the entries at the medical schools

1
1155 .inquire into the matter. This sub-committee brought up a report in May which was referred back, and finally the amended report came up on Oct. 12th. The report as printed in the Coveittry Herald was as follows:- The sub-committee ascertained from the representatives of the working men’s committee that the answers to the questions which were previously submitted to them were given somewhat under a mis- apprehension and amended answers to Questions 1 and 3 have now been given. The questions with the original and amended answers are as tallows :- Question.-l. If a man who subscribes to the Hospital Saturday Fund and earning, say, e3 or E4 per week, applied for a ticket from his works, would he be granted one ? Answer.-No answer could be given. Amended answer.-No. Question.-3. The sub-committee suggest making inquiries as to the position of candidates (say for one month) who it is considered can well afford to pay a medical man, and ask if the members of the Hospital Saturday Committee are willing to assist them in obtaining the necessary information. Answer.-They could not entertain the suggestion. Amended Answer.-The matter will now be taken in hand and inquiries made as suggested in the question. Following up the undertaking given by them, the working men’s committee have held an inquiry and investigated all the out-patient cases treated at the hospital between May 21st and June 30th, and i have submitted a report thereon to your sub-committee. ! During the period investigated by the working man’s committee the number of out-patients treated was as follows:-By ticket, 70 ; without ticket, 126. Special departments: by ticket, 37 ; without ticket, 27. From the report it would appear that 30 cases were kept back for strict inquiry which upon investigation it was thought would probably be found to be instances of hospital abuse. The cases were reported upon by various members of the committee, and only 2 cases were dis- covered which, in the opinion of the working men’s committee, were such as should not have been treated at the hospital. The sub- committee do not consider the report of the working men’s committee .as regards the abuse to be conclusive, as it must be admitted that in many cases the patients were in receipt of wages sufficient to enable them to pay to a dispensary, a medical service, or a club. This view has been expressed and upheld by the honorary medical staff, who from their position are well able to judge as to the suitability of the cases which come before them for hospital treatment. With reference to the cases treated without a ticket, the sub- committee believe that a very large proportion of those patients could ,have obtained a ticket if they had thought proper to have taken the trouble to do so, and having regard to this fact the sub-committee .recommend: " That on and atter lst November next every patient be required to present a ticket before receiving treatment, excepting in the case of simple teeth extractions for children under twelve, accidents, and such acute medical cases as require immediate help, and .as to the latter cases after first aid they should be required to obtain the necessary tickets for subsequent treatment." The sub-committee have revised the existing ticket and recommend that the ticket as revised should be brought into use concurrently with the previous recommendation. The sub-committee believe that the .strict enforcement of the ticket system will be productive of great good to the hospital by causing its benefits to be more strictly contined tc deserving cases. It is hoped that the subscribers, the managers oi ’workshops and of the philanthropic institutions, and all who havE tickets at their disposal will do all in their power to carry out thE instructions and regulations on the tickets. The chairman moved the adoption of the report, which .motion was eventually carried. It will be seen from the report that a revised ticket is to be issued, and those who give away the tickets are to be requested to see that they only .select fit objects for charitable relief. The medical staff as .a whole appear to incline to the belief that the ticket system is a wrong one. This is certainly our own opinion, for in general for one subscriber who looks after the proper distribution of his or her tickets there are fifty who do not. Even if this system were to be altogether done away with there remains the question of the right of workmen to hospital relief, however high their wages, on account of the Id. per week subscription. So there appears to exist this dilemma. If the ld. per week is to be, as it should be, looked upon as a mere subscription and not as entitling the giver of necessity to relief, the Saturday collections will diminish very greatly. If it is to be looked upon as entitling the givers to treatment as in a provident dispensary, then the medical staff of the hospital will have to be paid and in that case the appointment of hospital surgeon or physician should be open to every medical man in the town simply on account of his being a practising medical man in Coventry. THE ENTRIES AT THE MEDICAL SCHOOLS. THE following table, the figures of which have been supplied to us by the courtesy of the deans of the various .schools and medical faculties, will give some idea of the number of students who have decided to enter the medical profession this year. The first column of the table is that to which particular attention should be directed as it shows the number of students who have entered for the full course of medical study. The other columns are of interest, and especially that relating to dental students, but the gross totals both for the present and past medical sessions only tend to show the relative popularity of the various schools. It should be pointed out that last year’s totals at King’s College and the London School of Medicine for Women show the total number of full students only. With regard to St. George’s Medical School the figures do not include students who have entered for a course of tropical medicine. Under the agree- ment whereby joint cards of admission are issued to the clinical instruction of the following hospitals and schools of medicine-viz., Charing-cross, Guy’s, King’s College, Middlesex, St. George’s, St. Mary’s, St. Thomas’s, Univer- sity College, and Westminster-42 qualified men have entered since the 1st of May of this year-that is to say, i5 from the United Kingdom, 12 from the colonies, and 15 from foreign countries. These figures, which belong to the " special courses column of the table, cannot, of course, be placed against the name of any one school. They should, however, be taken note of in making comparisons. ENTRIES FOR THE YEAR 1898-99. London. University College of South Wales and Monmouthshire, Cardiff, sent in their figures too late to be included in the above table. Those figures are as follows: Full students, 15 ; special course students, 4; prelim. sci. students, 13-total 32. NEW INFECTIOUS DISEASES SANATORIUM AT HUDDERSFIELD. TWENTY years ago the Huddersfield Corporation began to exercise the powers they had obtained for the establishment of an infectious diseases hospital. On Jan. 1st, 1878, 15 cases were under treatment and 163 patients passed through the hospital during that year. During 1897 the number of patients under treatment reached 700. The progressive demands upon the resources of an inadequate and out-of-date building have led to the erection of a " sanatorium," which was formally opened by Sir William Broadbent, himself a native of Huddersfield, on Oct. 22nd. The sanatorium has been built from the plans of Messrs. Edward Thomas and Sons, Queen Anne’s-gate, S.W., in competition with 144 other architects. An examination of the hospital is alone necessary to confirm the encomiums of Sir William Broadbent when he said at the opening ceremony that everything connected with it met with his entire approval. The plan may be concisely described as a long

