith PRCS; D Stark England; Sir Hedley Atkins PPRCS; R H R Belsey FFARCS; Selwyn Taylor FRCS; F F Waddy FFARCS; FRCS; Lord Brock PPRCS; University of Calgary; M R Milnes Walker FRCS; A J Walton FRCS; C W Carr FDSRCS; S I Davidson FRCS; V W Dix FRCS; Wastell FRCS; Winthrop Laboratories Ltd. Down Brothers and Mayer and Phelps Ltd.; Faculty of Anaesthetists; S A Feldman FFARCS; John E CORRECTION The title of Mr J A Shepherd's Fogarty International Center; Grace Hospital Medical Library; D W Hill; Sir Charles Illingworth 'A concise surgery of the acute abdomen' was in- FRCS; Institute of Basic Medical Sciences; Inter- correctly quoted in the list of books added to the national Association for Dental Research; J W Library published in the July 1975 issue of the Kirklin FRCS; F Kohn FRCS; F XV Law FRCS; W R Annals (vol. 57, no. i). Apologies are offered to Mr Le Fanu; Sir Thomas Lodge FRCS; Medical Research Shepherd and to any readers inconvenienced by Council; F J Nahapiet MRCS; G Pallister; J P Payne this error. THE TEACHING OF ANATOMY A conference on 'The teaching of anatomy'- will be 2.40 The integration of anatomy and physiology held at the Royal College of Surgeons on Wednesday in surgical training-Professor D E M 26th May 1q76. The programme is as follows: Taylor (Professor of Physiology, RCS) INTRODUCTION by the President of the Col- 3.00 Postgraduate anatomy in district general lege-The nature of the problem. hospitals-Mr W J Gall (Consultant Morning Session Chairmani: Mr D Innes Williams. Surgeon, Plymouth General Hospital) SESSION i Undergraduate Anatomy: The 3.20 Tea training of a doctor. SESSION 4 Examinations in anatomy 9.oo The undergraduate course-Professor Roger 3.45 The anatomist's view of the Primary FRCS- Warwick (Professor of Anatomy, Guy's Professor F R Johnson (Professor of Hospital) Anatomy, The London Hospital) 9.30 New integrated schemes-Professor D 4.oo Anatomy in the Primary and Final FRCS- Mayor (Professor of Human Morphology, Professor Harold Ellis (Professor of Southampton University) Surgery, Westminster Hospital) I0.00 Anatomy in the undergraduate curriculum- 4.15 The technique of the examination- Professor T C Gray (Liverpool University) Professor Michael Hobsley (Professor in I0.30 Anatomy in general medical practice-Dr D Surgical Science, The Middlesex Hospital) Hines (General Practitioner) 4.30 The need for rethinking-Professor Hugh 10.45 Coffee Dudley (Professor of Surgery, St Mary's SESSION 2 The Anatomy Department Hospital) 11.15 The running of an academic department- Professor T W Glenister (Professor of It is widely agreed that the standards of anatomi- Anatomy, Charing Cross Hospital) cal knowledge amongst surgical trainees are falling I I.45 Academic staffing requirements and to dangerously low levels and that departments of recruitment-Professor R E Coupland anatomy are finding increasing difficulty in obtain- (Professor of Anatomy, Nottingham ing teaching staff of the right calibre. The problem University) arises primarily in the universities, but its effects are 12.I0 Research-Professor R M H McMinn evident only later during specialist training and it (Professor of Anatomy, RCS) is clearly the duty of the Royal College of Surgeons I 2.30 Panel Discussion to advise the medical schools and the DHSS of the I.00 Lunch danger and of the remedies. The solution to the Afternoon Session Chairman: Mr H H G Eastcott difficulty is not easily found, however, and it was SESSION 3 Postgraduate anatomy: The training therefore decided to convene this conference of of a surgeon interested parties for a wide-ranging discussion, after 2.00 The role of clinical surgeons in basic science