In 1840 Professor Syme begged the Town Council of Edinburgh, who were then the recognized patrons of the University, to order the recognition of extra-mural classes, an argument for the innovation being “that one of the professors was so comparatively inefficient that many students, after paying his fee and obtaining his certificate of attendance, went to learn his subject elsewhere.” In 1842 the Town Council ordained that four Extra-Mural classes should be allowed to count for graduation,—the classes to be chosen by each student at his discretion. The Medical Faculty of the University refused to consent to this except on the condition that any student taking such classes should have a year added to his curriculum. The Town Council refused this condition, and the Senatus, supporting the Medical Faculty, referred the matter to the Court of Law. In 1850 judgment was given against the Senatus; they appealed to the Inner House, but the judgment was confirmed in 1852. An appeal was taken to the House of Lords, but again in 1854 the Town Council gained the day. In 1855 the regulations came into operation and have ever since remained in force.
APPENDIX E
LETTER TO THE TIMES IN REPLY TO MRS. GARRETT ANDERSON
“To the Editor of the Times.
Sir,—I have only just seen the letter from Dr. Garrett Anderson which you published on the 5th inst., and I venture to beg that you will allow me to point out my reasons for thinking she has selected the very worst of all the alternatives suggested, when she advises Englishwomen to go abroad for medical education.
In the first place, I think that Dr. Anderson assumes greatly too much in supposing that all the Scotch Universities are permanently closed to women by the recent decision, especially when notice has already been given in Parliament that a Scotch member will, at the beginning of next Session, bring in a Bill to enable those Universities both to teach and examine female students. Even if no such Bill were announced, it would, I suppose, be open to every Scotch University at this moment to obtain the necessary powers merely by application for the sanction of the Queen in Council, as it was repeatedly stated, both by the defenders in the late suit and by those Judges who gave decisions in their favour, that it was merely the absence of Royal authority for recent changes which rendered those changes illegal. I think there is very good ground to hope that this course may be taken by one or more of the other Universities, even if Edinburgh is content to rest quietly under the imputations on her good faith which can hardly be effaced in any other way.
Even if the Scotch Universities are left out of the question, those of Cambridge and London may well be expected to move in a matter like the present; or it would hardly seem unreasonable to hope that some of the surplus revenues in Ireland might be applied in one way or other to the solution of the present difficulty.
I think, moreover, that Mrs. Anderson concedes very much more than has yet been proved when she states that the examining bodies, such as the Colleges of Physicians and Surgeons, ‘have the power to refuse to admit women to their examinations and qualifications.’ That they have the will to do so may, I fear, only be too probable, but it is at least a very open question whether such power does lie in their hands. I have been assured on very good authority that this is not the case, and at any rate I believe no decision to that effect has ever been given by a Court of Law. Certainly the primâ facie assumption would be the other way. The Medical Act of 1858 in no way excludes women from the profession, and two women are actually registered under its provisions. It is, therefore, hardly credible, that when all candidates are by the Act required to submit to certain examinations, the Examining Boards should at their option be able to turn away all applicants who are not of the male sex, no mention of any such power being contained in the Act itself; nor, I think, need we assume even a desire to exclude women on the part of all the Examining Boards until application has been made to each individually; and this has never, so far as I am aware, been done at present.
I trust, therefore, that I have shown that Mrs. Anderson’s advice that all Englishwomen desiring to study medicine should at once expatriate themselves is premature in the extreme; I hope further to show that it is moreover radically erroneous in principle. Even if it should ultimately be proved (as is at present by no means the case) that women cannot obtain official examination in this country, and therefore cannot enter their names on the Register, it would still, I think, be very far from certain that their best plan was to seek such examination abroad, seeing that after having spent years of labour and much money they would, as regards legal recognition, be exactly as far as ever from gaining their end. Mrs. Anderson says that they would at least obtain ‘what is denied them in their own country, a first-class medical education.’ If it were true that such an education could not be got without going abroad, there would, no doubt, be much force in this argument, but I submit that this is not the case. Without stopping to consider the alternatives brought forward by your correspondent herself—the establishment of a new school for women or the purchase of one of the existing hospital schools—either of which seems to me infinitely preferable, Mrs. Anderson quite overlooks the fact that at this moment medical classes of first-rate quality can be obtained in Edinburgh in the Extra-Mural school (many of whose lecturers stand much higher than the University professors in public estimation),[[166]] and that with very little trouble a complete curriculum of medical study could be there arranged, without altering any of the existing conditions of affairs. The doors of the Edinburgh Royal Infirmary have also been thrown open to women, though under some restrictions, and excellent clinical instruction is given to them there by two of the best and most popular teachers in the city. Can any one doubt that when so much has been secured, and when every year promises increased facilities, it is infinitely better that Englishwomen should study medicine under the direction of their own countrymen, in their own language, and amid the social and hygienic conditions which will occur in their own future practice, rather than in a foreign land, from lecturers who teach in a strange language and in hospitals where all the arrangements and theories vary from those of this country, and where even the types of disease may be so far modified as greatly to lessen the value of the instruction for those who intend to practise medicine in Great Britain?
In point of fact, the question of medical education in this country may be already considered solved, even if we grant the necessity of attending lectures on every subject in the medical curriculum. It is, however, worth remark that many of the very first men in the profession are becoming more and more strongly in favour of free trade in study—i.e., of allowing every student to obtain his knowledge as he pleases, whether from books or from lectures, requiring only final evidence of satisfactory results. It may be that on investigation the present system will be found to rest rather on the ‘vested interests’ of teachers than on the needs of students, and, if so, the question of medical education for women will be still further simplified. At present, however, it is not needful to argue that question. I have shown that provision for the education of women after the present fashion is to a great extent already made, and that, for purposes of instruction at least, it is quite unnecessary for them to expatriate themselves.
With regard to examination, the case seems to me equally clear. No foreign diploma or degree is at present acknowledged as qualifying for registration in this country, and though it may be well for those who covet such ornamental honours to go through the examinations requisite to obtain them, I cannot see any ground on which it would be worth the while of most Englishwomen to live for years abroad to arrive at a result so eminently unpractical. We live under English law, and to English law we must conform, so far as lies in our power; if we are arbitrarily precluded from such compliance it is to the English Government that we must look for a remedy. I can imagine few things that would please our opponents better than to see one Englishwoman after another driven out of her own country to obtain medical education abroad, both because they know that, on her return after years of labour, she can claim no legal recognition whatever, and because they are equally certain that, so long as no means of education are provided at home, only a very small number of women will ever seek admission to the profession. I do not say that a woman may not be justified in going abroad for education if her circumstances make it imperative that she should as soon as possible enter upon medical practice; but I do say, and I most firmly believe, that every woman who consents to be thus exiled does more harm than can easily be calculated to the general cause of medical women in this country, and postpones indefinitely, so far as in her lies, the final and satisfactory solution of the whole question.