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757 conditions and supervision in such cases might be all that was necessary. Education was a vital necessity in the treatment of tuberculosis. It was essential to fill the minds of patients with positive interests.-Dr. STEPHEN J. MAHER (New Haven, Connecticut) said it was a mistake to suppose that the ordinary arrested or cured case of pulmonary tuberculosis needs to be coddled and trained for long periods in some intermediate institution before being allowed to resume his old ideas about the importance of time, money, and achievement. Failure to secure employment was largely due to wrong ideas about the contagiousness of tubercle among adults. The profession must now fight these ideas, and at the present time of economy it must concentrate on curing patients in the sanatorium instead of asking for " post-graduate " schools, factories, or villages. The social events of the conference were memorable. Excursions were arranged throughout Holland, to places of medical interest and elsewhere, with the unobtrusive efficiency characteristic of the country. THE OXFORD UNIVERSITY PROVIDENT ASSOCIATION AN association has been formed in order to meet the special medical needs and risks of Oxford under- graduates. It is designed to give the student (1) early ’,, medical advice and adequate nursing accommodation in the event of illness or accident, and (2) a substantial contribution towards the expenses of operation and nursing when these are unavoidable. The contract is a personal one, renewable from year to year at the discretion of the member and of the Association, and, once the initial waiting period of three months has elapsed, the benefits apply to sickness or accident anywhere and at any time in the year. The annual premium is £3, and the benefits obtainable are as follows :- (a) Nursing.—A contribution not exceeding .86 per week for a period up to four weeks towards the cost of maintenance in a nursing home or in a private paying bed of a hospital (maximum £24 in any year). (b) Investigatiorzs and consultations.—A contribution towards the fee of a consultant of £2 2s. or jE3 3s., according to whether the patient visits or is visited by the consultant (maximum £8 8s. in any year), and a grant not exceeding £3 3s. for X ray examination and not exceeding £2 2s. for pathological examinations. (c) Surgical operations.—Contributions not exceeding £21 in any year towards surgeon’s fees. (d) Anœsthetics.—Contributions not exceeding £2 2s. in any year. (e) Electrical and massage treatment.—A grant at rates not exceeding 10s. 6d. per treatment (maximum £3 3s. in any year). (f) General medical services.-Contributions of two-thirds of the fees of general practitioners (maximum £8 in any year). The liability of the Association is limited (a) to the payment of E63 to a member in any one year, and (b) to the payment of f:63 to a member in respect of any one operation or illness. The arrangements for professional services and treatment are entirely in the hands of the member, in consultation with his doctor. The Association is for mutual benefit only. The council includes among its members the Master of Balliol, the Warden of Wadham, the President of Magdalen College, Oxford, and the Principal of the Society of Oxford Home Students, with Sir Farquhar Buzzard as chairman. Although the Association was only registered during the vacation, and term has not yet started, nearly 700 applications for membership have already been received. Further particulars can be obtained from the registrar at 116, St. Atdatc’a, Oxford. THE SERVICES COMMISSIONS IN THE ROYAL ARMY MEDICAL CORPS Twenty-five permanent commissions in the Royal Army Medical Corps are being offered to qualified medical practitioners, under 28 years of age. There will be no entrance examination, but candidates will be required to present themselves in London for interview and physical examination on Oct. 21st. Applications should reach the War Office not later than Oct. 14th. Further information may be obtained, either by letter or in person, from the Assistant Director-General, Army Medical Services, the War Office, Whitehall, London, S.W. 1. ROYAL NAVAL MEDICAL SERVICE Surg. Lt. M. J. Brosnan is transferred to the Permanent List. The following appointments are notified: Surg. Lt.- Comdrs. M. Barton to Pembroke, for Chatham Dockyard ; T. G. B. Crawford to Pembroke, for Chatham Hospital: and T. L. J. Barry to President, for couxse. Surg. Lt. T. W. Froggatt to Vivid, for R.M. Infirmary, Plymouth. ROYAL NAVAL VOLUNTEER RESERVE Surg. Comdr. A. G. V. Elder is placed on the retd. list. Proby. Surg. Lt. A. P. Gorham to be Surg. Lt. ROYAL ARMY MEDICAL CORPS Lt.-Col. T. B. Moriarty, having attained the age for com- pulsory retirement, is placed on ret. pay. -Nlaj. R. M. Dickson to be Lt.-Col. Maj. W. H. Cornelius is placed on the half-pay list on account of ill-health. The undermentioned from the seed. list are restd. to the estabt. : Majs. J. W. C. Stubbs and J. R. N. Warburton. Lt. R. H. Small relinquishes his temp. commn. Lt. J. M. Ryan to be Capt. (prov.). ARMY DENTAL CORPS Lt. E. C. Browne to be Capt. INDIAN MEDICAL SERVICE Lt. D. H. Waldron to be Capt. Lts. T.C.) C. H. Dhala and S. D. Dalal to be Capts. (T.C.). ROYAL AIR FORCE Flying Officer G. A. M. Knight is promoted to the rank of Flight Lt. CONFERENCE ON CONTRIBUTORY SCHEMES.—The second annual conference of the British Hospitals Contributory Schemes Association was held at Torquay last week under the presidency of Major B. J. T. Ford, chairman of the Birmingham Association. Mr. T. W. Place, secretary of the Birmingham Association, read a paper on the Value of association in advancing Contributory Scheme Principles. He said that experience had shown that the rate of contribution required in order to finance a scheme to provide reasonable support for institutions giving treat- ment to its contributors was approximately 3d. per week per member. This was the maximum sum which the average worker could afford to pay, and the average contribution of most " flat rate " and "1d. in the £ " schemes. A con- tributor transferring from one district to another should be considered eligible to participate in the privileges of the new scheme immediately. This gave the contributor a sense of security, and would do much to popularise the system. On the question of payments to municipal authori- ties Mr. Place read the recommendation of the executive committee that a contributory scheme should not make payment at higher rates than the authority would obtain by the normal process of direct assessment of patients or those liable to be charged on their behalf. He believed that an average of £1 per case was a reasonable sum to pay.

