SUPPLEMENT TO THE RITISH MEDICALIJOURNAL

LONDON: SATURDAY, JUNE 16th, 1934 CONTENTS

PAGE BRITISH MEDICAL ASSOCIATION General Medical Council Annual Meeting, Bournemouth, July, 1934: Programme: INSTRUCTION IN TUBERCULOSIS ...... 305 ORDER OF BUSINESS ...... 293 DISCIPLINARY INQUIRIES ...... 306 SCIENTIFIC SECTIONS ...... 293 L.C.C. CONSULTANTS AND SPECIALISTS: PROVISIONAL TIME-TABLE ...... 296 REVIEW OF EXISTING ARRANGEMENTS ...... 310 HOTEL AND BOARDING HOUSE ACCOMMODATION.. . 298 ASSOCIATION NOTICES: ARRANGEMENTS FOR ... SPORTS ...... 299 of SCOTTISH COMMITTEE: ELECTION OF THREE REPRESENTATIVES 315 Proceedings Council ...... 299 BRANCH AND DIVISION MEETINGS TO BE HELD ...... 315 THE CUT IN THE CAPITATION FEE: ASSOCIATION INTELLIGENCE AND DIARY ...... 315 LETTER FROM THE MINISTRY OF HEALTH ...... 305 DIARY OF SOCIETIES AND LECTURES... 315 INSURANCE MEDICAL SERVICE WEEK BY WEEK ... 310 TABLE OF DATES ...... 316 NOTICES OF MOTION FOR THE A.R.M...... 311 MEETINGS VACANCIES AND APPOINTMENTS ...... 316 OF BRANCHES AND DIVISIONS ...... 312 BOOKS ADDED TO THE LIBRARY ...... 314 BIRTHS, MARRIAGES, AND DEATHS ...... 316 33rittsjy ~tiiica1 5%otiation

ONE HUNDRED AND SECOND ANNUAL MEETING, BOURNEMOUTH, JULY, 1931 Patron: His MAJESTY THE KING. President: T. G. MOORHEAD, LL.D., M.D., P.R.C.P.I., Regius Professor of Physic, Trinity College, Dublin. President-Elect: S. WATSON SMITH, M.D., F.R.C.P.Ed., M.R.C.P.Lond., Honorary Physician, Royal Victoria and West Hants Hospital, Bournemouth. Chairman of Representative Body : E. KAYE LE FLEMING, M.A., M.D. Chairman of Council : SIR HENRY BRACKENBURY, LL.D., M.D. Treasurer: N. BISHOP HARMAN, LL.D., F.R.C.S.

PROVISIONAL PROGRAMME

The Annual Representative Meeting will begin at the The Conference of Honorary Secretaries and the Over- Grand Hall, Town Hall, on Friday, July 20th, at 9.30-a.m., seas Conference will be held in the Council Chamber, and be continued on the following three weekdays. Town Hall, on Wednesday, July 25th, at-2.30 p.m. and The statutory Annual General Meeting will be held at 4.30 p.m. respectively. the Grand Hall, Town Hall, on Tuesday, July 24th, at The Official Religious Service will be held in St. Peter's 12.30 p.m., and the adjourned meeting at the Concert Church on Tuesday, July 24th, at 4.30 p.m. Hall, Pavilion, at 8 p.m. High Mass will be held in the Church of the Sacred The Annual Dinner of the Association will take place Heart, Richmond Hill, on Thursday, July 26th, at 9 a.m. at the Ballroom, Pavilion, on Thursday, July 26th, at The Receptioni Room for registration at the Winter 7.30 p.m. for 8 p.m. The Popular Lecture will be given Gardens will be opened at 2 p.m. on Monday, july 23rd. by Professor V. H. Mottram, M.A., at the Grand Hall, The Annual Exhibition of Surgical Appliances, Foods, Municipal College, on Friday, July 27th, at 8 p.m. Drugs, and Books will be held in the Winter Gardens. Title: " Foods, Fads, and Fashions." The official opening will take place on Tuesday, July 24th, The Pathological Exhibition, in the Municipal Ccllege, at 9 a m. ; it will remain open on July 25th, 26th, and will be opened on Tuesday, July 24th, at 11 a.m., and will 27th, from 9 a.m. till 6 p.m. remain open on the three following days from 9 a.m. There will be a Members' Lounge at the Winter An Exhibition of Pictorial Art by Members of the Gardens, with the usual facilities for writing and reading, Medical Profession will be opened on Wednesday, July etc., and a licensed restaurant with facilities for serving 25th, at 2 p.m., at the Russell-Cotes Art Gallery, and will light lunches, teas, etc. remain open on the following three days from 10 a.m. Saturday, July 28th, will be given up to long excursions. [1547] r SUPPLEMENT TO THE 2.94 JUNE 16, 1934] Annual Meeting: The Sections L BRITISH MEDICAL JOURNAL

All excursions will start from the Winter Gardens. (London), Obstetrics, and Dr. ETHEL CASSIE (Birmingham) The clinical and scientific work will be divided among and Dr. G. F. BUCHAN (Willesden), Public Health. Thursday, July 26th.-10 a.m., Discussion: Ovarian Con- sixteen Sections, meeting in the Municipal College on ditions as Causes of Pelvic Pain. To be opened by Prof. Wednesday, Thursday, and Friday, July 25th, 26th, and DANIEL DOUGAL (Manchester), Prof. JAMES HENDRY (Glasgow), 27th. We publish below the names of the Sections and and Prof. ANDREW H. DAVIDSON (Dublin). the officers to each. Friday, July 27th..-10 a.m., Papers: Mr. J. C. AINSWORTH- appointed DAVIs (London), The Treatment of Chronic Cervicitis by the Diathermy Cuttiing Current; Dr. DUGALD BAIRD (Glasgow), The following Sections will meet on three days: After-histories of Cases of Pyuria of Pregnancy, with Special Reference to Subsequent Pregnancy; Mr. R. CHRISTIE BROWN MEDICINE (London), A Simple Chloroform Inhal,er for use in Normal President: Professor XV. LANGDON BROWN, M.D., F.R.C.P., Midwifery; Mr. S. GoiRDON LUKER (Bournemouth), Retro- Cambridae. version of the Uterus; Mr. A. C. PALMER (London), The Vice-Presidents: F. C. BOTTOMLEY, O.B.E., M.D., Bourne- Prolapse Syndrome: Its Treatment by Vaginal Hvsterectomy, mouth, Professor J. G. EMANUEL, M.D., F.R.C.P., Birming- with Reconstruction of the Pelvic Diaphragm (with cinemato- ham; J. A. RYLE, M.D., F.R.C.P., London; E. How graph demonstration). VHITE, M.D., M.R.C.P.Ed., Bournemouth. Honorary Secretaries: C. A. BASKER, M.D., M.R.C.P.Ed., 2, Stourwood Avenue, Bournemouth LESLIE B. COLE, M.D., NEUROLOGY, PSYCHOLOGICAL MEDICINE, AND F.R.C.P., 5, St. Peter's Terrace, Cambridge. MENTAL DISEASES The following provisional programme has been arranged: President: LIONEL A WEATHERLY, M.D., C.M., M.R.C.S., Wednesday, July 25th.-10 a.m., Discussion: The Clinical Bournemouth. Importance of Achlorhydria. To be opened by Dr. A. F. Vice-Presidents: NORMAN M. DOTT, M.B., F.R.C.S.Ed., HURST (WVindsor), followed by Dr. J. F. XVILKINSON (Stock- Edinburgh; EDWARD MAPOTHER, M.D., F.R.C.P., F.R.C.S., port), Dr. T. L. HARDY (Birmingham), and Dr. C. C. UNGLEY London; H. STATHAM, M.B., B.Ch., Bournemouth. (Newcastle-on-Tyne). Honorary Secretaries: Miss DORIS M. ODLUM, M.R.C.S., 7Thursday, July 26th.-I1 a.m., Discussion: The Aetiology L.R.C.P., D.P.M., 29, Poole Road, Bournemouth; J. PURDON and Treatment of B. coli Infections. To be opened by Prof. MARTIN, M.D., F.R.C.P., 9, Harley Street, by Dr. WV.1. D. MURRAY LYON (Edinburgh), followed CUTHBERT has been DUKES (London) and Dr. C. M. WVILSON (London). Paper: The following provisional programme arranged: Dr. E. P. POULTON (London), Demonstration and Use of the Wednesday, July 25th.-10 a.m., Discussion: The Use of Oxygen Tent. Narcotics in the Treatment of Nervous and Mental Patients. Friday, July 27th.-10 a.m., Discussion: Oedema-its To be opened by Lord HORDER, followed by Dr. JAMES Causation and Treatment. Tro be opened by Dr. T. IZOD COLLIER (London), Dr. R. CtINYNGHAm BROWN (Bourne- BENNETT (London), followed by Dr. GEOFFREY EVANS mouth), Dr. HAROLD SIMMONS (Bournemouth), Dr. S. EDGAR (London), Dr. J. MAXWELL (London), Dr. A. WV. STOTT MARTIN (Salisbury), Dr. MARGARET C. VIVIAN (Bournemouth), (London), Prof. A. WV. M. ELLIS (London), Dr. H. GAINS- Dr. R. EAGER (Exminster), and Dr. G. WV. B. JAMES BOROUGH (London), and Dr. ROBERT PLATT (Sheffield). (London). Thursday, July 26th.-10 a.m., Discussion: Differential SURGERY Diagnosis of Orgaiiic and Functional Nervous Disorders. To be opened by Dr. G. RIDDOCH (London) and Dr. A. A. W. President: Professor G. GREY TURNER, M.S., F.R.C.S., PETRIE (Banstead), followed by Dr. A. GREIG ANDERSON Newcastle-upon-Tyne. (Aberdeen), Dr. A. HELEN A. BOYLE (Hove), Dr. FERGUS R. Vice-Presidents: FRANK BELBEN, O.B.E., M.B., F.R.C.S., FERGUSON (Manchester), Dr. -R. D. GILLESPIE (Londoni), Dr. Bournemouth; E. ROCK CARLING, M.B., F.R.C.S., London; E. DOUGLAS GRANGER (Bournemouth), Dr. DOUGLAS McALPINE A. KINSEY-MORGAN, F.R.C.S.Ed., Bournemouth ; PHlLaP H. (London), Dr. AUBREY J. LEWIS (London), and Dr. T. A. MITCHINER, M.D., M.S., F.R.C.S., London. WILLIAMIS (Bordighera). Honorary Secretaries: A. BASIL ROOKE, F.R.C.S., Boscombe Friday, July 27th.-bO a.m., Discussion : Pain. To be Cottage, Bournemouth ; CHARLES DONALD, Ch.M., F.R.C.S., opened by Professor DAVID WATERSTON (St. Andrews), fol- 122, Harley Street, V.1. lowed by Mr. J. MORLEY (Manchester), Abdominal Pain; The following provisional programme has been arranged: Dr. MACDONALD CRITCHLEY (London), The Psychological Wednesday, July 25th.-10 a.m., Discussion: Surgical Aspect of Pain Dr. H. CRICHTON-MILLER (London) Dr. T. Treatment of Embolism of the Peripheral Arteries. To be GWYNNE MAITLAND (Liverpool) Dr. J. PURDON MARTIN opened by Mr. GEOFFREY JEFFERSON (Manchester), followed (London). by Mr. ERNEST FINCH (Sheffield), Mr. G. E. LARKS (Plymouth), and Dr. MAX DANZIS (Newark, N.J.). Paper: Mr. R. KENNON AND BIOCHEMISTRY (Liverpool), The Problem of the Septic Hand. PATHOLOGY, BACTERIOLOGY, Thursday, July 26th-.10 a.m., Discuissiol : Bad Surgical President: Professor J. W. BIGGER, M.D., F.R.C.P.I., Risks. To be opened by. Mr. G. GORDON-TAYLOR (London), Dublin. followed by Prof. A. H. BURGESS (Manchester), Sir THOMAS Vice-Presidents: C. P. CHARLES, M.R.C.S., L.R.C.P., DUNHILL (London), Mr. ERNEST FINCH (Sheffield), and Mr. Parkstone, Dorset; CHAS. G. H. MORSE, M.R.C.S., L.R.C.P., ERNEST MILES (London). Paper : Mr. G. A. MASON (New- Boscombe, Bournemouth'; JOHN PRYDE, M.SC., Cardiff; Pro- castle-on-Tyne), Post-operative Management of Cases of fessor JOIHN S. YOUNG, M.C., M.D., Belfast. Empyema Thoracis. Honorary Secretaries : R. V. FACEY, M.B., B.Ch., 13, St. Friday, July 27th.- a.m., Discussion: Physical Effi- Stephen's Road, Bournemouth; E. ff. CREED, M.D., F.R.C.P., ciency after Operations for Hemia. To be opened by Mr. 48, Harley Street, X.I. C. MAX PAGE (London), followed by Mr. J. B. HAYCRAFT The following provisional programme has been arranged: (Cardiff), Mr. T. A. HINDMARSH (Newcastle on-Tyne), and Wednesday, Jutly 25ih.-10 a.m. (Pathology), Discussion: Mr. G. L. KEYNES (London). The Pathology of Occlusion of the Coronary Arteries. To be Exhibitions of various films will be given, when time opened bv Dr. R. T. GRANT (London), followed by Prof. J. B. permits, at the end of each session. DUGUID (Cardiff), Dr. GEOFFREY BOURNE (London), and Dr. T. F. COTTON (London). Paper: Dr. JOHN MCMICHAEL OBSTETRICS AND GYNAECOLOGY (London), The Pathological Basis of Splenic Anaemia. Thtuysday, July 26th.-10 a.m. (Biochemistry), Discussion President: Professor J. M. MUNRO KERR, M.D., F.R.F.P.S., Oestrus-producing Hormones. To be opened by Prof. E. C. F.C.O.G., Glasgow. DODDS (London), followed by Dr. A. S. PARKES (London), Vice-Presidents: ALECK W. BOURNE, M.B., F.R.C.S., Dr. H. GARDINER-HILL (London), Dr. J. M. ROBSON (Edin- London; Miss GERTRUDE DEARNI.EY, M.D., B.S., F.C.O.G. burgh), Dr. P. M. F. BISHOP (London), and Mr. L. C. RIVETT London; S. GORDON LUKER, M.D., F.R.C.S., F.C.O.G., (London). Paper: Dr. JOHN PRYDE (Cardiff), The Formation M.R.C.P., Bournemoutlh; W. S. RICHARDSON, M.D., of Glycuronic Acid as a Measure of Hepatic Efficiency. F.R.C.S.Ed., Bournemouth. Friday, July 27th.-I1 a.m. (Bacteriology), Discussion: Honorary Secretaries : C. HEYGATE VERNON, MB., The Value of Antiseptics in Control of Bacterial Infections. F.R.C.S.Ed., 91, XWentworth Avenue, Boscombe, Bournemouth; To be opened by Prof. C. H. BROWNING (Glasgow), followed A. J. WVRTGLEY, M.D., F.R.C.S., 40, Queen Anne Street, WX.1. by Dr. R. J. V. PULVERTAFT (London), Dr. G. XV. THEOBALD The following provisional programme has been arranged: (London), Dr. M. SIDNEY THOMSON (London), Mr. V. ZACHARY Wednesday, July 25th (Combined Meeting with Section of COPE (London), Sir ARNOLD LAWSON (London), and Mr. J. S. Public Health).-I0 a.m., Discussion: Are we Satisfied with WVOODn, M.R.C.V.S. 4Parkstone). Paper: Dr. H. J. PARISH the Results of Ante-natal Care? be opened by Dr. (Orpington), The Specific Prevention and Treatment of

S. FAIRBAIRN ---, I I 11 .FJOHN (Londoin) ----and Prof.- F.- iJ. BROWNE--l- 11- Staphylococcal Infections. r SUPPLEMENT TO TRE JUNE 16, 1934j Annual Meeting: The Sections LBRITISH MEDICAL JOURNAL 2n9

