MINUTES OF EVIDENCE

1847 The Lancet  
in, and further examined. 856. Sir J. Graham.1-Is it not a matter of the last impartance, that in large cities and towns there should be consulting surgeons and physicians who have acquired greater eminence than the ordinary level, and who, in particular cases of great difficulty, may give advice founded upon their enlarged experience and knowledge ?-It is a great advantage to the public, that there should be men of that class, and it is of great advantage to our profession, that there should
more » ... that there should be men of that class. 857. Do you consider that the existence of the College of Physicians and the College of Surgeons in London does give security to the public of the permanent continuance of such men ?-I do; as far as I have had experience in the college, we have but one view, and that is, to maintain a high standard of education among that class of men who would take the rank of physicians. 858. Have such physicians and surgeons been wanting in London, Glasgow, and Edinburgh, throughout the last century, under existing institutions ?-They have not only not been wanting, but they have beenfou2id in large numbers. I have never resided in Edinburgh or Glasgow; I only know the gentlemen there by repute; but from their holding public appointments, such as professorships, and from their works, I estimate their abilities and their literary productions very highly. 859. Dr. Cullen and Dr. Gregory ?-Yes, and Drs. Abercrombie, Christison, and Alison. 860. Mr. Dennistonn.]-Do you know whether at this moment there is a single pure surgeon or physician in Glasgow?-l do not know anything about Glasgow, except that I have spent a few days there, to see the place. 861. Do you know Dr. Burns by reputation ?-Yes, I have heard of him, and I know his productions; he is highly esteemed. 862. Do you know that he is a medical practitioner?-I suppose he is; but I believe he holds an appointment as a professor. 863. Mr. Wakley.]-With reference to the questions which have been asked you, do you know whether it has ever been proposed in Parliament, that the minds of medical men should be equalized throughout the kingdom; has such a project ever been set on foot ?-I do not know whether it was intended that they should be stultified, or rarefied, or what, but I think such an idea can never have entered anybody's mind. 865-6. Do you think that the attainments of a general practitioner ought to be less than the attainments of a physician ?—Yes, in particular points. 867. Will you mention those; you have mentioned some: pathology ?—Yes, and the higher parts of physiology. 868. You mean minute physiology ? -Yes; and perhaps also in animal chemistry, and also in general literary knowledge particularly. 869. Have you with you the qualifications which you now require in the College of Physicians of your candidates ?-No, I have not. 870. Can you mention them to the committee?-I could obtain them for the committee ; there is an officer of the college I think in attendance, who might furnish them, if it was an important point. 871. Can you account for the education of the physicians being so superior from there not being more of them, and their being more sought after by the public ?-I think that they are sought after by the public. 873. What proportion do you suppose the physicians practising in London bear to the general practitioners ?-About one in ten perhaps. 874. Are half the phvsicians practising in London belonging to your college?-should think so; I do not of course know all who are practising, or anything like all who are not members of the college. 875. On what subject do you now examine the extra-licentiates, which are not included in the examinations at Apothecaries' Hall 1-1 have nothing to do with the examinations of the extra-licentiates; I was never present at any examination of an extra-licentiate, and therefore I cannot answer the question. 877. Do you examine the licentiates?-Yes. 878. On what subjects are the licentiates examined, which are not included in the examinations at Apothecaries' Hall ?-They are examined as to their literary qualifications much more extensively; and they are examined as to their previous education. 879. What is the extent of their examination relative to general literature they have placed before them, for three successive days, passages from Latin and Greek authors, which they are required to translate, and they are also required to answer one of the questions in Latin on paper; and they have also three vivid voce or oral examinations, when some medical classical work is placed before them, either a Latin or Greek classic; and in each of those examinations, they are required to translate passages in the presence of the president and the censors; and also, in the course of the examination, the president and censors, whenever they think proper, put a question in Latin, and require an answer in Latin. 880. With regard to general literature, the examination merely refers to a knowledge of the two dead languages ?-Only that; we judge of their knowledge of the English language, of course, from their composition in their replies to the questions. 881. One question is answered in Latin ?—Yes; they are told to answer one question in Latin in the written answers, and they may have an indefinite number of questions in Latin in the oral examination. 882. It is stated that occasionally in the oral examination, a question is put in Latin of only three or four words, and that the answer is equally short ?-The question may be very long, and if it is understood, the answer to it may be very short; or the question may be very short, and the answerlong, where the individual is told to describe a particular thing. 883. To what extent does your examination go in anatomy? -It goes to the very deepest subjects in anatomy; to what is called general anatomy and microscopic anatomy, and also to animal chemistry as part of anatomy. 884. Do you think that the examiners would reject any candidate in consequence of his deficiency in a knowledge of anatomy ?—Yes; I remember one very recently, who was re" jected on account of his want of a knowledge of anatomy: but we seldom reject a candidate on account of his want of knowledge upon one subject; we give the man a chance by, examining him upon other points, in order to see whether he has a profound knowledge on those other subjects. 885. Had not the person who was rejected recently, been long engaged in practice ?-We have recently rejected a gentleman, but I do not know if he had been for some time engaged in practice. 886. Was he an extra-licentiate ?-Yes, he was an extralicentiate when he came before the censors. 887. He is now by the college admitted to be qualified to practise beyond seven miles from London, but the college has also declared him to be disqualified from practising within seven miles of London ?-The college did not declare him to be qualified to practise beyond seven miles of London, because the elects are quite separate from the college; they are not elected by the college; the college have no control. over them. 888. The elects are an examining body?-Yes; they are constituted by the Act confirming the charter an examining body. 889. How many are there 3-Eight : but the examining body constituted by the college are the president and censors. 890. Does the president sit at the Board when the examination is conducted before the elects ?-I was never present; but I believe he usually does, but not always. 891. Then a gentleman examined by the elects, and who had obtained his licence to practise, has been rejected by the censors as not being qualified to practise ?-I am not aware that he had been for years in practice in London. I did not know the individual that I presume you allude to, before he anneared a tthe censnrR' board.
doi:10.1016/s0140-6736(02)87479-7 fatcat:hkz6dodutja5rbptreaoc53p7q