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The Eastman Jubilee 1948 – 1998* Malcolm Harris1

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The Eastman Jubilee 1948 – 1998* Malcolm Harris1 OPINION personal view The Eastman Jubilee 1948 – 1998* Malcolm Harris1 The postgraduate Eastman Dental Clinic and Institute of Dental Surgery were established in 1947. However their roots go back to Rochester in New York State where George Eastman was born in 1854. George Eastman literally changed the image of the world by creating popular photography. In 1914 he was driven by his painful neglected dentition to seek the help of Harvey Jacob Burkhart (pictured, right) who was considered to be the best dentist in the state.1 Burkhart provided him, for the first time in his adult life, with comfortable dentures, which not only restored function but also his appearance. George Eastman was overwhelmed with his new found comfort and social confidence. urkhart had no difficulty in persuading Burkhart was made director and dis- Bhis patient that the lack of dental care in played his genius as one of the founding childhood had far reaching disastrous fathers of dental public health by insisting effects in adult life and so in 1915 Eastman that preventive dentistry would not be pos- agreed to augment the funding of the sible without a new profession of dental death but only merged with the Rochester Rochester Dental Dispensary. However, hygienists who would examine mouths Medical Centre in 1998, 46 years after impressed by the new Forsyth Dental Clinic from the emergence of the first tooth, Burkhart’s death. in Boston, he decided to build a new advise mothers on oral hygiene and dietary Rochester Dental Dispensary dedicated to care and take their instruments, a special The Eastman Dental Clinic London the eradication of diseases of the mouth, chair and a steriliser, to carry out inspec- 1930 nose and throat in children that was opened tions in schools and refer the young In 1926 George Eastman was approached by in 1917 at a cost of $403,000. patients back to the dispensary. Lord Riddell, the Chairman of the Royal Burkhart’s view of dental education and Free Hospital, to fund a dental clinic in Lon- training was influenced by Abraham Flexner don. He agreed to give £200,000 which was the author of the seminal 1910 Carnegie matched by £50,000 each from Lord Riddell report on American Medical Education2 and and Sir Albert Levy, the Royal Free honorary he planned the dispensary to become an treasurer. undergraduate dental school when Roch- The Eastman Dental Clinic was opened ester acquired a medical school to provide in 20 November 1931 by the American the educational base for dental training. Ambassador in the presence of Neville Flexner anticipated both Cochrane and Chamberlain. Calman when he argued the case for scien- The building, which resembled the tifically based medical education at an Rochester Dispensary, was totally inte- undergraduate and postgraduate level. He grated into the Royal Free Hospital and also insisted that structured postgraduate included three wards for oral, ear nose and hospital training programmes should be throat and cleft lip and palate surgery and designed and inspected3,4. With this in was dedicated to providing dental care for mind Burkhart’s Dental Dispensary pro- children from the poor districts of central vided the first structured training pro- London. grammes in children’s dentistry including orthodontics for new graduates. But he *Text of a lecture given by Malcolm Harris on failed to get on with George Hoyt Whipple December 17, 1998, on the occasion of the Eastman Jubilee 1948 -1998. the Dean of the new Rochester Medical 1 5 Malcolm Harris, Department of Oral and School and so his Dental Dispensary Maxillofacial Surgery Eastman Dental Institute, remained a children’s clinic which became George Eastman, 1900 University College, London WC1X 8LD the Eastman Dental Centre after Eastman’s © British Dental Journal 2000; 188: 647-652 BRITISH DENTAL JOURNAL, VOLUME 188 NO. 12, JUNE 24 2000 647 OPINION personal view Professor Frank Wilkinson interviewing a potential trainee By the time the Royal Free Clinic was Parfitt – Preventive Dentistry, Guy Morrant opened, Eastman was ill, in constant pain – Conservation and Clifford Ballard – and had great difficulty in moving. The He placed a towel over Orthodontics. The Institute also inherited Mayo Clinic gave a corporate diagnosis of Victor Goldman as a consultant anaes- atherosclerosis of the spinal cord, which his chest and shot thetist from the Royal Free. A key appoint- today with modern imaging would proba- himself on Monday 14 ment was the chief technician A E Denison, bly have been spinal stenosis. After many who established technicians courses, materi- weeks of careful reworking of his will, he March 1932. He left a als science development and taught clini- placed a towel over his chest and shot him- cians up until 1970. In 1949 a department self with a Luger pistol on Monday 14 message: ‘To my of pathology and microbiology was created March 1932. by Ivor Kramer and the first civilian oral He left a message: ‘To my friends, my friends, my work is hygienist school in the UK was opened by work is done. Why wait?’ He had donated done. Why wait?’ He Guy Poyton and Vera Creaton. £18 million to education, the arts and char- In 1950, as free primary dental care was itable causes had donated £18 available throughout the country, the East- man Clinic ceased to provide routine treat- The Institute of Dental Surgery and million to education, ment apart from retaining a casualty service Eastman Dental Hospital. and its name was changed to the Eastman Although Endicott6 the first director of the the arts and charitable Dental Hospital. Eastman and Ballard7 had both argued for a causes Deverell was a charming man and a multidisciplinary teaching clinic it was not highly competent consultant but could not achieved until 1947 and 1948 when the cope with the rapidly expanding educa- Eastman became independent of the Royal interfering with the main objects as set out tional structure of the Institute and so in Free and was established as the postgraduate above. 1950 Professor Frank Wilkinson was dental institute of the Postgraduate Medical The parallel establishment of the Faculty appointed Dean. Federation. of Dental Surgery in 1948 at the Royal Col- The Objects of the Institute were stated as lege of Surgeons by Professor Robert Brad- Professor Frank Wilkinson (1950 follows ; law, together with the creation of the Dental –1959) The training of consultants, specialists Fellowship examination were crucial to the Professor Frank Wilkinson was academi- and teachers, in various branches of den- future role of the Institute and Hospital in cally experienced and had been the Dean at tistry. To provide facilities for and encour- postgraduate dental education and training Melbourne and Manchester. He was age research by members of staff and throughout the country and world-wide. dynamic, did not suffer fools gladly but was students. To provide clinical and laboratory The director of the new Eastman Clinic, intensely loyal to his staff and trainees.9 He facilities and instruction for candidates Alan Deverell became the first Dean of the established a full range of departments working for higher degrees or diplomas. To Institute in1948 until 19508. In 1948 there including ‘Children’s’ run by RR (Dick) provide short courses for general practition- were only four heads of department: Stephens, his own department of Oral ers, in so far as it is possible to do so without George Cross – Periodontology, Gilbert Surgery, Prosthetics under John H Lee and 648 BRITISH DENTAL JOURNAL, VOLUME 188 NO. 12, JUNE 24 2000 OPINION personal view Health. He consolidated the international role of the Eastman as a postgraduate school and created a department of Oral Medicine. He also brought an avuncular eccentricity to the place. In 1967, in anticipation of the departure of the Royal Free, plans to rebuild the East- man on the St. Mary’s site started. This was supported by the Flowers report, although at least two years earlier there had been a proposal to build a multidisciplinary Hol- born Postgraduate Centre on the Royal Free site but there was not sufficient vision to wait for the area to be vacated.11 At the same time in 1968, the whole ethos of Eastman teaching changed with the introduction of MSc courses of the Univer- sity of London, which were to displace the long general subjects course for FDSRCS. These were degree programmes with a dis- sertation by research creating a new chal- lenge for students and staff alike. Professor Ivor Kramer (1970-1983) Ivor Kramer had served as deputy Dean since 1950 and was an ideal successor to the deanship. By 1978/1979, students now attended the Institute from 38 countries to be taught by a staff of 50. The MSc programmes had developed in numbers and length (Table 1). Professor Sir Robert Bradlaw as chairman of the first overseas primary fellowship Although superficially a period of calm examination held in Colombo in 1958. To his left is one of the successful candidates, educational development exemplified by Hardev Coonar who had come down from Amritsar to take the examination. the immaculate Kramer lectures, there was for the first time a strong undercurrent of Radiography under Frank Ingram. armed forces dental officers. change with the anticipated move to the St In 1950 there were 28 whole time stu- By 1956, a review showed at least 56 of Mary’s site. dents and trainees for Fellowship and spe- the previous six years students and trainees Kodak gave £100,000 to help establish cialist courses varying from six months to a had achieved significant appointments; five new research laboratories and the Post- year. Short courses were attended by 124 stu- had been appointed to Chairs, one reader, graduate Medical Federation was about to dents and the fees were collected in guineas.
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