which a College committee, having heard the teaching-Professor Ivan D Johnston evidence, could formulate specific recommendations. (Professor of Surgery, Newcastle University) For further details please apply to: Surgical 2.20 The place of the postgraduate Training Office, Royal College of Surgeons of demonstrator-Mr 0 J A Gilmore (Senior England, 1.5-43 Lincoln's Inn Fields, London, Registrar, St Bartholomew's Hospital) WC2A 3PN. Telephone: 01-405 3474 Extn 28. LIMB AMPUTATION AND LIMB REPLACEMENT A symposium en 'Limb amputation and replacement' Friday iIth June (At the Royal College of will held on Friday and Saturday I Ith and I 2th Surgeons) June 1976. The programme is as follows: Morning Session Chairman: Professor H Ellis College news I67

LIMB ABLATION 3.oo Rehabilitation-Dr P J R Nichols 9.30 Coffee (Nuffield Orthopaedic Centre, Oxford) 1o.oo Vascular disease-Mr K P Robinson 3.30 Organization of training-Mr H Jackson (Westminster Hospital) Burrows I o.3o Trauma-Lt-Col. M S Owen-Smith (Royal Army Medical College) Hos- II.00 Diabetes-Mr E M Thomas (King's College Saturday 12th June (At Queen Mary's Hospital) pital, Roehampton) I I.30 Orthopaedic indications-Mr John Watson- 9.30 Coffee Farrar (Norfolk and Norwich Hospital) Io.oo Practical demonstrations of limb-fitting 12.oo The painful stump-Mr B G Andrews techniques and research, with patients, (Westminster Hospital) films, and apparatus, by the staff at the Buffet Lunch Artificial Limb-fitting Centre, Roehampton. Afternoon Session. Chairman: Mr D Trevor Note: Only a limited number of places are available LIMB REPLACEMENT for the visit to Roehampton. For further details 2.00 The ideal stump-Dr H J B Day please apply to: Surgical Training Office, Royal (Manchester) College of Surgeons of England, 35-43 Lincoln's 2.30 The non-ideal stump-Mr G Murdoch Inn Fields, London, WC2A 3PN. Telephone: (Dundee Royal Infirmary) 01-405 3474 Extn 28. FACULTY OF DENTAL SURGERY: FIFTH FACULTY EVENING Occlusion The programme of the Fifth Faculty Evening, to be 7.30 Interval for refreshments held at the College on Friday 26th March I976 8.oo-g.oo Discussion-Opener: Mr H Thomson under the chairmanship of Mr G C Dickson, Royal (Eastman Dental Hospital) Portsmouth Hospital, is as follows: A maximum of 130 applications can be accepted 6.15 The Origins of Occlusion-Professor J R E for the meeting, which is open to all dental and Mills (Eastman Dental Hospital) medical practitioners. Admission fee is £3.00, which 6.40 Occlusion and the temporamandibular joint- includes light refreshments. Applications, accompa- Mr M S E Gould (Eastman Dental nied by cheques made payable to the Faculty of Hospital) Dental Surgery, will be dealt with in strict rota- 7.05 Occlusion in the modern context-Professor tion and will be accepted up to Friday igth March, D C Berry (University of Bristol) provided tickets are still available. SURGERY LECTURES, SPRING 1976 March Monday 15 Mr G D Chisholm-Presentation and manage- Professor A Cuschieri-Value of laparoscopy to ment of carcinoma of the kidney (6.15 p.m.). the general surgeon (6 p.m.). Thursday 25 Tuesday i6 Professor M H Irving-Shock (6 p.m.). Mr J I Burn-Management of breast lumps (6 p.m.). Friday 26 Wednesday I 7 HUNTERIAN LECTURE-Professor D E Poswillo-A Professor R B Welbourn-The apudomas biological approach to surgical reconstruction of (5-15 p-m-)- craniofacial anomalies (5 p.m.). Mr D N Ross-Developments in cardiac surgery Professor G Slaney-Arterial emergencies (6.30 p-m-)- (6.I5 p.m.). Thursday i8 Monday 29 Mr P J Whitfield-Burns (6 p.m.). Mr Selwyn F Taylor-Goitre, indications for and Friday i9 complications of operation (6 p.m.). Mr