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834 THE GENERAL COUNCIL OF MEDICAL EDUCATION AND REGISTRATION. On the other hand, the Admiralty makes an urgent demand for capable third-year students who have passed the professional examina- THE GENEEAL COUNCIL in anatomv and physiology, and are able to render aid as surgeon OF tion in the minor uuits of the To withhold these probationers Navy. MEDICAL EDUCATION AND from their studies for an indetirrite period of service would unduly postpone the date of their full qualification as practitioners, REGISTRATION. and would proportionately diminish the number annually added to the Register. The Medical Director-General of the Navy has accordingly arranged with the Ministry of National Service that the TUESDAY, NOV. 27TH. period of service of surgeon probationers shall not be longer than six months at home or 12 months abroad. The functions of a surgeon THE General Medical Council commenced its winterrprobationer being comparable with those of a surgical dresser or student session at its offices, Hallam-street, W., Sir DONALD) assistant in surgical wards, licensing bodies generally have agreed to the in the chair. accept his surgical service afloat as equivalent to six months of the MACALISTER, President, being hospital attendance prescribed for the minimum curriculum. The Ne7v Members. Admiralty arrangement should therefore ensure that most of the surgeon probationers will return and qualify within the normal period; The following new members took their seats : Mr. MEREDITHf and in the meanwhile they will have gained experience relevant to TOWNSEND, M.R.C.S., L.S.A. (as representative of the; their profession, which may hereafter stand to their advantage as of of London for one and Lieu-. practitioners. Society Apothecaries year), The claims of the Army for fresh drafts from the civilian members of tenant-Colonel HARRY GILBERT BARLING, C.B., F. R. C. S. (as the medical profession continue, though it has become a serious representative of the University of Birmingham for five problem how the claims are to be met. A War Office Committee, which included members of the Medical Council, visited the Western front years). during the summer for the purpose of discovering what economies Presadentical Address. in personnel, if any, might be made in the Medical Corps. Its Sir DONALD MACALISTER commenced his address by report is not yet issued; but it is questionable whether any prac- ticable economy can be commensurate with the continuous wastage the from the Council of Dr. Robert’ regretting resignation due to the incidents of warfare. The devotion and success of whose had been taken Lieutenant-Colonel Saundby, place by the Medical Corps in preserving and restoring the health of our Gilbert Barling, and of Dr. George Wilks, who had been troops have been recognised in the warmest terms by the highest succeeded by Mr. Meredith Townsend ; and by expressing authorities; but the service is rendered at a heavy cost in sacrifice The sympathy with Dr. John McVail. the present Crown Registrar informs me that on almost every page of the Medical Register member for Scotland, on the death of his distinguished he has had some military distinction to insert. But too often, after making the insertion, lie nas had to remove the bearer’s name as having brother, Sir David C. who five had " McVail, years ago died on service." In the three years 1911-13, the average number of the same on the Council for 20 " occupied position years. names annually removed from the Register " on evidence of death He then pointed out that the medical duties of the Army was 620. In the year 1916 the number rose to 983. la the current year Recruiting Department had now been transferred to the it will probably not be less. Minister of National Service, where the new Minister, Sir The welcome cooperation of the United States of America, in Auckland Geddes, himself a medical practitioner, was sending over medical units in advance of its troops, has afforded the Allies some relief in this Officers of the American Medical assisted a Medical Board. The respect. by Advisory Ministry Service have or other with accepted honorary temporary positions in further, through cooperation the Statutory Professional hospitals at home and abroad, and have thus released British officers Committees in England and Scotland, came into connexion and practitioners for other work. But wa shall not be able to count with the Local Medical War Committees, so that an organisa- on this help after the arrival in Europe of the American forces tion, he said, now existed which was designed to meet fairly in full strength. And, again, we cannot count on American the distribution of medical service between military and civilian practitioners to furnish many accessions to our Register. civilian needs. He continued :- In the absence of American Federation legislation authorising professional reciprocity between the United States and Britain, In several