* A

3-0

i0 *0 X~Sqa^

THE

POSTGRADUATEMEDICAL JOURNAL

VOLUME 33 NUMBER 382 AUGUST 1957

CONTENTSP'AE

EDITORIAL 371SURGICAL ENDOCRINE ABLATION FOR ADVANCED BREAST CANCER

A. P. iI. Forrest, B.Sc., Ch.iMi., F.('.R.S. 372ANTICOAGULANTS IN RECONSTRUCTIVE 'VASCULAR SURGERY

The Staff of the Angiology Service of the 'Lila Hidalgo' Hospital, Cuba 383THEJUG;U LAR VENOUS PULSE D. S. Short, M.D., M.R.C.P. 389CRITICAL EVALUATION OF THE EFFICACY OF NEW DRUGS J. H. Pannekoek, M.D. 396ANGIOIMYXOMIA OF THE LEFT AURICLE: REPORT OF A CASE

R. H. B. Protheroe, M.A., M.D. 402

SEUDOMIEMIBRANOUS ENTEROCOLITIS WITH JEJUNAL PERFORATIONASSOCIATED \WITH CL. WELCHII INFECTION

W. Brumfitt, M.B., M.R.C.P., and E. A. Wright, M1.D., M.R.'.P. 408TRAUMIATIC INJURY TO THE HIEART DUE TO BLUNT FORCE

B. S. Dhillon, F.R.C.S. 412BOOK REVNIEWS 416BOOKS RECEIVED 423POSTGRADUA'TE NEWS 424

All rights reserved. No part of this journal may be reproducedin any form without permission in writing from the publishers.

EDITORProf. C. G. Rob, M.C., M.CHIR., F.R.C.S.

ADVISORY EDITORIAL BOARDMichael Ashby, B.M., M.R.C.P. David Levi, M.S., F.R.C.S.R. I. S. Bayliss, M.D., F.R.C.P. A. A. G. Lewis, M.D., M.R.C.P.Maurice Davidson, D.M., F.R.C.P. K. I. Nissen, F.R.C.S.Colin Edwards, M.B., M.R.C.P. G. S. W. Organe, M.D., F.F.A.R.C.S.F. Dudley Hart, M.D., F.R.C.P. R. J. V. Pulvertaft, O.B.E., M.D., F.R.C.P.L. P. Le Quesne, D.M., F.R.C.S. R. Bodlev Scott, D.M., F.R.C.P.

W. Somerville, M.D., F.R.C.P.Editorial Representative for Australia: Clive Fitts, M.D.(Melb.), F.R.C.P.(London), F.R.A.C.P.

Editorial Representative for Ceylon: M. M. A. Cader, M.S.(Lond.)Editorial Representative for South Africa: Arthur J. Helfet, M.D., F.R.C.S.

PUBLISHERSThe Fellowship of Postgraduate Medicine, 60 Portland Place, London, W.l.

394 POSTGRADUATE MEDICAL JOURNAL August I957

BIBLIOGRAPHYABRAHAMS, D. G., and WOOD, P. (I95 ), Brit. Heart`Y., I3, 519.BLOOMFIELD, R. A., LAUSON, H. D., COURNAND, A.,

BREED, E. S., and RICHARDS, D. W., jun. (I946), J. clin.Invest., 25, 639.

BORST, J. G. G., and MOLHUYSEN, J. A. (I952), Lancet, ii, 304.FRIEDREICH, N. (i866), Dtsch. Arch. klin. Med., I, 241.HALES, S. (x733), 'Statical Essays: Containing Haemastaticks;

or, an account of some Hydraulic and Hydrostatical Experi-ments, made on the Blood and Blood-Vessels of Animals.'W. Innys and R. Manby, London.

KEITH, A. (i908), J. Anat. and Physiol., 42, I.LAUBRY, CH., and PEZZI, C. (1913), Arch. Mal. Coeur, 6, 433.LANCISI, G. M. (1728), 'De Motu Cordis et Aneurysmatibus,'

Rome.LEWIS, T. (193o), Brit. med. Y., i, 849.

LEWIS, T. (I948), Diseases of the Heart,' Macmillan & Co. Ltd.,London, 4th Edition.

MACKENZIE, J. (I893), J. Path. Bact., 2, 84 and 273.MACKENZIE, J. (1902), 'The Study of the Pulse,' Young J.

Pentland, Edinburgh and London.MORITZ, F., and VON TABORA, D. (I9Io), Dtsch. Arch. klin.

Med., 98, 475.MOUNSEY, J. P. D. (I955)j Brit. Heart J., x7, I43.POTAIN, P. C. E. (I867), Bul . Soc. Mid. Paris, 4, 3.SZEKELY, P. (I94I), Amer. Heart J., 22, 360.WIGGERS, C. J. (1928), 'The Pressure Pulses in the Cardio-

vascular System,' Longmans Green & Co., London.WIGGERS, C. J. (1949), 'Physiology in Health and Disease,'

Henry Kimpton, London, 5th Edition, p. 685.WOOD, P. (I950), Brit. Med. J., 2, 639 and 693.WOOD, P. (1956), 'Diseases of the Heart and Circulation,' Eyre

and Spottiswoode, London.

Bibliography continued from page 382: Surgical Endocrine Ablation for Advanced Breast CancerLUFT, R. (1957), Edinburgh University Lecture.LUFT, R., and OLIVECRONA, H. (1953), J. Neurosurg., IO, 301.LUFT, R., OLIVECRONA, H., and SJORGEN, B. (1952).

Nord. med., 47, 35I.LUFT, R., OLIVECRONA, H., IKKOS, D., NILSSON, L. B.,

and LJUNGGREN, H. (I956), Amer. J. Med., 2I, 728.MALLARD, J. R., MCKINNELL, A., and FRANCOIS, P. E.

(1956), Nature, 178, I240.MATSON, D. D. (1956), Symposium on Hypophysectomy, Sloan-

Kettering Institute. To be published.MCKENZIE, A. (1955), Lanret, ii, 1129.NATHANSON, I. R., RICE, C., and MEIGS, J. V. (I940), Amer.

j. Obstet. Gynec., 40, 936.NICKSON, J. J. (1956), Symposium on Hypophysectomy, Sloan-

Kettering Institute. To be published.NORTHFIELD, D. W. C. (I949), Proc. roy. Soc. Med., 42, 845.NORTHFIELD, D. W. C. ('957), Discussion Roy. Soc. Med.,

March, 1957.NOTTER, G. (I957), Personal communication.PATTI SON, A. R. D., and SWAN, W. G. A. (1938), Lanct, i, 1265.PEARSON, O. H. (i956), Proceedings of the Fourth Conference in

Steroid Hormones and Mammary Cancer, Council on Pharmacyand Chemistry, 1956.

PEARSON, O. H., RAY, B. S., WEST, C. D., HAROLD, C. C.,MACLEAN, J. P., and LI, M. C. (I954), . clin. Invest., 33, 956.

PEARSON, O. H, WEST, C. D., LI, M. C., MACLEAN, J. P.,and TREVES, N. (I955a), A.M.A. Arch. Int. Med., 95, 357.

PEARSON, O. H., WEST, C. D., MACLEAN, J. P., LI, M. C.,and LIPSETT, M. B. (I955b), Amer. Surgeon, 21, 1075.

PEARSON, O. H., RAY, B. S, HAROLD, C. C., LI, M. C.,MACLEAN, J. P., and LIPSETT M. B. (t956), J.A.M.A.,I6I, I7.

PERLIA, C. P., KOFMAN, S., NAGAMANI, D., and TAYLOR,S. G. (I956), Ann. Int. Med., 45, 989.

RADLEY SMITH, E. T. (I957), Discussion Roy. Soc. Med.. I957.RASMUSSEN, T, HARPER, P. V., and KENNEDY, T.,

Surgical Forum, 1952. Philadelphia, W. B. Saunders Co.,1953, p. 68i.

RAY, B S. (1956), Symposium on Hypophysectomy, Sloan-Kettering Institute. To be published.

ROTH, M. (1889), (or-BI. f. schweitz. Aertze., I9, 146. (Cited byFalls, 1955.)

ROTHENBERG, S. F., JAFFE, H. L., PUTNAM, T. J., andSIMKIN, B. (I955), A.M.A. Arch. Neurol. Psych., 73, I93.

RUSSELL, D. S. (1956), Lancet. i, 466.SHEEHAN, H. L., and SUMMERS, V. K (1949) Quart. J. Med.,

I8, 319STRONG, J. A, BROWN, J. B., BRUCE, J., DOUGLAS, M.,

KLOPPER, A. I., and LORAINE, J A. (1956), Lancet, ii, 955.TAYLOR, S. G , LI, M. C., ECKLES, N., SLAUGHTER, D. P.,

and MCDONALD, J. H. (1953), Cancer, 6, 907.TREVES, N. (1956), Proceedings of the Fourth Conference in

Steroid Hormones and Mammary Cancer, Council on Phar-macy and Chemistry, I956.

\VEST, C. D., HOLLANDER, V. P., WHITMORE, W. F.,RANDALI,, H. T., and PEARSON, O. H. (1952), Cancer, 5,1009.