RADIOLOGY AND ELECTROTHERAPElTICS Therapy in Eye Disease Miss MURIEL A. PUGH (London), Orthoptic Treatment of Squint: Its Scope and Limitation; President: J. H. DOUGLAS WEBSTER, M.D., F.R.C.P.Ed., Mr. FREDERICK T. RIDLEY (London), Physics in the Problems London. of Ophthalmology; Mr. ARNOLD SORSBY (London), The Vice-Presidents: R. HIGHIAM COOPER, C.B.E., L.S.A., Dystrophies and Degenerations of the Macula. Bournemouth; D. D. MALPAS, M.R.C.S., L.R.C.P., Boscombe, Bournemouth; W. ROY WARD, M.B., B.S., London. Honorary Secretaries: Miss G. LIEBA BUCKLEY, M.B., B.S., ORTHOPAEDICS D.M.R.E., 29, Poole Road, Bournemouth: JOHN ROTH. President: HARRY PLATT, M.D., M.S., F.R.C.S., Man- M.R.C.S., L.R.C.P., D.M.R.E., 40, Harley Street, WV.I. chester. The following provisional programme has been arranged: Vice-Presidents: E. C. BOWDEN, M.C., F.R.C.S., Boscombe, Wednesday, July 25th.-10 a.m., Discussion: The Treat- Bournemouth; ERIC I. LLOYD, M.B., F.R.C.S., London; ment of Diseases of the Genito-urinary System. (a) Electro- ROBERT MILNE, M.D., M.S., F.R.C.S., London. Therapy. To be opened by Dr. XV. J. TURRELL (Oxford), Honorary Secretaries: N. Ross SMITH, M.B., Ch.M., followed by Dr. F. HOWARD HUMPHRIS (London). (b) F.R.C.S., 9, Poole Road, Bournemouth; WV. ELDON TUCKER, Radiuni Treatment, with Special Reference to the Bladder F.R.C.S., 62, Wimpole Street, WV.l. and Prostate. To be opened by Dr. A. J. DURDEN- The following provisional programme has been arranged: SMITH (London), followed by Dr. R. G. H. HUTCHISON Thursday, July 26th.-10 a.m., Discussion: Adolescent and (Manchester). (c) X-Ray Treatment. To be opened by Senile Kyphosis. To be opened by Mr. C. LAMBRINUDI Dr. G. HARRISON ORTON (London), followed by Dr. S. L (London), followed by Dr. JACQUES CALVE (Paris) and Prof. MUCKLOW (Cheltenham). 2.45 p.m., Demonstration: The H. A. HARRIS (London). 2.30 p.m., Clinical Demonstration at Diagnosis and Treatment of Diseases of the Genito-urinary the Boscombe Branch of the Royal V7ictoria and XVest Hants System. Speakers: Dr. WV. J. TURRELL (Oxford), Dr. XV. Hospital. ROY XVARD (London), and Dr. C. H. C. DALTON (Ipswich). Friday, July 27thz.-I0 a.m., Discussion: Acute and Chronic Thursday, July 26th.-I1 a.m., Discussion : The Value of Sprain. To be opened by Mr. XV' ROWLEY BRISTOW Radiology (Diagnosis and Treatment) as an Aid to the General (London), followed by Mr. C. GORDON IRWIN (Newcastle-on- Practitioner. To be opened by Dr. J. H. DOUGLAS XVEBSTER T. P. (Liverpool), and Sir MORTON (London), Radiology, and Dr. E. K. LE FLEMING (WVimborne), Tyne), Mr. MCMIURRAY General Practice, followed by Dr. G. B. BATTEN (London), SMART (London). Dr. XV. B. PROWSE (Brighton), Dr. D. D. MALPAS (Bourne- OTO-RHINO-LARYNGOLOGY mouth), Dr. FRANKLIN G. WXTOOD (London), Radiology, Dr. H. GUY DAIN (Birmingham), Dr. ANDREW BAXTER (Alderley Presidenzt: J. SMIT}I IFRASER, M.B., F.R.C.S.Ed., Edinburgh. Edge), Dr. F. G. THOMSON (Bath), and others, General Vice-Presidents: THEODORE H. JUST, M.B., F.R.C.S., Lon- Practice. 2.45 p.m., Demonstration: CaFes of General Interest don; ANTHONY MCCALL, M.D., Bournemouth; E. WVATSON- where Diagnosis has Proved Difficult but has Ultimately been WILLIAMS, M.C., Ch.M., F.R.C.S.Ed., Bristol. Established. Speakers: Dr. B. GRELLIER (Hastings) and Honorary Secretaries : HUMPHREY I. MARRINER, F.R.C.S..Ed., others. D.L.O., Craig Vaen, Poole Road, Bournemouth; MICHAEL Friday, July 27th.-10 a.m., Discussion: DiagnosticsRadio- VLASTO, M.B., F.R.C.S., 26, XVimpole Street, WV.1. logy of the Stomach and Duodenum. To be opened by Dr. The following provisional programme has been arranged: S. C. SHANKS (London), followed by Dr. L. A. ROWDEN (Leeds), Dr. A. E. PAYNE (Leicester), Dr. H. W. A. POST WVednesday, July 25thi.-10 a.m., Discuissions: (1) Muco- (London), and Dr. G. R. MATHER CORDINER (London). purulent Tubo-tympanic Infection. To be opened by Mr. 2.45 p.m., Denionstration : Cases of Diseases of the Stomach r. RITCHIE RODGER (Hull), follo'wed by Mr. E. B. WVAGGETT and Duodenum, vith Clinical Histories and, where possible, (London) and Mr. C. P. WVILSON (London). (2) Focal Infec- Pathological Specimens. Speakers: Dr. A. CRAIG MOONEY tion as a Problem for the Laryngologist. To be opened by (Plymouth), Dr. BEATRICE L. COLLINS (Richmond), and others. Mr. A. J. M. XVRIGHT (Bristol). Thursday, July 26th.-10b a.m., Discussions. (1) Allergic The Sections will meet on two days: Factors in Rhinorrhoea and Nasal Catarrh. To be opened following by Mr. T. H. JUST (Londoin), followed by Mr. E. D. D. ANAESTHETICS DAVIS (London). (2) Post-operative Complications an-I President: CHARLES F. IIADFIELD, Ml.B.E., MI.D., London. Results of Tonsil and Adenoid Operations in Children. To Vice-Presidensts: E. WV. D. HARDY, M.C., M.R.C.S., be opened by Dr. B. ELIZABETH NESBITT (Edinburgh). (3) L.R.C.P.. Bournemouth; XV. HOWARD JONES. M.B., B.S., Infections of the Maxillary Sinus. To be opened by Dr. London; IAN R. SPARK, M.B., Ch.B., Nottinaham. I. B. THORBURN (Glasgow). Honorary Secretaries: J. C. A. NORMAN, M.R.C.S., L.R.C.P., Hadlleigh House, Broadstone, Dorset; XV. PAEDIATRICS ALEXANDER LOW, M.C., M.B., B.S., 101, Gloucester Place, Portman Square, XV.I. President : F. JOHN POYNTON, M.D., F.R.C.P., London. Vice-Presidents: WV. H. BEST, M.R.C.P., Bournemouth; The following provisional programme has been arranged: R. D. CLARKSON, M.D., F.R.C.P.Ed., Larbert, Stirlingshire; Wednesday, July 25th. 10 a.m., Discussion : Closed Mrs. H. H. CHODAK GREGORY, MI.D., M.R.C.P., London. Anaesthesia with CO2 Absorption. To be opened by Dr. Honorary Secretaries: XV. ARCH. METN, F.R.C.P.Ed., XV. B. PRIMROSE (Glasgow), followed by Dr. FRANKIS T. F.R.C.S.Ed., 25, Poole Road, Bournemouth; BERNARD EVANS (London) and Dr. T. A. B. HARRIS (London). Paper: SCHLESINGER, M.D., F.R.C.P., 65, Portland Place, WV.I. Dr. H. J. A. SIMMONS (Bournemouth), Evipan Sodium. Thursday, July 26th.-10 a.m., Demonstrations: (1) At The following provisional programme has been arranged: Cornelia and East Dorset Hospital, Poole, of CO2 Absorption Wednesday, July 25th.-10 a.m., Discussiot : Encephalitis. in Gas and Oxygen Anaesthesia; (2) At Cornelia and East To be opened by Dr. NV. G. XVYLLIE (London), followed by Dorset Hospital, Poole, of Evipan Anaesthesia; (3) Of Dr. NEILL HOBHOUSE (London), Dr. XV. H. BEST (Bourne- Practical Spinal Anaesthesia. mouth), Dr. F. J. POYNTON (London), and Dr. T. R. HILL (London). OPHTHALMOLOGY Thursday, july 26th.- a.m., Discussion : Osteomyelitis. President: LESLIE PATON, M.B., F.R.C.S., London. To be opened by Prof. JOHN FRASER (Edinburgh), followed Vice-Presidents: F. A. JULER, M.B., F.R.C.S., London by Mr. H. TYRRELL-GRAY (London), Mr. H. XV. S. WRIGHT W. B. INGLIS POLLOCK, F.R.F.P.S., Glasgow; P. A. Ross, (London), Dr. LESLIE B. COLE (Cambridge), Mr. S. A. S. F.R.C.S.Ed., Bosconmbe, Bournemouth. MALKIN (Nottingham), and Mr. XV. ARCH. MEIN (Bourne- Honorary Secretaries : DAVID HARDIE, M.C., F.R.C.S.Ed., mouth). D.O., 6, Marlborough Road, Bournemouth; ARNOLD SORSBY, M.D., F.R.C.S., 86, :Harley Street, WV.I. PUBLIC HEALTH (INCLUDING TUBERCULOSIS) The following provisional programme has been arranged: President: T. CARNWATH, D.S.O., M.B., D.P.H., London. Wednesday, July 25th.-10 a.m., Discussion: Headaches. Vice-Presidents: F. G. CHANDLER, M.D., F.R.C.P., London; To be opened by Ir. A. D. GRIFFITH (London), Ophthalmo- H. GORDON SMITH, M.D., D.P.H., Bournemouth ; A. DE NV. logy, and Dr. XVILFRED J. HARRIS (London), Neurology, SNOWDEN, C.B.E., M.D., Ringwood, Hants. followed by Dr. C. C. WORSTER-DROUGHT (London), General Honorary Secretaries: C. F. PEDLEY, M.R.C.S., L.R.C.P., Medicine, and Mr. MAURICE SORSBY (London), Oto-laryngo- D.P.H., Health Department, Town Hall, Bournemouth logy. Paper: Mr. T. W. LETCHWORTH (London), Migraine. Miss A. MARGARET C. M-ACPHERSON, M.D., M.R.C.P., 28. Thursday, July 26th.-I0 a.m., Papers: Mr. F. A. JULER V. (London), A Case of Blindness after Administration of N.A.B.; Devonshire Place, 1. Mr. W. B. INGLIS POLLOCK (Glasgow), The Technique of The following provisional programme has been arranged: Advancement and of Tendon Lengthening in Strabismus Wednesday, July 25th (Combined Meetina with Section of Operations; Mr. FRANK W. LAW (London), Local Ultra-Violet Obstetrics and Gynaecology).-l0 a.m., Discussion: Are we 296 JUNE 16, 1934] SUPPLEMENT TOTHr Annual Meeting: T'ime-Table BRITISH MEDICAL JOURNAL Satisfied with the Results of Ante-natal Care? To be opened by Dr. JOHN S. FAIRBAIRN (London) and Prof. F. J. BROWNE Provisional Time-Table (London), Obstetrics, and Dr. ETHEL CASSIE (Birmingham) and Dr. G. F. BUCHAN (Willesden), Public Health. Friday, July 20th Thursday, Jiuly 26tht.-IO a.m., Discussion: Immunization 9.30 a.m.-Annual Representative Mleeting, Grand Hall, in the Prevention of the Specific Fevers. To be opened by Town I-lall. Dr. R. A. O'BRIEN (Beckenham), followed by Dr. WNILSON 9.30 a.m.-Ladies' Club open, Imperial Hotel, Bath Road. SMITH (London), Surgeon Captain S. F. DUDLEY, R.N. (Chat- 10.30 a.m.-Excursions and Bathing Parties for Ladies. hamn), Dr. E. H. R. HARRIES (London), and Dr. C. WV. HUTT 11.0 a,mi.-Civic Weiconle to Representative Body by the Dr. A. S. Modern Mavor. (London). Paper: MCNALTY (London), 1.0 p.m.-Lunch to Overseas Representatives, Royal Exeter Sanatorium Treatment. Hotel. 2.30 p.m.-Excursions for Ladies. The following Sections will meet on one day: 7.30 p.mIl.-Representatives' Dinner, Restaurant, Pavilion. 8.0 p.m.-Ladies' Supper and Cabaret, Ballroom, Pavilion. BALNEOLOGY AND CLIMATOLOGY President: F. G. THOMSON, M.D., F.R.C.P., Bath. Saturday, July 21st Vice-Presidents: W. BYAM, O.B.E., M.R.C.S., L.R.C.P., 9.30 a.m.-Anniual Representative Meeting, Grand Hall, '1 own I-lall. London; GEOFFREY HOLMES, M.B., B.Ch., Harrogate; XV. 1)0.30 a.m.-Excursions and Bathing Parties for Ladies. JOHNSON SMYTH, M.D., Bournemouth. 11.30 a.l.-Cricket Festival at Dean Park, Hants v. Surrey. Honorary Secretaries: C. B. MOORING ALDRIDGE, M.R.C.S., 1.0 p.m.-Photograph of Representative Body, otutside Town L.R.C.P., 100, Richmond Park Road, Bournemouth ; WV. S. C. I-Iall. COPEMAN, M.B., M.R.C.P., 15, Harley Street, W.I. 2.15 p.m.-Excursions for Ladies. The following provisional programme has been arranged: 8.0 p.m.-Reception to Members of the Representative Body anid their Ladies by the Boturnemouth M\edical Wednesday, July 25th.-10 a.m., Discussion: The Relative Society, Burlington Hotel, Boscombe. Advantages of British and Foreign Health Resorts. To be 8.30 p.m.-Reception to Members of the Representative Body opened by Dr. E. P. POULTON (London), followed by Dr. WV. anid their Ladies by the Bournemiiouth Section, BYANM (London), Dr. V. M. COATES (Bath), Dr. GEOFFREY British Dental Association, Branksome Towers HOLMES (Harrogate), and Dr. W. JOHNSON SMYTH (Boume- Hotel. mouth). DERMATOLOGY Sunday, July 22nd 11.30 a.m.-All-day ELxcursion for M\embers of the Repre- President: RUPERT HALLAM, M.D., Sheffield. sentative Body and their Ladies round Poole Vice-Presidents: JAMES BEATTY, M.D., M.R.C.P., Cardiff; Ilarbour by imiotor-boat (lunch and tea pro- JOHN T. INGRAM, M.D., M.R.C.P., Leeds; J. E. M. WVIGLEY, vided). By invitationi of the M\Iayor and Po

11.0 a.m.-Visit to MIalmesbury and Parsons' Dairies for 2.30 p.m.-Stearnship Cruise of Poole Harbour and Bay, by Ladies. invitation of the Mfavor and Corporation of 11.30 a.m.-Cricket Festival at Dean Park, Hants v. Somerset. Poole, to view Yacht Racing. 1.0 p.m.-Irish Medical Schools' and Graduates' Association 2.30 p.m.-Garden Party at Newlands Manor, by invitation Lunch. Pavilion. of Sir John and Lady Power. 2.0 p.m.-Official Operling of E-xhibition of Pictorial Art 3.0 p.m.-Visit to Anderson, by invitation of Mr. Robert of the Medical Profession by the President at Tory, to inspect herd of Pedigree Shorthorns. the Russell-Cotes Art Gallery. Tea at Bere Regis by invitation of Dr. Best. 2.30 P.m. ) Secretaries' Conference, Council Chamber, Town 3.0 p.m.-Garden Party at Compton Acres, Canford Cliffs, by to Iall. invitation of Mr. anid 1Irs. T. Wallace Simpson. 4.15 p.mi. 3.0 p.m.-Garden Party at Hferon Court, Holdenhuirst, b)y 2.30 p.m.-Sailing and Tea, by invitation of the Parkstone invitation of the Earl and Countess of Sailing Club. Malnesbury. 3.0 p.m.-Garden Party at Bryanston School, Blandford, by 3.0 p.m.-Garden Party at Greystoke, Branksome Park, by invitation of the Head Master. invitation of Sir Leonard and Lady Lyle. S.15 p.m.-V,isit to Cranborne Manor, by invitation of Lord 3.0 p.m.-Bo-wls MIatch against Poole Park Bow%ling Cltub. Cranborne. 3.30 p.m.-Reception at Cornelia and East Dorset IHospital, 3.30 p.m.-Garden Party in Poole Park, by invitation of the Poole, by invitation of the Board of Management. Mayor and Poole Corporation. 3.30 p.m.-Garden Party at Athelhampton Hall, by invita- 3.30 p.m.-Garden Party for Ladies at "Meadowside," tion of the Hon. Esmond and Mrs. Harmswortl. Colehill, Wimborne, by invitation of Dr. Mary 3.30 p.in.-Visit to Bladen Dairies, by invitation of Sir Jeremiiy, President, Bournemouth Branch, Ernest Debenham, Bart. National Council for Women. 8.0 p.m.-Popular Lectuire, Grand Hall, AMunicipal College, 3.30 p.m.-Garden Party at Mudeford, by invitation of the by Professor V. H. Mottram, M.A.: " Foods, Baroness de Goldsmid da Palmeira. Fads, and Fashions." 3.45 p.m.-Gardeni Party at Queen's Park, by invitation of 8.0 p.m.-Dinner and D)ance on board the R.M.S. Aquitania MNrs. Sykes-Thornton. at Southampton. 3.45 p.m.-Garden Party at St. Giles, Dorset, by invitation 9.30 p.m.-Division Reception, Towvn Hall. of the Earl and Couintess of Shaftesbury. 4.30 p.mn.-Over-seas Conference, Council Chamber, Town Hall. 5.0 p.m.-Open-air Perfornmance of " A Midsummer Night's Saturday, July 28th Dreanii," presented by Mrs. MIcCall at 35, 10.0 a.m.-Exhibition of Pictorial Art of the Medical Pro- Chiristchurcl Road, Bournemouith. fession open, Rtussell-Cotes Art Gallery. 5.30 p.m.-Cocktail P'artv at Savoy Hotel, by invitation of 10.0 a.m.-Visit by Coach to MIessrs. Cow and Gate's Factory, Mlrs. N. G. Aleney, Mrs. 0. C. Carter, and Mrs. WVincanton Lunch, White Horse Hotel, H. Granger. WA'incanton Tea, Coombe House, Shaftesburv. 5.30 p.m.-Cocktail P'arty at Ifighcliffe Hlotel, by invitation Members will be the guests of Messrs. Cow and of Mr. and MIrs. Kinsey-Morgan. Gate. 5.30 p.m.-Sherry IParty at 19, Poole Road, Bournemouth, 2.0 p.m.-Visit to Lord Mayor Treloar Cripples' Ilospital by invitationi of MIrs. S. H. Cookson and MIrs. and College, Alton, by invitation of the Trustees E. G. R. Grant. of the Hospital. 6.30 p.m.-Secretaries' l)inner, Royal Bath lhotel. Visit to Weynmouth, by invitation of the West *8.30 p.m.-Civic Reception, Pavilion. Dorset Division. Long Excursions. Thursday, July 26th Academic Dress will be worn at these functions. 8.30 a.m.-Natioiizl 1e iiiperarice Leaigue's Anntual Breakfast. *9.0 a.m.-High IlMass in Church of the Sacred Heart, lRichmiionid Hill. 9.0 a.m.-Exhibition open, Winter Gardens. 9.0 a.m.-Pathological Exhibition open, Municipal College. ANNUAL DINNER 9.30 a.m.-Golt Compl)etition for Leinster and Childe Cups, Biro.m(lstoie 'Golf Club. Applhations for tickets (15s. each, exclusive of wines) for 10.0 a.m.-Ladies' Doubles, American Tennis Tournament, the Annual Dinner of the Association in the Ballroom of Melville Park. the Pavilion, Bournemouth, on Thursday, July 26th, at 10.0 a.n.-Scientific Sections, Mlunicip)al College. 10.0 a.m.-Exhibition of Pictorial Art of the Medical Pro- 7.30 for 8 p.m., should be addressed to the Honorary fessioni o)en, Ruissell-Cotes Art Gallery. Secretary, Dinner and Luncheons Committee, Room 80, 10.30 a.m.-Excursions and Bathing Parties for Ladies. Town Hall, Bournemouth, accompanied by a remittance 11.0 a.m.-Cricket Festival at Dean Park, Hants v. Somerset. made payable to the Honorary Treasurer, B.M.A. 2.0 p.m.-Visit to Southamiipton Docks and tea on board " Emizpress of Britain, by invitation of the Meeting, and crossed Dinner Account." Members may Southaitpton Division and the Canadian Pacific bring guests, but early application is urged, as the accom- Ratilway. modation is limited. 2.0 p.m.-Motor P'icnic in 3New Forest, by invitation of Dr. and Mrs. H. Simmons. 2.30 p.m.-Bowls Match agaitnst Southborne Bowling Club, by invitation of Dr. Weatherly. TRAVELLING FACILITIES 8.0 p.m.-Garden Party at Teak House, Branksome Park, by invitation of Dr. and Mrs. E. D. Granger. In view of the fact that the railway companies are con- 3.0 p.m.-Garden Party at Canford School, Wimborne, by tinuing the issue of " Summer Tickets " whereby the invitation of the Head AMaster. return journey to and from Bournemouth can be made 8.30 p.m.-Garden Party at Pvlewell Park, by invitation of Mr. and the Hon. Mrs. William Ingham- at the cost of the single fare plus one-third, it is not Whitaker. proposed, whilst this concession is available, to apply for, 3.30 p.m.-Garden Party at Higheliffe Castle, by invitation and issue, special vouchers permitting railway travel at of the Hon. Mrs. Stuart Wortley. the reduced rate 3.30 p.m.-Garden Party in Priory Gardens, by invitation of as has been the custom heretofore. the Mayor and Christchurch Corporation. Members are reminded that there is an added advantage 3.30 p.m.-Reception at Royal 'Victoria and West Hants in using the " Summer Tickets," inasmuch as the perio( Hospital, by inx itation of the Chairman of the of availability extends over one calender month, as com- Board of Management. pared with the shorter peiiod during which the " Con- 7.30 p.m.-Annual Dinner, Ballroom, Pavilion. ference Tickets " have extended in past years. For the convenience of members who will be travelling Friday, July 27th to Bournemouth on Thursday, July 19th, arrangements 8.30 a.m.-Medical Missionary Breakfast. 9.0 a.m.-Exhibition open, Winter Gardens. have been made with the Southern Railway Company to 9.0 a.m.-Pathological Exhibition open, Municipal College. reserve a first-class coach and a third-class coach on the 9.30 a.m.-Ladies' Bogey Competition at Meyrick Park Golf 4.30 p.m. train from Waterloo. Cluib, entrance fee 2s. These coaches will be labelled " British Medical Asso- 10.0 a.m.-Mixed Dotubles, American Tennis Tournament, Melville Park. ciation," and members will be able to take possession 10.0 a.m.-Scientific Sections, MIunicipal College. of seats upon their arrival at the station, for which no 10.0 a.m.-Exhibition of Pictorial Art of the Medical Pro- charge will be made. fession open, Russell-Cotes Art Gallery. Arrangements are also being made to reserve 10.30 a.m.-Excursions and Bathing Parties for Ladies. similar 11.0 a.m.-Cricket Festival at Dean Park, Hants v. Somerset. accommodation on the 11.30 a.m. train leaving Waterloo 2.0 p.m.-Golf Cotmipetition for Treasurer's Cup, Meyrick on Monday, July 23rd, but it is recommended that those Plark Golf Club. members who would prefer to make certain of securing 2.30 p.m.-Visit to the Health Services and Newv Housing Schemiies, by invitation of the Bournemouth a seat should make a reservation in their own name by %-UIVULILLLULI.Cornsoration- payment of the usual charge. [ SUPPLEMSENT TO THE 298 JUNE 16, 19341 Accommodation at Bournemouth L BRITISH MEDICAL JOURNAL

I S HOTEL AND BOARDING HOUSE ACCOMMODATION Rooms 0 o A vail- Bed no Below wvill be found a list of hotels and boarding houses in ablef and En ii '0 Name and Address. _) Break Peuisic av t'D Bournemouth recommended for the accommodation of visitors fast i in to the Annual Meeting. Application should be made direct to 0 0 -50 S. D. P=9 the hotels and boarding houses, mentioning the B.M.A. l.. Garage accommodation must be booked, if required, at the Walmer Hotel, Exeter 23 8 15 From 4-5 gns. 3/6 4/6 No i'M. same time. The Royal Bath Hotel is the official B.M.A. hotel. Road 8/6 Solent Pines Hotel, 28 15 13 From 3/- 4/6 Yes SCHEDULE A.-Fully ----Licensed Hfotels Manor Road 8/6 gns. -j Grange Hotel, South- 40 20 10 Fromi From 4/- 61- Yes 3 nin bourne 41 8/6 gns. m. 5 0 Priory Hotel, Exeter 30 6 11 From From 3/6 6/- Yes 0 Rooms Bed "- Road 10/6 gns. 50 Avail- 0 4i .0 able and I/n Priory Mansions Hotel, 35 12 18 9/6 4 guis. 2/6 5/- Yes Name and Address B3reak Penision 4 Bath Road -Ca_) 0 fast c. noM Cottonwood Private 20 3 4 41 gns. 31- 4/- Yes 1In.in. Hotel, (Irove RIoad 1km. S. D. Empress Hotel, The 40 10 15 9/6 41l gns. 3/6 5/6 Yes Square Branksome Towers 140 23 40 From 22/6 pei 6/- 8/6 Crag Head Hotel, 35 12 23 Fron Fr om 3/6 5/- Yes Hotel, Bournemouth 11/6 p.d day Manor Road 816 41-8 gns The Haven,Sandbaulks, 125 55 70 Frouii 5/- 7/6 Whitehall Hotel, 100 11 20- 9/6 41 gns. 3/6 4/6 No Mr. Bournenouth 27/6p.d. Bournemoutih 30 Canford Cliffs Hotel, 110 12 16 141- £7 10s. 4/6 6/6 Yes 2 m. Bourne Hall Hotel, 90 10 30 From 41 gns. 3/6 5/6 Yes in. Canford Cliffs, B'imith Bournemouth 9/6 A13111. Yes n. Royal Exeter Hotel, 100 15 20 From From 41- 7/6 i Hotel Courtlands, 50 5 20 8/6 From 2/6 3/6 Yes Exeter Road 14/6 7 gns. Boscombe Spa Itoad 4 gns. 111,. Yes Higliieliff Hotel, West 91 40 35 From 6 or 7 4/6 7/6 n1m. Pine Court, Gervis Road 12 3 4 8/- Fr o 31- 4/- Yes i m. Cliff 12/& gns. 4 gis. MT. Burlington Hotel, Bos- 160 60 100 12/6 6-7 gns. 5/- 7/6 Yes 2 m. Gresham Court, Grove 40 12 12 10/6 4-4& 2/6 4/6 Yes coinibe Yes m Road gns. Yes m. Norfolk Hotel, Bourne- 60 30 20 12,'6 6 g9us. to 41- 6/6 Meyrick Court Hotel, 30 6 24 916 4 glls. 3/- 5'- Yes lm. motith £6/16/6 Christchurch Road Imperial Hotel, B'muth 150 20 30 10/6 6 glls. 41- 7/6 Yes i m. Meyrick Mansion Hotel 68 15 20 Fronm Fromn 3!- 5'- Yes im. 10/6 4 gns. Hotel Metropole, 112 48 64 10/6 5 and 6 3/6 51- Yes I m. Bay View Court, Grove 15 2 6 13/6 4 gns. 2/6 3/6 No BouLrneimiouth gns. Road Grand Hotel, Bourne- 250 40 40 10/6 £5/15/- 3/6 6/6 Yes 1&m.in. Ellerslie Maiisions 40 11 14 81- 4 gns. 3,- 4/- No In. muouth Hotel, Hinton Road Chine Hotel, Boscombe 72 10 20 Froi From 4/6 7/6 Coinpton House Hotel, 68 8/6 4 gns. 31- 4/- No in. 11/6 5 gns. Bournemoulh Central Hotel,Richmnd 40 8 -8 10/6 From 3/- 5/6 No I ns. Cavendish Hotel, 15 3 10 10/6 4 gns. 3/- 4/6 Yes im. Hill, 13ournemiiotith 5 gnu. Ilaurneinotth Gordon Hotel, South- 40 12 12 10/6 5 gns. 316 6/- Yes 3L 1i. Gurtnville Court, East 40 10 10 8/6 4 gns. 2/6 4/6 Yes im. botirne Cliff Bouthbourne Cliffs 65 5 10 10/6 £4114/6 3/6 5/6 Yes 31m. Hiulton Wood Hotel, 20 8 12 4 gns. 31- 4'- No in. Hotel Grove Road tdjntg Salisbury Hotel, Bos- 60 10 30 9/6 4 guls. 3/6 51- Yes 3 inm. estoverGardens 24 9 15 9/5 4 gns. 2/6 4/6 No enm. co.nbe Hotel, Hintoii Road SBandbanks Hotel, Sand- 90 20 20 10/6 6 gns. 1/- 6/- Yes 23' in. Regent Palace Hiotel, 52 14 38 10/6 From 31- 4/6 Yes *im. batiks, BoulrnemIlouth db lgn. l3ournemouth 4 giis bfst. 3/6 Linden Halt Hlydro, 130 35 28 8/6 4 gns. 3/- 51- Yes Mi. Boscombe 111i. SCHEDULE B.-Private Hotels and Boarding Houses East Angl ia Hotel, 55 20 30 8/6 4 gns. 2/6 3/6 Yes There is a great number of this type of establishment in Poole Road Arnwood, \\ est Cliff 30 3 6 4 gns. 3/- 4/- * in. the town. Those given below are known and recommended Roa. by members of the committee, but the list is not intended to Holinwood, St. John's 13 From 2/6 3/6 Yes be exclusive. Road, Boscombe 3i gns. 1* n-i. Boscombe Pier Hotel 20 4 16 Fronm From 3/- 5'- S 7/6 3, gns. s Rooms De Gresley, South- 40 18 12 8/6 From 31- 51- No 3m.i.M 00 Avail- Bed 0 bourne 3Agns. and En mo No Zo able Dalkeitih Hotel, Old 40 4 8 8/6 3i and 2/6 4/6 3iMn. Name and Address Break Pension | b to ca Christchurch Road 4 gns. fast Yes ¢.°o 0 co Heathlands Hotel, 32 8/6 3igns. 216 3/6 i. 1)00 c4 I ci Grove Road H 9 S. D. 0 Wharncliffe, Boscombe 18 2, 4 7/6 32 gns. 2/- 3/6 Yes Mn. Tollard Ro)yal Hotel, 100 20 30 From From 4/6 5/6 Devonshire Houise 50 20 8 8/6 3. gns. 2/6 3/6 Yes inm. West Cliff 11/6 5 gns. Yes Hotel, Richixiond Hill Carlton Hotel, East 92 20 20 From From 4/6 6/6 Midland Hotel, l3ourne- 40 20 201 8/6 31 gns. 3/- 3/6 Yes Im. Cliff 106. 6-7 gns. Yes 2 in. mouth 6 im. Keinpsey Private Hotel, 23 6 10/6 From 2/6 316 The Hydro, West Cliff 60 20 40 8'6 From 3/- 4/6 No 1in.m. Bath Road 7 gns. Yes 31 gns. Riviera Hotel. Canford 32 12 2) 10/6 7 gns. 4/6 7/6 2 in. Aboukir, Poole Road, 10 4 6, 7/6 3 gns. 2/6 3/6 Yes Cliffs, B3ournemoutl Yes iM. Branksome Marsham Court Hotel, 78 2 40 6gns. 31- 51- In. Merton, 54, Christ- 24 8 16 From From 2,6 3/o Yes lm. East Cliff Yes m. church Road 12/6 3*gns. Hotel Mont. FIeuri, 27 10 5 6 gns. 4/- 6/- Langham, East Cliff ... 36 12 12. From 31- 41- Yes im. Parsonage Road Yes 3 gns. Sav-oy Hotel, West Hill 100 10 40 5-7 gns. 4/- 6/6 Eastry Coturt Private 24 8 12; Frotmi Yes anm. Road Yes Hotel, Meyrick Road 31gns. Weston Hall Hotel, 100 8 30 4i-6i 3/6 51- Dunholmle Manor Prvte 85 8 12: From 2!6 4/6 Yes l&rm. Westcliff Rtoad WIlS. Yes Hotel, Manor Road 5*-5 gns Meyrick Cliffs Hotel, 33 5 8 4-6 gn;. 3/6 5/6 Burley Coourt Hotel, 20 8 7' 8/6 From 2/6 41- No in. Pri9ry Road Bath Road 3l gns. Manchester Hotel, 77 5 25 4-6 gns. 2/6 41- Yes im.M The Queen Hotel, Bath 35 10 10 8/6 3i and 2/- 3/6 No inm. St. Michael's Road Road 4 gns. Regina Court, Meyrick 30 10/6 5 gns. 3/6 51- No nM. The Haven Private 24 8, 8 8/- 3. Igns. 2/- 3/6 Yes in. Road, East Cliff Hote],Lansdownie Rd. Brownswood Hotel, 50 10 12 1216 5 gns. 3/6 5/- Yes Beechwood Hotel, Crai- 18 9/6 31-5 2/6 4/6 No 100 South Cliff borne Road guis. yds. Osborne Hotel, Exeter 33 6 27 10/6 From 3/6 6/- Yes In. West Cliff Towers Ht'., 21 2' 4 2!- 31- Yes Ii n. Road 5 ens. Priory Road gns. Court Royal Hotel, 32 6 12 7/6 to 4-5i 3/- 4/6 No Westminster Hall HItl., 28 7 10 31-4i 3/6 51- Yes Sonitheliff Road 10/6 guis. Beacon Road gns. Pavilion Hotel, Bath 30 15 15 '9"_ 5 glls. 2/6 4/- IYes In.M Earls Court Hotel, 30 6 14 8/6 2i,4,41 3/6 4/6 Yes (iervis inm. Road in. Road East gns. V7aie Royal Hotel, Pier 43 13 30 10!6 5 gns. 3/- 4/- No Tralee Ht], St.Michael's 57 6 81 3-5 glis. 2/6 4/- Yes Approach M1. Road Solent Cliffs Hotel, 120 81- From 31- 4'- Yes Princes Hotel, Knyveton 40 12 5 9/6 Froml- 3/6 5/6 Yes South Cliff Road 5 gns. Road 3-5 gns. 1un. The White Hermitage, 80 27 28 From 3igns. 2/6 4'- No Bassett Private Hotel, 16 2 61 Orlly 3 gns. No Gardens Road Pier 10/6 £4/7/6 Knyveton 11.I, nil pilsn. 5 gns. ' - Drirley Dene Hydro, 116 20 40 From 4and5 3/6 5/- Yes Public garage at rear. Westcliff Road 7/6 gns. The Hotels Committee wishes to point out that the Durley Hall Hotel 80 5 20 41-5 3/- 5/- Yes In. meeting is taking place at the height of the Bournemouth 7, Durley Chine Road guis. season, and therefore EARLY BOOKING IS MOST IMPORTANT. Braemar Royal, South- 45 8 5 Frotm 4-5 gus. 2/6 4/9 Yes7 bourne 12/6 Further information can be obtained from the Honorary Towereliff Hotel, Cliff 30 5 5 8,'6 4-5 gns. - Yes4 Secretary, Hotels and Hospitality Committee, Dr. C. E. C,nt.sta-!P.R.IU LUac ,t Gautier-Smith, 38, Chessel Avenue, Bournemouth. r SUPPLEMENT TO THE 299 JUNE 16, 1934] Annual Meeting, Bournemouth BRITISH MEDICAL JOURNAL 299