of my addresses since the war began, I have expressed the His Majesty in Council is debarred from applying the Medical conviction that the withdrawal of students from the medical schools Act, 1886, to the United States, and this Council has accordingly for combatant service would deprive the country of the necessary quota no power to admit American medical practitioners to the Register of new practitioners in the years 1918 and 1919. I have continued to .unless they pass a recognised examination in medicine, surgery, press this conviction on the authorities, and have been enabled to sup- and midwifery, and so acquire a professional title registrable in this port. my view by the aid of statistics courteously furnished for the country. Where such legislation, within or without the Empire, has information of your Emergency Committee and of the Govern- been accomplished, the Council has not failed to give it effect. ment by the Deans of medical faculties and schools. You will Already the Foreign and Colonial List of the Register include over remember that in January, 1917, a census of students actually 1000 practitioners, and their legal status in regard to practice is the engaged in professional study showed that in the third year of the same as our own. curriculum we could count on 572 men and 261 women to only Sir DONALD MACALISTER then alluded to the provide in 1919 for the necessary accession of new practitioners to public the Register. In normal times this accession should number about advantages which have accrued from the Midwives Act for 1100. Only by returning third-year students then on active service England and Scotland, which have led to a similar measure could the deficiency be made good. In September the Army Council, having been proposed for Ireland; and to the working of the by an instruction subsequently amended in one point, directed that Venereal Diseases Act, which is now in some students to who had before enlist- 1917, operative registered prior August 1st, 1914, 40 counties and boroughs. He mentioned that a ment completed two years of the curriculum, should be passed out English Dental Service with a Subcommittee for of combatant service to resume medical study and proceed to Committee, qualification. Scotland, had now been set up to regulate the calls In order to determine the effect of this instruction, and to provide on the dental profession, both military and civilian, data for further action if necessary, the Minister of National Service and referred at some length to the Special Committee requested that a fresh census of medical students in actual attendance appointed by the Lord President of the Privy Council to during October, 1917, should be taken. Tne forms sent out by the into the raised the Council’s recent Registrar were returnable on Nov. 14th, and all have now been enquire questions by nearly memorandum on the Dentists Act. The wide terms of received. So far as they go they show the following aggregate results, as compared with those of January, 1917 :- reference of this committee include an investigation into the causes of the of the ’ shortage qualified dentists, expe- 191 I MEN. WOMEN. TOTAL. diency of prohibiting unqualified dental practice, and the Jan.... 1449 .. 674 ... 2123 of without of First-year Oct.students ......... 1386 ... 764 ...2150 practicability lessening, impairment efficiency, the time and the fees that have now to be expended to Jan. 987 .. 472 ... 1459 d-year stu ts ... ... Second-yearSecon studentsden ...... 871 ... 472 ... 1513 secure qualification. On these points, he said, his evidence Oct. and that of Sir Bertram Windle, and Mr. Harper, the Jan.... 572 ... 261 ... 833 Third-year studentsstudents... ......... ". ", Oct. .... 805 ... 482 ... 1287 Council’s solicitor, had been received in a manner which sufficiently showed that the Special Committee was alive to Fourth students Fourth-year-year students -...... the of the involved. After Oct. 85170J ... 164194... ... 1015903 importance questions alluding Jan. ... to the modifications in the British which Jan. 1088 ... ... 1252 Pharmacopoeia Final-yearMat year studentsstudents. ............. .... 164 in order ... had been made to reduce the Oct.... 995 ... 200 1195 consumption of sugar and he continued :- Of the men students of the first and second years over 820 were under glycerine, 18 years of age in October. 1917, and about 180 are from places outside In August the English Board of Education published a scheme, the United Kingdom. The third-year men students (who last year which has long been under consideration, for the establishment of a numbered some 520) have increased by about 230, and the women Secondary Schools Examination Council. It will include representa- students by about 220. The fourth-year men numbered 709 and the tives of the English Universities and of the managers and tethers of women 194. Unless therefore all students of this standing are State-aided schools throughout the country.