YUHL, E. T., HARPER, P. V., RASMUSSEN, T., and BER-GENSTAL, D. M, Surgical Forum, 1955, Chicago, W. BSaunders C(o.. o5;6, p. 48(0

References from page ?88: Anticoagulants in Reconstructive SurgervREFERENCES

i. DEGNI, II., and LANFRANCHI, W. (1954), HeparinizacaoRegional: Vantagens o Desvantagens-Anais do SegundoCongresso Latino-Americano de Angiologia.

2. FREEMAN, L. E., WYLIE, E. J., and GILFILLAN, R. (I950),'Regional Heparinization in Vascular Surgery,' Slrg. Gynec.Obst., 90, 406, 412.

3. FREEMAN, N. E., and GILFILLAN, R. (1952), 'RegionalHeparinization after Thromboendarterectomy in the Treatmentof Obliterative Arterial Disease,' Surgery, 31, I 15.

4. MURRAY, D. NIV., and BEST (1938), 'Use of Heparin inThrombosis,' Ann. SuIrg., Io8, I63, I77.

5. MURRAY, D. WV., GORDON, and JAMES, J. M. (I940),Prevention of Acute Failure of Circulation Following Injuries

to Large Arteries,' Brit. med. J., ii, 6, 7.

6. WYLIE, E. J., GARDNER, R., JOHANSEN, R:, andMcCORKLE, H. (I950), 'An Experiment of RegionalHeparinization,' Surgery, 28, 29, 35.

zaeA o

SUMMER EXHIBITION

July II to August 23, 1957Although the Ilford Department of Radiography

and Medical Photography is well known as a placeof interest to the many visitors who enter itsdoors, this year a special effort is being made toadd to its technical appeal by holding a summerexhibition.The exhibition will include many attractive

features embracing a wide range of radiographs

of technical and diagnostic interest, practicaldemonstrations of some of the more unusual tech-nical procedures and items of special photographicappeal.Well-known members of the technical staff will

be available for discussions and for the specialdemonstration features.The exhibition, to be held at Tavistock House

North, Tavistock Square, will be for all users ofX-ray and photographic materials and visitors cananticipate a cordial welcome.

423

C§o'ak)dreceive~The Editorial Board acknowledge with thanks recept of the followingvolumes. A selection from these will be made for review.

'British Medical Bulletin Symposium on Phys-iology and Pathology of the Kidney.' Volume I3.London: British Medical Bulletin. I957.

'Cytologic Technics for Office and Clinic.' ByH. E. Nieburgs, M.D. Pp. viii + 233, with I7Iillustrations. New York and London: Grune &Stratton, Inc. I956. $7.75.

' Gastro-Duodenal Ulcer.' By J.-Jacques Spira.Pp. xvi + 549, with 27 illustrations. London:Butterworth & Co. Ltd. I956. 73s. 6d.'Symptoms and Signs in Clinical Medicine.' By

E. Noble Chamberlain, M.D., M.Sc., F.R.C.P.6th edition. Pp. vii + 5o8, with 374 illustrations,i9 in colour. Bristol: John Wright & Sons Ltd.1957- 35s.'Contemporary Rheumatology.' Edited by J.

Goslings, and H. Van Sway. Pp. xix + 683,illustrated. London: Cleaver-Hume Press Ltd.I956. 95s.

'Cleft Lip and Palate.' By W. G. Holdsworth,F.R.C.S. Pp. xi + I87, with I46 illustrations.London: William Heinemann Ltd. I957. 42s.

'Injuries of the Hand.' By R. J. Furlong,F.R.C.S. Pp. vii + 215, with 99 illustrations.London: J. & A. Churchill Ltd. 1957. 36s.

'Fundamentals of Clinical Fluoroscopy.' ByC. B. Storch, M.D. 2nd edition. Pp. xiii + 305,with 318 illustrations. New York and London:Grune & Stratton Inc. I956. $8.75.'General Urology.' By D. R. Smith, M.D.

Pp. 326, illustrated. Los Altos: Lange MedicalPublications. 1957. 4.50.

'Operative Surgery. Volume III.' Rectum andAnus. Thorax.' Edited by Charles Rob, M.C.,M.Chir., F.R.C.S., and Rodney Smith, M.S.,F.R.C.S. Pp. xii + 215, illustrated. London:Butterworth & Co. Ltd. 1957. £5 Ios.'The Cytology of Effusions.' By A. I. Spriggs,

D.M., M.R.C.P. Pp: 71, with 39 illustrations and5 plates in colour. London: William HeinemannLtd. 1957. 428.

'Physiology of Gastric Digestion.' By A. H.James, D.M., M.D., B.Ch., M.R.C.P. Pp. xi +192. London: Edward Arnold Ltd. 1957. 28s.

'Aids to Osteology.' By N. L. Eckhoff, M.S.,F.R.C.S., and J. Joseph, M.D., M.R.C.O.G. 6thedition. Pp. viii + 194, with 42 diagrams. London:Baillitre, Tindall & Cox Ltd. 1957. Ios. 6d.

'Physical Methods in Physiology.' By W. T.Catton, M.Sc. Pp. xi + 375, illustrated. London:Sir Isaac Pitman & Sons Ltd. I957. 42s.'The Breasts and Breast Feeding.' By Harold

Waller, M.B., B.Ch., F.R.C.O.G. Pp. viii + 56,with 17 illustrations. London: William Heine-mann Ltd. 1957. 7s. 6d.

'Institute of Psychiatry. Report ist August,I955 to 3Ist July, I956.' The Bethlem RoyalHospital and the Maudsley Hospital. Pp. 48.London: British Postgraduate Medical Federation.1957.'Research Newsletter No. 4.' Issued for the

Council of the College of General Practitioners.Pp. 93. 1957. 3s. 6d.

'Dextran and its use in Colloidal InfusionSolutions.' By Anders Gr6nwall, M.D. Pp. 156,with 28 diagrams. Oxford: Blackwell ScientificPublications. I957. 20S.

' ThedPrinciples and Practice of Diathermy.' ByBryan O. Scott, M.R.C.S., L.R.C.P. Pp. vii + 193,with I46 illustrations. London: William Heine-mann Ltd. 1957. 25s.

'Physiopathology of the Reticulo-Endothelial.System.' A symposium organised by the Councilfor International Organisations of Medical Sciences.Pp. xii + 317, illustrated. Oxford: BlackwellScientific Publications. 1957. 45s.'Textbook of Orthopaedic Medicine. Volume I.

Diagnosis of Soft Tissue Lesions.' By JamesCyriax, M.D., M.R.C.P. Pp. xiv + 71I, with 131diagrams. London: Cassell & Co. Ltd. 1957. 45S.'Textbook of Medicine.' Edited by Sir John

Conybeare, K.B.E., M.C., D.M., F.R.C.P., andW. N. Mann, M.D., F.R.C.P. I2th edition.Pp. xvi + 863, illustrated. Edinburgh: E. & S.Livingstone Ltd. 1957. 42s.

'Antibiotics Annual 1956-57.' Edited by HenryWelch, Ph.D., and Felix Mart-Ibafiez, M.D. Pp.xvii + 1,134, illustrated. New York and Londno:Interscience Publishers, Inc. 1957. $Io.oo.

424

POSTGRADUATE NEWSAugust 1957

The information contained in this section is published by courtesy of theorganizations concerned and no responsibility for any changes of detailor omissions can be accepted by the publishers. In all cases, applicationsfor enrolment or further information should be made direct to thesponsors of the course.

FELLOWSHIP OF POSTGRADUATEMEDICINEThe following courses are planned but the dates anddetails are subject to alteration.Children's Diseases (D.C.H.). September 2 to 14.Daily 5.30 p.m. Princess Louise Kensington Hospital.Limited. Fee £5 5s. od.