ACADEMIC DRESS tournaments will be played at the West Hants Lawn Tennis Club, Melville Park, and will start at 10 a.m. In addition, Academic Dress will be worn at the Official Religious the inter-counties grass court championship will be held at Service to be held at St. Peter's Church at 4.30 p.m. this club during B.M.A. week. All members and ladies on Tuesday, July 24th ; on the occasion of the Adjourned accompanying them wishing to use the club either for private Annual General Meeting and President's Address and play, to see the championship, or to take part in the President's Reception at the Pavilion on the same day; tournaments, must make application to the Honorary Local at the Civic Reception at the Pavilion on Wednesday, General Secretary of the Bourinemouth Meeting, Room 30, July 25th; and at the celebration of High Mass in the Town Hall, Bournemouth, and the names of those wishing Church of the Sacred Heart, Richmond Hill, at 9 a.m. to play in the tournaments should reach him not later than on Thursday, July 26th. Those desiring robes shouldI Tuesday, July 24th. communicate with Mlessrs. Ede and Ravenscroft, 93-94, BOWNLS Chancery Lane, London, W.C.2, the official robemakers A bowls match has been arranged against the Southbourne to the Association, or with the robemakers of their own universities. Bowling Club on Thursday, July 26th, at 2.30 p.m. Com- petitors will be the guests of Dr. L. A. Weatherly for tea. Another match has been arranged against the Poole Park CLUBS Bowling Club on Friday, July 27th, at 3 p.m. All members The following clubs for men have kindly offered honorary who would like to play in either of these two matches membership for the period of the meeting to members of should send in their names, stating their handicap, to the the Association who have made prior application for the Honorary Local General Secretary of the Bournemouth privilege: The Bournemouth Club, the Bournemouth and Meeting, at Room 30, Town Hall, Bournemouth, not later District Constitutional. than Monday, July 23rd. The teams will be skippered by The Green Room Club offers the same privilege to members Dr. Litherland of Bournemouth. and ladies under the same conditions. Applications must be made to the Honorary Local General Secretarv of the Bournemouth Meetiing, at Room 30, Town PROJECTION OF FILMS Hall, Bournemouth. For the convenience of speakers at the Scientific Sections who desire to exhibit a film illustrating their paper, Messrs. ARRANGEMENTS FOR SPORTS Kodak Ltd. (Medical Department) have again kindly under- taken to provide the necessary apparatus and service, and to LAW-N TENNIS assist the Association in every possible way in any matter The WVest Hants Lawil Tennis Club has kindly offered relative to the projection of 16 mm. films. In order that members and ladies accompanying them the privilege of every arrangement may be made, therefore, speakers are playing at this club. invited to meet the representative of Messrs. Kodak, who A ladies' doubles American tennis tournament has been will be in attendance from Tuesday, July 24th, to Friday, arranged for Thursday, July 26th, and a mixed doubles July 27th, at Room No. IA in the Municipal College, American tournament for Friday, July 27th. Both of these Bournemouth.