C R Helsby-Aortoiliac reconstruction (6 p.m.). Monday 22 Tuesday 30 Mr J Notaras-Common anal conditions (6 p.m.). Mr J A Shepherd-Diagnosis and management Tuesday 23 of acute colonic conditions (6 p.m.). Mr M A R Freeman-Joint replacement in the Wednesday 3! lower limb (6 p.m.). HUNTERIAN LECTURE-Professor M H M Harrison Wednesday 24 -Perthes' disease-new perspectives of aetio- HUNTERIAN LECTURE-Professor 0 J A Gilmore pathology and treatment (5 p.m.). -A reappraisal of the use of antiseptics in surgical Mr N Tubbs-Injuries around the knee joint practice (5 p.m.). (6.I5 p.m.). I68 College news April Thursday i Professor Sir James Fraser-Surgery of the Mr A N Nicolaides-Thromboembolism and adrenal glands (6.15 p.m.). surgery (6 p.m.). Thursday 8 Friday 2 Professor K E F Hobbs-The place of surgery in Mr J L Williams-Neoplasms of the bladder and portal hypertension (6 p.m.). penis (5.15 p.m.). Friday 9 Professor R Shields-Problems after gastric Mr D Ranger-Pharyngo-oesophageal carcinoma surgery (6.30 p.m.). (6 p.m.). Monday 5 No further applications can be accepted for the Professor J L, Collis-Hiatal hernia (6 p.m.). CLINICAL PART of the course. ATTENDANCE Tuesday 6 AT THE LECTURES ONLY IS UNRESTRIC- HUNTERIAN LECTURE-Professor C H Leong-The TED. Fees-Lectures only: £25 or LI .25 for a use of the stomach for urinary diversion and single lecture (apart from statutory lectures). bladder replacement (5 p.m.). Applications for Lecture tickets (whole course or Mr R M Kirk-Exploration of the abdomen specific lectures) should be sent to Mr W Webber, (6.I5 p.m.). Administrative Assistant, Royal College of Surgeons Wednesday 7 of England, 35/43 Lincoln's Inn Fields, London HUNTERIAN LECTURE-Professor C Prys-Roberts- WC2A 3PN (OI-405 3474, Ext. 28), accompanied by Medical problems of surgical patients: hyper- a cheque for the appropriate fee, or payment may tension and ischaemic heart disease (5 p.m.). be made at the door.

COLLEGE DIARY March Monday I Friday 19 Erasmus Wilson Demonstration-Dr G L Residential intensive course in general, oral, and Asherson-Suppressor T-cells (4.30 p.m.) dental surgery ends. Residential intensive course in general, oral, and Monday 22 dental surgery begins. Last day for application for annual examinerships. DMRT examination begins. Anaesthetics Course begins. Wednesday 3 Tuesday 23 Election of Fellows in the Faculty to the Board Arnott Demonstration-Dr D J Riches- of Faculty of Anaesthetists. Development of the human biliary tract Thursday 4 (4.30 p.m.). Joseph Toynbee Memorial Lecture-Dr V Date of Council Election announced. Goodhill-Tympanoplastic surgery: heterodox Wednesday 24 techniques (5.30 p.m.). Hunterian Lecture-Professor 0 J A Gilmore- DCH examination begins. A reappraisal of the use of antiseptics in surgical Monday 8 practice (5 p.m.). Erasmus Wilson Demonstration-Dr A R Sanderson-Enhancement: specific Friday 26 unresponsiveness invoked by alloantibody Hunterian Lecture-Professor D E Poswillo-A (4.30 p.m.). biological approach to surgical reconstruction of Saturday 13 craniofacial anomalies (5 p.m.). Surgery Course begins. Faculty of Dental Surgery Evening-Occlusion Monday 15 (6.15 p.m.). Erasmus Wilson Demonstration-Professor G P Monday 29 Lewis-Pathological changes in the lymph in Final Membership examination begins. inflammation (4.30 p.m.). Wednesday 31 Tuesday x6 Hunterian Lecture-Professor M H M Harrison- Names of candidates for election as Fellow in Perthes' disease: new perspectives of Dental Surgery to the Board of Faculty aetiopathology and treatment (5 p.m.). announced. Wednesday I 7 April FACULTY OF ANAESTHETISTS ANNIVERSARY Monday 5 Board of Faculty of