Orthopaedic (F.R.C.S.) Week-ends. September14-I5, 28-29, October I2-I3. Saturdays and Sundays.Rowley Bristow Orthopaedic Hospital, Pyrford. FeeLI2 I2S. od. (No entries accepted until syllabus ispublished and circulated.)Obstetrics (D.Obst.R.C.O.G.). September 23 to 28.All day. Limited. Fee C4 4s. od.Surgery (F.R.C.S.) General and Genito-Urinary.September 2 to i8. Mondays and Wednesdays at 5 p.m.Whittington Hospital, Archway Wing. Limited. Fee

$5 5s. od. (No entries accepted until syllabus is pub-lished and circulated.)General Surgery and Orthopaedics (F.R.C.S.).Saturdays, September 14 to November 2. IO a.m. to12.30p.m. FulhamHospital. Limited. Fee Io Ios. od.(No entries accepted until syllabus has been publishedand circulated.)Surgery Revision (F.R.C.S.). September 23 toOctober I8. Monday, Thursday and Friday rihomings.Royal Marsden Hospital. Limited. Fee EI8 I8S. od.Plastic Surgery. Week-end. October 26 to 27. Allday Saturday and Sunday. Plastic Jaw Unit, RooksdownHouse, Basingstoke. Limited. Fee C3 3s. od. (Noentries accepted until syllabus is published andcirculated.)General Medicine (M.R.C.P.), October 21 toNovember 15. Connaught, Wanstead and Whipps CrossHospitals. 2 to 6 p.m. Fee £23. (No entries untilsyllabus is published and circulated.)General Surgery (F.R.C.S.). Evening. October 21to 25. Connaught Hospital, Walthamstow. 7 to 9 p.m.Limited. Fee £4 4s. od.General Medicine (M.R.C.P.). November I8 toDecember zo. Daily 5.30 to 8.30 p.m. (Saturdays 2 to4 p.m.). Whittington Hospital, Archway Wing. Limited.Fee £23. (No entries accepted until syllabus is pub-lished and circulated.)Infectious Diseases (M.R.C.P.) Week-end. December7 and 8. All day Saturday and Sunday. Hither GreenHospital, London, S.E. I3. Limited. Fee £3 3s. od.Please note that instruction arranged by the Fellowshipof Postgraduate Medicine is open only to members (annualsubscription, from month ofjoining, Ios. 6d.). In the case

of ' limited' courses no entries are accepted in advanceof the detailed syllabuses being published and circulated;postgraduates (whether members or not) are not automatic-ally included in the mailing lists, but must notify theFellowship of Postgraduate Medicine, 6o Portland Place,London, W.I, if they wish to be sent syllabuses as pub-lished, and must specify the subjects in which they areinterested. Information regarding courses can be obtainedfrom the office daily between io a.m. and 5 p.m. (Mondaysto Fridays). Telephone: Langham 4266.

IOYAL COLLEGE OF SURGEONS OFENGLANDThe following course will be held:Anaesthetics Course of Lectures and Tutorials.October 14 to 25, 1957. Fees: CI5 15s. od., individuallectures Ios. each.Basic Medical Sciences. September i6 to December20, I957. Fees: £63 (full-time course), £io Ios. od.(lectures only).Basic Medical Sciences Course for Dental Students.December 2 to January 31, 1958. Fee £3I 1os. od.Clinical Surgery. August 26 to October i8, 1957.Fee £31IOS. od.Clinical Conferences and Surgery Lectures. Sep-tember 30 to October i8, I957. Fees: I'5 I5s. od. (fullcourse), CIo Ios. od. (lectures only).Clinical Demonstrations and Lectures in DentalSurgery. October 21 to December 13, 1957. Fee,C3 Ios. od.Application for further information should be made toMr. W. F. Davis, Deputy Secretary, Royal College ofSurgeons, Lincolns Inn Fields, London, W.C.z.

SOCIETY OF APOTHECARIES OF LONDONDiploma in Industrial Health (D.I.H.). Theexaminations are held in July and December each year.Diploma of Mastery of Midwifery (M.M.S.A.). Theexaminations are held in May and November each year.A course of eight lectures in advanced medicine andsurgery will be delivered at the Apothecaries Hall asfollows:-November25 5 p.m. Prof. G. M. Wilson. The clinical research

aspect of isotopes.6.15 p.m. Dr. J. F. Loutit. Radiation hazards.

z6 5 p.m. Dr. Michael Shepherd. The use and abuseof tranquillizers.6.I5 p.m. Miss Hannah Steinberg. On the pharma-cological aspect.

August 1957 Postgraduate News 425

November27 5 p.m. Dr. C. F. Hawkins. Ulcerative colitis: the

medical aspect.6.15 p.m. Mr. Bryan N. Brooke. The surgicalaspect.

28 5 p.m. Prof. E. Boyland. Recent work in malignantdisease: aetiology.6.15 p.m. Prof. F. Bergel. The chemotherapyaspect.

For further information applications should be addressedto the Registrar, Society of Apothecaries, Black FriarsLane, London, E.C.4.

DENTAL BOARD OF THE UNITEDKINGDOMThe Dental Postgraduate Bureau has issued threebooklets, as follows:' Facilities for Dental Postgraduate Study in the UnitedKingdom and Ireland,' containing a list of schools andinstitutions at which postgraduate courses are held orwhich provide facilities for individual students, and analphabetical list of subjects showing where instructionin each can be obtained; 'Scholarships and Student-ships for Advanced Studies and Research in Dentistry,'including many open to British subjects tenable abroad;'Higher Dental Qualifications,' setting out in generalterms the conditions to be satisfied by candidates.Copies of these booklets, particulars of films of interest todentists, and further information can be obtained onapplication to the Director, Dental Postgraduate Bureau,44 Hallam Street, London, W.I.

BRITISH POSTGRADUATE MEDICALFEDERATION (University of London)The Federation provides:(I) Training for prospective specialists, supplementing

the work of the undergraduate medical schools.(2) Advanced revision for practising specialists.(3) Instruction for medical practitioners who, though

not specialists, desire more detailed knowledge ofany branch of medicine.

(4) Instruction for general practitioners.Comprising the Federation at present are the Post-graduate Medical School of London, Institute of BasicMedical Sciences, Institute of Cancer Research, Instituteof Cardiology, Institute of Child Health, Institute ofDental Surgery, Institute of Diseases of the Chest,Institute of Laryngology and Otology, Institute ofNeurology, Institute of Obstetrics and Gynaecology,Institute of Ophthalmology, Institute of Orthopaedics,Institute of Psychiatry, Institute of Urology: associatedinstitute is the Institute of Dermatology.Courses for general practitioners will be held as follows:GeneralSeptember 23 to 27. London Undergraduate and

Postgraduate Teaching Hospitals.September 23 to 27. St. James's Hospital, Balham

S.W. 12z.September 23 to 28. Brighton Group.October I4 to 26. Royal Northern Hospital, N.7.Industrial MedicineSeptember 23 to 28. London School of Hygiene and

Tropical Medicine, Keppel Street, W.C.i.Obstetrics and GynaecologyOctober 28 to November i. Brighton Group.Applications for places on the above courses should be madeto the Secretary, British Postgraduate Medical Federation,

and should state if the application is or is not made underthe scheme for N.H.S. practitioners.Extended and Week-end CoursesGeneralSeptember I I to October 30 (8 Wednesday afternoons).

Royal Free Hospital, W.C.i.September 25 to December 4 (i I'Wednesday after-

noons). Portsmouth Group.September 26 to October 31 (6 Thursday afternoons).

St. Peter's Hospital, Chertsey.September 27 to December 6 (i Friday afternoons).

St. Helier Hospital, Carshalton.October 2 to November 6 (6 Wednesday afternoons).

St. Luke's Hospital, Guildford.October 2 to December i i (x i Wednesday afternoons).

Connaught Hospital, E.I7.PaediatricsSeptember I9 to December 5 (I2 Thursday afternoons).

Farnborough Hospital, Kent.Applications for places on the above courses should bemade to the hospital concerned.All the courses are available to N.H.S. practitioners,for whom fees and allowances (travelling expenses,locum fees, etc.) are provided for courses equivalent to22 half-day sessions in an academic year, subject tocertain conditions. Grants are also payable in respectof assistant practitioners under certain conditions.Other practitioners may attend on payment of a fee ofIo guineas for two weeks, 5 guineas for one week orextended course of Ix sessions, I } guineas for a week-endcourse.

Applications for further information should be made tothe Secretary, British Postgraduate Medical Federation,I8 Guilford Street, London, W.C.i.

POSTGRADUATE MEDICAL SCHOOL OFLONDON (Hammersmith Hospital)The Postgraduate Medical School of London hasUniversity Departments in Medicine, Surgery andPathology. The Department of Obstetrics and Gynae-cology, together with Queen Charlotte's and the ChelseaHospitals, now forms the Institute of Obstetrics andGynaecology. The teaching in the clinical departments,which is of an advanced nature and based on ward work,is continuous and is supplemented by lectures duringthree ten-week sessions starting in January, April andOctober. Suitable students are encouraged to under-take research work. A course for the University Diplomain Clinical Pathology, lasting one year, is available for alimited number of selected students. This commences inOctober. The Department of Radiology of the Hospitalprovides courses for the Diplomas in Medical Radiologyof the Conjoint Board. The fees vary from L3 for oneweek to £75 for a year.Anaesthetics. The Department of Anaesthesia offersa course of instruction for the academic year beginningOctober 2, to a limited number of postgraduates wishingto specialize in anaesthesia. A comprehensive teachingprogramme has been established and the subjectscovered include anatomy, pathology, pharmacology andphysiology. In addition to systematic lectures inanaesthesia, medicine and surgery, clinical training isprovided in the wards and operating theatres and specialprovision is made for the demonstration of techniquesnot in common use. Fee for the course, C75 plus C3enrolment fee.For further information application should be made tothe Dean, Postgraduate Medical School of London,Ducane Road, London, W. I 2.

