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THE

ST. THOMAS'S HOSPITAL

GAZETTE.

VOLUME XVI.

1906.

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

ALL RIGHTS RESERVED.

CONTENTS.

A Casual Conversation, 106,

Meditations of a Microbe, 218,
Anæsthetic Technique for Operations on Mental Affections in General and Hos-
the Nose and Throat, 187.

pital Practice, 121.

Annual General Meeting of the Club, 243. Midwifery Practice of the present day

Annual Meeting of the R.F. Club, 158. and the training required for it, 1, 32.

A Pinful Incident, 80.
Athletic Sports, 159.

Obituary, 209, 229.

Ode in a Tavern, 242.

Books for Review, 25, 53, 113, 143, 171, Old Students' Dinner, 176.

203, 220, 242.

Old Students' News, 79, 89.

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

career for Young Medical Men, 68.

Club Notices, 25, 54, 82, 145, 164, 198, Operation in an Italian Hospital, 142.

222, 244.

Club Smoking Concert, 136.

College House Notes, 48.

Pierrot Songs, 49.

Correspondence, 148.

Presentation of the Treasurer's Portrait.

41.

Prize Giving, 153.

Editorial, 63.

Examination NowB, 27, 61, 86, 115, 150,
172, 206, 227, 248.

Some Field Notes on the Habits of the

Vulture, 110.

Some observations on the Breeding

Ground of the Common House Fly

From the Tablets of Zoderwiski, 47.

and a description of a Species of Moth

Fly, 214,

Some Theories concerning Muscle, 90.
Golf News, 107, 140, 161.

The Conversazione, 45.

The Dance, 157.
Hinc Illæ Lacrimæ, 60.

The Elements of Medicine of John

Hospital Notes, 23, 30, 64, 87, 118, 151,

Brown, M.D., 234.

173, 211, 232.

The Etiology of Epileptic and other

House Appointments, 49.

Convulsions, 238.

How to keep Cigars, 135.

How Wild Beasts die, 51.

The Knife, 20.

The Medical Courtship, 241.

The Present Status of Serotherapy in

Relation to Surgery, 8.

Inter-current Diseases from & Surgical The Spirit of Nations, 117.

Aspect, 192.

The Therapeutic Myth, 101.

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 November 30th,

by

J. S. FAIRBAIRN.

I.—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 tlatter 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.

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