%tIt s l g£tt Bs artatRtLIi PROCEEDINGS OF COUNCIL

WEDNESDAY, JUNE 6th, 1934

A meeting of the Council took place at the British Medical Welch of Baltimore, a foreign corresponding member. Association House, Tavistock Square, on Wednesday, The Chairmani was authorized to forward letters of June 6th. Sir HENRY BRACKENBURY, Chairman of condolence to the families of the above-namned. Council, presided, and the other members present were: The names of five members of the Association which appeared in the Birthday Honours List as receiving Dr. E. K. Le Fleming (Chairrmian of Representative Body), Mr. N. Bishop Harman (Treasurer), D)r. S. WvVatson Smith (President- knighthoods were mentioned, and the Council signified Elect), Mr. H. S. Souttar (Deputy Cha r;i an of Reprtsentatix-e Poly), its whih that its congratulations should be conveyed to Mr. J. Armstrong, Dr. F. J. BaildonI, Professor R. J. A. Berry, them. Professor J. W. Bigger, Sir Robert Bolamn, Dr. J. W. Bone, Dr. E. E. It was that an Brierley, Professor A. H. Burgess, Lieut.-Colonel J. M. H. Conway, mentioned invitation had been received Dr. J. D. Comrie, Dr. H. Guy Daim, Sir Thomas Dunhill, Mr. W. from the Bristol Division for the Annual Meeting, 1937, McAdam Eccles, Sir Crisp English, Dr. C. E. S. Flenmiing, Dr. to be held at Bristol, and also that the North of Ireland F. R. Fothergill, I)r. r. Fraser, I)r. F. C. B. Gittings, Dr. F. J. Branch had extended an invitation for the Annual Meet- Gomez, Dr. F. NV. Goodbody, D)r. R. G. Gordon, Dr. C. 0. Hawthorne, Dr. J. Hendlerson, Dr. J. Hudson, Dr. H. C. Jonas, ing to be held in Belfast in 1937 or subsequent year. Dr. R. Langdon-Down,' Mr. E. Lew,is Lilley, Dr. J. Livingstone (The Annual Meeting, 1936, is to be held at Oxford.) Loudon, Dr. J. C. Loughridge, Dr. A. Lyndon, Dr. P. Macdonald, The consideration of the jinvitation was postponed until Sir Ewen Mlaclean, Mr. 1E. XVr. G. Nlasterman, Dr. J. C. Matthews, the first meeting of the new Council in July. D)r. J. B. Miller, Dr. H. J. M1illigan, Dr. J. Mills, Sir Richard Needham, Lieut.-Colonel F. O'Kiriealy, Dr. NV. Paterson, Professor Sir Robert Bolam was reappointed to represent the R. I\I. F. Picken, Dr. H. V. Pooler, Dr. J. R. Prytherch, Dr. F. Association upon the governing body of the British Post- Radcliffe, Dr. H. Robinson, Dr. E. H. Snell, Dr. W. Stobie, Graduate Hospital and Medical School. Surgeon Rear-Admiral A. R. Thomas, Dr. G. Clatrk Trotter, WVing at the Commander H. M. Stanlev Turner, Dr. W. Watkins-Pitchford, Sir Dr. Dain consented to represent the Acsociation Malcolilm Watson, Dr. XV. N. WVest-WN'atson, Dr. W. G. WVilloughby. National Conference on Maternity and Child Welfare, to be held in in Apologies for absence were received from the following: Birmingham July. Professor T. G. MIoorhead (President), the Right Hon. Lord Dawson of Penn (Past-President), Dr. H. S. Beadles, Dr. G. W COMMITTEE ON THE MEDICAL ASPECTS OF ABORTION Miller, Dr. R. C. Peacocke. The Council resumed consideration of a resolution by The deaths were reported of Dr. G. J. Crawford the Treasurer, postponed from the previous meeting, Thomson, a former Member of Council ; Dr. F. N. G. recommending to the Representative Body that the Starr of Toronto, a vice-president; and Professor W. H. Council be requested to set up a special committee to THU 300 Proceedings of Council [ SUPPLEMENT TO 300 JuNE 16, 19,14119343 Proceedings [BRITISH MEDICAL JOLRNAE consider and report upon the medical aspects of abortion, had not the opportunity of attending ante-natal and and in particular with regard to the medical conditions post-natal clinics would hardly believe the amoulnt of requiring abortion, the methods most suitable for the damage done by illegal abortion. purpose, and the risks attending such procedures. Mr. Mr. Bishop Harman reminded Dr. Hawthorne that on Bishop Harman referred to the sad results of abortion previous occasions the Association had done exceedingly as practised in this country, and to the remarkable good work through committees dealing with such subjects freedom from such results, according to certain medical as ophthalmia neonatorum, rheumatism, and, at the observers, in Russia, where abortion was practised on present moment, fractures. This was no setting up of a very large scale. It was said that in that country an orthodoxy, but merely the bringing together of indi- there had been 11,000 abortions in one year with no viduals to collate their experiences. He accepted the deaths and a very small number of septic infections. abbreviation of the resolution suggested by Dr. He thought there was real ground for scientific inquiry Willoughby. by the Association, and he reminded the Council that its By 28 votes to 9 it was resolved to recommend to bhe other scientific inquiries had terminated or were on the Representative Body that the Council be requested to set point of terminating. The Fractures Committee had up a special committee to consider and report upon the almost completed its work. If the committee which he medical aspects of abortion. proposed were appointed it would satisfy those who aspired to have a committee of inquiry on a much more MEMBERSHIP OF THE A.P.I.M. extensive scale, bringing in legal and sociological con- The Council had before it a memorandum furnished by siderations, which, he agreed, the Association was not Dr. Alfred Cox, the representative of the Association upon the body to conduct. the Association Professionnelle Internationale des Medecins, Dr. Gordon seconded the proposal, believing that there concerning the usefulness of that body and the desirability was need to collect evidence on this question and to of continuing representation. endeavour to clear up a confused position. He did not The Chairman of Council said that, as Dr. Cox's memo- doubt that in time to come various Departments of th- randum made it evident, it would be a great pity if at Government would look to the Association for information this stage the British Medical Association witlhdrew from on this matter. this internlational body, because if it did so the inter- Sir Ewen Maclean also supported the proposal. He national body was likely to collapse. Although the believed that such a committee would have a good A.P.I.M. might not be of such- great value as some of and far-reaching effect. He thought that the Russian its enthusiastic supporters thought it was likely to be, figures which had been mentioned should be received there was no doubt that it was of very considerable use- with the utmost caution. The scope of the practice of fulness, as shown by the fact that it had now established abortion in this country was not at all represented by a position of respect and authority with the International the mortality lists; it was enormous, and he thought Labour Office at Geneva. Its Review was also a very it was the Association's duty to undertake the responsi- interesting publication. bility of setting up such a committee with such a Mr. Bishop Harman said that after eight years' ex- reference. perience of membership of this body he had expressed a Dr. Hawthorne said that this proposal did not enlist very strong doubt as to the desirability of continuanice. his sympathy. Mr. Bishop Harman had said that it A body of this kind could serve medical science, or medical would placate those representatives in the Representative organization, or the social side of medicine. He.could see Meeting who aspired to a very much wider investigation, that it did to a certain extent serve the last-named pur- but he thought he would find that those gentlemen pose, but so far as medical science was concerned it was a were not so easily placated. There was only one point on failure. Medical science on the international plane was which there was any uncertainty-namely, the doubt well looked after by the Office Internationale d'Hygiene which had been cast upon the right of any member of Publique, established in Paris, on which Sir George the profession to perform abortion, under proper safe- Buchanan was the British representative, also by the guards, with therapeutic intention. That was a legal Health Organization of the League of Nations. difficulty which could not be decided by any com- Mr. McAdam Eccles thought that Mr. Harman had mittee of the Association. To learn the exact posi- overlooked a remark in Dr. Cox's memorandum, stating tion on that point, clearly what ought to be done that the real reason why the American Medical Organiza- was to consult the medical defence organizations and tion had withdrawn its support from the A.P.I.M. was to find out from them if difficulties had arisen that the United States still had a provincial outlook and and what advice they had given in the face of thought it could be self-sufficient. If there was one such difficulties. As to the circumstances in which reason why they should continue in this organization it therapeutic abortion ought to be practised, and the was to prove that Great Britain was not in that position. methods for applying such procedure, these were taught Dr. Lyndon urged very strongly that the B.M.A. should to medical students, were set out in the textbooks, dis- continue to support thze A.P.I.M. Mr. Harman had cussed in the medical journals, and investigated in the opposed the participation of the Association in this medical societies, and he was at a loss to kniow what matter from the very beginning, being concerned, lhe possible advance upon those conditions could be gained believed, primarily as Treasurer, with the cost to the by a committee of the Association. If this were an Association. But the speaker believed that good work inquiry directed to determining statistical evidence and was be&ng done, and it was the more important that the to distinguishing abortions practised by medical practi- A.P.I.M. now should be supported in view of Its official tioners for therapeutic purposes from illegal procedures, contact with the International Labour Office. some information of value might be forthcoming, but Sir Crisp English also hoped that membership of the it the present motion the committee was to be asked A.P.I.M. would be continued, especially as upon the to define the medicar conditions which required abortion. decision they made that morning would probably depend That was medical teaching. What competence had the the future of that body. He was anxious that Great Association to proceed to tell medical practitioners what Britain should lead in any international movement. So were the conditions under which a particular form of far as the financial burden was concerned, he was sure treatment should be applied? In the last resort, it was that the British Medical Association was perfectly well the individual practitioner in contact with all the circum- able to afford the subscription-better able than the stances of the case who must, on his own responsibility, professional associations in any other country. determine whether a particular kind of treatment was Dr. Dain supported Mr. Harman's view. He agreed needed and how it should be applied. that the A.P.I.M. had been most energetic in the accu- Dr. Willoughby, as the medical officer of a maternity mulation of information as to conditions of practice in and child welfare clinic, felt that the passing of this different countries, and that the information was in- resolution was very necessary, but he thought the quali- teresting, but it had not been shown to be of use to any- fying words, " in particular with regard to the medical body in particular. It was the fact that the conditions conditions," etc., might well be omitted. Members who of practice in Great Britain were superior, probably, to SUPPLEMENT TO THE JUNE 16, 1934] Proceedings of Council L BRITISHr MEDICAL JOURNAL 30 those in any other country, and it was hardly to be Warren Fisher Report it was definitely laid down that expected that an international body would improve them; there must be economy. Apparently this economy was but he had no evidence that the organization had done to be effected by a reduction in the number of regular anything to better the conditions of practice anywhere officers, who would be replaced, some by temporary else. officers, some by retired officers called up for service on Sir Ewen Maclean said that he found any doubts he hal' small salaries, and some perLlaps by general practitioners. on the subject removed by Dr. Cox's memorandum. The What gaini were the serviing officers going to receive? organization must have been of use even if it only Undoubtedly there would be somewhat increased pro- collected authoritative information as to practice in motion and some men would go out on a higher scale different countries. of pension, but nothing else. He considered that there The Chairman mentioned that the British Medical was nothing really satisfactory in the new conditions, Association's contribution to this body was about £188 and if they were agreed to it meant Limply that the a year. The purpose of the A.P.I.M. was the collection Treasury would save a certain amount of money at the and dissemination of information between the different expense of the profession in the Army. Men took on countries, and it was hardly fair to blame the organization commissions in good faith that they would be promoted because it had not done something which it had never set to a lieuteniant-colonelcy after a certain number of years' out to do. service, but under the scheme put forward. it seemed A motion in favour of continuing membership of the evident that a certain number of them would not be A.P.I.M. was carried with nine dissentients. On the promoted at all. motion of Mr. Eccles, seconded by Sir Crisp English, it Dr. Gittings, who spoke principally from the naval was agreed- that Dr. Cox should be asked to continue point of view, considered that whilst the increased pay as the Association's representative for a further year. and promotions for those selected to remain in the Service were an attraction, the short-service system, the lack of increased pension for in.creased length of service, and THE WARREN FISHER REPORT ON THE DEFENCE the reduction of establishment entailing reduction in SERVICES leisure time would give rise to further dissatisfaction. Dr. Goodbody, chairman ef the Naval and Military On the whole, he thought the changes could not be for Committee, brought forward a recommendation that the good of the profession. The short-service system Lieut.-Colonel J. M. H. Conway should b? elected by the had certain advantages from the point of view of Representative Body to represent the Royal Army Medi- building up a reserve, but it had to be remembered cal Corps on the Council for the unexpired period for that in the case of the officers themselves it created -a which the retiring representative was appointed-namely, blind alley. for a further year. He said that, to his own great regret, After some further discussion both Dr. Bone's amend- and that of the committee, General Hannay, hitherto the ment and Dr. Goodbody's original recommendation were R.A.M.C. representative on the Council, had found it withdrawn, and it was proposed to recommend to the necessary to resign both from the committee and from the Representative Body that the Association should represent Council owing to the view taken by the committee with to the Admiralty,the War Office, and the Air Ministrythat regard to the Association's attitude to the reorganized the steps taken by the Departments concerned to effect Services in the light of the Warren Fisher Report. Every reorganization of the three Medical Services subsequent member parted from General Hannay with very great to the report of the Warren Fisher Committee were too regret. Dr. Goodbody proceeded to give a detailed ex- limited in their application to be likely to influence planation of the state of affairs following the report of recrulting and to give' satisfaction to the Services; also the Warren Fisher Committee. The Naval and Militarv that the Council be instructed to continue to press for Committee had submitted its views to the three Depart- improved terms and conditions of service. ments on the proposals, and replies had been received This was proposed by Dr. Bone, seconded by Dr. from all three, indicating in general that the Departments Macdonald, and agreed to without dissent. intended to give effect to the recommendations of the Warren Fisher Committee in their application to existing THE SCOTTISH HEALTH SERVICES officers and future entrants. The effects which the pro- posals of the Warren Fisher Committee will have will be Dr. J. B. Miller, reporting for the Scottish Committee, found set out in the Supplementary Report of Council presented to the Council the memorandum of evidence to be published next week. He moved a general -recom- proposed to be given on behalf of that committee ta mendation that, while regretting that the proposals were the Departmental Committee on Health Seryices in Scot- limited in their application, and expressing doubt as to land. The memorandum was a very long document of their ultimate effect on recruiting, the Representative over 200 paragraphs, and discussed the basis of an Body was of opinion that the proposed reorganization, if efficient medical service, the standard and status of the faithfully and consistently carried out, would result in family doctor, the auxiliary and ancillary services, the improved terms and conditions and increased professional hospital services, the national health insurance services, opportunity. and various other matters of particular interest to Scot- Dr. Boine moved an amendm--ent to the effect that land. Dr. Miller said that it was urged in the memo- while the proposals would result in improved terms and randum that the basis of the whole provision must be conditions, the improvements as set out in the report the family practitioner, whose standard and status issued by the War Office were inadequate to meet the demanded very careful consideration. In the bulk of requirements of the R.A.M.C., and that further repre- the daily work of the ordinary practitioner simple methods sentations should be addressed to the Army Council. were all that were necessary, but a service to be complete He did not believe 'that the terms of the report would must of course have, in addition, facilities for consulta- satisfy the Services, and he thought that ought to be .tions, and for laboratory and other services, as indeed said. He also did not like the wording of the Naval had been pointed out in the General Medical Service and Military Committee's recommendation, which Scheme of the Association, and such services should be appeared to imply that the proposed reorganization mediated to the patient by the general practitioner. might not be faithfully and consistently carried out. Independent approach either to the hospital or to the Colonel O'Kinealy seconded Dr. Bone's amendment. consultant individually should be deprecated. The ex- Colonel Conway pointed out that under the proposals tension of the national health insurance service was of the Warren Fisher Committee with regard to the recommended, with linkage with the other health services, R.A.M.C. the establishment would be reduced by some administered by an ad hoc health committee, constructed ninety officers. The information clearly indicated that somewhat on the lines of the Insurance Committee, but the number of Army medical officers could not be reduced with an entirely different representation, while matters if the work was to be carried on efficiently. The short- of quality of service and discipline were relegated entirely service system also opene I up a big question. In the to a professional body. 302 of SUPPLEMEAT TO T JUNE 16, 1934] Proceedings Council BRITISHL MEDICAL JOURNAL A section of the report was devoted to the Highlands bear a wider implication, as they would do if addressed and Islands Medical Service, which was unique in one to a Departmental Committee. respect, in that it was provisioned partly by State grant, Dr. Jonas was glad that emphasis had been laid on the and partly by payment by the individual patient per Hlghlandis and Islands Scheme, of which he had had item of attendance. He knew that taking the report personal experience. He emphasized the importance of as a,whole there were many lacunae, but an endeavour the social improvement that had taken place in those had been made to present a balanced statement, avoiding parts of Scotland on account of this service. It had been statistics and questions of finance, and, of course, the such a very successful experiment that he wondered memorandum was only part of the evidence which would whether it could not with advantage be copied somewhat be submitted, for it would be supplemented by oral more in future developments in other parts of the country. evidence. Probably the ultimate report of the Depart- Dr. Robinson endorsed the tributes already offered, but mental Committee would depend to some extent on the suggested one or two verbal amendments. measure of success attending such oral examination. The Chairman said that.the Scottish Committee was to Dr. Le Fleming congratulated the Scottish Committee be congratulated on its memorandum, an,d Dr. Miller upon on this very valuable and well-balanced report. It showed the succinct way in which he had' summarized it. He a real appreciation of the position of public medical desired to take up a point made by Professor Picken with services, and if it did at the same time show that those regard to the position of the full-time medical officer. In services in' certain respects had acquired in the public the Association's Proposals for a General Medical Service mind undue authority or an a-uthority out of proportion for the Nation a whole section was devoted to the position to their real clinical value, at the same time it did point of the medical officer of health, and that section made it out that not sufficient use was made of the services of quite clear that the position of such officer had in fact the general practitioner. In England they had not perhaps been envisaged. The section was, indeed, a rather hand- risen to the opportunities of the general practitioner, but some tribute-not in the least undeserved-~to the position perhaps in Scotland a greater facility was apparent for which the medical officer of health would hold in any seizing such opportunities. organized service. Professor Picken supported what Dr. Le Fleming had Professor Picken said that he had spoken, not of medical said, but without implying any criticism of the value of officers of health, but of officers employed in departments. the existing public medical services. He hoped the Dr. Miller said that on the subcommittee which had Council would remember that the members of the public prepared this document there were two representatives medical services were to a large extent members of the of the Society of Medical Officers of Health in Scotland Association. The report wis a very long one, but it was who agreed in general with the various recommendations. admirable in substance and in the way in which it was At the last Council meeting the Scottish Committee asked presented. Scotland had already got ahead of England for and obtained the consent of the Council for calling and Wales in connexion with its Local Government Act- a meeting of representatives in Scotland to consider and in some respects a very much better Act than the English endorse the memorandum. At that time it was not one-and Scotland had administratively taken advantage anticipated that the memorandum would have to be given of the opportunities afforded by that Act in a way which in before October, but now they had been asked to present was the envy of those who worked in the South. Now- their evidence in June. There' was a great advantage in that Scotland had gone the length of having a Depart- giving the evidence early, and, to secure that advantage, mental Committee to consider this problem, it looked as it was worth while to aban'don the proposal for a meeting if Scotland again was going to get in first. In that con- of Scottish representatives, because, after all, the evidence nexion he thought that the time had perhaps arrived when was zntirely based on decisions of the Representative it was necessary to say that in these developments-at Body. However, certain Panel Committees had protested which, personally, he did not cavil in any way-the against this failure to call' such a meeting, and on' general interests of the medical officers who were serving local grounds the Scottish Committee was in sympathy with authorities ought to be protected. That had not yet been the protest, and 'the matter would be further considered said in so many words in any of the schemes which had at a meeting to be held'the following week. been considered by the British Medical Association. He The memorandum of evidence was' then approved for wished to ask the chairman of the Scottish Committee submission to the Departmental Committee. to make it clear, either in this report or in the oral evidence before the Departmental Committee, that the whole-time members of the public health service had in REGISTRATION OF FOREIGN DOCTORS good faith taken on service with the loi.al authorities and Following on the concern expressed at the Conference that the interests of the existing members should be of Oversea Members, held at Dublin last July, that any conserved. Some words might be inserted as an indica- foreign national who was a graduate of medicine in his tion to the Departmental Committee that the Association own country might, after a short period of clinical study desired to protect the interests of that particular section at a British medical school, obtain registration in this of the profession in so far as they held existing appoint- country and practise in the Colonies and Dominions, the ments. If these schemes were fully implemented it meant Dominions Committee asked the Council to consider the that there would be a certain amount of reduction of the advisability of approaching the qualifying bodies with work of whole-time medical officers, a certain lack of regard to the time required by those bodies for study in opportunity for these officers to serve. Dr. Miller had this country by foreign medical graduates prior to the referred to the rather grandiose scheme of dividing qualifying examination, and to, urge upon those bodies Scotland up into areas put forward originally by the that all such practitioners be required to undergo a Mfackenzie Committee in its report on the hospital services minimum of three years' clinical study in Great Britain of Scotland. From the public health point of view there or Ireland' before being admitted to the qualifying was great danger in having too large a regional organiza- examination. tion for public health purposes, and he hoped that The Chairman of Council stated that some additional Dr. Miller would remember the fate of prehistoric animals information had now been received. The total number of whose surface contacts were out of proportion to their foreign qualified doctors in this country going through the, bulk, and that he would not press too strongly the short course which entitled them to take the final exam- proposals of the Mackenzie Committee. ination of one examining body-namely, the Conjoint Dr. Dain congratulated the Scottish Committee on the Board of Scotland-was approximately 180. Of these, of memorandum. While he did not find any-fault with the course, a certain number would not qualify; at the one paragraphs dealing with national health insurance, he examination which had so far been held a considerable pro- w-ould suggest that some of the remarks were appropriate portion failed. Of those who qualified, 150 were ex- rather as addressed to doctors who were not properly pected to remain in Great Britain and Ireland, and an doing their certification or-prescribing, and ought not to attempt would be made to place them judiciously (if SUPPLEMENT TO THE JUNE 16, 1934) Proceedings of Councit LBRITISH MEDICAL JOURNAL 303 they were Jews, as not all of them were) in cities where there was a large element of Jewish population. Of the THE USE OF DRUGS BY MIDWIVES remainder, some might go to South America, but there Professor Picken, for the Public Health Committee, was every reason to believe that not a single one of theso recounted the circumstatnces attending the recent revision persons would find his way to Australia, New Zealand, of the rules of the Central Midwives Board regarding the or South Africa. They themselves had no money, and use of drugs by midwives, and, in view of the fact that there was no body of persons which had the funds neces- there was no general resolution of the Representative sary for the payment of their passage to those distant Body on this subject, moved that it be a recom- places. Therefore the practical problem was not that of mendation to that Body that no midwife should be safeguarding the Dominions and Colonies from an inun- allowed on her own responsibility to administer any drug, dation of persons who were qualified by reason of a very other than a simple domestic drug, save in grave emer- short period of study, but of dealing with the position gency, and even then only if she had been thoroughly in which 150 persons at the most would be settling in this instructed in its use. He added that the Public Heal-th country during the.next eighteen months for such period as Committee was informing the Ministry and the Central the Home Office would allow them to stay. The length Midwives Board that, in view of the correspondence be- of time which one of the qualifying bodies allowed persons tween the General Medical Council and the Board, it to study in this country before taking their final exam- viewed with apprehension the wider opening of the dcor ination was the subject of consideration by a good many in this respect. persons, and there had been conferences between the Dr. Bone felt that in the anxiety of the committee to Conjoint Board in London, the Society of Apothecaries, safeguard the position in regard to the group of drugs certain qualifying bodies in Ireland, and the Conjoint generally called " dangerous drugs " and the more potent Board in Scotland on this subject. drugs such as pituitrin it had gone too far. This resolu- The recommendation of the Dominions Committee was tion would rule out the use of ergot, so that a midwife converted into an expression of opinion that it was desir- who had full power given her by law to conduct a mater- able that the period in question should be three years. nity case would have taken away from her the right to use this drug after delivery. Mr. Masterman thought THE PRACTICE OF OSTEOPATHY that the giving of anaesthetics in the later stages should Dr. Bone, chairman of the Medico-Political Committee, be conceded. Sir Ewen Maclean said that there were brought forward a report on the theory, technique, and influential bodies which were in favour of allowing a practice of osteopathy. He reminded the Council that much freer min to the midwife, particularly in regard to there was a Bill now before Parliament which had for anodynes, but he thought the Association ought to go its object the registration of osteopaths, and therefore it very warily in the matter. He criticized the term seemed desirable that there should be a clear statement " domestic drug " in the resolution. He mentioned that for the guidance of the public and the profession on this recently, while visiting Holland, he found that the mid- subject. Accordingly a memorandum had been carefully wives there had a very high status, with a three years' prepared and scrutinized at length by his committee. curriculum, yet, notwithstanding this, the Dutch midwife The committee had not gone so far as to suggest that the was not allowed on her own responsibility to give any Council should approve the memorandum, but it sub- anodyne. A proposal that she be allowed to administer mitted it for consideration. pituitrin was being favourably considered, though not yet The Chairman of Council said that on re-reading the approved. Dr. Flemming spoke of the danger of allow- memorandum he was convinced that it still required ing midwives to use sedatives in the early stages. If a expert revision. It was an admirable document, but there sedative was required in early labour the case was likely were a few statements in it which, if the Council endorsed to be one which called for the opinion of a medical man as it in an unmodified form, might give rise to misunder- to whether anything else should be done. standing. It was the first document he had seen which, The Chairman said that the rules which were to be in a short compass, made evident to the profession and promulgated would allow the administration of any drug the public what was actually the theory of osteopathy. by the midwife if she could prove that in the course of HIe suggested that it might be well to ask three or four her training she had been instructed in its use. The members of the Physical Medicine Group, whose com- Association should make some pronouncement immedi- mittee had originally suggested that the Council should ately, as it had done previously in the less open state of set up an investigation, to revise this document. affairs with regard to pituitrin and opium. Perhaps the Dr. Hawthorne said that he entirely agreed with the resolution now proposed ought to include " ergot after commendation of the document, but he thought, with the delivery," but the position under the new rules was that Chairman, that it still needed some revision, not merely a midwife might use any drug if she had been thoroughly verbal amendment, but perhaps an alteration of emphasis instructed in its use. Dr. Hawthorne, referring to pre- in certain respects. It appeared that one of the conditions vious debates on the subject in the Representative Body, of osteopathic education was that all subjects must be said that his impression was that, although in an emer- taught from an osteopathic point of view. Every teacher gency a midwife might find it necessary to do certain before he started would have to subscribe to the osteo- things, this was only when medical advice and respon- pathic faith. That was not a tolerable position. In the' sibility could not be obtained. He thought some such same way the pupils were to be encouraged from the proviso should be added to the resolution. outset to recite the osteopathic formula. Instead of After some further discussion it was agreed to withdraw having minds open to the reception of truth of whatever the recommendation, but to endorse the action of the character and from whatever quarter it came, they were Public Health Committee in calling the Ministry's atten- bound in advance to something which was comparable to tion to the danger of the proposed changes, and to ask the the Thirty-nine Articles; and not only were their minds approval of the Representative Body for such endorse- given a bias in that direction, but their personal financial ment. interests were engaged also, so that instead of the old catholicity of medicine, with freedom of conscience, they PROFESSIONAL ORGANIZATION IN THE IRISH FREE STATE enlisted in this sectarian army from the very beginning. Surely when this was presented to members of the pro- Conferences which have lately been taking place be- fession they would condemn it as a wholly vicious pro- tween the Organization Committee and representatives of ceeding. the profession in Ireland with regard to organization in The Council agreed to the setting up of a small com- the Irish Free State were reported by Dr. Matthews, the mittee to revise the document and to bring forward a chairman of the committee. The idea has been to discuss recommendation as to what action should be taken upon ways and means of uniting the existing medical associa- it. The members of the committee so appointed were tioIns there so that a more powerful and effective single the following: the Chairman of Council, Dr. Bone, Pro- body might represent medical opinion. Dr. Matthews said fessor R. J. A. Berry, Mr. McAdam Eccles, Mr. R. C. that the number of British Medical Association members Elmslie, Dr. C. 0. Hawthorne, and Dr. C. B. Heald. in the Irish Free State was 568, a gain of sixty-two on the SUPPLEMENT TO THE.' 304 JUNE 16, 19341 Proceedings of Council [BRITISH MEDICAL JOURNAL year, chiefly in the Leinster Branch in view of the Dublin Meeting. Of this number about a quarter were also REMUNERATION OF WOMEN ASSISTANTS IN GENERAL members of the Irish Medical Association, with which, as PRACTICE long ago as 1921, there were negotiations, but these The Council had before it a communication from the reached no useful conclusion. The matter was now being Medical Women's Federation drawing attention to the discussed again in an entirely friendly atmosphere. There salaries offered to assistants in general practice. It stated was nothing political in the background of the proposal, that a number of complaints and inquiries had been but for the sake of a united professional front it was received at the Federation office regarding the inequality desired to have something in the nature of affiliation be- of the salary as offered to a woman and to a man tween the two associations, using the word in the ordinary assistant. Sometimes the salary offered to women appli- sense, not as used technically in the by-laws. Northern cants had been totally inadequate, and in certain cases Ireland was represented in the conferences, but expressed the vacancies had been advertised in the Journal, or the no desire to alter the present arrangements. Certain pro- applicant had heard of them through the British Medical posals, which Dr. Matthews mentioned in detail, had Bureau. come from a committee representative of the members of The Chairman of Council said that the Association had the B.M.A. in the Irish Free State and the I.M.A. The never gone back from its policy of equality as between Organization Committee had expressed its full sympathy medical men and women. With regard to locumtenents, with the desire to form a united body, but it could not the Association had never adopted the policy that a approve the proposal that, one medical association certain amount was the minimum salary which should be affiliated with the B.M.A. having been formed, the offered. It had expressed an opinion with regard to the B.M.A. should not accept members resident in the Irish minimum salary of assistants, but this had never been Free State. The Irish representatives had in mind the enunciated as a policy, and until this was done it could model of the Canadian Medical Association affiliated to not be enforced by the exclusion of advertisements. The the B.M.A., but Dr. Matthews pointed out certain position with regard to men and women in these two respects in which the Canadian parallel would not hold. spheres was exactly the same. The applicant, whether The B.M.A. in Canada at the time of the affiliation was man or woman, had to take the market value of the unorganized, and its branches already defunct, but in the particular post. Irish Free State the B.M.A. was doing excellent work It was agreed to send a letter to the Federation pointing through its branch organization, the Irish Committee of out the position as stated by the Chairman. the Council, the Irish office and Irish Medical Secretary (Dr. Hennessy), and in association with the body known MEDICAL CHARITIES as the Irish Medical Comnlittee. Moreover, the relation- Dr. Brierley, chairman of the Charities Committee, ship in medical matters between Great Britain and the brought forward a statement of areal contributions to Irish Free State was in the nature of things much closer medical charities for 1933. Northamptonshire DivisioIl than between Great Britain and Canada, and the migra- headed the list, with 79.3 per cent. of the practitioners tion to Great Britain of Irish medical graduates very in the area as individual subscribers, but thirty Divisions much greater. The suggestion of the Organization Com- had less than 10 per cent. subscribers. Panel Committees mittee was that the B.M.A. Branches be retained as a contributed £2,036, the highest amount (£R212) coming nucleus, possibly with a new geographical distribution, from Norfolk, and social functions yielded £1,412, of but that they should be incorporated and furnished with which the highest single amount (£128) was raised in the articles and by-laws, and that the group so formed should Portsmouth area. function as a separate body, as it did in South Africa, Dr. Hawthorne said that the urgency of the situation with practical autonomiy, while at the same time having was ever in the mind of those who had to deal with the advantages of B.M.A. membership. The whole matter these various funds. This year, in the Royal Medical wanted careful consideration in the statesmanlike way in Benevolent Fund, it had been necessary to restrict the which, be believed, their representatives in Ireland were cases in which help was afforded to those whose applica- prepared to approach it. tions revealed unusually acute need. It was well recog- Professor Bigger emphasized the desirability that there nized by those who had to deal with them that many should be no undue delay if new sectional organization of these necessitous cases ought not to recur in the future, was to be avoided. The project for a new body to repre- in view of the facilities for protective insurance now sent the dispensary medical service in the Irish Free State available. was only held up because it was known that these negotia- tions were proceeding. This was not a mere question of OTHER BUSINESS change of status; were it so, the method of incorporation Dr. Paterson, chairman of the Dominions Committee, proposed by Dr. Matthews would be the obvious and presented a draft model agreement for use as between desirable thing. But there was the question of amalgama- companies and medical officers employed over-seas. The tion with the I.M.A., a body which was prepared, he Council gave the agreement general approval, as also the believed, to amalgamate, but was not prepared to be explanatory memorandum. Dr. Paterson explained that absorbed. What was desired was a wholly Irish body even if this model form were not used medical officers for medico-political negotiation, but as regards scientific over-seas would at least have the opportunity of com- work there should be the closest integration with the paring what was offered to them with this model, and if B.M.A. Professor Bigger indicated the steps which he there were marked departures they would be warned in considered might suitably be taken. time. Dr. Mills said that in Ireland there was some senti- Dr. Bone said that the General Medical Services Com- mental appeal on the ground that it was better to join the mittee had given consideration to the resolution passed at I.M.A. than the B.M.A., but in the end the prospective the last meeting of Council regarding the forwarding of recruit often joined heither body. He affirmed that the the scheme for a General Medical Service for the Nation. B.M.A., since it took an active part in the affairs of It had come to the conclusion that there was no need Ireland, had accomplished more for the benefit of the to revise or amend the principles and methods suggested mass of the profession-that is, the dispensary doctors- in the Association's scheme, save in some very slight than the I.M.A. ever did. It was through the B.M.A. details. It considered that a conference of bodies inter- that the salaries of dispensary doctors had been raised. ested in the matter, preferably to be called by the After some further exploration of the subject, the Ministry of Health, should not be unduly delayed, and Council unanimously agreed that negotiations should be might appropriately take place in the autumn, and.that pursued with regard to the organization of the pro- six points might be placed before such a conference: fession in the Irish Free State, and that the Medical (1) method of association of public assistance patients witn Secretary should go to Dublin to consult with representa- the general service; (2) extent to which certain municipal tives of the profession, including representatives both of and county clinics should be associated with the scheme, the B.M.A. and of the I.M.A. or some of their work rendered unnecessary by it; (3) the SUPPLEMENT TO THE ' 305 JUNE 16, 1934) The Cut in Capitation Fee LBRITISH MEDICAL JOURNAL method of associating hospital provision with the scheme, and especially the use of hospital out-patient depart- General Council ments; (4) the best method of promoting the close asso- ciation of the administration of the scheme under insur- of ance provisions with other public health services; (5) whether action should be delayed until the establishment Medical Education and Registration of the scheme as a whole could be ensured, or whether there should be a gradual or piecemeal establishment of SUMMER SESSION suitable parts of the scheme ; (6) finance. Va-rious matters in the report of the Hospitals Com- mittee, presented by Dr. Macdonald, notably the question (Concluded fromt page 288) of hospitals and domiciliary attendance, and in the report of the Medico-Political Committee, presented by Dr. Bone, INSTRUCTION IN TUBERCULOSIS lnotably the question of medical service for members of police forces, have been reported already in these columns The Education Committee reported to the Council in accounts of the proceedings of those committees. The that replies had been received from all the licensing form in which these questions left the Council will be bodies on the question whether they were satisfied that found in the Supplementary Report to be published in their candidates for final qualifying examinations received next week's Supplement. sufficient opportunity to study tuberculosis in its early The responsibility for fees for certification of mental stages and adequate instruction in its differential diagnosis. patients released on probation was raised on the report All except Cambridge and Birmingham had replied that of the Medico-Political Committee, and Dr. Pooler, on the cases were sufficient. whose initiative this question was originally brought for- The position of Cambridge in this respect was men- ward, asked the Council to express the opinion that when tioned at the last session of the Council, and Sir GEORGE a mental patient on trial sought to obtain a certificate NEWMAN now inquired what was the trouble in Birming- under Section 55 (8) of the Lunacy Act, but was without ham. He said that it was a wonderful result that twenty- means, provision for the payment of the fee should be five licensing bodies, with two exceptions, should declare made by the local authority. This was seconded by that there was no difficulty in their students receiving Dr. Mills, and agreed to. Dr. Dain pointed out that more adequate instruction. Throughout the country there was important than the fee was the procedure with regard to wide and general criticism of the inability of the medical the certificate. To give a certificate of sanity at the end schools to teach obstetrics and also tuberculosis, because of a trial period was imposing a very great responsibility of the situation which had arisen in connexion with the upon the practitioner. The proper procedure would be to action of the State during the last twenty years, yet the require the patient on his temporary release to report licensing bodies stated-from their point of view, be it iminediately to a practitioner, and to report further from noted-that there was no difficulty. time to time until his period of probation was ended, Professor GAMGEE said that the Birmingham resolution when the practitioner could fill in a suitable form of had been misinterpreted. Whereupon the PRESIDENT certificate. read the Birmingham resolution: The Council agreed to send up to the Representative " In this school the teaching of moderately advanced Body a recommendation