426 POSTGRADUATE MEDICAL JOURNAL August 1957

INSTITUTE OF BASIC MEDICAL SCIENCES(Royal College of Surgeons of England)The Institute co-operates with other specialist Institutesof the Federation in providing facilities for practicalwork and instruction in the basic medical sciences.Twice a year, beginning in February and September,there is a full demonstration and lecture course which isfull-time and extends over a period of three months.In addition, there are two revision courses a year of lec-tures only, which take place at the same time as theother course. Applications for this course can be ac-cepted up to six weeks before the course begins. Fees:Demonstrations and lectures, £63; lectures only,£36 I5S. od. A two-months' course for Primary F.D.S.candidates is also held twice a year in December andJune and the next course will begin on December 2,1957. The course is full-time and the fee £3I Ios. od.For further information please apply to the Secretary,Institute of Basic and Medical Sciences, Royal College ofSurgeons of England, Lincolns Inn Fields, London, W.C.2.

INSTITUTE OF CANCER RESEARCH (RoyalCancer Hospital)Postgraduate lectures and courses of instruction are heldin biophysics for students studying for the M.Sc.degree in Biophysics, and for students studying for aDiploma in Medical Radiotherapy.Enquiries should be made to the Dean, Institute of CancerResearch, Royal Cancer Hospital, Fulham Road, London,S.W.3.INSTITUTE OF CARDIOLOGY(National Heart Hospital)Courses of instruction lasting I i weeks are available forboth full-time and part-time students; fees £36 15s. od.and I8 I8s. od. respectively.Special short courses lasting two weeks are held inFebruary, June and November: fee CI8 I8s. od.Enquiries, and applicationsfor admission to courses, shouldbe addressed to the Dean, Institute of Cardiology, 35Wimpole Street, W.I.

INSTITUTE OF DISEASES OF THE CHEST(Brompton Hospital and the London ChestHospital)The Institute of Diseases of the Chest (Medical Schoolof the Hospitals for Diseases of the Chest) is situated inthe grounds of the Brompton Hospital, S.W.3.MedicalInstruction in diseases of the chest including tuberculosisis conducted during three terms of ten weeks each year.It consists of clinical work in wards and out-patientdepartments, lectures and demonstrations. A whole-time programme is arranged for not more than Izgraduates each term, preferably those specializing indiseases of the chest. The lectures and demonstrationsare so arranged that the subject of chest disease iscovered during the two terms beginning in October andJanuary. The lectures during the summer term arearranged as a general revision course. A larger numberof graduates can be accepted for part-time study. Ifvacancies are available it may be possible to acceptgraduates for shorter periods of part-time study.SurgicalA whole-time course in chest surgery is conductedduring the terms beginning in October and January. Itincludes attendances at out-patient clinics, operatingsessions, ward clinics, case demonstrations and lectures

and is held partly at the Brompton Hospital and partlyat the London Chest Hospital.Cardiology. A whole-time course in the surgicalaspects of cardiology. will be conducted during thethree terms. This course is mainly of a practical nature,consisting of out-patient attendances, ward rounds,and operating sessions with some lectures and tutorials.The course is held partly at the Brompton Hospitaland partly at the London Chest Hospital.Fees for whole-time course (Medical, Surgical orCardiological) are z20 for one term and C35 for twoterms, and for part-time courses £14 for one term or,C6 for one month.RadiologyPart-time instruction in radiology of the chest for traineeradiologists only is given each term. Fee £io for oneterm.Clinical demonstrations are given on Fridays at5 p.m. Open lectures are given on Wednesdays at 5p.m. during University Terms. Admission free.For further general information application should beaddressed to the Dean, Institute of Diseases of the Chest,Brompton Hospital, Fulham Road, S.W.3.

INSTITUTE OF CHILD HEALTH(Hospital for Sick Children, Queen ElizabethHospital for Children, Postgraduate MedicalSchool)The Institute of Child Health is associated with TheHospital for Sick Children, Great Ormond Street, thePostgraduate Medical School of London at Hammer-smith Hospital, and the Queen Elizabeth Hospital forChildren. In its programme teaching on every aspectof child health is provided. Visits are arranged to thedepartment for the new-born and premature infant atthe Postgraduate Medical School of London, Hammer-smith Hospital. Maternity and Child Welfare Clinics,Nursery Schools, etc. The Institute provides tuitionthroughout the year in three terms of I2 weeks' durationeach, beginning in January, May and September.Two or three guest lectures are given during thesummer term by visiting paediatricians from abroad.The fees are 20o guineas for one term and 35 guineas fortwo terms.Applications should be addressed to the Dean, Instituteof Child Health, Hospital for Sick Children, GreatOrmond Street, London, W.C. I.

INSTITUTE OF DENTAL SURGERY(Eastman Dental Hospital)The Institute holds courses in orthodontics (full- andpart-time, up to one year), and in periodontology, con-servative dentistry, prosthetics, minor oral surgery andchildren's dentistry (variable length, full- and part-time). Refresher courses are arranged twice yearly forgeneral practitioners. Courses are also held in conjunc-tion with the Faculty of Dental Surgery of the RoyalCollege of Surgeons and are suitable for candidatespreparing for the final examination for the Fellowshipin Dental Surgery of the College. These begin in Apriland October (lasting for approximately eight months),fee £60, and in April and October there are revisioncourses lasting eight weeks, fee £3I Ios. od. Specialarrangements can be made for students requiring coursesof study and research experience not falling within thescope of the courses listed above.For further information apply to, the Dean, Institute ofDental Surgery, Eastman Dental Hospital, Gray's InnRoad, London, W.C.i.

August 1957 Postgraduate News 427

INSTITUTE OF DERMATOLOGY(St. John's Hospital for Diseases of the Skin)Hospital Practice. This includes clinical instructionin the Out-Patient Department daily, in the In-PatientDepartment twice weekly, tutorials in clinical dermat-ology and histopathology, attendance in the Departmentof Pathology and other Departments of the Hospital.Fees: 25 guineas for one term; 6o guineas for one year.Laboratory. The facilities for students include tech-nical work in histology, bacteriology and medicalmycology.Museum. A collection of moulages is available. Thereis access to a large collection of histopathologicalsections.Lectures. The year's lecture course commences onOctober I and carries on until the end of June. Thosewho wish to attend are advised to come full-time forthe whole year. Lectures are at 5.30 p.m. on Tuesdays,Wednesdays and Thursdays.Enquiries should be made to the Dean, Institute of Der-matology, St. John's Hospital for Diseases of the Skin,Lisle Street, Leicester Square, London, W.C.2.

INSTITUTE OF LARYNGOLOGY ANDOTOLOGY(Royal National Throat, Nose and EarHospital)A comprehensive course lasting 36 weeks and designedto cover the whole field of the speciality is held twice ayear beginning in February and August. This consistsof lectures, demonstrations and attendance on thepractice of the hospital, with facilities for dissection. Aspecial point is made of the anatomy, physiology andpathology related to the subject. There is also anintensive lecture course of six weeks twice yearly inpreparation for practical clinical training. An AdvancedRevision Class (two weeks full time) for M.S. andF.R.C.S. students is also given twice yearly. A practicalrevision class for Part II D.L.O. students is held twiceyearly. Week-end courses in endoscopy, in aural sur-gery, the deaf child and pathology are held twice yearly.The composite fee, including enrolment as a clinicalassistant, attendance on the hospital practice and at oneof the comprehensive courses, but excluding dissection,is £52 IOS.For further information application should be addressedto the Dean, Institute of Laryngology and Otology, 330Gray's Inn Road, W.C.i.

INSTITUTE OF NEUROLOGY(The National Hospital, Queen Square, andthe Maida Vale Hospital for NervousDiseases)The teaching is mainly by attendance on the hospitalpractice. Some advanced students are appointed asfull-time clinical clerks at the National Hospital, QueenSquare, or to the electro-encephalographic or one ofthe other special departments, or to the research labora-tories. A limited number of part-time clinical clerkshipsare available at the Maida Vale Hospital with opportunityfor examining patients.In addition two full-time courses of ten weeks' durationare given each year, namely in the autumn and springterms. The first portion of each course deals with theanatomy and physiology of the nervous system, neuro-pathology and psychology, and consists mainly oflectures and demonstrations. The second portion dealswith clinical neurology, medical and surgical, neuro-

ophthalmology, neuro-otology and radiology, andincludes lectures and demonstrations. Special lecturesby neurologists from outside London and from abroadare held throughout these courses. Fees for the tenweeks' full-time course, z25; for attending hospitalpractice, 1i8 for threemonths or £32 for six months.Part-time teaching is given in the Out-Patient Depart-ment, at the National Hospital, Queen Square, on fivedays a week throughout the year (public holidaysexcepted) and at Maida Vale Hospital.Courses of clinical demonstrations are given on Wednes-days and Saturdays at the National Hospital, QueenSquare. Fee for either course, z2 2S. od. Advertise-ments concerning these appear from time to time inthe medical journals.F(, further particulars please apply to the Dean, Instituteof Neurology, National Hospital, Queen Square, London,w.C.I.