THE SERVICES

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conditions and supervision in such cases might beall that was necessary. Education was a vital

necessity in the treatment of tuberculosis. It wasessential to fill the minds of patients with positiveinterests.-Dr. STEPHEN J. MAHER (New Haven,Connecticut) said it was a mistake to suppose thatthe ordinary arrested or cured case of pulmonarytuberculosis needs to be coddled and trained for

long periods in some intermediate institution beforebeing allowed to resume his old ideas about the

importance of time, money, and achievement. Failureto secure employment was largely due to wrong ideasabout the contagiousness of tubercle among adults.The profession must now fight these ideas, and at thepresent time of economy it must concentrate on

curing patients in the sanatorium instead of askingfor " post-graduate " schools, factories, or villages.The social events of the conference were memorable.

Excursions were arranged throughout Holland, to

places of medical interest and elsewhere, with theunobtrusive efficiency characteristic of the country.

THE OXFORD UNIVERSITY PROVIDENT

ASSOCIATION

AN association has been formed in order to meetthe special medical needs and risks of Oxford under-graduates. It is designed to give the student (1) early ’,,medical advice and adequate nursing accommodationin the event of illness or accident, and (2) a substantial contribution towards the expenses of operation andnursing when these are unavoidable. The contractis a personal one, renewable from year to year at the discretion of the member and of the Association,and, once the initial waiting period of three months has elapsed, the benefits apply to sickness oraccident anywhere and at any time in the year.The annual premium is £3, and the benefits obtainableare as follows :-

(a) Nursing.—A contribution not exceeding .86 per weekfor a period up to four weeks towards the cost of maintenancein a nursing home or in a private paying bed of a hospital(maximum £24 in any year).

(b) Investigatiorzs and consultations.—A contributiontowards the fee of a consultant of £2 2s. or jE3 3s., accordingto whether the patient visits or is visited by the consultant(maximum £8 8s. in any year), and a grant not exceeding£3 3s. for X ray examination and not exceeding £2 2s. forpathological examinations.

(c) Surgical operations.—Contributions not exceeding £21in any year towards surgeon’s fees.

(d) Anœsthetics.—Contributions not exceeding £2 2s. inany year.

