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R MTHE Jobmu 82 Interesting That Among the Guests at the Dinner Next Wveek Will Be a Member of the Lettsom Family

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R MTHE Jobmu 82 Interesting That Among the Guests at the Dinner Next Wveek Will Be a Member of the Lettsom Family MIIAYI2, 1923) E,XCOHAN GE PRO SSORS. r MTHE JOBmu 82 interesting that among the guests at the dinner next wveek will be a member of the Lettsom family. Dr. John EXCHANGE PROFESSORS. Fothergill, though not a member of the Society, was a friend VISIT OF SIR HAROLD STILES TO BOSTON. and patron of Lettsom, who in 1784, soon after Fothergill's AN initerestinig precedent has been established by the death, founded a Fothergillian gold medal in his honour; the recent visit of the Regius Professor of Clinical Surgery at family will be represented at the dinner by Dr. Fothergill. Edinbur-gh University to Harvard to act temporarily in Among other guests are the presidents of the Royal Colleges the place of Professor Harvey Cushing. Sir Harold Stiles, of Surgeonis of England and of Ireland, of the British who lhas just resumed his regular duties in Edinburgh, Medical Association, of the Royal Society of Medicine, and carried out for the last fortnight of the Harvard sessioni of the Royal Academy; the Minister of Health, Professor the teachlinig in clinical surgery at Boston and the duties Sir Clifford Allbutt, and Professor of surgeoII to the Peter Bent Brigham Hospital in that Sir Archibald Garrod, city. The system of " exchange professors " has been in the Bishop of Birmingham, Sir John Goodwin, Sir William vogue at the Harvard School for eight years, and while Leishman, together with Sir Alfred Yarrow and many other Sir Harold Stiles was in temporary occupancy of the Chair representatives of science. of Surgery, Professor Connor, from Cornell University, New York, acted for a fortnight as " exchange professor" THE HOSPITAL POLICY OF THE ASSOCIATION. in Medicine. The practice is one which presents great WF publislh this week opportunities of new experience both to professor and at page 835 a letter from the studenits, and it is hoped that Edinburgh University may Clhairman of the Hospitals Committee of the Associatioln, show reciprocity by welcomiiing an American professor for anid at page 817 a short history of the events which have a short period to one of its chairs. brought the discussion of hospital policy to its present The Harvard Medical School presents some interesting, position. The correspondence has served a useful purpose coatrasts to the Edinburgh system. In the first place tlhe by enabling the protagoniists to put their divergent views number of students is limited to 120 entrants in each year. before the profession in their own words, but it canniot A furthelr process of selection is exercised by means of a profitably be continued. The next, if not the final, word preliminary science examination; the early science subjects is iiitlh the Representative Meeting at Portsmouth in are studied apart from medicine, and after the examinatioi July, whichl will have before it the report on the subject in these is passed the medical course proper lasts four in years. In addition to this at Harvard the entrants for embodied the Council's annual report published in the medicine are selected from those holding degrees of the best SUPPLEMENT of April 28th. recognized uniiversities in the States. As regards facilities for clinical study, Boston is par- THE Association of Surgeons of Great Britain and ticularly favoured by the large number of well equipped Ireland met in London on the last three days of last week; hospitals in the city. This is largely due to the fact that MIr. Raymond Johnson presided. The Association does all classes of the community have recourse to hospital for not permit publication of a report treatmenit and that the hospitals are well supported by the of its proceedings, wisely charges levied on the more affluent patients using them. nio doubt, in order to encourage freedom in debate and The Peter Bent Brigham Hospital contains 226 beds, and frankness in criticism. On Saturday morning demon- here the surgeon-in-chief and physician-in-chief respectively strations were given at the Royal College of Surgeons by are Professor Harvey Cushing and Professor Henry A. Sir Arthur Keith, F.R.S., and Professor S. G. Shattock, Christian of the Harvard Medical School. The Massa- F.R.S. chusetts General Hospital has 358 beds and the Boston City Hospital 1,209 beds. Between these three general hospitals THE Croonian lectures before the Royal College of the students are apportioned for clinical study and instruc- Physicians of London will be given by Professor J. B. tion and there are some ten affiliated special hospitals for Leathes, F.R.S., on the infectious diseases, mental diseases, diseases of the eye, subject of the part played by fats diseases of the ear and throat, diseases of children, etc., in vital phenomena. There will be four lectures, which where students may take the elective courses to be men- will be given at 5 p.m. on