INSTITUTE OF OBSTETRICS ANDGYNAECOLOGY(Queen Charlotte's Maternity Hospital,Chelsea Hospital for Women, Department ofObstetrics and Gynaecology of Hammer-smith Hospital)Two terms of 13 weeks each are held, beginning in thesecond week of March and the first week of September(enrolment fee C3; £36 for the term's course). Generalpractitioners are accepted to attend for short periodsduring term time (fee C3 IOS. od. per week). Generalpractitioner refresher courses lasting one week are held atthe end of February and the end of June (fee £5 5s. od.).Ministry of Health grants are payable for approved prac-titioners attending either for one or two weeks duringterm, or the one week refresher course. An intensivecourse suitable for those preparing for higher examina-tions is held during the first two weeks of December andthe first two weeks of June (fee £14 I4s. od.). A limitednumber of postgraduates can be accepted to attend thepractice of the hospital during the winter vacation (fee£I per week). Laboratory training in pathology, endo-crinology and cytology is available for a limited numberof postgraduates. The Institute has hostel rooms atQueen Charlotte's Hospital and Hammersmith Hospital.Further information and enrolment forms can be obtainedfrom the Secretary, Institute of Obstetrics and Gynaecology,Chelsea Hospital for Women, Dovehouse Street, London,S.W.3.

INSTITUTE OF OPHTHALMOLOGY(Royal London Ophthalmic, Royal West-minster Ophthalmic, Central LondonOphthalmic Hospitals)Courses of lectures and classes beginning March I andOctober I each year to meet the requirements of can-didates entering for the examination for the Diploma inOphthalmology and other ophthalmological examinationswill be given by members of the staff of the Hospital andInstitute. Each course is designed to extend over twoterms of approximately I6 weeks each and is normallydivided into two parts.Part I. Anatomy (including embryology and normalhistology), elementary physiology of the eye, optics(elementary and physiological), practical tutorials inrefraction work and clinical subjects.Part II. All clinical branches of the subject, togetherwith bacteriology and pathology. Students can attendthe daily clinical practice of the two branches of the

428 POSTGRADUATE MEDICAL JOURNAL August 1957

Moorfields, Westminster and Central Eye Hospitals, andhold the appointments of Clinical Assistants con-currently with the above courses. A composition feeof k3I ios. od. will admit students, once to the lecturesand tutorial classes of any one term, with six months'clinical practice in the hospital.Extra Courses. Slit lamp microscopy (fee /5 5s. od.);orthoptic training (one week's intensive course, fee£5 5s. od.); contact lenses (one week's intensive course,fee £Io Ios. od.). Additional courses by arrangement.Hospital Practice only. Fees as follows: One month,£2 2s. od.; three months, C5 5s. od.; six months,£Io Ios. od.Facilities for research.For further information apply to the Dean, Institute bfOphthalmology, Judd Street, London, W.C.I.

INSTITUTE OF ORTHOPAEDICS(Royal National Orthopaedic Hospital)The Institute is concerned with postgraduate educationin orthopaedics and with research. The practice of theHospital (both at the town section in Great PortlandStreet and at the country section at Stanmore) and aRadiological Museum and the Wellcome Museum ofOrthopaedics are open to postgraduates, who mayjoin at any time. In addition to hospital practice, formalcourses of various lengths are held during academicterms.Facilities for advanced clinical work are available forselected candidates having a suitable scientific orsurgical training.Further particulars may be obtained from the Dean,Institute of Orthopaedics, Royal National OrthopaedicHospital, 234 Great Portland Street, London, W.I.

INSTITUTE OF PSYCHIATRY (BethlemRoyal Hospital and Maudsley Hospital)The Institute is concerned with postgraduate educationin psychiatry and allied subjects, and with research. Acourse of instruction covering up to three years, andstarting in October yearly, is provided for medicalpractitioners who wish to specialize in psychiatry or toprepare for the Diploma in Psychological Medicine.Clinical instruction, which includes case conferences,seminars, and practical experience in case-taking, isgiven at associated hospitals in the mornings, andsystematic lectures and demonstrations are arranged forthe afternoons. Students may also enrol for shorterperiods or for single series of lectures.The subjects covered include anatomy and biochemistryof the nervous system, neurophysiology, pathology ofnervous and mental diseases, psychiatry of children andadults, delinquency, principles of psychotherapy,forensic psychiatry and criminology, psychology, mentaltesting and statistics. There is a special six months'csourse in child psychiatry, comprising clinical instruc-tion and lectures, which starts on October I. Lectureson subjects of special interest are arranged from time totime. The tuition fee for a full year's course is£53 Ios. od., including enrolment fee. For shorterperiods the fee varies with the type of course chosen.Selected students are eligible for appointments on thestaff of the Joint Hospital.Facilities for research and supervision of study forhigher degrees can be provided in clinical work and inthe biochemical, physiological, neuro-endocrinological,neuropathological and psychological laboratories.A course for Honours Graduates in Psychology is avail-able in clinical psychology for the Academic Post-

graduate Diploma in Psychology. In conjunction withthe Institute of Neurology, a course in the techniques ofelectroencephalography is provided for doctors who.expect to take up electroencephalographic appointments.in hospitals.Further information may be obtained from the Dean,Institute of Psychiatry, Maudsley Hospital, Denmark-Hill, London, S.E.5.INSTITUTE OF UROLOGY (St. Peter's, St.Paul's and St. Philip's Hospitals)Week-end courses of lectures and demonstrations,beginning on Friday afternoon and ending on Sundayabout tea-time, are given about once a month, fromOctober to April, as advertised. Fee C5 5s. od. for eachcourse.

Lectures for general practitioners are given on Wednes-days, throughout the winter months, at 4.30 p.m. for5 p.m. No fee.The practice of the hospitals, including the use of theInstitute museum, reading room and library, is open to-students attending the courses.Applications should be addressed to the Secretary, Instituteof Urology,xIo Henrietta Street, Covent Garden, London,W.C.2.

EAST HAM CHEST CLINICOut-patient teaching. Mondays at 2.30 p.m.Apply Senior Registrar, East Ham Chest Clinic, Katherine-Road, Forest Gate, London, E. 7.

LONDON SCHOOL OF HYGIENE ANDTROPICAL MEDICINE(University of London)Courses of study are arranged for the C.P.H. andD.P.H. (London University); D.T.M. & H. (Eng.);and Academic Diploma in Bacteriology. Short courses.are arranged in the Principles of Medical Statistics andEpidemiology, Statistical Methods and their Applica-tion in Medicine, and Applied Helminthology.For further information and enrolment application should'be addressed to the Secretary, London School of Hygieneand Tropical Medicine, Keppel Street, Gower Street,London, W.C.I.

NORTH LONDON POSTGRADUATEMEDICAL INSTITUTECourses in advanced medicine, advanced surgery, andobstetrics and gynaecology. Instruction in pathology,anaesthetics and radiodiagnosis. Clinical instruction at-Bearsted Memorial Hospital, Chase Farm Hospital,North Middlesex Hospital, The Prince of Wales'sGeneral Hospital and St. Ann's General Hospital.For further information apply to the Dean, the Prince ofWales's General Hospital, London, N. IS.PLAISTOW HOSPITAL CHEST UNITIn-patient round every Thursday at 4.30 p.m.Apply Registrar, Plaistow Hospital, Samson Street,.Plaistow, London, E.I3.

ROYAL LONDON HOMOEOPATHICHOSPITALClinical Tutorials. Practical instruction in the appli-cation of liomoeopathic principles is given by theTutors, Dr. W. L. Templeton and Dr. D. M. Foubister,at their tutorial clinics in the O.P. Department or

August 1957 Postgraduate News 429

Monday at 2 p.m. and Thursday at 1.30 p.m. through-out the year. Open to medical practitioners withoutfee.A set course of Instruction in homoeopathy is given atintervals during the year.For further information application should be made tothe Dean of the Education Course, Royal London Homoeo-pathic Hospital, Great Ormond Street, London, W.C.I.

ST. STEPHEN'S HOSPITAL(Rheumatism Unit)A concentrated weekend course in the rheumatic diseasesis given each year, in March, und Jr the auspices of theFellowship of Postgraduate Medicine.A limited number of postgraduates can attend the out-patient sessions of the unit on Wednesday and Fridaymornings at Io a.m.Applications for attendance at these sessions should bemade to the Medical Registrar, Rheumatism Unit, St.Stephen's Hospital, Fulham Road, S.W.io.

EMPIRE RHEUMATISM COUNCILLecture courses in rheumatic diseases are arrangedfor general practitioners and other postgraduatesperiodically.Particulars are obtainable from the General Secretary,Empire Rheumatism Council, Tavistock House (N),Tavistock Square, London, W.C.I.

ROYAL INSTITUTE OF PUBLIC HEALTHAND HYGIENEThe Royal Institute of Public Health and Hygieneconducts recognized courses of instruction (startingannually in March and September) for the examinationsof the Conjoint Board of the Royal College of Physiciansof London and the Royal College of Surgeons ofEngland for the Diploma in Public Health. Studentsare also prepared for the Diploma in Industrial Healthexaminations of the Conjoint Board and of the Societyof Apothecaries of London. Courses, the next begin-ning on September zo, 1957, may be taken whole-timeor part-time courses may be commenced at any time,and consist of both lectures and visits. In the D.P.H.the practical work is carried out at a county or metro-politan borough.Prospectuses, enrolment forms and full particulars may beobtained from the Acting Secretary, The Royal Instituteof Public Health and Hygiene, 28 Portland Place, London,W.I. Telephone; Langham Z73I-2.