Anaesthetists (io a.m.). LORD LISTER bom I827 Anniversary Forum (I 1.30 a.m.) Final LDS examination (Part II) begins. Annual Meeting (3 p.m.) Tuesday 6 Joseph Clover Lecture-Professor M K Sykes- Hunterian Lecture-Professor C H Leong-The Anaesthesia and the lesser circulation (4 p.m.). use of the stomach for urinary diversion and Anniversary Dinner (7.45 p.m.). bladder replacement (5 p.m.). College news I69 Wednesday 7 Wednesday 28 Joint Committee on Higher Training in Anaes- Hunterian T'rustees (4 p.m.). thesia (10.3o a.m.). Thursday 29 Hunterian Lecture-Professor C Prys-Roberts- Final Fellowship (General Surgery) examination Medical problems of surgical patients: hyper- begins. tension and ischaemic heart disease (5 p.m.). Friday 30 College Dinner (7.30 p.m.). Voting papers for Election to Council issued. Thursday 8 Quarterly Council. Election of Fellows and award May of Jacksonian Prize (2 p.m.). Tuesday 4 Watson-Jones Lecture-Some lesions of the Amott Demonstration-Dr C Piasecki-Localizing brachial plexus-Mr G L W Bonney (at the factors in peptic ulceration (4.30 p.m.). Civic Centre, Newcastle upon Tyne) (II.45 a.m.). Thursday 6 Friday 9 Regional Advisers and Surgical Tutors (Ii a.m.). Hunterian Lecture-Professor N A Green-Cryo- Otolaryngology Lecture-Mr A W Morrison-The surgery of the prostate gland (at the Institute diagnosis and treatment of acoustic neuroma of Urology) (5 p.m.). (5-30 p.m.). Election of Fellow in Dental Surgery to the Wednesday 12 Board of Faculty. Pancreatic Transplantation Lectures (for details Anaesthetics Course ends. see page I53) Saturday 1o Friday I4 Surgery Course ends. Basic Medical Sciences lectures and demonstra- Monday I2 tions end. Basic Dental Sciences, lectures and demonstrations begin. Saturday 15 DPath examination begins. Faculty of Anaesthetists Scientific Meeting-The Tuesday I3 coronary circulation-(in Edinburgh). Last day for nominaton of candidates for Election Monday I7 to the Council. Final LDS (Part I) and DPH examinations begin. Friday I6 Wednesday 19 GOOD FRIDAY-College closed. Day release course in Basic Medical Sciences ends. Saturday 17 College closed. Monday 24 Monday I9 First LDS examination begins. BANK HOLIDAY-College closed. Wednesday 26 Tuesday 20 Conference on the Teaching of Anatomy Last day for application for Lectureships. (9 a.m.-5 p.m.). Final Fellowship (Otolaryngology) examination Lister Oration-Professor John Charnley CBE begins. -The origins of postoperative sepsis in elective Friday 23 surgery (5 p.m.). DA examination begins. Court and Council Dinner. Monday 26 Thursday 27 Final Fellowship (Ophthalmology) examination DPM (Parts A and B) examination begins. begins. Tuesday 27 Saturday 29 Arnott Demnonstration-Mr G S Barrett- College closed. Anatomical basis of gastroduodenal motility Monday 31 (4.30 p.m.). BANK HOLIDAY-College closed. Notes on books Review of Physiological Chemistry view. A partial change in the nomenclature has edited by H A Harper. I5th edn. 570 pages, occurred in recognition of the developing interna- illustrated. Soft cover. Lange Medical, Los tionally recognized system. Altos, California. $0o. Anaesthetic Equipment: Physical Prin- Since it first appeared in 1939 this book has under- and Maintenance by C S Ward. gone frequent revisions in order to keep up to date ciples its reviews of those aspects of chemistry that are 282 pages, illustrated. Bailli'ere Tindall, important in biology and medicine. The contents London. £8. 5o. display the gradual change from a systemic concept This is a useful compilation of information about all of biochemistry towards a cellular and molecular the items of equipment, simple and complicated,