LONDON UNIVERSITY, BURLINGTON GARDENS.

The Preliminary Scientific Examination is the most abused of all, but in making a knowledge of natural philosophy, chemistry, and biology precede the study of anatomy and physiology the University of London is undoubtedly right, and there are signs that the other examining bodies are coming round to the same opinion. Of the final examination I need say nothing. There are those who say (even eminent persons, and notably one Aberdeen graduate) that the effect of the University of London has not been good, and that the medical graduates are not “practical” men. This assertion is too ridiculous to require an answer, for it is notorious that the London medical graduates have had more than their fair share in all the practical advances made by medicine in the last half century; and in medicine, surgery, midwifery, and public health they have more than held their own. It is very possible that a scientific training makes it rather difficult for a conscientious man to be dogmatic, and until the public is more highly educated than at present, the dogmatic practitioner is sure to have a large clientèle and will pass for a practical man. Scientific medicine has made enormous advances; but for a knowledge of the little arts, not always honest arts, which tend to increase our gains, John of Arderne was quite equal to any practitioner of the present day. He was, in one sense, pre-eminently a practical man, but whether we should do well to imitate him is more than doubtful.

LONDON AS A PLACE OF STUDY.

There can be no doubt that, as a place to study medicine, London is, because of its enormous population, unrivalled.

In the year 1887, according to The Hospital, there were treated at the London hospitals and dispensaries 79,261 in-patients and 1,180,251 out-patients, or a total of over one million and a quarter, exclusive of those who received relief at the workhouse infirmaries, sick asylums, and lunatic asylums. It is true that a considerable portion of these patients are not so readily available for the student as they might be. The following are the numbers of patients (according to The Hospital) treated at the hospitals attached to medical schools in 1887:—

In-patients.Out-patients.Total.
St. Bartholomew’s6,000150,000 156,000 
London8,26095,760104,020 
University College2,96444,38247,346
Guy’s5,20438,00443,208
Middlesex2,41327,71430,127
St. Mary’s3,31526,63729,952
St. Thomas’s4,64325,00029,643
Westminster2,58020,91223,492
Charing Cross1,68620,30621,992
King’s College1,81117,24819,059
Total38,876 465,963 504,839 

This gives a total of 1,386 different patients for every day throughout the year. It is certain that no city in the world offers a field for medical study in any way equal to that of London. I think it is much to be regretted that, for qualified men, a composition ticket admitting freely to the practice of all the hospitals in London is not arranged for. If such a ticket were issued, and qualified men anxious to prolong their studies might, in return for a payment, feel themselves free to visit any or all of the great London hospitals, there can be no doubt that we should have a great afflux of students. I very much doubt the wisdom of the policy of trying to attract numbers of students by lowering the examination tests for a degree. This is an educational age, and we must not forget that some of the boys at the Board Schools have possibly a juster notion of physiology than had many of our professional ancestors. Science is being taught to all more and more every day. The druggist is now a highly-educated man, and nurses are being drawn more and more from the educated classes. If the medical profession is to hold its own and to grow in popular esteem, it must be chary about lowering its educational standards at a time when the education of all classes is advancing.

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