TUBERCULOSIS EDUCATIONALINSTITUTESully Hospital, Penarth, Glamorgan. A course on'Lung function in respiratory illness' will be heldfrom September 9 to 13, 1957. Fee C5$s. od. Accom-modation may be arranged for an additional charge.Colindale Hospital, London, N.W.9. A clinical coursefor doctors will be held on October 7, 8 and 9, 1957.Fee C3 3s. od.Further information may be obtained from the Secretary,Tuberculosis Educational Institute, Tavistock HouseNorth, Tavistock Square, London, W.C.r.

BIRMINGHAM AND MIDLAND EYEHOSPITALPostgraduate course in industrial ophthalmology Sep-tember 23 to 27. The course is for Ophthalmologists andIndustrial Medical Officers, but is open to all medical

practitioners. It will include clinical demonstrations,lectures on industrial diseases and injuries, also visits tolocal factories and to the Burns Unit of the BirminghamAccident Hospital. Fee £5 5s. od.Syllabus and further particulars can be obtained fromthe Secretary, Industrial Ophthalmology Course, Birming-ham and Midland Eye Hospital, Church Street, Bir-mingham, 3.BRISTOLMedical Postgraduate Department of theUniversity of BristolDiploma Courses. These begin in October and areadvertised in the medical press in April. Provided thereare sufficient candidates, instruction is provided in childhealth, psychological medicine (second part) and radio-diagnosis. (Diplomas of Conjoint Board.)Further information, copies of regulations for the BristolDiplomas application formsfor the courses may be obtainedfrom the Director of Medical Postgraduate Studies, TheUniversity, Bristol 8.

CAMBRIDGECambridge University Medical SchoolSummary of postgraduate facilities for general medicalpractitioners from October I, i956 to July 31, 1957(Bank Holidays excepted) at Addenbrooke's Hospitalunless otherwise stated.Each week. Mondays: Io.I5 a.m., Maternity Hospital,Mill Road, abnormal ante-natal clinic (Miss J.Bottomley); 10.3o a.m., ward round, medical cases(Dr. A. P. Dick); 2.30 p.m., ward round, medicalcases (Dr. L. C. Martin); 2.30 p.m., O.P. clinic, 2 Bene'tPlace, psychiatric cases or subject (Dr. D. RussellDavis). Tuesdays: 9.15 a.m., O.P. department, derma-tological clinic (Dr. A. J. Rook); 10.30 a.m., wardround, medical cases (Dr. L. B. Cole); 2.15 p.m., O.P.department, dermatological clinic (Dr. A. J. Rook);2.30 p.m., department of physical medicine, demonstra-tion of cases and methods (Dr. W. A. Fell). Wednes-days: io a.m., ward round, staff of department of med-icine, haematological cases; xi a.m., dermatologicalclinic, O.P. department (Dr. C. H. Whittle); 2 p.m. O.P.department, E.N.T. cases (Dr. K. F. Wilsdon); 2.30p.m., O.P. department, dermatological cases (Dr. C. H.Whittle). Thursdays: 10.30 a.m., ward round, medicalcases (Dr. L. B. Cole); Io.30 a.m., ward round, PapworthHospital, thoracic surgical unit (Mr. C. Parish); 2.15p.m., O.P. department, cardiac clinic (Dr. L. B. Cole).Fridays: Io a.m., ward round, surgical cases (Mr.J. F. R. Withycombe); 2.15 p.m., ward round, paediatriccases (Dr. D. M. T. Gairdner); 2.15 p.m., O.P. depart-ment, dermatological clinic (Dr. A. J. Rook); 2.30 p.m.,O.P. department, endocrine clinic (Dr. L. C. Martin);2.30 p.m., O.P. department, gastroenterological clinic(Dr. A. P. Dick and Dr. F. R. Berridge). Saturdays:10.30 a.m., ward round, medical cases (Dr. L. B. Cole).Each month. First Monday: 2.30 p.m., radio-thera-peutic centre, diagnosis and treatment of cancer (Prof.J. S. Mitchell). 2.30 p.m., X-ray department, radio-logical demonstration (Dr. D. McC. Gregg). FirstTuesday: z p.m., O.P. department, psychiatry (Dr.R. A. Noble). First Thursday: 2.30 p.m., orthopaedicO.P. department, orthopaedic cases or subject (Mr. T. J.Fairbank). First Friday: 2 p.m., The Clinic, Shire Hall,Castle Hill, diseases of the chest (Dr. M. Greenberg andMr. C. Parish). First Saturday: 10.30 a.m., O.P. de-partment, ophthalmic cases (Dr. E. G. Recordon).Second Thursday: 9.30 a.m., O.P. department, plasticsurgery clinic (Mr. L. M. Rouillard). Third Monday:

430 POSTGRADUATE MEDICAL JOURNAL August I957

2 p.m., ward round, surgical cases (Mr. B. McN.Truscott); 9.30 a.m., O.P. department, gynaecologicalcases (Mr. O. Lloyd); 3 p.m., O.P. department, clinicalpsychiatry (Dr. E. Beresford Davies). Third Wednes-day: 9.30 a.m., O.P. department, urological and generalsurgical cases (Mr. J. F. R. Withycombe); Io.3o a.m.,orthopaedic O.P., cases (Mr. R. W. Butler); 2.30 p.m.,X-ray department, radiological demonstration (Dr. F. R.Berridge); 5 p.m., lecture theatre, pathology depart-ment, Tennis Court Road, clinico-pathological con-ference (Dr. A. M. Barrett). Third Thursday: 10.30a.m., O.P. department, E.N.T. cases (Mr. A. S. H.Walford). Fourth Monday: 9.30 a.m., ward round,general surgical cases (Mr. P. H. R. Ghey);. o a.m.,O.P. department, ophthalmic cases (Mr. G. F. Wright).Fourth Thursday: 3 p.m., O.P. department, psychiatriccases (Dr. D. H. Clark).Post-mortem demonstrations daily (except Satur-days) at I2.I5 p.m.One-day Symposia will be held at IO.30 a.m., onSaturdays each month from October to July.Further particulars may be obtained from the Secretary,Cambridge University Medical School, Tennis CourtRoad, Cambridge.

CARDIFFThe Welsh National School of MedicineD.P.H. Wales (Diploma in Public Health). Part-time course from Qctober 1958, extending over twoacademic years.T.D.D. Wales (Tuberculous Diseases Diploma).Five to six months' full-time course, January to June.D.M.R.D.Eng. (Diploma in Medical Radio-diagnosis). Eighteen months' full-time course fromOctober.D.C.H.Eng. (Diploma in Child Health). Two sessionsweekly for twelve months.The number of admissions to each of the above courses isstrictly limited, and early application should be made tothe Secretary, The Welsh National School of Medicine,34 Newport Road, Cardiff.

DUBLINUniversity CollegeThe following courses will be held during the session1957-58:D.P.H. Course. One academic year of whole-time

study. Examinations June and September.D.P.M. Course. Michaelmas term (if six applications).

Examination, summer term.Further particulars may be obtained on application to theRegistrar, University College, Earlsfort Terrace, Dublin.

EDINBURGHEdinburgh Postgraduate Board for MedicineGeneral Surgery. Three months' courses of post-graduate surgery suitable for surgeons requiring arefresher course in the current outlook on generalsurgery or for graduates preparing to specialize insurgery, start on September 30, 1957, and March 17,1958. The programme has been arranged so as toprovide co-ordinated clinical and systematic instructionin general surgical wards and specialized surgical unitsin Edinburgh. Fee 3I Ios. od.Medical Sciences. A three months' course inapplied anatomy, physiology, pathology, bacteriologyand biochemistry will begin on June 23, 1958. Thiscourse includes an adequate amount of practical instruc-

tion and is suitable for postgraduates wishing to takethe Primary Fellowship examination. Fee k31 Ios. od.Two courses in the basic medical sciences (anatomy,physiology, pathology including bacteriology) arearranged by the Royal College of Surgeons, under theaegis of the Edinburgh Postgraduate Board for Medi-cine. These courses, comprising lectures, demonstra-tions and practical instruction, will begin on October 14,1957, and middle of February, 1958, and continue for tenweeks. Fee £26 5s. od.Internal Medicine. A course lasting It weeks, suit-able for graduates wishing a refresher course, or tospecialize in medicine, will begin on September 23, I957,and March 24, I958. This course consists of 320 hours'instruction, comprising lectures, clinical demonstrationsand ward visits. Fee C31Ios. od.The Royal College of Physicians of Edinburgh awardtwo Hill Pattison-Struthers Bursaries each year tograduates attending the Internal Medicine course.Each Bursary amounts to CIoo. Applications must besubmitted to the Secretary, Royal College of Physiciansof Edinburgh, before July 15, 1957.Additional instruction in clinical paediatrics and tropicalmedicine is arranged in conjunction with the course inmedicine, for which there is a small fee; the numbersare limited.Refresher Course for General Practitioners. Acourse lasting a fortnight starts annually in the firstweek of May.Applications for enrolment should be addressed to theDirector of Postgraduate Studies, Surgeons Hall, Edin-burgh 8, supplying particulars of qualifications andpostgraduate experience.