approving the principles of the tuberculous illness is satisfactory, but there are insufficient Anti-Noise League, and commending the League to the opportunities for the study of tuberculosis in its early stage, interest and support of the Divisions. The matter arose and it is difficult to see how this can be overcome, as early on a suggestion from Dr. William Collier of Oxford, a cases att not usually seen in institutions. Past-President of the Association, and a prominent figure Professor GAMGEE said that the resolution was formu- in the Anti-Noise League, that the Association should lated under a misapprehension. He was informed that pass again a resolution similar to that adopted in 1928, in the out-patient department plenty of cases were to be when representations were made on the subject to the seen. then Minister of Health. A report from the Insurance Acts Committee contained PROTECTED PHARMACOPOEIAL SUBSTANCES no recommendations. On the recommendation of the Sir HENRY DALE, chairman of the Pharmacopoeia Com- Journal Committee Dr. Hugh Clegg was appointed deputy mentioned that the editor and Dr. Oddie assistant editor. mittee, Pharmacopoeia Commission, Ripley like several bodies which had previously had responsi- bility for pharmacopoeias, found itself embarrassed by the thought that medical practice almost of necessity THE CUT IN THE CAPITATION FEE was constantly moving more and more outside the range of remedies. There was The letter from the of Health ordinary pharmacopoeial such following Ministry has been a glut of new remedies produced by industrial enterprise, received by the Medical Secretary of the British Medical most- of them subject to protection amounting to virtual Association: monopoly, by means of patents and sometimes trade SIR, marks, that the Commission was almost bound to raise I am directed by the Minister of Health to refer the question as to the policy which had hitherto been to the deduction of 10 per cent. which- was made from laid down, excluding from the Pharmacopoeia substances the amount of the Central Practitioners' Fund from which were in such ways made individual property. October 1st, 1931, as a measure of economy and to say There had been a good deal of preliminary discussion that, as the Association are no doubt aware, His Majesty's in the Pharmacopoeia Committee, and a subcommittee Government have decided that from July 1st, 1934, the had been set up to consider the matter fully with two amount of the deduction shall be reduced to 5 per cent. members of the Commission and to report to the The amounts which would otherwise be payable to November meeting. insurance doctors from the Practitioners' Fund in respect of the quarter beginning on July 1st, 1934, and until further notice, will accordingly be made subject to a REQUIRENMENTS OF THE LICENSING BODIES deduction of the latter amount. Professor LEATHES presented a report summarizing the A circular letter will shortly be issued to Insurance and replies of all the licensing bodies to a questionary sent Panel Committees notifying the change, but it is not by the Council designed to discover to what extent the proposed that individual- notice should be given to every changes in the curriculum on which the Council passed doctor under contract with Insurance Committees. resolutions twelve years ago have had effect. Three I am, Sir, your obedient Servant, years available for the study of clinical subjects are now H. A. DE MONTMORENCY. required by all the bodies. The scheme whereby pre- Ministry of IHealth, Whitehall, S.W.1, registration examinatioins were required in chemistry and June 6th, 1934. physics, so that students, familiar already with the 306 JUNE 1934 TO TO 16, General Medical Council JOURNAl. ] L language and content of these sciences, could become APPLICATION TO REMOVE NAME with the language and content of biological familiar An application was considered fronm Octavius Augustus sciences and with human anatomy in two years, had Glasier Collins, registered as most closely followed by the bodies M.R.C.S.Eng. 1882, L.R.C.P. been licensing Lond. 1883, for the renioval of his name from the which did not teach-the English and Irish Con- Register on the ground that he had ceased joint Boards, the Society of Apothecaries of London, to practise. which The Royal Colleges concerned had stated that there was and the Apothecaries' Hall of Dublin. Bodies no objection to the removal of the name in accordance provided instruction were unwilling to relegate entirely and with Mr. Collins's request, and, on the recomnmendation to secondary schools the teaching of chemistry of the Executive Committee, the Council acceded to the physics, retaining control to a greater or less extent application. of the teaching of these subjects, thus neces- sitating some modification of the courses in physiology, APPOINTMENTS and perhaps anatomy. The third main point aimed at It was announced that Professor Leathes, twelve years ago was desirability Professor in the resolutions of the Stopford, and Sir George Newman had been reappointed of doing away with the watertight separation of pre- to the chairmanship of the Education, Examination, and clinical and clinical study. Courses in applied anatomy Public Health Committees respectively. during the three clinical years are now given in almost all schools, and definite instruction is afforded, though Under the Dentists Act, 1921, the Council appoints three members to the Dental Board, representing the less consistently, in applied physiology. In most schools Branch Councils for England, pharmacology is studied either at the very beginning of, Scotland, and Ireland re- spectively. Mr. Bishop Harman, Dr. or even thought Waterston, and before, clinical work. Professor Leathes Mr. Johnstone were so appointed. that the Council might well consider whether full use The appointment of Mr. Bishop had been made of pharmacology as a bond between Harman, Professor studies the and the wards. The returns Stopford, and Dr. Tidy as additional trustees of the in laboratory in General Medical Council, which had showed from one to six terms occupied in the study of already been pro- visionally made by the and the duration of courses Executive Committee, was bacteriology pathology, confirmed. varying, no doubt, inversely with intensiveness. The course in forensic medicine is usually given late, but one or two bodies give it at an early stage. With regard to courses in radiology, the use of skiagrams now plays DISCIPLINARY INQUIRIES so great a part in the teaching of medicine and surgery ALLEGED FALSE that some bodies do not require evidence, other than REPRESENTATION AS TO PATIENTS' that obtained at final examinations, as to the instruction PAYMENTS given in this subject. The report was accompanied by The Council considered the case of Anczel Freitag, registered tables showing the requirements of the licensing bodies. as of Selhurst Road, South Norwood, who was charged The Council approved the report and decided that, with having falsely represented to the Croydon Insurance with its valuable information, it should be transmitted Committee that he had been paid certain small sums by forthwith to the licensing bodies for their perusal. four patients when in fact he had been paid by them larger sums, and that such representation was made improperly OTHER EDUCATIONAL BUSINESS and fraudulently in order that the committee, when making the adjustment of payments due to him for his remuneration The report of the Examination Committee, presented in tespect of treatment of insured persons under the Insurance by Dr. STOPFORD, contained particulars of the annual Act, should only deduct the amounts which had been set examination returns for 1933. The highest percentage out by him. The case was reported to the Council by the of passes in medicine-namely, 92 per cent. on thirteen Minister of Health. surgery out Galway, entries-was at Bristol; in (leaving Mr. Oswald Hempson, who represented the respondent on which had 100 per cent. of passes on five entries) the behalf of the Medical Defence Union, made a preliminary highest was in the University of Wales, with 89 per objection to the investigation of this matter by the Council cent. of passes on eighteen entries, and in midwifery at all. Dr. Freitag, he said, was in effect charged with a the highest again was Bristol, with 85 per cent. of passes crime, that of obtaining money by false pretences, and a on fourteen entries. man so charged was entitled to have his case heard The report of the Public Health Committee, presented by a jury. The procedure of the Council wvas much less rigid by Sir GEORGE NEWMAN, dealt only with the action in respect to the taking of evidence than that of a criminal taken in one exceptional application of a student ; and court. The complaint was an abuse of the Council's process the report of the Dental Education and Examination by the Minister of Health. There was procedure was concerned wvhereby Committee, presented by Mr. SHERIDAN, the'Minister in such cases could hold an inquiry, where with colonial and foreign applications for registration. evidence would be given on oath, and as a result of which the name of the offender might be removed from the list BROADCASTING of insurance practitioners, but the Minister did not see fit The Council considered a report by its Executive Com- to take that action in this case. mittee on the broadcasting of subject-matter concerning Mr. Harper, the Council's solicitor, in arguing for the medicine or public health. The registrar was empowered right of the Council to hear the case, referred to an opinion to reply to inquiries on the subject that the practice of given by Sir Archibald Bodkin in a similar case in 1918. the British Broadcasting Corporation was for the person The point of Sir Archibald Bodkin's opinion was that the broadcasting and the remarks to be broadcast to be jurisdiction of the Council was to deal with its own Register; approved by a registered medical practitioner nominated it was immaterial what went on outside, whether the matter for this purpose, in England by the Ministry of Health, had come before the courts or not, and the Council might in Scotland by the Department of Health, and in Northern still proceed even if the matter had been before the courts Ireland and the Irish Free State by the respective local and there had been an acquittal. Government Departments. The Council considered the objection in camera, and the It was further agreed, on the motion of Sir ROBERT President later announced that Mr. Hempson's objection BOLAM, seconded by Mr. EASON, that the registrar be was overruled. authorizea to inform the B.B.C. and the four registered Mr. Harper, in opening the case, stated that Dr. Freitag medical practitioners nominated by Government Depart- gave certain electrotherapeutic treatment to six insured ments in connexion with the broadcasting of subject- patients between October, 1931, and May, 1932, for which matter concerning medicine or public health, that the he claimed that he was entitled to charge as it was outside Council understood that the obj-ect of the advice given the scope of medical benefit, and did charge. In December, by the practitioners so nominated was to secure as far 1932, it was decided under the regulations that the treatment as might be the avoidance of any occasion of complaints was within the scope of medical benefit, and the Insurance to the Council under its Warning Notices. Committee thereupon became entitled under the terms of r SUPPLEMENT TO THE 307 JUNE 16, 1934] General Medical Council LBRITISH MEDICAL JOURNAL service for insurance practitioners to recover the charges further disciplinary measures. It did not proceed to an made by the practitioner and repay them to the patients. inquiry with a view to removing the name from the Medical The practitioner was asked for particulars of his charges, List, and yet it made a complaint suggesting that the greater and these differed so materially from the amounts stated penalty which the Council could impose sliould be considered. by the patients to have been paid, being in one case 3s. 6d. This was a charge of false pretences in whichl four cases were as against 35s., and in another 3s. 6d. as against some £17, alleged, but only two were brought forward, and one of these that the Medical Service Subcommittee investigated the only in the form of a statutory declaration, on which there matter. It found that in four cases the patients had could be no cross-examination. In this case also there was paid £1 Ils. 6d., £17 6s. 6d., lOs. Gd., and 7s. 6d., whereas specific evidence by the dispenser that no money was paid the practitioner had returned amounts of 3s. 6d., 3s. 6d., by the patient, at any rate after the first occasion, and she 7s. 6d., and 2s. 6d. respectively. The Minister withheld would have seen it had any such transaction taken place. £15 as the result of the inquiry. Unfortunately Dr. Freitag, not being legally advised at the The evidence of only two of these four cases was brought time of the Medical Service Subcommittee hearing-indeed, before the Council, and one of these was on a statutory he was not allowed to be legally represented there-and not declaration, the witness not being present. The other witness realizing the importance of the matter, did not have this lady was suffering from paralysis and from cataract of both eyes, present to give evidence on his behalf. With regard to the and had difficulty in giving clear evidence. He stated that other witness against Dr. Freitag he would not suggest he was an insurance patient on Dr. Freitag's list, and in wilful dishonesty, but it would be apparent to the Council 1931 was recommiiended by him to undergo electrical treat- that this witness was not in a state of health which permitted ment. This was not provided for under national health him to give any clear account of what had occurred. When insurance, and he agreed to pay him 3s. 6d. per treatment. Dr. Freitag sent in his forms G.P.45, having regard to a He believed that he had paid him a total of just prior decision of the Insurance Committee, he was assured in over £18. No receipts were given. In cross-examination his own mind that this was a service outside the contract, the witness said that his last treatment was in January, and that he was entitled to retain such small sums as had 1933, aind he adhered to this statement when it was put to been paid him. He was kept in that state of belief for him that as a matter of fact Dr. Freitag's apparatus was thirteen months owing to the dilatory action either of the out of order from December 12th, 1932, onwards. He agreed Insurance Committee or of the Local Medical Committee, to that his recollection in some respects was very hazy, but he which the point as to the admissibility of the service had been believed that he had had forty-seven treatments in all. referred. He had entered the attendances and visits of these According to the statutory declaration of the other witness, people, but there was no entry of the amounts that it was she had paid Dr. Freitag 3s. 6d. for each visit, and had said that he had received, and obviously this would expose made ten or twelve visits for electrical treatment. him to inquiry by the income tax officials, whom he would Dr. Freitag, in evidence, stated that in 1931, when he have to satisfy that the service was in fact given for nothing. gave this treatment, he understood that the Insurance Com- The fact really had not been challenged that it was his mittee accepted the viewv that it was of a specialist character. custom to give this service to his insured patients freely when The treatment given was combined diathermy and faradism, no personal loss of time was involved. or simple faradism. The witness who had given evidence The Council's solicitor, in reply, asked what motive the visited him, according to his appointment book, forty-seven witnesses could possibly have for repeating to the Council the times, the last occasion being in December, 1932. He charged story they had already told to the Medical Service Sub- him only for the first visit, at which combined diathermy committee if it were untrue. He added that the Ministry and faradism was given, requiring his presence all the time. did not lodge complaints, but sent lists of cases in which On the other occasions simple faradism was given, and this infringement of the regulations had occurred, and it was for he left to his dispenser while he attended other patients. the Council to take action. It was a chronic case, and he had no desire to charge the The Council found that the facts alleged against Dr. Freitag man when the treatment did not necessitate his continual had not been proved to its satisfaction, and the case was presence, and in fact he did not charge him. He had treated accordingly dismissed. quite freely many other cases, of which he could furnish the names, desiring to give to his insured patients the best ALLEGED CANVASSING possible modern treatment. With regard to the case con- The Council considered a charge against Malcolm Herbert cerning which a statutory declaration had been put in, this Cecil Dyson, registered as of St. Mawes, Cornwall, with regard again was a chronic case, and he charged the patient only to whom it was alleged that he had canvassed personally in the one instance in which he gave combined diathermy and/or by means of an agent the patients of David Morrison, and sinusoidal current, which required constant supervision. with a view to inducing them to become patients of his. Afterwards the dispenser gave the treatment, and no charge Four specific cases were mentioned. was made. When the matter came before the Medical Service The complainant was Dr. David Morrison, also of St. Subcommittee he was not allowed to have legal representa- Mawes, who conducted his own case. Dr. Dyson was accom- tion. He had not appealed against the monetary penalty panied by Mr. Oswald Hempson, acting on behalf of the in view of the fact that he could only again bring his own Medical Defence Union. word in support of his statements, and at the time he was Dr. Morrison complained that for the last six months Dr. busily engaged in post-graduate studies for a diploma. Dyson had made an extensive canvass of his patients, and lie In cross-examination the finding of the Medical Service had lost a number in consequence. Ever since he had put Subcommittee was put to the witness, that no reliance could up his plate in St. Mawes he had been subjected to the most be placed on his evidence when it was in direct conflict with unfriendly treatment by Dr. Dyson, who had resorted to that of the insured persons and their witnesses, and it was every possible means to get him out of the place. Dr. regarded as established that he had afforded certain services Dyson's motive was fear lest he (Dr. Morrison) should sell and received fees therefor in addition to those notified by him his nucleus, and that more formidable opposition might be to the committee. The subcommittee took a serious view of established. The canvass became especially active last the practitioner's action in failing to disclose, and recom- November and again last February, he believed for the mended that he be seve'rely censured, that representations reason that it was only in the middle month of each quarter be made for the withholdinlg of money payable to him, and that insurance patients could intimate their desire to change that the amounts paid by the insured persons be recovered their doctor. He had sent to the Council's solicitor forty-one from the practitioner and refunded to them. cards of patients who had transferred from his list during the Miss Beckett, Dr. Freitag's dispenser, testified that she had last twelve months. He was not aware of any grievance been present and had administered the treatment on all the that they had, and was sure some undue influence had been occasions, except the first, when the patient who had just at work. Dr. Morrison read correspondence which had taken given evidence attended, and no money passed to her, nor, place between himself and the St. Mlawes Nursing Association; to her knowledge, to the doctor. She did not give evidence he had complained that a district nurse employed by that at the medical service inquiry. association had said to one of his insurance patients, " Dyson Mr. Hempson pointed out that the Ministry, although is the doctor of the Nursing Association," and had tried to deducting £15 from Dr. Freitag's remuneration, took no persuade that patient to leave his own panel for Dr. Dyson's. r SUPPLEMENT TO THE 308 JUNE 16, 1934 General Medical Council LBRITISH MEDICAL JOURNAL He had received from Dr. Dyson's solicitors a notice to pro- have been a serious thing for those who had purchased Dr. duce certaiin correspoindeince he had- had with the Bri-tish Murray's practice in that small place. It was repeatedly Medical Bureau relating to his first arrival in St. Mawes in brought home to them that it wvas not understood that they 1932, and he believed that, being unable to deny the charge of had bought Dr. Murray's practice, and as D)r. Morrison had advertisiing, Dr. Dyson 'was going to fall back on some beeni :ocumtenent he was regarded by many of the people counter-charge re'atiing to his settlement there. He submitted as Dr. Murray's successor. He had not attempted to alienate that that was ainother matter altogether, and objected Dr. Morrison's patients, nor had he laid claim to be a better strongly to it beiing introduced. doctor, but he had not neglected any opportunity of telling Dr. Morrison then tenderedhimself as awitness. In reply the people who they were that had bought Dr. Murray's to Mr. Hempson he said thathe first went to St. Mawes as practice. Asked why he had waited tvelve or eighteen locumtenent in the late Dr. Murray's practice, while Dr. months before taking such action, he said that the facts as Murray's executors were trying to sell it. He remained there to the misunderstanding only became apparent as time went for about three months, and started practice himself :.t on. St. Mawes about a month after the termination of his Dr. F. S. Scott, Dr. Dyson's partner, gave supporting engagement. A member of the family had pressed him to evidence. He said that he had wanted to prevent Dr. make an offer for the practice, and he had done so, but it Morrison selling something he had never bought. As the wvas not accepted. In reply to further questions he denied senior partner he wished to take the full responsibility for that he had advertised a clinic, or had sent circulars round what had occurred. about it, or that a meeting of doctors in Falmouth had Mr. Hempson, in a closing speech for Dr. Dyson, s-aid -refused to accord him professional recognition because of his that seldom had there been before the Council a more un- activities in this respect. Asked whether it was generally worthy complainant or a more trivial complaint. His clients understood that he was the successor to the late Dr. Murray, had been perhaps unwise in approaching these people who he said that some of his patients thought he was. were technically patients of Dr. Morrison, but the Council Mr. Hempson commented on the fact that only two patients must have regard to the attendant circumstances. The had come forward to support Dr. Morrison's evidence as to people believed that Dr. Morrison was Dr. Murray's successor canvassing, although he had sent out many copies of a printed and the purchaser of the practice. It might be that they letter asking for an immediate reply as to whether the persons thought no professional man could sink so low as to try to addressed had been approached on behalf of Dr. Dyson. Dr. pick up a practice in the way Dr. Morrison had done. Dr. Morrison replied that the circular was addressed to persons Dyson and Dr. Scott felt that they had to put themselves who had previously been his patients. Mr. Hempson read righ-t with their patients and the public generally. The>>e a further letter sent by Dr. Morrison to Dr. Dyson, which gentlemen had practised there uprightly and in fair comp)ti- closed with the following passage: " I give you till Monday tion with Dr. Murray. They purchased his practice when no to offer me amends, and you shall receive definite terms from one else would, paying £350 for it; they were previously me to refrain from other action, should you choose to ask established there, knew everyone in the locality, and, had for them. Otherwise the matter goes forvard. " Asked they been of Dr. Morrison's type, they could have got it whether that might not be described by a very ugly name, for nothing. Dr. Morrison said that he was only trying to get justice. After a short deliberation in private, the Council found tho The Legal Assessor said that appareintly this practice -was facts alleged against Dr. Dyson in the notice of inquiry not purchased by Dr. Scott, Dr. Dyson's partner, in September, proved to its satisfaction, and the complaint was accordingly 1932, and Dr. Morrison came back to St. Mawes and started dismissed. practice in October, 1932, and from then to March, 1934, Two CASES HEARD IN CAMERA got together a small practice of his own. Was it because of The Council lheard in camzera the case of James Pearson alleged canvassing in 1934 and at the end of 1933, after he Thierens, registered as of Devonport Street, London, who had had been carrying on his practice for a year or two, that he been convicted at Marylebone police court in November l1ast complained of interference with his patients? Dr. Morrison for immoral and fined £10 and ten of Dr. of importuning purposes replied that that was so. He did not complain Dyson guineas costs or two months' imprisonment. or Dr. Scott notifying the patients of Dr. Murray's practice It was directed that the name of Dr. Thierens should be in 1932 when they took it over. erased from the Medical Register. Two persons gave evidence that they had been approached The Council also heard in camera the case of Solomon by Dr. Dyson, xvho solicited them to transfer their panel Berckovitch Bromberg, registered as of Dagenham, Fsscx, cards from Dr. MIorrison to himself, and statutory declarations who appeared on a charge of having indecently assaulted were put in from two others. a woman patient, or, in the alternative, of having, or attemp-- Dr. Dyson, in evidence, said that wzNhen he first went into ing to have, sexual intercourse with her. The complainant this neighbourhood Dr. Murray was in practice. On his was the husband, who was represented by Mr. J. S. Chown, death, in June, 1932, he (Dr. Dyson) and his partner, Dr. solicitor, and Dr. Bromberg was defended by Mr. Oswald Scott, were asked to make an offer for the practice, wlhich Hempson, oni behalf of the Medical Defence Union. was not accepted. The executors therefore advertised the After a long hearing the President announced in public practice and installed Dr. Morrison as locumtenent, and that the facts alleged against Dr. Bromberg in the notice of he looked after the practice for three months. The executors inquiry had not been proved to the satisfaction of the Council, then asked Dr. Scott and himself to renew their original and the case was accordingly dismissed. offer. They were about to sign the agreement when they heard that Dr. Morrisoin contemplated setting up in the place. On inquiry, however, Dr. Morrison assured them, and the ALLEGED PROFESSION&L RELATIONSHIP IN ADULTERY executors, that he had no such intention, and they thereupon The Council considered the case of Mortimer McGhee Russell, bought the practice. Within ten days of the purchase Dr. registered as of Higher Green, Ewell, who appeared on the Morrison returned. His partner and he interviewed him charge that he had committed adultery with Violet Rosetta and offered to let him have the practice on the same terms as Smith, a married woman, whom and whose family he had they had purchased it. The offer was refused. Dr. Murray's attended professionallv, of which adultery he had been founld practice consisted of some 315 insurance patienits; within guilty in decrees of the Divorce Court, in one of which he a fortnight of his return half of these joined Dr. Morrison's was respondent and in the other co-respondent. panel. He and his partner had bought what they had There was no complainant. The case was placed before the supposed to be an unopposed practice, and so had not been Council by Mr. Harper, the Council's solicitor, who called given a formal introduction to the patients. The panel was attention to certain passages in the Divorce Court proceedings the most important part of the purchased practice. In view in which Mrs. Russell had said that she had occasion to of Dr. Morrison's action he and his partner appealed to the complain of her husband's association with Mrs. Smith in Panel Committee, which, however, stated that it had no 1932, at which time Dr. Russell xvas attending Mrs. SInit}h jurisdiction in ethical matters, and to the British Medical professionally. As shown by the books of the practice, there Association, which could not deal with it as Dr. Morrison had been attendances oIn Mrs. Smith or her family from 1927 was not a member. Dr. Morrison advertised his " nucleus " until 1931. The matrimonial break, however, did not come for sale, and its sale to a younger and energetic man might until the middle of 1933. JUNE 16, 1934 j SUPPLEMENToT 309 General Medical Council L MEDICAL JOURNAL 0 BRITISH Mr. MIalone, who appeared for Dr. Russell, said that Dr. being under the- influence of drink when in charge of a motor Russell's marriage, which took place in 1923, was from the car, and at Marylebone of being drunk and disorderly, both first rendered unhappy by the jealousy of his wife regarding in 1933. her husband's friends, men or women. Dr. Russell saw MIrs. Dr. Perrott was defended by Mr. Carthew, counsel, in- Smith as a patient three or four times a year, and also assisted structed as in the previous case. The facts of the convictions Dr. Dainty at an operation performed on her for appendicitis. were stated by the Council's solicitor. During all that time there was no affection between them Dr. L. R. Yealland said that in 1932 Dr. Perrott was his whatever. In July, 1931, as he found Mrs. Smith rather a house-physician at the West End Hospital for Nervous difficult patient who would not obey his instructions, he asked Diseases, when his work was most satisfactory. After her husband to call in another doctor, and eventually she the first conviction he entered the hospital as a patient, and became Dr. Dainty's patient, and so remained. In 1932, a did everything he could to co-operate in his treatment. His year after he had severed any connexion with Mrs. Smith, conduct was excellent between periodic outbursts, which were he sold his practice at Sutton, and entered negotiations diminishing in frequency. At the present time he believed he for a practice in Kensington. His wife, however, would was fit to carry on his practice. not live in the house attached to this London practice, and Mr. Carthew said that the drunkenness which led to the this proved the last straw in their strained relations. In first conviction was due to overwork, and that which led December, 1932, eighteen months after he had ceased attend- to the second to family rejoicing. ing her professionally, he met Mrs. Smith by accident. Thcy The President stated that this was the t1hird time that talked to one another for the first time about their private Dr. Perrott had appeared before the Council. On the first affairs, and affection developed. Dr. Russell had arranged to occasion he had promised to abstain from alcohol in the marry Mrs. Smith as soon as the decrees were made absolute. future, and at the end of one year's probation the Council Dr. Russell gave supporting evidence, and evidence on took a lenient course. his behalf was also given by Dr. Ralph Dainty, who said that Mrs. Smith came to him as a patient in October, 1931, " Being a medical council perhaps we are more familiar and after communicating with Dr. Russell, who expressed his than an ordinary jury with the difficulties of your case, and willingness that he should take her over, he treated her, and we have decided to take a course which we believe to be very much in your interest. We will put you on two years she was his patient until the present date. of probation. At the end of one year we shall expect to have - After a brief deliberation in camera the Council found that reports on your conduct from persons such as those from whom the facts alleged against Dr. Russell had not been proved you have previously submitted testimonials. The Council to its satisfaction. have postponed their judgement on the convictions proved against you to-day for a period of two years. If there should CONVICTIONS be any further lapse on your part during that time, you The Council considered the case of William Graham, regis- will be again summoned to appear before the Council." tered as of Manor Road, Tynemouth, who at the Newcastle aSsizes in October last was convicted of unlawfully killing one The Council then proceeded to the consideration of the case William WVood WValton, and fined £100, and ordered to pay of Hugh Percival Francis Modder, registered as of the Boroug!i the costs of the prosecution. Hospital, Southampton, who had been convicted at the Mr. Osw^rald Hempson, xwho appeared for Dr. Graham, sai(l Hampshire assizes in November last of unlawfully using an that the case arose out of a motor car accident. There was instrument with intent to procure miscarriage, and sentenced no element of drink in the case. Dr. Graham was driving to six months' imprisonment in the second division, and on the home one evening, and apparently dozed in his car. While same occasion of attempting to commit suicide, and sentencedI on the wrong side of the road he overtook a man and his wife, to twenty-one days' imprisonment in the second division, the and the man was knocked down and killed. Mr. Justice sentences to run concurrently. Humphreys, in summing up the case, said that manslaughter Dr. Modder was not present, nor was he represented. Mr. was a crime 'which varied more than any other in morality. Harper, the Council's solicitor, said that the case had some In this case it was not aggravated by any of the circumstances tragic elements. Dr. Modder was on the staff of a provincial with which motor car manslaughter was usually surrounded. hospital, where he made the acquaintance of a nurse, who Dr. Graham had a high character both as a man and as a suspected that she wAas pregnant, and asked for an examina- doctor, and the judge in imposing the fine, evidently with tion. Dr. Modder took a bungalow for a week-end, and an eye on possible proceedings before the General Medical apparently there performed an operation in circumstances Council, fairly indicated his own view as to the sufficiency which the jury considered illegal. The nurse returned to the of the punishment. Dr. Graham was very much overworked hospital meanwhile Dr. Modder appeared to have been under at the time; he had had a series of night calls, and, unfor' suspicion of having taken instruments from the hospital. iHe tunately, he drowsed over the wheel. There was nothing was found suffering from an overdose of morphine, and laler, to his discredit as a gentleman or as a member of the while under restriction, made an effort to commit suicide by profession. jumping from a window. The Council, after a brief deliberation, did not see fit to The Council found the conviction proved, and directed the erase Dr. Graham's name. Registrar to erase Dr. Modder's name from the Medical Register. The Council considered the case of James Paton Neilson, DENTAL DISCIPLINARY CASE registered as of Liverpool Road, Southbort, who had been In the case of John Holden Beckett, registered as convicted in 1929 of being drunk in charge of a car, and in of St. Peter's Road, Leicester, L.D.S. R.C.S.Eng., the 1933 of driving a car whilst under the influence of drink. Dental Board had found that he had been convicted on Dr. Neilson wvas not present, but he was represented by two occasions of unlawfully travelling on the railway without Mr. T. Carthew, instructed by Messrs. Le Brasseur and Oakley, having previously paid his fare and with intent to avoid on behalf of the London and Counties Medical Protection payment thereof. The Board had found that the name of Society, and evidence wa,s given on his behalf by his wife. John Holden Beckett ought to be erased from the Register. From a letter by Dr. Neilson it appeared that he was now Mr. Beckett did not appear when the case came before in Alberta, where he had been since last December, in a the General Medical Council, and was stated to be in hos- pital, but a communication had been received some days pioneer district, with permission from the College of Phy- previously from medical sicians and Surgeons, to attend the superintendent of the hospital the families. He had taken stating that he was improving and was likely to be able to no intoxicating liquors since the second conviction, and in- attend on the date of the hearing. tended to remain a total abstainer. The Council, after a brief deliberation, decided to instruct Some statutory declarations from medical practitioners the Registrar to erase the name of John Holden Beckett speaking highly of Dr. Neilson's character were put in. from the Dentists Registey. The Council did not see fit to erase Dr. Neilson's name from the Register. The Department of Health for Scotland intimates that from The Council June 25th the headquarters of the Dental Officer for Scotland next considered the case of George Francis will be transferred to 136, Renfield Street, Glasgow, C.2. The Donaldson Perrott, registered as of Stanmore, Middlesex, telephone numbers will be Douglas 5196 and 5197, and the against whom two convictions were charged-at Bristol of telegraphic address "Dismo, Glasgow." to THE 310 JuN 16, 19341 Insurance Medical Service -Week by Week r SP.EMEINT L BRITISH MEDICAL JOURNALJ-,---- last sentence of paragraph 604* in the Approved Societies' THE INSURANCE MEDICAL SERVICE Handbook imply that approved societies ought not to withhold WEEK BY WEEK payment of benefit merely because an insured person has failed to submit a medical certificate on the day required by the society's rules? Medical Service Subcommittee Procedure The Department's reply is as follows: The delay which occurred in the payment of benefit in the case mentioned was Reference was made in these notes, in the issue of May due to an oversight on the part of the society. I have also to 26th, to a view expressed by the Ministry of Health that say that societies are not in a position to make payments of the Insurance Committee itself must reach decisions on sickness or disablement benefit for any period in respect of Medical Service Subcommittee cases, and cannot delegate which they have not received medical or other satisfactory evidence of incapacity for the meaning the power to a subcommittee. The honorary secretary -work within of Section 10 (1) (b) of the National Health Insurance Act, of the National Association of Clerks to Insurance Com- 1924, and in general it is Inot practicable for societies to pay benefit journal of that association mittees points out in the beyond the date up to which incapacity is certified. They (Journal of the Naoctic) that the question is not cannot be expected to make prospective payments on the whether the subcommittee's powers can be delegated, strength of a medical certificate which only certifies as to the as some readers have mistakenly inferred, but whether condition of the person on the date of examination. the Insurance Committee's powers can be delegated to The last sentence of paragraph 604 of the Approved another subcommittee, such as the Executive Committee Societies' Handbook, to which reference is made in your is not or the Finance Committee. It goes without saying that letter, intended to convey the meaning suggested by you. The intention of that paragraph is merely to indicate to the powers and duties of the Medical Service Subcom- societies that irregularities which mav occur in connexion with Regulations can cer- mittee under the Medical Benefit the submission of evidence of incapacity, although they may tainly not be delegated; the duties are clearly defined, give rise to inquiry, and thus cause delay in the payment of and ar2 specific. It will be remembered that the Depart- benefit, cannot in themselves annul the title to benefit, xvhere ment, while recognizing that the Insurance Committee incapacity is ultimately proved to the satisfaction of the may have the legal right to empower one of its subcom- s )cietv. As regar(Is your lurther iniquiry, I have to point out mittees to consider and adjudicate upon Service Sub- that Section 22 of the Act of 1924 empowers societies to make committee reports, regards it as undesirable that they rules, x-ith the consent of the Minister, with regard to the manner anid time of paying or distributing and the mode of should do so. The Department is so satisfied of this calculating benefits. undesirability that if it thought Insurance Committees exercised the power to any appreciable extent it would consider appropriate arnendment of the regulations so as to exclude from the power of delegation the consideration L.C.C. CONSULTANTS AND SPECIALISTS of Service Subcommittee reports. There will be general agreement that to a certain extent the Department's views on this question are sound. Insurance Committees should, REVIEW OF EXISTING ARRANGEMENTS as far as possible, retain to themselves the review of Those of our readers who followed last year the con- disciplinary cases and questions forming the subject of troversy between a subcommittee of consultants and the Service Subcommittee inquiries. London County Council will observe with approval that the L.C.C. has now gone some way towards meeting the Medical Certification: Effects of Societies' Rules B.M.A.'s proposall in relation to (1) emergency visits (22) anaesthetist's fees and (3) the appointment of An Insuranice Committee which has been in communica- refractionists. tion with the Mlinistry on this question has observed in a further letter to the Department that the statement in The Hospitals and Medical Services Committee of the the letter from the Department that " it rests with each London County Couincil, of which M'1r. Somerville Hastings, the approved society to settle the procedure for payment F.R.C.S., is chairman, presented to the L.C.C., on June " that of benefits to inembers seems -to imply societies 12th, a review of the arrangements for the provision of a have a general power to make rules and conditions, with cbnsultant and specialist service which were inaugurated which an insured person must comply, in order to obtain a year ago. The committee is satisfied that the scheme payment of any benefit that may be due to him. If so, does not call for radical amendment at present, and that society the committee asks, would an approved be justified it should be continued for a further period of six montlhs must in making it a condition that a medical certificate from July 1 st. Certain modifications and additions are, be furnished on the day on which their books are mad however, proposed. and that otherwise of benefit for that week up, payment A total ot 22c")l weekly sessions is authorized in con- will be suspended? A secoind difficulty appears to the nexion with the attendance of consultants and specialists committez' to arise with regard to the use of the words at grouped general hospitals and affiliated special hospitals " at intervals of not more than a week." Does this mean and other institutions, and 197 of these have been allo- a week of seven days, or does it mean a week, as defined cated. Additional sessions will shortly be necessary, and by paragraph 568 in the Approved Societies' Handbook, to provide for these and to allow a small margin t(fr 1933? In the event of this latter contention being ad- contingencies it is proposed that the total number of 223 mitted, it is clear that a practitioner may occasionally sessions a week should be authorized for the group service a of issue an intermediate certificate covering period from as a whole-that is, without limitation of a specific number seven to twelve days. And it is more particularly in con- of sessions to each type of consultant. nexion with such certificates that difficulty has been experienced. The committee understands that some ap- Emergency Visits and Special Services societies mnake it a practice (1) not to pay b?nefit, proved Under present arrangements a consultant or specialist on the of a medical and except production certificate; under the " group " scheme is not entitled to extra (2) to pay benefit to the date of the certificate only. The remuneration for emergencv visits unless he has been result is that it sometimes happens that an insured required to attenld in emergencies for sessions amounting receive for three days' benefit one person may payment during any year to the equivalent of one session a week week and nine the next week. In view of the -days' in excess of the number of sessions for which he has economic conditions the committee states: been present engaged. It is now considered that some financial recog- The majority of insured persons prefer to receive a regular nition of these visits should be made, and it is proposcd Nveekly sum of 15s., or whatever is the amount that may be to pay a fee of two and a half guineas a visit for al due to them. If, therefore, they cannot obtain payment of * The last of 604 is as follows: " As con- benefit ithout the surrender of a medical certificate, they sentenice paragraph oni the it is desired to approach their panel doctor, and in cases where it is known siderable misapprehension exists point that a mnember's title to benefit cannot be great hardship would be inflicted upon the members of emphasize annulledl that s(2ely bv reason of an error in a miisedical certificate or a failure the household if the money wa's not forthcoming, the dector to submnit mcdical evi(lence at the intervals required by the has gone out of his way to see, or visit, the patient, in order soc ieties' rules." to issue the necessary certificatc. In conclusion, does not the See Supplemeint, March 25th, 1933, p. 105. r SUPPLEMENT TO THU 311 JUNE 16, 19341 L.C.C. Consultants and Specialists L BRITISH MEDICAL JOURNAL j-- visits in excess of the number of routine visits for which remuneration is to be at the rate of two and a half guineas he has been engaged, these to be calculated on a half- a session. Experience has shown that the present limit yearly basis. This arrangement will also apply to the of seventy-eight sessions a year for the attendance ol part-time otologists (£200 a year) at the fever hospitals, thoracic surgeons at special hospitals is inadequate for and a payment of three guineas a visit is to be made for requirements, and it is proposed to provide for a total emergency visits by the thoracic surgeons who attend for number of 100 sesions a year. The arrangements whereby one session a week each at St. James's and St. Andrew's the tuberculosis officers of the metropolitan boroughs are Hospitals. deemed to be honorary consultants for tuberculosis in the In the event of emergency x-ray work proving necessary general hospitals are to be continued until the end of the on Sundays, a rota of consulting radiologists willing to present year. undertake this liability is to be formed, and additional remuneration will be paid. It is also proposed to author- ize a fee of two and a half guineas for each attendance tt£bgtra Assria^(ti011 when it is desired to obtain the opinion of consultants on %ritisly special matters outside their normal duties, such as the provision of specialized equipment, the establishment and NOTICES OF MOTION FOR THE ANNUAL management of special units, or matters which receive REPRESENTATIVE MEETING, BOURNE- a wide degree of public interest. MOUTH, JULY, 1934