(e) Electrical and massage treatment.—A grant at rates notexceeding 10s. 6d. per treatment (maximum £3 3s. in anyyear).

(f) General medical services.-Contributions of two-thirdsof the fees of general practitioners (maximum £8 in any year).The liability of the Association is limited (a) to

the payment of E63 to a member in any one year, and(b) to the payment of f:63 to a member in respect ofany one operation or illness. The arrangements forprofessional services and treatment are entirely inthe hands of the member, in consultation with hisdoctor.

The Association is for mutual benefit only. Thecouncil includes among its members the Masterof Balliol, the Warden of Wadham, the Presidentof Magdalen College, Oxford, and the Principal ofthe Society of Oxford Home Students, with Sir

Farquhar Buzzard as chairman. Although theAssociation was only registered during the vacation,and term has not yet started, nearly 700 applications

for membership have already been received. Furtherparticulars can be obtained from the registrar at 116,St. Atdatc’a, Oxford.

THE SERVICES

COMMISSIONS IN THE ROYAL ARMY MEDICALCORPS

Twenty-five permanent commissions in the RoyalArmy Medical Corps are being offered to qualifiedmedical practitioners, under 28 years of age. Therewill be no entrance examination, but candidates willbe required to present themselves in London forinterview and physical examination on Oct. 21st.Applications should reach the War Office not laterthan Oct. 14th. Further information may beobtained, either by letter or in person, from theAssistant Director-General, Army Medical Services,the War Office, Whitehall, London, S.W. 1.

ROYAL NAVAL MEDICAL SERVICE

Surg. Lt. M. J. Brosnan is transferred to the PermanentList.The following appointments are notified: Surg. Lt.-

Comdrs. M. Barton to Pembroke, for Chatham Dockyard ;T. G. B. Crawford to Pembroke, for Chatham Hospital: andT. L. J. Barry to President, for couxse. Surg. Lt. T. W.Froggatt to Vivid, for R.M. Infirmary, Plymouth.

ROYAL NAVAL VOLUNTEER RESERVE

Surg. Comdr. A. G. V. Elder is placed on the retd. list.Proby. Surg. Lt. A. P. Gorham to be Surg. Lt.

ROYAL ARMY MEDICAL CORPS

Lt.-Col. T. B. Moriarty, having attained the age for com-pulsory retirement, is placed on ret. pay.

-Nlaj. R. M. Dickson to be Lt.-Col.Maj. W. H. Cornelius is placed on the half-pay list on

account of ill-health.The undermentioned from the seed. list are restd. to the

estabt. : Majs. J. W. C. Stubbs and J. R. N. Warburton.Lt. R. H. Small relinquishes his temp. commn.Lt. J. M. Ryan to be Capt. (prov.).

ARMY DENTAL CORPS

Lt. E. C. Browne to be Capt.

INDIAN MEDICAL SERVICE

Lt. D. H. Waldron to be Capt.Lts. T.C.) C. H. Dhala and S. D. Dalal to be Capts. (T.C.).

ROYAL AIR FORCE

Flying Officer G. A. M. Knight is promoted to the rankof Flight Lt.

CONFERENCE ON CONTRIBUTORY SCHEMES.—Thesecond annual conference of the British HospitalsContributory Schemes Association was held at Torquaylast week under the presidency of Major B. J. T. Ford,chairman of the Birmingham Association. Mr. T. W. Place,secretary of the Birmingham Association, read a paperon the Value of association in advancing ContributoryScheme Principles. He said that experience had shown thatthe rate of contribution required in order to finance a schemeto provide reasonable support for institutions giving treat-ment to its contributors was approximately 3d. per weekper member. This was the maximum sum which the averageworker could afford to pay, and the average contributionof most " flat rate " and "1d. in the £ " schemes. A con-tributor transferring from one district to another should beconsidered eligible to participate in the privileges of thenew scheme immediately. This gave the contributor asense of security, and would do much to popularise thesystem. On the question of payments to municipal authori-ties Mr. Place read the recommendation of the executivecommittee that a contributory scheme should not makepayment at higher rates than the authority would obtainby the normal process of direct assessment of patientsor those liable to be charged on their behalf. He believedthat an average of £1 per case was a reasonable sum topay.