Royal Medical SocietyThe meetings of the Society are held in the Society'sHall on Friday evenings during the Autumn and SpringTerms. Meetings consist of Private Business (at 7 p.m.)and Public Business (at 8 p.m.) in which dissertationsby members or addresses by prominent medical men onsubjects of medical interest are given. Clinical meetingsare held periodically in the Royal Infirmary and filmshows of the latest medical films are given in the Society'sRooms. Prospective members will be welcomed on anyFriday evening in the Society's Hall before publicbusiness.Applications for further information should be addressedto the Secretary, Royal Medical Society, 7 MelbournePlace, Edinburgh, i.

GLASGOWGlasgow Postgraduate Medical EducationCommitteeThe Committee is prepared to consider applicationsfrom suitably qualified medical practitioners for post-graduate instruction in general medicine, general surgeryand the various specialities. Preference will be given tothose who are proceeding to higher qualifications.An applicant who is accepted will be attached to clinicalunits in teaching hospitals in Glasgow for a period ofthree months. Provision will be made to enable thepostgraduate student to obtain intensive clinical ex-perience by sharing in the day-to-day routine of diagnosisand treatment. Emphasis will be placed on clinicalmethods and bedside discussion.A limited number of vacancies are now available. Fee£io per month.Applicants should write to the Director of PostgraduateMedical Education, The University, Glasgow, W.z,stating age, qualifications and professional experience and

August 1957 Postgraduate News 431

enclosing two testimonialsfrom senior clinicians with whomthey have recently been associated.

LIVERPOOLUniversity of LiverpoolThe following postgraduate courses of instruction areoffered:Surgery. A full-time course of one year suitable forcandidates who have already completed the PrimaryExamination of the F.R.C.S., or undertaken post-graduate study in anatomy and physiology. On com-pletion of the course students become eligible to takethe Mastership of Surgery (Ch.M.) of this Universityprovided they are graduates of an approved Universityor otherwise comply with the regulations. The fee forthe course is £6o. The course begins in September.Orthopaedic Surgery. A full-time I2-month courseleading by examination to a Mastership in OrthopaedicSurgery (M.Ch.Orth.) open to all medical graduates ofapproved Universities (and to graduates in otherfaculties with qualifications in medicine)' who hold anF.R.C.S. of one of the British colleges or its equivalent.The fee for the course is £70. The course normallybegins in January.Radiology. A full-time course of two academicyears leading to a D.M.R. (D. or T.) open to medicalgraduates of approved Universities and to medicallyqualified candidates who hold approved higher medicaldiplomas and a degree in a faculty other than medicine.The course allows a candidate to hold suitable approvedhospital appointments during the second year andcovers the regulations required by the Conjoint Board.The fee for the two-year course is £63. The coursebegins in October. The degree of M.Rad. may, afterreport by the Faculty, be conferred on holders of theD.M.R. (D. or T.) of this University under certainconditions.Public Health. A full-time one-year course leading. tothe Diploma in Public Health, open to candidates witha medical qualification from an approved medical schoolor licensing body. This qualification should have beenobtained not less than two years before admission tothe course. The fees amount to £73 13s. All courses ofinstruction begin in October.Tropical Medicine and Hygiene. A full-time three-month course leading to the Diploma in TropicalMedicine and Hygiene (D.T.M. & H.) open to candi-dates with a medical qualification from an approvedmedical school or licensing body. The course begins inSeptember and January. Fee C53 IIs.Anaesthesia. A full-time course of postgraduateinstruction, limited to ten students, begins on October Iand lasts for one year. The course combines instructionin the practical administration of anaesthetics with lec-tures and demonstrations in anatomy, physiology,pathology, physics, pharmacology, medicine and surgery,and anaesthesia. For the purpose of gaining practicalexperience, the students are found suitable appointmentsin recognized General Hospitals within the Liverpoolarea. The fee for the course is 60o.Psychiatry. A part-time course begins on January Iand lasts for two years. It is divided into two partscorresponding to the two parts of the Diploma in Psy-chological Medicine awarded by the Examining Boardin England (R.C.P. Lond. and R.C.S. Eng.). Part Iprovides instruction in (a) anatomy (macroscopic andmicroscopic) and physiology of the nervous system, and(b) psychology. Part II deals with (a) clinical neurologyand neuropathology and (b) psychological medicine,including psychoneuroses, mental deficiency, child

psychiatry, forensic psychiatry and social psychiatry.Parts I and II will be held simultaneously. Studentsmay enrol for either part separately but, except inspecial circumstances, will not be permitted to takeboth parts concurrently. Applications to attend inrespect of a special subject in Part II (e.g. mentaldeficiency) willi be considered individually. Fees

iz2 I2s. od. per term or £7o for the whole course.Applications for further information should be addressedto the appropriate department of the University, Liver-pool, 3.

MANCHESTERUniversity of ManchesterThe following postgraduate courses are offered:D.P.M. A part-time course beginning in October andextending over eight academic terms.D.P.H. A part-time course begins in October inalternate years and extends over two academic years.The next course will begin in October I958.D.M.R.D. A full-time course normally begins in Marchof each year. Applicants must fulfil the requirements ofthe Examining Board in England.D.M.R.T. A full-time course normally begins in Aprilof each year. It is held at the Christie Hospital and HoltRadium Institute. Applicants must fulfil the require-ments of the Examining Board in England.Dip.Bact. A full-time course beginning in October andextending over one academic year. Suitable for thosewho have qualified in medicine, veterinary medicine orother branches of science related to bacteriology. Thecourse includes general and systematic bacteriology,bacterial chemistry, serology, immunology, virology,mycology and statistics.Further particulars may be obtained from the Dean ofPostgraduate Medical Studies, The University, Man-chester I3.

NEWCASTLEThe Medical School, King's College(University of Durham)Public Health. A part-time course is held for theD.P.H. The course occupies five terms, two-and-a-halfdays each week being occupied in whole-time study,leaving the remainder of the time free for remuneratedemployment. Several suitable part-time hospital postsin the area are available to candidates attending thecourse. The course is held biennially and the nextcomplete course will begin in either October I958 or inJanuary 1959.Psychological Medicine. Courses for the D.P.M.(Dunelm) are held as follows: Part I, part-time courseextending over three terms and beginning October.Part II, full-time course extending over two terms alsobeginning in October. Part I and Part II may be takentogether.For further information application should be made to theAssistant Registrar, Medical School, King's College,Newcastle upon Tyne.

OXFORDPostgraduate Medical StudiesSummary of ward rounds, clinics, demonstrations,etc., open to general practitioners during August, 1957,in the Radcliffe Infirmary, unless otherwise stated.Medicine. Ward rounds, io.I5 a.m., Mondays andThursdays (Dr. A. M. Cooke); Tuesdays and Fridays(Dr. P. C. Mallam); Wednesdays (Dr. E. M. Buzzard);