Employment of Refractionists MEDICAL EDUCATION Another proposal by the committee is to employ re- fractionists to work in conjunction with, and under the Amendment by BARNSTAPLE: That (with reference to supervision of, the consulting ophthalmologists at certain para. 65 of the Annual Report of Council) para. 37 of general hospitals where there is an appreciable amount Appendix III-Report of the Committee on Medical of routine work in ophthalmology. The rate of pay is Education-be amended by the omission of the words: to be £95 a year for one session a week, and the cotn- " It is not too much to say that if he has a thorough under- standing of these conditions and some actual practice in the ditions of appointment and service and the definition proper use of the knife for them it will not be difficult for him and duration of a session are to be generally on the to apply this knowledge and experience in many other lines prescribed for the consultant and specialist staff. surgical directions." The refractionists will be employed only when the alter- native would be the employment of a new consultant for RULES AS TO THE ETHICS OF MEDICAL CONSULTATIONS IN one session a week at a cost of £ 125 a year. PRIVATE PRACTICE: OTHER INTRAPROFESSIONAL OBLIGATIONS: ETHICAL RULES FOR Fees for Anaesthetists MEDICAL INSPECTORS It will be remembered that in the controversy of last year the remuneration of anaesthetists was warmly Amendment by NORTH NORTHUMBERLAND: That (with debated. Hitherto anaesthetists, who have been called reference to para. 66 of the Annual Report of Council) in as required, have received for general purposes a fee the final sentence of para. 3 of Section II of Appendix IV of 34s. a session, though for special purposes-for example, -Other Intraprofessional Obligations in Private Practice- in the plastic surgery unit, where a special panel exists, be amended to read: and for thoracic surgery-a fee of two guineas a session " Should the patient refuse this proposal the practitioner had been payable. The committee now considers that should refuse to have anything to do with the case until the 34s. a session is too low, and that there should be one patient has informed his own doctor that he either wishes a panel for all purposes at a fixed fee of two guineas a consultation or he wishes to change his doctor." session. An exception is the case of consultant anaes- thetists in connexion with thoracic surgery at outlying LIFE INSURANCE EXAMINATIONS tuberculosis hospitals. In view of the time expended, the By ISLE OF WIGHT: That it is desirable that the present surgeons are paid double fees when visiting these hospitals, fee of one guinea for life insurance medical examinations and it is considered that similar treatinent should be for ordinary offices whatever the amount of the policy accorded to the consultant anaesthetists. In view of the should be reconsidered, and that the matter be referred limited number of anaethetists possessing the necessary to the Council for report. experience of plastic and thoracic surgery work, the medical officer of health is to be authorized to employ WORKMEN'S COMPENSATION AND ACCIDENT CASES special anaesthetists who are not on the panel, if ihe By ISLE OF WIGHT: That a fee of £2 2s. should be circumstances require it. charged for examination and report on workmen's com- pensation and accident cases. Special Positions The consultant (uiterine cancer) to the radium unit at MEMORANDUM OF RECOMMENDATIONS AS TO SALARIES Lambeth Hospital is Sir Comyns Berkeley, who is over OF WHOLE-TIME PUBLIC HEALTH MEDICAL 65 years of age, but it is considered desirable, in view of OFFICERS his long experience and special knowledge of the work, that he should continue to be associated with the unit, By TUNBRIDGE WELLS: That the attention of the Council be drawn, with a view to suitable action being and he has agreed to serve in an honorary capacity. His which is medical assistant will be employed for three sessions a week at taken, to the position developing whereby the salary appropriate for that number of sessions- officers of health and their assistants are being appointed namely, £275 a year. The position of consulting neuro- as such whilst their salaries upon the scale agreed upon logist at the Edmnonton and Brentwood Colonies for tne between the British Medical Association, the Society of Epileptic is to be added to the consultant and specialist Medical Officers of Health, and the Ministry of Health service. The work of examining the eyes of patients (at and other bodies for these posts are being arrived at by the Northern Hospital) suffering from post-encephalitis these medical officers being appointed as medical officers lethargica is to be excepted from the normal duties of the also to clinics, schools, police, fever hospitals, etc., such consulting ophthalmologists employed under the " group " action being contrary to the spirit and intention of that scheme, and an ophthalmologist is to be engaged as agreement, and also constituting further encroachments on required, at a fee of two and a half guineas a session. the legitimate practice of private medical practitioners. There is need- at St. Mary's Hospital for Children, Car- shalton, and at the Downs Hospital for Children, for a NATIONAL HEALTH INSURANCE RECORD CARDS visit by a consulting surgeon and consulting physician at By TUNBRIDGE WELLS: That the Association presses for monthly intervals. Such visits would not be emergencies the abolition of the compulsory statistical compilation of in the strict sense, and it is desirable, therefore, to national health insurance record cards, and suggests that except such services from the " group " scheme. The such cards should only be used for clinical notes. [ SUPPLEMENT TO TRE 312 JUNE 16, 1934] Meetings of Branches and Divisions [BRITISH MEDICAL JOUJRNAL of unruptured follicles in the form of cysts, and an entire Divisions absence of corpus luteum. Treatment must be preceded by Meetings of Branches and diagnostic curettage to exclude the possibility of local organic disease. The control of functional haemorrhage in patients FIF BRANCH over 40 was still best effected by radium or hysterectomy. In younger women, however, attempts should be made to The annual meeting of the Fife Branch was held at Kirkcaldy counteract the effects of excessive follicle stimulation by the on April 5th, when thirty members were present. The retiring exhibition of a corpus luteum stimulant. Encouraging results president, Dr. JOHN LOGIE, gave a short survey of the year's said that the scheme for attend- had followed the use of luteinizing preparations such as work. He providing medical prolan or antuitrin S. Primary dysmenorrhoea was probably ance on the sick poor with free choice of a doctor, prepared caused by frequent and painful contractions of the uterus, by the liaison committee and appr6ved by the Branch, was due to excess of oestrin, which either over-sensitized the under consideration by the county council. He emphasized uterus or over-stimulated the posterior pituitary, or both. the necessity for a good attendance at clinical meetings, Here aaain the use of a luteinizing hormone would appear to especially when lecturers came from a distance. He com- be logical. In Edinburgh favourable results were being mended the work of the Branch to the interest of the younger obtained by the use of a form of anterior pituitary extract members, and expressed the hope that they would come prepared from the urine of pregniant women. lorward and take an active part. He then introduced Dr. In the discussion which followed, the lecturer was compli- J. B. Primmer, the presidenit for the ensuing year. Other menited on the clear and logical way in which he had Officers were elected as follows: elucidated a somewhat involved and difficult subject, and a Vice-Preside)t, Dr. J. M. Logie. President-Elect, Dr. J. M\IcEwen cordial vote of thanks, proposed by the CHAIRMAN, was Sinclair. Representative in Representaitive BodV, Dr. J. B. heartily endorsed by the members present. I'rimmer. Joint Honorary Secretauies, Drs. D. E. Dickson anid J. MI. Johnstone. Ithe Branch Couincil aind the Ethical and Charities Committees GLASGOW AND OF SCOTLAND BRANCH: ARGYLLSHIRE were reconstituted, and the programme for 1934-5 was NVEST provisionally arranged. DIVISION At a clinical meeting of the Branch, held at Kirkcaldy on At a meeting of the Argyllshire Division held at Lochgilphea(l April 26th, with the newvly elected president in the chair, on April 11th, with IDr. J. D. McCallum in the chair, the Dr. DOUGLAS MILLER gave an address on "The Clinical following officers were elected for the ensuing year: Application of Recent Research on the Sex Hormones.'' lr. Chairlnan, D)r. Donald Ross. Vice-Chairman, Dr. J. D. Miller said that the complex problem of female sex physiology MeCallum. Honorary Sec-retary and Treasutrer, and Depu-ty Repre- lbad attracted an increasinig measure of attention in recent sentative in Representative Body, Dr. J. N. Hamilton. Repre- years, and that laboratory investigations had helped to senitative in Representative Body, Dr. R. R. McNicol. elucidate the mechanism of the sexual and reproductive The amended rules of the Central Ethical Committee were cycles. As clinicians they were concerned chiefly with the discussed and approved. therapeutic possibilities which might derive from laboratory The meeting considered that any action necessary in con- activity. To apply these to best advantage they must be nexion with the low contribution of the Division to medical able correctly to interpret the nature of the disturbance they charities should be taken from headquarters. were treatiing, and, a priori, to have at least a working know- ledge of certain essential physiological processes. Discussing the part played by the anterior pituitary in sex physiology, GLASGOW AND WEST OF SCOTLAND BRANCH: GLASGOW and the ettect of the pituitary hormones on the ovary and the DIvISION Dr. Miller said that the basis of the Zondek-Aschheim uterus, The annual meeting of the Glasgow Division held at test for pregnancy was the presence of anterior pituitary was in high concentration in the blood and urine of Glasgow on April 25th, when Dr. J. G. MCCUTCHEON, and later secretion J. ANDERSON, and twenty-three members pregnant women. The effect of follicular secretion (associated Dr. WALLACE presided, with retrogression of the corpus luteum at the end of preg- were present. Dr. McCutcheon referred to the death of Dr. nancy) in (1) stimulating the activity of posterior pituitary, John S. Aitken, the first honorary secretary of the Division, and (2) sensitizing the utegus to the effect of posterior pituitary and the members stood in silence for one minute as a mark secretioin, might possibly explain the onset of parturitioIi. of respect to Dr. Aitken's memory. A persistent corpus luteum might account for prolongation The annual report of the Division was adopted, and Dr. beyond the expected time of delivery, wihile Anderson was then unanimously elected chairman of the of pregnaincy for the ensuing year. Other officers were elected as faulty development or function of the corpus luteum might Division be the cause of abortion or of premature labour. Where follows: there was a history of repeated abortion or premature labour Vice-Chairtman, Dr. James Cook. Honorary Secretary, Dr. J. without recogniiable cause, the use of the corpus luteum- Inglis Cameron. Deputty Honorary Secretary antd Treasurer, Dr. stimulating principle of the anterior pituitary in the form of John Fleming. Representatives in Representative Bodyl, Drs.- James Dunlop, MIarioin Gilchrist, David MccKail, A. K. Chalmers, James prolan or antuitrin S from as early a date as possible, and Forrester, H. L. G. Leask, WV. J. Richard. Deputty Representatives continued till the sixteenth week of pregnancy, was a in Representative Body, Drs. Amy M. Fleming, J. Inglis Cameron, logical method of treatment, and one which wvas claimed to MIary T. MIoore, Peter S. Buchanan, A. Sharman, James Craig, have proved beneficial. The treatment of functional disorders J. G. McCutcheon. of menstruation on organotherapeutic lines had in the past Dr. John Henderson was nominated for election to the proved disappointing. Recent additions to knowledge indi- Council by the Branches in Group P. cated that failures had been due partly to ignorance and mis- A motion concerning the present position of vaccination conception in regard to the nature of the disorder and partly against small-pox was approved for inclusion in the agenda to the employment of substances pharmacologically inert. of the Annual Representative Meeting. In the treatment of disorders of menstruation it was necessary Dr. J.' A. Lister was appointed representative of the to bear in mind: (1) that the cvclical changes in the uterus Division at the Joint Road Reciprocity Conference. arose in response to ovarian stimuli; (2) that the uterus must be in a state to receive and respond to such stimuli * and (3) that the function of the ovarv itself was influenced by the activity o£ other luctless glan-Is, in particular the thyroid HERTFORDSHIRE BRANCH: EAST HERTFORDSHIRE DIVISION and anterior pituitary. Functional amenorrhoea might be The annual general meeting of the East Hertfordshire Division due first to a state of non-receptivity of the uterus and was held at the Broxbourne Golf Club on May 3rd, when secondly, to arrest of ovarian activity, which again might seventeen members were present. imply a primary failure in the ovary itself, or result from The following officers were elected for the ensuing year: disordered endocrine action elsewhere. Further, a uterus Chairman, Mr. C. H. Medlock. Vice-Chairman, Dr. R. MIcCheyne deprived of ovarian stimuli for some time might eventually Paterson. Honorary Secretary and Treasutrer, Dr. A. P. Ford. become non-receptive, so that amenorrhoea might persist in Representative in Representative Body, Dr. J. S. Dockray. De-putv spite of a return of normal ovarian activity. To arrive at a Representative in Representa tive Bodly, Mr. R. Harvey-Williams. correct diagnosis, therefore, an elaborate investigation was Honorary Charities Secretary, I)r. 13. H. Gibson. necessary, comprising a careful history, general and local In proposing the election of Mr. C. H. Medlock, Dr. W. G. physical examination, tests of thvroid and pituitary function, STEWART paid a tribute to the very able manner in which Dr. and estimation of the anterior pituitary and oestrin contenit Hyslop Thomson had carried out his duties during the past of the blood and urine. Functional menorrhagia was to be year; he also proposed a vote of thanks to Dr. Thomson, explained on the basis of disordered ovarian function, the which was carried with enthusiasm. Reference was made to ovarian cycle being arrested in its follicular phase, and the great blow the Division had sustained in the tragic death excessive bleeding being in large part the result of abnormal of Dr. XV. H. Sturge, and a vote of sympathy was passed follicular stimulation. In the ovaries one found persistence with Mrs. Sturge and her family. JUNE 16, 19341] Meetings of Branc hes and Divisions [BRITrSH MEDICAL JOURNAL 313

