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THE

ST. THOMAS'S HOSPITAL

GAZETTE.

VOLUME X VI.

1906.

LONDON :
SMITH & EBBS, LTD., NORTHUMBERLAND ALLEY, FENCHURCH STREET, E.C,

ALL RIGHTS RESERVED.

CONTENTS.

A Casual Conversation, 106,
Anästhetic Technique for Operations on

the Nose and Throat, 187.
Annual General Meeting of the Club, 243.
Annual Meeting of the R.F. Club, 158.
A Pinful Incident, 80.
Athletic Sports, 159.

Club Notices, 25, 54, 82, 145, 164, 198,

222, 244.

Club Smoking Concert, 136.

College House Notes, 48.

Correspondence, 148.

Golf News, 107, 140, 161.

Hinc Illæ Lacrimæ, 60.
Hospital Notes, 23, 30, 64, 87, 118, 151,

173, 211, 232.

House Appointments, 49.

How to keep Cigars, 135.

How Wild Beasts die, 51.

Inter-current Diseases from & Surgical

Aspect, 192.

Lilian Toy Competition, 46.

Meditations of a Microbe, 218,
Mental Affections in General and Hos-

pital Practice, 121.
Midwifery Practice of the present day

and the training required for it, 1, 32.

Obituary, 209, 229.

Ode in a Tavern, 242.

Old Students' Dinner, 176.

Old Students' News, 79, 89.

On the Prospects of the R.A.M.C. as a

career for Young Medical Men, 68.

Operation in an Italian Hospital, 142.

Pierrot Songs, 49.

Presentation of the Treasurer's Portrait.

41.

Prize Giving, 163.

Some Field Notes on the Habits of the

Vulture, 110.

Some observations on the_Breeding

Ground of the Common House Fly

and a description of a Species of Moth

Fly, 214,

Some Theories concerning Muscle, 90.

The Conversazione, 45.

The Dance, 157.

The Elements of Medicine of John

Brown, M.D., 234.

The Etiology of Epiloptic and other

Convulsions, 238.

The Knife, 20.

The Medical Courtship, 241.

The Present Status of Serotherapy in

Relation to Surgery, 8.

The Spirit of Nations, 117.

The Therapeutic Myth, 101.

Xmas in the Hospital, 18.

St. Thomas's hospital Gazette.

No. 1.

JANUARY, 1906.

Vol. XVI.

midwifery practice of the Present Day, and the training required for it. A paper read at the Medical & Physical Society on Norember 30th,

by
J. S. FAIRBAIRN.

1.—THE TRAINING OF THE STUDENT.

We can speak with some pride of the way our men are trained in medicine and surgery and in gynæcology, but we certainly cannot flatter ourselves in any way of our efforts to teach practical midwifery. This statement is not meant to apply to any one medical School, nor to any one part of the country. It is true equally of London, of the Provinces and of Scotland. Sir William Sinclair in an address given at Manchester some 18 months ago said, “In England the instruction of the medical student in practical midwifery remains simply deplorable. It is the most prominent defect in medical education in this country. It is a discredit to our intelligence, a reproach to our civilisation, and makes us a laughing stock to the foreigner. Strong, exaggerated, intemperate language ! Not at all. No articulate speech which I can command would be adequate to the situation.” To anyone who will contrast the prominent part which midwifery plays in the work of general practice with the trivial amount of clinical teaching given to the student, Sir William Sinclair's words will not appear in any way unreasonable.

The reason of the inferiority of our midwifery training is twofold:

(1) The system of training which has grown up in this country, which may be briefly described as letting the untrained and in. experienced student loose in a maternity district with scarcely any supervision, and trusting that he may gain a certain modicum of wisdom and experience without disaster to his patients.

A 2

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