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1155

.inquire into the matter. This sub-committee brought up areport in May which was referred back, and finally theamended report came up on Oct. 12th. The report as printedin the Coveittry Herald was as follows:-The sub-committee ascertained from the representatives of the

working men’s committee that the answers to the questions whichwere previously submitted to them were given somewhat under a mis-apprehension and amended answers to Questions 1 and 3 have now beengiven. The questions with the original and amended answers are astallows :-

Question.-l. If a man who subscribes to the Hospital Saturday Fundand earning, say, e3 or E4 per week, applied for a ticket from hisworks, would he be granted one ?Answer.-No answer could be given.Amended answer.-No.Question.-3. The sub-committee suggest making inquiries as to the

position of candidates (say for one month) who it is considered canwell afford to pay a medical man, and ask if the members of theHospital Saturday Committee are willing to assist them in obtainingthe necessary information.Answer.-They could not entertain the suggestion.Amended Answer.-The matter will now be taken in hand and

inquiries made as suggested in the question.Following up the undertaking given by them, the working men’s

committee have held an inquiry and investigated all the out-patientcases treated at the hospital between May 21st and June 30th, and ihave submitted a report thereon to your sub-committee.

!

During the period investigated by the working man’s committee thenumber of out-patients treated was as follows:-By ticket, 70 ; withoutticket, 126. Special departments: by ticket, 37 ; without ticket, 27.From the report it would appear that 30 cases were kept back for strictinquiry which upon investigation it was thought would probably befound to be instances of hospital abuse. The cases were reported uponby various members of the committee, and only 2 cases were dis-covered which, in the opinion of the working men’s committee, weresuch as should not have been treated at the hospital. The sub-committee do not consider the report of the working men’s committee.as regards the abuse to be conclusive, as it must be admitted that inmany cases the patients were in receipt of wages sufficient to enablethem to pay to a dispensary, a medical service, or a club. This view hasbeen expressed and upheld by the honorary medical staff, who fromtheir position are well able to judge as to the suitability of the caseswhich come before them for hospital treatment.With reference to the cases treated without a ticket, the sub-