Prior to the-meeting there was a mixed teiinnis competition, benefit had attended its use in septicaemia, and in diabetes which was won by Miss Ford aind Dr. B. H. Gibson, the mellitus it could be used in place of sugar to supply energy, prizes being presented by Dr. Hyslop Thomson. The compe- decrease the nitrogenous metabolism, aind lessen the tendency tition for the Ledward Golf Cup was also played, and this to acidaemnia. It was, hoNwever, likely to lead to a drug habit was won by Mr. Harvey-Williams. Members and their through loss of self-control. friends were eiltertained to tea by Dr. Hyslop Thomson. Annual Meeting The annual meeting of the Branch was held from March KENYA BRANCH: MOMBASA DIvIsIoN 16th to 18th, when the following officers were elected for the ensuing year: A the Mombasa Division was held at the Indian meeting of Presidenit, Lieut.-Colonel A. 1\I. Dick, I.M.S. Vice-Presidenit, Nursing and Maternity Home, Mombasa, on January 31st, Lieut.-Colonel P. B. Bharucha, Secretary, Dr. and thirteen .I.S. Honoyary when Dr. WILKINSON was in the chair members N. R. Dharinavir. Honzorary Treasutrer, Dr. Gopal Singh Chawla. were Dr. JAMES H. SEQUEIRA spoke on " Differential present. Lieut.-Colonel DICK delivered a presidential address on and presented and explained some Diagnosis of Leprosy," "Clean Eyes," in which he expressed the view that trephin- interesting cases. On the motion of Dr. WVILKINSON a vote ing ought to be performed much more frequently for glaucoma of thanks w-as accorded Dr. Sequeira for his interesting than was iridectomy, which was, unfortunately, the routine address. After the meeting the members of the Division and method adopted in the Punjab. The to the eye visitors were to tea by Dr. A. U. Sheth, the application entertained of silver nitrate in greater strength than 2 per cent. secretary of the Division. should honorary be forbidden. Prevention of blindness was the greatest neces- A Division was held at the Native further meeting of the sity of the moment, and education and propaganda should Civil Hospital oIn April 9th, when Dr. WILKINSON was again stress the vital necessity of cleanliness in this respect. The were present. It was decided in the chair and six members president indicated the part to be played by the influential to iiivite Dr. C. R. Philip to represent the Mombasa Division men in the Punjab villages, as well as by the child welfare on Dr. E. B. FIGUEIREDO the Council of the Kenya Branch. and maternity centres. The lecture is being printed and read an interesting paper on "Birth Control," and Drs. distributed to the heads of Government and railway depart- KARVE, and Ross took part in the discussion WVILKINSON, ments. In connexion with the annual meeting a series of which followed. scientific lectures and demonstrations was arranged, attention being focused on the lungs. In a lecture on " Preventive " METROPOLITAN COUNTIES BRANCH: CITY DIVISION Medicine and Pulmonary Diseases Dr. D. R. MEHTA pointed out that during the last thirty years the death rate from A meeting of the City Division was held at Islington Public respiratory diseases had varied very little. Tuberculosis was Library on April 10th, when Mr. R. A. RAMSAY was in the increasing in the towns, and was attributable to grave defects chair. in street planning and sanitation. He indicated various pre- Sir HENRY GAUVAIN gave an address, illustrated by lantern ventive methods which ought to be adopted at once. The slides, on "Cripples and their Care." He said that in the PRESIDENT discussed the part played by the nose, mouth, Middle Ages cripples appeared in history as jesters ; the and throat in relation to pulmonary diseases, and the patho- familiar figure of Punch showed the cripple in that role. In logical aspects were dealt with by Dr. JIWAN LAL, there the nineteenth century the attitude of the public towards the being a demonstration of naked-eye and microscopical speci- cripple was one of pity unrelieved by hope. It was difficult mens. Other addresses reviewed the anatomy and physiology to realize how recent were the arrangements for the care of of the respiratory system, the medical and surgical aspects cripples. The first home was started in 1908, in the old of pulmonary diseases, the various lines of treatment, and Military Hospital near Alton, under first-class hygienic con- the employment of anaesthetics in diseases of the lungs. ditions, with medical and surgical treatment as necessity arose. There was no precedent to follow, and the hospital had to learn by its own experiences. Sir Henry showed lantern slides of children in splints of a most complicated UNITED PROVINCEs BRANCH character, devised to correct their deformities and to put the A clinical meeting of the United Provinces Branch was held parts at rest. Children were shown in acrobatic positions of at Lucknow on January 17th, when Professor WV. BURRIDGE extreme complexitv, which, the lecturer assured the audience, was in the chair and eleven members were present. could be maintainied for long periods in complete comfort. On behalf of the Branch the president welcomed Dr. John Sir Henry then showed some interesting slides illustrating the Orr of Edinburgh, who was staving in India as a guest of treatment at the Hayling Island home. Captain K. S. Nigam, the secretary. Dr. ORR then described On the motion of Dr. H. M. CHURCHILL, seconded by Dr. his experiences as a professional man and as dean of a medical M. ANDERSON, a vote of thanks was accorded Sir Henry school, and also his responsibilities as the head of a medical Gauvain. institution receiving applications for admission from foreigners, A further meeting of the City Division was held at the and his dealings with the Government of Great Britain. Metropolitan Hospital on May 1st, vvhen Mr. R. A. RAMSAY Thanking Dr. Orr for his address, the SECRETARY said that was again in the chair. Professor E. H. KETTLE showed a members of the profession in the United Provinces hoped series of interesting pathological specimens and described that before long a universal medical brotherhood, undisturbed cases. by political considerations, would be a realized fact, and that On the motion of Dr. G. WV. KENDALL, seconded by Dr. the meetings would attract larger numbers of professional J. FETTES, a vote of thanks was accorded Professor Kettle. men. Professor B. G. S. ACHARYA showed two cases, one of sixth nerve paralysis and the other of third nerve paralysis. One nervous case, most probably of disseminated sclerosis, a case PUNJAB BRANCH of multiple lobes of the liver, and one of carcinomatous A lecture on " Further Work on Oriental Sore " was delivered growth in the bladder were discussed by Captain NIGAM. to the Punjab Branch on January 3rd by Captain J. D. The annual meeting of the Branch was held at Lucknow WARMA, I.M.S., who emphasized the importance of the on February 24th, when Colonel A. H. PROCTOR, I.M.S., systemic side of this disease, and reported good results from was in the chair, and twelve members were present. the use of a vaccine prepared from Leishmania tropica. He The secretary's report was read and adopted, and the insisted that berberine sulphate should never be given to following officers were elected: patients who had acute- inflammation or sepsis. In any case President, Colonel A. H. Proctor, I.M.S. President-Elect, Lieut.- the maximum quantity which could be tolerated was Colonel G. T. Burke, I.MI.S. Vice-President, Captain R. K. He thought that there was no need for the Kacker. Honiorary Secretary an?d Treasurer, Captain K. S. Nigam. 2/3 grain. AI. previous use of a local anaesthetic. The results obtained from Honoraoy Aitditors, Dr. A. Ilameed and Professor B. G. intravenous injections of tartar emetic solution had been more Srinavas. successful than in the case of any other antimony preparation. Professor WV. BURRIDGE read an address on Rhythm in On February 14th a lecture by Dr. T. C. NANDA on " The Medicine," and the following cases were demonstrated. Dr. Role of Alcohol in Modern Therapeutics" aroused a brisk HAMEED: paralysis agitans affecting the right upper limb discussion. After considering the pharmacological aspects, only; toxic goitre. Captain NIGAM: gastro-jejunostomy for Dr. Nanda pointed out the value of alcohol in asthenic con- duodenal ulcer large herniae (Gallie's operation) ; acute a band of adhesions in a ditions suc,h as those attending pneumonia, typhoid fever, intestinal obstruction producel by - and other acute infections, provided that it was used with young man treated six days after onset without enterostomy due discretion. In chills and exposure it was of assistance enlarged prostate presenting features rendering an operation in tiding a patient over a crisis, and it was also commended in the immediate, future inadvisable. Cinematograph films for use in convalescence and insomnia due to depression and were shown of Caesarean section at full term, and rhythmic worry. The food value of alcohol explained what slight movements in Fallopian tubes. SUPPLEMENT TO THE 314 JUNE 16, 1934) Books Added to the Library I RITISH MEDICAL JOURtNAL

Major D. R. Thomas, O.B.E., is appointed to officiate as Imperial Serologist, Calcutta, as from April 6th, vice Lieut.-Col. Naval and Military Appointments R. B. Lloyd, granted leave. Major R. S. Aspinall is appointed to be Civil Surgeon, Simla (West), as from April 16th. ROYAL NAVAL MIEDICAL SERVICE The King has approved the retirement of Captain E. V. Claydon with a gratuity. Surgeon Commanders H. H. Babington to the Pemibroke, for The services of Captain S. Smyth are placed temporarily at the Chatham -Barracks; T. Gwynne-Jones to the Pemnbroke, for disposal of the Government-of the Punjab as from April 1st. Chatham Dockyard; F. H. Vey to the President, for course at The following officers have been confirmed on passing the neces- Small Arms School, Winterbourne Gunner, June 20th, and to the sary courses of instruction: Captains W. J. Moody, A. E. Kingston, Victory, for Portsmouth Barracks, July 16th; J. F. Pace to the and (prov.) B. A. Porritt; Lieuitenants J. M. Sclater, J. D. President, for Chemical Defence Experimental Station, Porton. Murdoch, C. F. Garfit, D. K. L. Lindsay, D. R. Tweedie, A. T. Surgeon Lieutenant C. Gent to be Surgeon J. Lieutenant Com- Andreasen, WV. S. Morgan, M. S. Purvis, M. E. Kirwan, G. S. N. mander. Hughes, J. W. Richmond, and A. D. Barber. Surgeon Lieutenants C. Ommanney-Davis to the Effig7harn The seniorities of Lieutenants (on probation) J. Edis-AMvers and W. B. Taylor to the Victory, tor Royal Naval Barracks. WV. G. Kennedy are antedated to February 5th and 19th, 1933, B. S. Lewis to be Surgeon Lieutenant for short service and respectively. appointed to the Vic-tory, for Ilaslar Hospital. ROYAL NAVAL VOLUNTEER RESERVE COLONIAL MEDICAL SERVICES Surgeon Commander T. W. Drummond to the Malaya. -The following appointments are announced: J. N. McIntosh, M.B., Surgeoni Lieutenant Commander A. H. Shellswell to the Ch.B., Medical Officer of Health for St. Elizabeth, Jamaica- Effinghamn. W. L. WVebb, M.B., B.S., D.P.H., Director of Medical and Sanitary Surgeon Lieutenants A. L. Gunn and R. H. Enoch to be Surgeon Services, Zanzibar. Lieutenant Commanders. Surgeon TLieutenants T. F. Tierney and WV. R. Johnston's resignations have been accepted. H. G. Rees to be Probationary Surgeon Lieutenant, attached to BOOKS ADDED TO THE LIBRARY List 2, London Division. Probationary Surgeon Sublieutenant R. J. Carr to be Surgeon Sublieutenant, with original seniority, May 2nd, 1933. The following books were added to the Library of the British Medical Association during May, 1934: Abram, J. H.: Collected Papers on Pathology and Clinical ROYAL AIR FORCE MEDICAL SERVICE Mledicine, 1864-1933. 1934. Andrews, H. R., and Lack, V.: Midwifery for Nurses. Seventh Squadron Leader A. Briscce to the Central MIedical Establishment edition. 1934. for duty as AMedical Officer. Brown, W.: Psychology and Psychotherapy. Third edition. 1934. Flight Lieutenants E. A Gudgeon is transferred to the Reserve, Burridge, W.: Alcohol and Anaesthesia. 1934. Class D; E. Donovan to Station Headqutarters, Biggin Hill, for Celli, A.: History of Malaria in the Roman CaInpagna. 1933. duty as Medical Officer, on appointment to a short service de Chazal, L. E., and Rouget, F. A.: Guide ]lhnmentaire commission. d'Accouchement. 1930. Colwell, H. A., and Russ, S.: X-Ray and Radium Injuries. 1934. ROYAL AIR FORcE RESERVE: MIEDICAL BRANCHI Dawson, WV. R.: A Leechbook, or Collection of Medical Recipes Flight Lieutenant W. Heron relinquishes his comimission on of the 15th Century. 1934. completion of service. Hadfield, G., and Garrod, L. P.: Recent Advances in Pathology. Second edition. 1934. Henrijean, F., and Waucomont, R.: La Digitale. 1931. ROYAL ARMIY MEDICAL CORPS Henrijean, F., and WVaucomont, R.: Les Medicaments A-nti- syphilitiques. 1933. Lieut.-Col. A. S. Littlejohns, D.S.O. retires on retired pay. Hertzler, A. E.: Surgical Pathology of the Mammary Gland. 1933. Major R. WV. Vint to be Lieutenant-Colonel. Hurd-Mead, K. C.: Medical Women of America. 1933. Captains J. WI. Pinkerton, M.C., J. B. WVoodrow (seniority March rsaacs, S.: Social Development ill Young Children. 1933. 14th, 1933), J. D. C. Swan, and XV. Parsons to be Majors Kovacs, R.: Nature, MI.D. 1934. (temporary comrniss:ons). Lake, N. C., and MIarshall, C. J.: Surgical Anatomy and Physio- Lieutenants 1. R. Tobin, J. E. Moody, S. Griffin, D. K. Weston, logy. 1924. and Davidson to be Captains. J. Leschke, E.: Clinical Toxicology. 1934. Ludovici, A. M.: Health and EduLcation Through Self-Mastery. 1933. TERRITORIAL ARMY Lunmiere, A.: Tuberculosis ; Infection-Heredity. 1933. Macassey, Sir L., and Saleeby, C. XV. (Editors):. Spahlinger contra ROYAL ARMY 'MEDICAL CORPS Tuberculosis: 1908-1934. 1934. Major WV. McK. H. McCullagh, D.S.O., M.C., to be Lieutenant- Mackenzie, J. J.: No. 4 Canadian Hospital. 1933. Colonel, and to command the 13th (4th London) General Hospital. Mlorse, W. R.: Chinese Medicine. 1934. Major WV. W. MacNaught, MI.C. (Major, Reserve of Officers), MIurray, D. S.: The Laboratory: Its Place in the Modern World. resigns his commission in the Territorial Army. 1934. MXlajor F. G. Widgery, from 66th (South Midland) Field Nuzum, F. R.: Span of Life. 1933. Brigade, Park, W. H., and A. W.: Royal Artillery, to be Major, with pay and allowances of a Williams, Pathogenic Micro-Organisms. Captain. Tenth edition. 1934. Paul, C. N.: Cutaneous Neoplasms. 1933. Lieutenants H. G. Wimbush and N. Moulson to be Captains. T. N. Rudd, W. P. Purvis (late Officer Cadet, Bluindell's School Pehu, M., and Aulagnier, R.: L'Eczeme du Nourrisson. 1934. Contingent, Junior Division, O.T.C.), T. McK. Robb (late Officer P6hu, M., and Rougier, A. Z.: Les Pleur6sies a Pneumocoques Cadet, Taunton School Contingent, Tunior Division, O.T.C), and dans l'Enfance. 1934. E. A. Cormack (late Cadet Sergeant, Edinburgh University Con- Penrose, L. S.: Influence of Heredity on Disease. 1934. tingent, Senior Division, O.T.C.), to be Lieutenants. Poucel, J.: La Stenose Hypertrophique du Pylore chez la Supernumerary for Service with1 O.T.C.-Captain J. Whillis Nourrisson. 1934. (employed Durham University Contingent, Senior Division, O.T.C.) Proetz, A. W.: Displacement Method of Sinus Diagnosis and to be Major. Treatment. 1931. Puusepp, L.: Chirurgische Neuropathologie. Two volumes. 1931-1933. INDIAN MEDICAL SERVICE Robinson, XV.: Story of the Royal Infirmary, Sunderland. 1934. Sellors, T. H.: Surgery of the Thorax. 1933. Colonel WV. T. McCowen has been appointed Honorary Surgeon Smith, G. F.: If I Have Children. 1933. to the Viceroy and tovernor-General, vice Colonel G. C. L. Kerans, Starck, H. P.: Volumetric Analysis. 1934. D.S.O., retired. Thomas, E. W. C.: Synopsis of Hygiene. 1934. Brevet Colonel J. MIcPherson, C.I.E., retires from the Service. Vaughan, J. M.: Anaemias. 1934. Lieut.-Col. C. R. O'Brien retires from the Service. Williams, L.: Aids to Obstetrics. 10th edition. 1934. Lieut.-Col. A. J. H. Russell, C.B.E., has been appointed Honorary Surgeon to the Viceroy and Governor-General, vice Major-General H. R. Nutt, vacated. The Minister of Health announces that, as the result of Lieut.-Col. J. A. S. Phillips, Director of Pub'ic Health, Bihar and inquiries 'held in the manner prescribed in Part VI of the Orissa, has been appointed to officiate as Inspector-General of National Health Insurance (Dental Benefit) Regulations, 1930, Civil Hospitals, Bihar and Orissa, as from April 8th until further he has decided that the following dentists are to be regarded orders, vice Colonel H. C. Buckley, granted leave. as unsuitable for service in connexion with dental benefit Majors R. Hay, W. P. Hogg, M.C., and H. E. Murray to be under the National Health Insurance Acts: Messrs. Charles Lieutenant-Colonels. Frederick Austin, Upton ; John C. B. Major J. Rodger, an Agency Surgeon, is posted as Civil Surgeon, Currey, Liverpool; Sibi and Loralai, as from April 1st. Thomas William Field, Wirral, Cheshire ; Hugh Jones, Salford, The services of Major J. Carrey are placed permanently at the Manchester Percival E. Pretty, St. George's Road, London, disposal of the Government of the Central Provinces as from S.E.1 ; Arthur H. Tomasin, Ryde, Isle of Wight; David T. March 24th. Williams, Quedgeley, Glos. ] SUPPLEMENT TO TRE 315 JUNE 16f, 1934 Association Notices; _PRITISH MEDICAL JOURNAL SOUTH-VESTERN BRANCH: TORQUAY DIVIsION.-Friday, Association Notices, June 29th, 8.15 p.m. General meeting. Consideration of Annual Report of Council. SUFFOLK BRANCH: WEST SUFFOLK DIvISION.-At West SCOTTISH COMMITTEE Suffolk General Hospital, Bury St. Edmunds, Tuesday, June SESSION 1934-5 19th, 3 p.m. Consideration of Annual Report of CounCcil. Tuesday, June 26th, consideration of Supplementary Report Election of three Representatives by the Group of seven of Council. Divisions comprising Orkney, Shetland, Caithness and SUSSEX BRANCH: BRIGHTON DIvISION.-Tuesday, June Sutherland, Inverness, Islands, Ross and Cromarty, andl 19th, annual meeting. Thursday, June 21st, 3.45 p.m., at A7rgyllshire. Royal Alexandra Hospital for Sick Children, clinical meeting. In accordance with the Standing Orders of the Scottish Committee nominations for these 3 vacancies shall be in writing and may be made (a) by a Division, or (b) signed Britt0tb 4Iebal gAboaiatto1 by not less than three members of the Group. OFFICES, BRITISH MEDICAL ASSOCIATION HOUSE Nomination forms have been sent to the Honorary TAVISTOCK SQUARE. TV.C.1 Secretaries of the Divisions in the Group, and can also be obtained on application to the Scottish Office. Departments If more than three members are nominated the election SUBSCRIPTIONS AND ADVERTISEMENTS (Financial Secretary and shall be by voting papers sent by post from the Scottish Business Manager. Telegrams: Articulate Westcent, London). MEDICAL SECRETARY (Telegrams: l\Iedisecra Westcent, London). Office to each member of every Division in the Group. EDITOR, BRITISH MEDICAL JOURNAL (Telegrams: Aitiology Westcent, Nominations should be sent to me at the Scottish Office, London). 7, Drumsheugh Gardens, Edinburgh, not later than July Telephonze ntumizbers of British Medical Associationt and British 18th, 1934. Medical Journal, Euston 2111 (internal exchange, four lines). R. W. CRAIG, SCOTTISTh MIEDICAL SECRETARY: 7, Drumsheugh Gardens, Edin- Scottish Medical Secretary. burghi. (Telegramns: Associate, Edinburgh. Tel.: 24361 Edinburgh.) IRISH NIEDICAL SECRETARY: 18, Kildare Street, Dublin. (Tele- grams: Bacillus, Dublin Tel.: 62550 Dublin.) BRANCH AND DIVISION MEETINGS TO BE HELD BERKS, BUCKS, AND OXFORD BRANCH: OXFORD DIvISION. Diary of Central Meetings -At Radcliffe Infirmary, Wednesday, June 20th, 2.30 p.m. JUNE Clinical meeting. 15 Fri. Scholarships and Grants Subcommittee, 2.30 p.m. BORDER COUN-TIES BRANCH.-At Crown and Mitre Hotel, 19 Toes. Central Ethical Committee, 2.15 p.m. Carlisle, Thursday, June 28th, 3.30 p.m. Annual general 21 Thurs. Insurance Acts Committee, 11.30 a.m. meeting. Election of officers, etc. 22 Fri. Science Committee, 2 p.m. DERBYSHIRE BRANCH.-At Rockside Hydro, Matlock, 29 Fri. Public Medical Services Stibcommittee, 2.15 p.m. Wednesday, June 20th, 3.15 p.m. Annual general meeting. JULY Election of officers, etc. Dr. C. W. Buckley: " Diseases 23 Mon. Council-Council Room, Town Hall, Bournemouith and Injuries of the Lower Spine, with Special Reference to 25 Wed. Council-Council Chamber, Town Hall, Bournemouth Compensation Cases." 5 p.m., Golf competition on Matlock Golf Course for Derbyshire Branch Cup. EDINBURGH BRANCH.-At Gorebridge, Wednesday, June DIARY OF SOCIETIES AND LECTURES 27th. Annual meeting. 12.30 p.m., lunch at Harvieston ROYAL SOCIETY OF MEDICINE Private Hotel. 1.15 p.m., golf competition for Guthrie Genteral Meetinig of Fellozes, Tues., 5.30 p.m. Ballot for Election Trophy on Newbattle Course ; visits to (a) Lady Victoria Pit, to Fellowship. (b) Newbattle Abbey, (c) Borthwick Castle; fishing on the Sectioni of Dermnatology.-Thurs., 5 p.m. (Cases at 4 p.m.) Gore at Harvieston and Gladhouse Reservoir ; tennis. 4.30 Set-tio,i ol Obstetrics and Gynae(olog,.-Fri., 8.15 p.m. Registrars' p.m., tea ; and 5 p.m., business meeting, at Harvieston Pathological Meeting. Short CoIuinunications. Private Hotel. Sectiont of I)isease in Clildreni.-Sat., Suiimmer 'Meeting at Oxford. KENT BRANCH.-At Nevill Club Course, Wednesday, June 2.20 p.m., Demonstration of MeIdical and Surgical Cases at 20th, annual golf competition for the Tennyson Smith Cup. WN'ingfield MIorris Orthopaedic Hospital. At Earl's Court Hotel, Tunbridge Wells, Wednesday, June 27th. 11.45 a.m., Branch Council meeting. 1 p.m., lunch. ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 26, Portland At New Hospital, 2.15 p.m., annual meeting. Election of Place, W.-Tihuis., 8.15 p.m., Annual General Mleeting. 8.30 p.m., " Dr. L. WV. Hackett (Assistant Director, Interniational Health officers. Presidential address by Dr. Claude WVilson: Some Division, Rockefeller Foundation): Present Status of our Know- Recent Advances in Cardiovascular Disease." 3.30 p.m., ledge of the Races of A-inopheles macislipennis. (Preceded by tea in grounds of new Kent and Sussex Hospital, at the Deinonistration at 7.45 p.m.) invitation of the Mayor and Mayoress; and inspection of the hospital. LINCOLNSHIRE BRANCH.-At Royal Hotel, Grimsby, Thurs- POST-GRADUATE COURSES AND LECTURES day, June 28th, 2.30 p.m. Annual general meeting. Address FELLOWSHIP OF MIEDICINE AND POST-GRADUATE MFIDICAL ASSOCIATION, by the president-elect, Dr. J. WVilliamson. Election of 1, Wimnpole Street, WV.-Lonidout Lock Hospital, 91, Dean Street, officers, etc. W.: Afternoon Course in 'Venereal Disease. Prinice of Wales's Hospital, Tottenham, N.: All-day Course in M\Iedicine, Surgery, METROPOLITAN COUNTIES BRANCH: WILLESDEN DIvISION.- and the Specialties. MedicOl Society of Lo,idonz, 11, Chandos At Municipal Hospital, Brentfield Lane, Tuesday, June 19th, Street, W.: Tues., 2.30 p.m., Lecture-Demonstration on Renal 3 p.m. Agenda: Some points in the differential diagnosis of Insufficiency by Dr. Clark-Kennedy. l'aooel of reclaiers: Indi- the common infectious diseases ; the use of convalescent vidual clinics in various branches of medicine and surgery are serum in the prophylaxis of measles ; visit to the laboratory. available daily. Courses of instruction, etc., arranged by the NORTHERN COUNTIES OP SCOTLAND BRANCH. At Royal Fellowship are open only to members and associates. Hotel, Tain, Saturday, June 30th, 12 noon. Annual meeting. SOUTH-XXVEST LONDON POST-GRADUATE ASSOCIATION, St. James's Hospital, Ouseley Road, S.W.-Wed., 4 p.m., 1\1r. V. Zachary NORTH WALES BRANCH.-At Harlech, Thursday, June 28th. Cope, Demiionstration of Surgical Cases. Annual meeting. XNVEST LONDON HOSPITAL POST-GRADUATE COLLEGE, Hammersmith, WV. NORTH WALES BRANCH: NORTH CARNARVON AND ANGLESEY -Moji., 10 a.m., Mledical Wards, Skin Clinic; 2 p.m., Gynaeco- DIVISION.-At University Physics Department, Deiniol Road, logical and Surgical Wards, Eye and Gynaecological Clinic. Bangor, Friday, June 22nd, 3.30 p.m. Dr. Russell J. fites., 10 a.m., Medical Wards ; 11 a.m., Surgical Wards ; 2 p.m., Reynolds: " X-Ray Cinematography." Throat Clinic; 4.15 p.m., Lecture, kr. Green-Armytage, Sterility. Wed., 10 a.m., Medical and Children's WVards, SOUTHERN BRANCH: PORTSMOUTH DIVISION.-At Queen's Children's Clinic ; 2 p.m., Eye Clinic. IThius., 10 am.n., Neuro- Hotel, Southsea, Thursday, Juine 21st, 9.30 p.m. Meeting to logical and Gynaecological Clinics; 11.30 a.m., Fracture Demon- instruct representatives. stration ; 2 p.mll., Eye and Genito-urinary Clinics. Fii., 10 a.m., SOUTH WALES AND MONMOUTHSHIRE BRANCH.-At Aberyst- Skin Clinic ; 12 noon, Lecture on freatment ; 2 p.m., Throat wyth, Thursday, June 21st. Annual meeting. Cliiic ; 4.15 p.In., Lecture, Dr. Ow5 e-n, The Newvborn Infant. Sat., 10 a.m., Medical and Surgical WN'ards, Children's ancl SOUTH-WESTERN BRANCH.-At Bideford, Wednesday, June Surgical Clinics. Daily, 2 p.m., Medical and Surgical Clinics, 20th. Annual meeting. Inauguration of Dr. Ellis Pearson Operations. The lectures at 4.15 p.m. are open to all medic'al as president. practitioners without fee. 316 16, [ SUPPLEMENT To THE JUNE 1934] Vacancies an'd Appointments [BRITISH MEDICAL JOURNAL