Tuesdays and Thursdays, tioned later. As examples of the extent of equipment it beginning on June 7th. may be mentioned that the teaching staff of professors, assistant professors, instructors, etc., on the active list of the Harvard Medical School numbers 102, and that in THE annual oration before the Medical Society of London the Boston City Hospital, besides the ordinary pathological will be given on Monday next, May 14th, at 9 p.m., by Dr. and x-ray laboratories, there are special laboratories for J. Walter Carr, who has taken for his subject " Life and the study of haematology, of asthma, of pneumonia, of Problems in a Medical Utopia." The guests will be received renal function including nephritis and diabetes, of physical by the President, Lord Dawson cf Penn, at 8.30, and the therapeutics, and of immunology. lecture wvill be followed by a conversazione. The method of whole-time appointments, towards whielh there was at one time a movement in America, is not carried out at the Harvard Medical School. The surgical staff of KIXG GEORGE V, when Prince of Wales, was an honorary the Peter Bent Brigham Hospital consists of the surgeon-in- Fellow of the Royal Society of Medicine. We announced chief, Dr. Harvey Cushing (who gives special attention to some time ago that the Prince of Wales, having consented surgery of the nervous system); the surgeons, Dr. David the Cheever and Dr. John Homans; the urological surgeon, Dr. to accept honorary fellowship, had been duly nominated William C. Quinby; and the surgeon for out-patients, Dr. and unanimously elected. On May 4th, at St. James's Elliott C. Cutler; in addition to their ordinary hospital Palace, he received the diploma at the hands of the presi- duties they have their private cases in the hospital also. dent, Sir. William Hale-White, who was accompanied by the They are assisted by associates and by five resident surgeons honiorary secretaries, Dr. A. M. H. Gray and Mr. Girlinig who live in the hospital; their ultimate intention is to Ball, and the secretary, Sir J. Y. W. MacAlister. specialize in surgery, and they hold the appointments inidefinitely but usually for a period of several years. Lastly there is a group of six recently graduated house officers who AMONXG those upon whom the University of Cambridge take the case histories, help at operations, and in the case wi'll shortly confer honorary degrees are Dr. W. H. Welch, of the two juniors, colloquially known as " pups," attend to director of the School of Hygiene, Johns Hopkins routine examinations such as that of the blood, urine, etc. Univer- A few words may be said next as to the means of mutual sity, Baltimore, anld Dr. J. T. MacCurdy, formlerly of the instruction practised by the staff; it forms a feature samne university, but no0W leCtUrer in1 psychopatholo0gy in1 muchl more distincetivte of American than of home hospitals. thle Unliversity of Cambridg;e. A Str'Onlg eff'ort is made to unify the staff by the utmost 828 MAY I2, 1923] MEDICAL NOTES IN PARLIAMENT. possible amount of co-operation and co-ordination. Thus all its miiembers, visiting and residlent, meet daily at lunch in JRttbtkral gotes itt 4 arliatett t. the common room. OG one day in each fortnight the whole [FROM OUR PARLIAMENTARY surgical staff go to the medical side of the hospital, where CORRE:SPONDKNT.] there is held a two-hour clinic and open discussion upon the borderland cases which have previously beeni carefully Mental Treatment BIll. worked up; and on a day in the intervening weeks the pro- SECOND READING DEBATE IN THE LORDS. cess is reversed and the medical staff receives a clinic in Statement for the Government. THE Earl of Onslow moved, on May 3rd, in the House of the surgical department. A similar arrangement is made at Lords, the second reading of the Mental Treatment Bill which intervals between the staff of the Peter Bent Brigham Hos- was introduced as a result of a conference arranged last year pital and that of the neighbouring Children's Hospital, by the Board of Control of chairmen of visiting committees, wh-lich is also a department of the Harvard Medical School. medical superintendents of mental hospitals, and a number Every Monday the radiographer spends an hour in demon- of specialists; the conference decided to ask the Government strating to the, assembled staff the radiograms produced to introduce legislation permitting treatment without certifica- during the preceding'week; and a similar critical demon- tion in institutions approved by the Board of Control. At stration is held once a week in the pathological departmenit. present the law as to lunacy might be divided into three definite All these in a well have parts. The first dealt with detention to prevent lunatics meetings equipped hospital the injuring themselves or other people; the second was devised inestimable advantage that the hospital affords'post-graduate for humane and proper treatment of such patients; and the instr;uction'to the staff as well as constituting a teaching third to secure their property against fraud or misappropria- centre for students.
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