committee believe that a very large proportion of those patients could,have obtained a ticket if they had thought proper to have taken thetrouble to do so, and having regard to this fact the sub-committee.recommend: " That on and atter lst November next every patient berequired to present a ticket before receiving treatment, excepting inthe case of simple teeth extractions for children under twelve,accidents, and such acute medical cases as require immediate help, and.as to the latter cases after first aid they should be required to obtainthe necessary tickets for subsequent treatment."The sub-committee have revised the existing ticket and recommend

that the ticket as revised should be brought into use concurrently withthe previous recommendation. The sub-committee believe that the.strict enforcement of the ticket system will be productive of great goodto the hospital by causing its benefits to be more strictly contined tcdeserving cases. It is hoped that the subscribers, the managers oi’workshops and of the philanthropic institutions, and all who havEtickets at their disposal will do all in their power to carry out thEinstructions and regulations on the tickets.

The chairman moved the adoption of the report, which.motion was eventually carried. It will be seen from the

report that a revised ticket is to be issued, and those whogive away the tickets are to be requested to see that they only.select fit objects for charitable relief. The medical staff as.a whole appear to incline to the belief that the ticket systemis a wrong one. This is certainly our own opinion, for ingeneral for one subscriber who looks after the properdistribution of his or her tickets there are fifty who do not.Even if this system were to be altogether done away withthere remains the question of the right of workmen tohospital relief, however high their wages, on account of theId. per week subscription. So there appears to exist thisdilemma. If the ld. per week is to be, as it should be,looked upon as a mere subscription and not as entitling thegiver of necessity to relief, the Saturday collections willdiminish very greatly. If it is to be looked upon as entitlingthe givers to treatment as in a provident dispensary, then themedical staff of the hospital will have to be paid and in thatcase the appointment of hospital surgeon or physician shouldbe open to every medical man in the town simply on accountof his being a practising medical man in Coventry.

THE ENTRIES AT THE MEDICAL SCHOOLS.

THE following table, the figures of which have been

supplied to us by the courtesy of the deans of the various.schools and medical faculties, will give some idea of thenumber of students who have decided to enter the medical

profession this year. The first column of the table is that towhich particular attention should be directed as it shows the

number of students who have entered for the full course ofmedical study. The other columns are of interest, andespecially that relating to dental students, but the grosstotals both for the present and past medical sessions onlytend to show the relative popularity of the various schools. Itshould be pointed out that last year’s totals at King’s Collegeand the London School of Medicine for Women show the totalnumber of full students only. With regard to St. George’sMedical School the figures do not include students who haveentered for a course of tropical medicine. Under the agree-ment whereby joint cards of admission are issued to theclinical instruction of the following hospitals and schoolsof medicine-viz., Charing-cross, Guy’s, King’s College,Middlesex, St. George’s, St. Mary’s, St. Thomas’s, Univer-sity College, and Westminster-42 qualified men haveentered since the 1st of May of this year-that is to say,i5 from the United Kingdom, 12 from the colonies, and15 from foreign countries. These figures, which belong to the" special courses column of the table, cannot, of course, beplaced against the name of any one school. They should,however, be taken note of in making comparisons.

ENTRIES FOR THE YEAR 1898-99.London.

University College of South Wales and Monmouthshire, Cardiff, sentin their figures too late to be included in the above table. Those figuresare as follows: Full students, 15 ; special course students, 4; prelim.sci. students, 13-total 32.

NEW INFECTIOUS DISEASES SANATORIUMAT HUDDERSFIELD.

TWENTY years ago the Huddersfield Corporation began toexercise the powers they had obtained for the establishmentof an infectious diseases hospital. On Jan. 1st, 1878, 15cases were under treatment and 163 patients passed throughthe hospital during that year. During 1897 the number ofpatients under treatment reached 700. The progressivedemands upon the resources of an inadequate and out-of-datebuilding have led to the erection of a " sanatorium," whichwas formally opened by Sir William Broadbent, himself anative of Huddersfield, on Oct. 22nd.The sanatorium has been built from the plans of Messrs.

Edward Thomas and Sons, Queen Anne’s-gate, S.W., incompetition with 144 other architects. An examination ofthe hospital is alone necessary to confirm the encomiums ofSir William Broadbent when he said at the opening ceremonythat everything connected with it met with his entireapproval. The plan may be concisely described as a long