LEEDS POST-GRADUATE CLINICAL DEMONSTRATIONS.-At Leeds General READING: ROYAL BERKSHIRE HIOSPITAL.-HI.S. (male). RtOYAL MASONIC HOSPITAL, Ravenscourt Park, W.-(1) R.M.O. (2) R.S.O. Infirmary: Tues., 3.30 p.m., Dr. Moll, Medical. MNales. LIVERPOOL UNIVERSITY CLINICAL SCHOOL ANTE-NATAL CLINICS.-Royal RUGBY: HOSPITAL OF ST. CROSS.-R.M.O. (Inale). Infirmary: Mon. and Tllurs., 10.30 a.m. Maternity Hospital: SCARBOROUGH HOSPITAL AND DiSPENSARY.-1I.S. (female). Mon., Tues., Wed., Thurs., and Fri., 11.30 a.m. SHEFFIELD CHILDREN'S HOSPITAI,.-(1) H.S. (2) l.P. Males, unmarried. SHREWSBURY: ROYAL SALOP INFIRMARY.-C.O. and Resident Anaesthetist (male). SMETHWICK COUNTY BOROUGH.-Assistant M.O.H. and Assistant School TABLE OF DATES M.O. (female, unmarried). June 21, Thurs. Meetings of Constituencies must be held between this SOMERSET COUNTY COUNC1L-A.M.O. (male). date and July 19th to instruct Representatives. SOUTHAMPTON: ROYAL SOUTH IIANTS AND SOUTHAMPTON ITOSPITAL.-(1) June 23, Sat. Publication of Supplementary Report of Council in H.P. (2) C.O. (3) Resident Anaesthetist and Il.S. to Ear, Nose, and Stipplemen t. Throat Department. (4) Senlior H.S. (5) H.S. Males, unmarried. July 4, Wed. Other itemns for inclusion in A.R.M. printed Agenda must SOUTHEND-ON-SEA GENERAL HOSPITAL.-Hon. Visiting Obstetric and be received at Head Office by this date. Gynaecological S. (male). Jutly 20, Fri. Annual Representative Meeting, Boturnemotibh. STOCKPORT INFIRMARY.-H.S. (male). STOKE ON-TRENT: BURSLEM IIAYWOOD AND TUNSTALL WAR MEMORIAL Jtuly 21, Sat. Annual Representative Mleeting, Bouirnemouth. HOSPITAL.-J.M.O. (male). July 23, Mon. Annual Representative Meeting, Bournemouth. TUNBRIDGE WELLS: NEW KENT AND SUSSEX HOSPITAL.-(1) R.S.O. (2) Council. Senior H.S. (3) Second hI.S. (4) J.H.S. Males. July 24, Tues. Annual Representative Meeting- Annulal General Meeting; President's Address, Bournemouth. WHIR HOSPirTAL, Balham, S.W.-J.R.M.O. (male, unmarried). July 25, Wed. Council. WELLINGTON HOSPITAL BOARD, New Zealand.-Superintendent. Conference of Honorary Secretaries, Bournemouth. WVEST BROMWICH COUNTY BOROUGH.-R.}I.P. (male) at Ilallam lhospital. Meetings of Sections, etc., Boturnemouth. WILLESDEN GENERAL HOSPITAL, HiarleSden Road, N.W.-(1) Clinical July 26, Thurs. Meetings of Sections, etc., Bournemouth. Assistants in Out-patient Departments. (2) C.O. (unmarried). Annual Dinner of the Association, Bournemouth. WINFORD ORTHOPAEDIC HOSPITAL, near Bristol.-Hon. Dental S. July 27, Fri. Meetings of Sections, etc., Boturnemotuth. Wl'OLVERHAMPTON: ROYAL HoSPITAL.-II.S. (unmarried) for Orthopaedic and Fracture Department. G. C. ANDERSON, WOOLWICH AND DISTRICT WAR MEMORIAL hOSPITAL, Shooters Hill, S.E. MledIical Secretary. -(1) H.P. (2) H.S. Males. CERTIFYING FACTORY SURGEONS: The following vacant appointments are VACANCIES announiced: Carluke (Lanarks), Wartington (Lanes), Torrington (Devoll), Cheshain (Bucks). Applications to the Chief Inspector of Factories, ALBERT Docx hOSPITAL, Connaught Road, E.-R.M.O. Home Office, Whitehall, S.W.1, by Jurne 26th. BAGHDAD: ROYAL COLLEGE O0 MEDICINFE.-Chair of Materia Medica. MEDICAL REFEREE UNDER THE WORKMEN'S COMPENSATION ACT, 1925, BIRMINGHAM: CHILDREN'S HOSPITAL.-R.S.O. for the Great Malvern, Hay, Hereford, Ledbury, anid Leominster CounIty BIRMINGHAM CITY.-Senior A.M.O. (male) in the Public Health Depart- Court Districts (Circuit No. 22). Applications to the Private Secretary, ment, Tuberculosis Section. Hoine Office, Whitehall, S.W.1, by July 3rd. BLACKBURN: ROYAL INFIRMARY.-Resident C.O. (male). ]BOLTON INFIRMARY.-H.P. This list is compiled from otur ndrertisenient columns. twhere full par- ]BRISTOL EYE HIOSPlTAL.-Assistant R.H.S. ticulars are given. To ensure notice in this column advertisemeifts BRISTOL GENERAL HOSP1frAL.-(1) Senior R.M.O. (male). (2) Two H.P. mnust be received not later than the first post on Tuesday mIornin12gs. (3) Two uI.S. (4) Residenit Obstetric Officer. (5) II.S. to Special Depart- F'urther unclassified vacancies will be found in the advertising pages. ments. (6) Casualty H.S. CARDIFF: UNIVERSITY COLLEGE OF SOUTH WALES AND MONMOUTHSHIRE. -(1) (a) Assistant Lecturer and (b) Assistant Lecturer in Histology in the Departmenit of Anatomy (2) Assistant Lecturer in the Departnlent APPOINTMENTS of Physiology. ' CARDIFF: WELSH NATIONAL SCHOOL OF MEDICLNE.-Part-time Demon- BOWN, D. G., M.B., B.S., F.R.C.S., Certifying Factory Surgeon strator for Department of Materis Medica and Pharmacology. for the Clacton-on-Sea District (Essex). CENTRAL LONDON OPHTHALMIC HOSPITAL, Judd Street, W.C.-(1) Senior GODDARD, Charles E., O.B.E., M.D., part-time Medical Officer of H.S. (2) J.H.S. Health for the Wembley District since 1895, has been appointed CHARTERHOUSE RHEUMATISM CLINIC, Crosby Row, S.E.-Two Hon. Clinical tby the Wembley Urban District Council as whole-time Medical Assistants. Officer for the enlarged district. CHESTERFIELD AND NORTH DERBYSHIRE ROYAL HOSPITAL.-H.S. (male). ORLEY, Alexander, M.D., D.M.R.E., Honorary Assistant Radio- COLCHESTER: ESSEX COUNTY IIOSPITAL.-II.P. (male). logist, \WVest End Hospital for Nervous Diseases. DEVONPORT: ROYAL ALBERT HIOSPITAL AND EYE INFIRMARY.-Assistanit H.S. (unmarried). LONDON COUNTY COUNCIL.-The following appointments have been ESSEX COUNTY COUNCIL.-(1) Ophthalmic S. (2) Two Assistant School made at the hospitals indicated in parentheses. Senior Assistant M.O.'s. Medical Officer, Grade I: B. A. Young, M.D., M.R.C.P. (St. EXETER: ROYAL DEVON AND EXETER HoSPITAL.-H.S. (male) to Ear, Peter's). Senior Assistant Medic al Officer, Grade II: W. Leslie, Nose, and Throat Department. M.B., B.S., F.R.C.S. (St. Stephen's). Assistant Medical Officers, GLOUCESTER: GLOUCESTERSHIRE ROYAL INFIRMARY AND EYE INSTITU- Grade I: R. S. C. McDade, MI.B., B.Ch., MI.R.C.S., L.R.C.P. TION.-(1) H.P. (2) 1I.S. Males, unmarried. (High Wood Hospital for Children) ; M. G. MNurray, M.B., Ch.B. GREAT YARMOUTH GENERAL HCISPITAL.-H.S. (male, unmarried). (St. George-in-the-East) ; C. R. Macdonald, M.B., Ch.B., IIOSPITAL FOR SICK CHILDREN, Great Ormond Street, W.C.-H.S. (male, F.R.C.S.Ed. (St. Leonard's); Julia C. H. Avery, M.B., B.S., unmarried). M.R.C.S., L.R.C.P. (Queen Mary's Hospital for Children); IhULL ROYAL INFIIRMARY.-(1) C.O. (2) Third H.S. (males). J. A. O'Sullivan, M.D. (St. Peter's) ; E. M. Wright, B.M., B.Ch., ILFORD: KING GEORGE HOSPITAL.-C.O. (male). D.P.H. (Brook). Assistant Medical Officers, Grade IH: W. Brown, Ipswici-,: EAST SUFFOLK AND IPSWICH HOSPSTAL.-II.P. (male). M.B., Ch.B. (New End); T. E. Rutter, M.B., Ch.B. (Highgate); KING'S COLLEGE hIOSPITAL, Denmark Hill, S.E.-Hon. Radiologist in Gwendolen E. Kaines, M.B., B.S. (Dulwich) ; Jennie G. Evans, charge of x-ray therapy. M.R.C.S., L.R.C.P. (Fulham); Euphemia Cardwell, L.R.C.P. and LINDSEY (LINCOLNSHIRE) COUNTY COUNCIL.-A.3M.O. (feiiiale, unmarried). S.Ed., L.R.F.P. and S.Glas. (St. Benedict's); Wilhelmina L. LONDON HOMOEOPATHIC hIOSPITAL, Great Ormond Street, W.C..-R.M.O. Devlin, M.B., B.Ch., B.A.O. (Nonrood Hospital for Children). LONDON JEWISH HOSPITAL, Stepney Greeni, E.-Hon. S. Temporary Assistant Medical Officer: G. M. Clough, MI.B., Ch.M., AND DISTRICT GENERAL HoSPITAL.-R.H.S. M.R.C.P. (St. James's). Clinical. Assistant: C. F. Critchley, LoUGHBOROUGIc (unnmarried). M.R.C.S., L.R.C.P. (St. Giles's). Honse-Phy,sician: MIaisie F. LOWESTOFT AND NORTH SUFFOLK HOSPITAL-J.H.S. (male). Jasmes, MI.B., B.S., -M.R.C.S., L.R.C.P. (Queen MIary's Hospital MANCHESTER ROYAL EYE HOSPiTAL.-J.II.S. for Children). Temporary Visiting Mledical Officer: P. B. Spurgin, MID15LESEX COUNT-Y COUNCIL.-Tuberculosis M.O. L.R.C.P. Marylebone Institution). MIINISTRY OF HEALTH.-TWO M.O.'s. MI.R.C.S., TSt. NEWCASTLE-UPON-TYNE: HOSPITAL FOR SICK CHILDREN.-R.S.O. (male). NEWCASTLE-UPON-TYNE: ROYAL VICTORIA INFIRMARY.-(1) Four H.P. (2) Six H.S. (3) H.S. to Throat, Nose, Ear, alid Eye Departments. (4) H.S. to Gynaecolo&ical Departmnent. (5) H.S. to Orthopaedic Depart- BIRTHS, MARRIAGES, AND DEATHS mrent. (6) Two H.S. to Accidenit Room. (7) Two H.S. to Skin and Venereal, and Out-patient Departmiients. (8) Two Anaesthetists. (9) The charge for inserting announcements of Births, Marriages, anzd Two H.S. at Leazes Hospital. Deat/is is 9s., which sumn shtouild be forwarded with the niotice NORTHAMPTON GENERAL IIOSPITAL.-H.S. for Ear, Nose, and Throat not later than the first post on Tnesday morning, iz order to Departnment. ensure insertion in the cutrrent issue. NORWICH: NORFOLK AND NORWICH HOSPITAL.-II.S. to Ear, Nose and Tihroat, and Ophthalmnic Departmnents. BIRTHS PORTSMOUTH: ROYAL PORTSMOUTH HOSP1TAI..-(1) lI.P. (2) H.S. Mlales. CARR.-On May 30th, to Mlona Kirkhouse, M.D., wife of John PRESTON: COUNTY MfENTAL IIOSPITAL, Whittilgham .-J.A.M.O. (biiale, Spence Carr of Deva Cottage, Gerrards Cross, Bucks, a son. unmarried). GOWER.-On June 6th, to May Gower, M.D. (nee Jones), wife of PRtiNCESS ELIZABETII OF YORK HOSPITAL FOR CHILDREN', Sliadwell, E.- David Goronwy Gower, MLA.Cantab., MI.R.C.S., L.R.C.P., of (1) H.P. (2) H.S. Southwoods, Yeovil, a daughter. PRINCESS LOUISE KENSINGTON HOSPITAL FOR CHILDREN, St. Quilutin STOKER.-On June 5th, at Cheam, to Olive (nae Mayfield), wife of Avenue, W.-(1) H.1P. (2) H.S. T. E. Stoker, M.B., F.R.C.S.Ed., a son. QUEEN CHARLOTTE'.S MATERNITY IIOSPITAL, Marylebone Road, N.W.-Two Itesident Anaesthetists. DEATH QUEEN'S IhOSPITAL FOR CHILDREN, Hackney Road, E.-S. for Ear, Nose, KENDRICK.-On Mlay 30th, at St. lerlard's, Nerton Street, Coventry, and Throat Departmiieint. Horace Herbert Kendrick, M.R.C.S., L.R.C.P., aged 64.

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