432 POSTGRADUATE MEDICAL JOURNAL August 1957

io a.m. Tuesdays and 2 p.m. Fridays (Prof. G. W.Pickering). Clinical demonstrations, 2.15 p.m., Thurs-days in full term (Prof. L. J. Witts, Dr. S. C. Truelove,Dr. J. Badenoch, Dr. Sheila Callender). Medical.consilia,5 p.m., Wednesdays in alternate weeks in full term (Prof.L. J. Witts and others). Clinical pathology. Confer-ences, 5 p.m. Wednesdays, alternate weeks in full term(Dr. A. H. T. Robb-Smith and staff). Chest diseases.Clinical demonstrations, by arrangement with Dr. F.Ridehalgh, Osler Hospital. Geriatrics. Clinical de-monstrations by arrangement with Dr. L. Z. Cosin andDr. P. D. Bedford, Cowley Road Hospital. Infectiousdiseases. Clinical demonstrations, by arrangementwith Dr. J. F. Warin, Slade Hospital. Neurology.(Medical and surgical) clinical demonstrations, 5 p.m.,Thursdays in full term (Mr. J. B. Pennybacker, Dr. W.Ritchie Russell, Mr. W. S. Lewin, Dr. Honor Smith,Dr. C. W. M. Whitty, Dr. J. Spalding); O.P., 1.45 p.m.,Wednesdays (Mr. J. B. Pennybacker, Mr. W. S. Lewin);2 p.m., Tuesdays and Wednesdays (Dr. Ritchie Russell,Dr. C. W. M. Whitty). Paediatrics. Ward rounds,10.3o a.m., Saturdays (Dr. Victoria Smallpiece). Psy-chiatry. Clinical demonstrations, 4 p.m., Fridays in fullterm at Warneford Hospital (Dr. R. G. McInnes). Skindiseases. O.P., 2 p.m., Mondays and Fridays (Dr.H. R. Vickers). Social medicine. Demonstrationsby arrangement with Dr. Alice Stewart, Department ofSocial Medicine, 8 Keble Road. Venereal diseases.O.P. male, 5.30 p.m. Wednesdays, 2.15 p.m. Saturdays(Dr. P. C. Mallam); O.P., female, 6 p.m. Mondays,2.30 p.m. Wednesdays (Dr. Frances Nichol). Surgery.Ward rounds, 9.30 a.m. Mondays, 10.3o a.m. Thursdays,Churchill Hospital (Mr. A. S. Till). O.P. fractures,I o a.m. daily (Mr. J. C. Scott, Mr. R. G. Taylor,Mr. J. D. Morgan). Clinical demonstrations, 4.30 p.m.Tuesdays (in full term). Orthopaedic surgery.Clinical discussions, 9 a.m. Thursdays and Saturdays atNuffield Orthopaedic Centre (Prof. J. Trueta, Mr.J. C. Scott, Mr. R. G. Taylor, Mr. E. W. Somerville,Mr. J. Agerholm, Mr. J. D. Morgan, Mr. W. Waugh).Plastic surgery. Clinical discussions and O.P., 2 p.m.Mondays, Stoke Mandeville Hospital, 2 p.m. Fridays,Churchill Hospital (Prof. T. P. Kilner), io a.m. Thurs-days, Churchill Hospital (Mr. E. W. Peet), 2 p.m.Wednesdays, Churchill Hospital (Mr. J. S. Calnan).Radiotherapy. Ward rounds, 4 p.m. Mondays.Churchill Hospital (Dr. Frank Ellis). Obstetrics,Lecture demonstrations, 9.I5 a.m. Mondays, Tuesdays,Fridays (Prof. J. C. Moir and staff); ward rounds, i I a.mFridays (Prof. J. C. Moir). O.P. ante-natal, 2 p.m. Mon-days (Mr. M. P. Embrey), io a.m. Wednesdays (Mr. W.Hawksworth), 2 p.m. Thursdays (Mr. J. A. Stall-worthy), 2 p.m. Fridays (Prof. J. C. Moir and staff), 2p.m. Mondays, Churchill Hospital lMr. J. A. Stall-worthy), io a.m. Fridays, Churchill Hospital (Mr. W.Hawksworth). O.P. post-natal, io a.m. Tuesdays(Prof. J. C. Moir and staff); Infant Welfare Clinics, 2p.m. Wednesdays and Thursdays, by arrangement withDr. Mary Fisher, City Clinics. Gynaecology. Wardrounds, I I a.m. Tuesdays (Prof. J. C. Moir), 10.30a.m. Wednesdays (Mr. J. A. Stallworthy).General practitioners wishing to avail themselves of thesefacilities should notify the Director of PostgraduateMedical Studies, Osler House, 43 Woodstock Road,Oxford (Telephone: Oxford 3609).

CONFERENCES, PRIZES, Etc.Queen Square Prize in Neurology. A prize of £Ioowill be awarded annually to the postgraduate student,or ex-student, of the Institute of Neurology whopresents the best written paper describing clinical work-caried out or initiated at the National Hospitals for

Nervous Diseases. Entries must be submitted not laterthan September 30 each year.Full particulars from the Dean, Institute of Neurology(Queen Square), The National Hospital, Queen Square,London, W.C.i.Butterworth Gold Medal is presented annually to theCollege of General Practitioners by Messrs. Butterworth& Co., the medical publishers, for an essay by a memberor associate of the College on a subject connected withgeneral practice. The subject for this year's essay is'The science and art of prognosis in general practice.'Essays, identified by motto only (with author's name andaddress in a sealed envelope) and not exceeding Io,ooowords, should be submitted to the Chairman of the AwardsCommittee, College of General Practitioners, I4 BlackFriars Lane, London, E.C., not later than September I6,1957.Riker Fellowship in Pharmacology. The firstFellowship has been provided since 1954, and com-mencing the next academic year two will be awardedannually. The Fellowships provide a grant of xE,ooofor one year of postgraduate study in pharmacologicallaboratories in Great Britain. Two similar Riker Fellow-ships are available in the United States. The Fellowshipsare awarded and administered by the InternationalCouncil of Pharmacologists in association with theBritish Pharmacological Society and other pharmaco-logical societies affiliated with the International Council.The Fellowships aim to provide opportunities forgraduates to pursue research abroad, thus one of theconditions of their award is that pharmacologists are noteligible for Fellowships tenable in their country ofresidence.Full particulars from Riker Laboratories Ltd., MorleyStreet, Loughborough, Leicestershire.Experimental Research into Problems of Ageing.Candidates are invited to submit papers descriptive ofwork in this field for awards for 1958. Not less thanfive awards, of an average value of £3oo each, areavailable for 1958; the announcement of awards will bemade in July 1958. Entries must be received not laterthan January I, 1958, and in making awards preferencewill be given to younger workers.Papers should not be more than 7,000 words in lengthand may be in the candidate's own language.Full particulars and form of application obtainable fromthe Director, Ciba Foundation, 4I Portland Place, London,W.I.Travelling Fellowships for General Practitioners.Applications are invited from members of the College ofGeneral Practitioners, resident in the United Kingdom,for fifteen travelling fellowships of 20oo each, for notless than two weeks' postgraduate study at their oldteaching hospitals or at any other hospitals, clinics, o.health centres of their choice in the British Isles. Thesefifteen Upjohn Travelling Fellowships are to be pre-sented annually by Messrs. Upjohn of England Ltd.,to members of the College of General Practitioners inthe following proportions ':-England, io; Scotland, 3;Wales, i; Northern Ireland, I. They must not overlapwith Ministry of Health grants for postgraduate study.Applications for the 1957 fellowships, with a brief accountof the postgraduate work to be undertaken, should be sentto the Chairman of the Postgraduate Education Com-mittee of Council, College of General Practitioners, 54Sloane Street, London, S.W.I, before September I, 1957.The names of successful applicants will be announced atthe Annual General Meeting of the College on Novemberi6, 1957.Smith, Kline & French Laboratories Fellowship inRehabilitation. The World Rehabilitation Fund, the

August 1957 Postgraduate News 433

International Society for the Welfare of Cripples andthe Central Council for the Care of Cripples are pleasedto announce the availability to a physician from GreatBritain of the Smith, Kline & French LaboratoriesFellowship in Rehabilitation for postgraduate trainingin the United States in physical medicine and rehabili-tation.The Smith, Kline & French Laboratories Fellowshipwill consist of round-trip transportation from Londonto New York, a tax-exempt stipend of $200 per month orits equivalent while in New York City (if room, board,and laundry are provided, the cash stipend will be $Ioo)and a per diem rate of $I z.oo when attending medicalmeetings and observing rehabilitation activities outsideof New York City. The length of the Fellowship inRehabilitation will be based on the prior training and

experience of the awardee and the responsibilities whichhe holds in Great Britain. Candidates must be graduatesof a recognized school of medicine with a degree inmedicine and have a minimum of one-year's internshipor its equivalent. Preference will be given to a physicianwho is engaged in or will return to teaching or anotherpublic service career.

Application forms and full particulars may be obtainedfrom thI Central Council for the Care of Cripples, 34Eccleston Square, London. Applications must be receivedby September i, 1957. Announcement of the selection of theawardee for the Smith, Kline & French LaboratoriesFellowship will be made on or about October I5, 1957.The awardee may begin his training on January I, 1958,or jruly I, 1958.

CARDIAC DISEASE(Postgraduate Medical Journal, February 1956)

Price 3s. 9d. post free

INTRODUCTION DRUG TREATMENT OF HYPERTENSIONWalter Somerville, M.D., M.R.C.P. E. G. McQueen, M.B., M.R.C.P., and F. H.

ANGIOGRAPHY Smirk, M.D., F.R.C.P.J. Norman Pattinson, M.B., B.Chir., D.M.R.D., TREATMENT OF BACTERIAL

F.F.ENDOCARDITISBEDSIDE DIAGNOSIS OF CONGENITALHEART DISEASE Ian G. W. Hill, C.B.E.,T.D., M.B., F.R.C.P.E.,Walter Somerville, M.D., M.R.C.P.

SURGICAL TREATMENT OF CONGENITAL THE MANAGEMENT OF COR PULMONALEHEART DISEASE ,J. F. Goodwin, M.D., M.R.C.P.W. P. Cleland, M.R.C.P., F.R.C.S.

PREGNANCY AND RHEUMATIC HEART THE CARDIAC RISK IN ANAESTHESIADISEASE AND SURGERYSamuel Oran, M.D., F.R.C.P. Graham W. Hayward, M.D., F.R.C.P.

Published byTHE FELLOWSHIP OF POSTGRADUATE MEDICINE

60, Portland Place, London, W.1

RUTHIN CASTLE, NORTH WALESA Clinic for the diagnosis and treatment of Internal Diseases (except Mental or Infectious Diseases). The

Clinic is provided with a staff of doctors, technicians and nurses.The surroundings are beautiful. The climate is mild. There is central heating throughout. The annual

rainfall is 30.5 inches, that is, less than the average for England.The Fees are inclusive and vary according to the room occupied.

For particulars apply to THE SECRETARY, Ruthin Castle, North Wales.Telegroams: Castle, Ruthin 1Telephone: Ruthin 66