1
681 many ways, and would also benefit the nation when certain questions of legislation came to be discussed there. It was also thought by the speaker that the interest already occasionally shown by members of the Royal Family z, in the greater meetings of medical men, if more fre- quently exhibited, and especially in the annual gather- ings of medical students, might stimulate the public to sympathise more with medical life-a matter in which the whole nation is very deeply interested. The same personal interest that is shown by our Royal Princes in the doings of the army, the legal, and even in the musical and other artistic professions would not be thrown away if bestowed upon medicine. But while these things were put forward as worthy of the attention of society, of the State, and of the Crown, the prospect of their being granted was not held up as an inducement to younger men to enter the medical profession, and to devote themselves to it. The divine science and art of healing contained in itself the highest of all rewards worth seeking. It offered to the highest intellects problems which should carry them into the deepest mines of research or up to the loftiest regions of speculation. It offered also to men of warm sympathies quiet walks in the valley below amid the homes of men, where they would have the freest outlet for all their purest impulses, the widest field for kindly, patient, useful activity for others. It offered, in short, to all earnest men work of the best kind suitable to their particular bent, and if old Carlyle’s saying is true, that " blessed is the man who has found his work, let him ask no other blessedness," Medicine has indeed the highest reward for all her sons. WESTMINSTER HOSPITAL. INTRODUCTORY ADDRESS BY MR. JAMES BLACK. THE introductory address was delivered by Mr. James Black, B.A., F.R.C.S., lecturer on anatomy at the new schools in Caxton-street, Westminster, on Oct. 4th, at 3.30 P.M. He stated that he thought the time placed at his disposal would be most profitably employed in offering a few words of practical advice to those who were commencing study for the medical profession, and some suggestions relative to preliminary training and future prospects. One of the first questions arising was how the student should profitably employ his time. The answer to an extent was furnished in the prospectus, where he would discover that most of the hours of the day were mapped out either for attendance at lectures and demonstrations, or for practical work in the dissecting room and chemical and physiological laboratories. Students, however, quickly discover that, even then, their labours are not at an end; but that extra hours must be spent in reading over those subjects which had occupied the mind during the day, and which would be quickly for- gotten unless subjected to methodical and critical reflection. The inquiry also arose, should there be no time fcr recrea- tion and out-door exercise ? The reply was undoubtedly there should be, for a curriculum defective therein must inevitably produce pernicious results. From his experience at Cambridge the lecturer advised that a moderate in- dulgence in athletic sports was well calculated to develop the student’s physique as well as cultivate his mind. He complimented the school on the fair success which had attended their efforts in the public competitions, and referred particularly to the case of one gentleman who up- held the credit of their hospital in the sports, also carried off the exhibition, scholarship, most of the prizes, and, what would prove of the greatest value of all to him, was in turn elected to several valuable appointments in the hospital. Concluding his remarks on this subject, with the caution that such devotion must be circum- scribed within due limits, Mr. Black spoke a few words on music and drawing, which he strongly advised his hearers to cultivate. Music was a special blessing ; it afforded the most perfect solace to the jaded intellect. As Dr. Clouston, in his address on Psychology before the British Medical Association at Brighton, explained, Intense thought will inhibit emotion; whilst, on the other hand, intense attention to objective sounds will inhibit thought." The medical profession included within its ranks many who, to judge by the excellence of their art work, had reached the pinnacle of fame as artists, and who, none the less, had attained an exalted position in their own profession. Dr. Oliver Wendell Holmes, whose recent visit had reminded us that literature too, has for one of its brightest ornaments a mem- ber of our profession, happily remarked---" Literature is a good staff to walk with, but not a good one to lean upon. Coleridge had told him, ’Every man should have as well some fixed and regular occupation,’ and this advice he would hand on to any who might feel tempted to exchange the steady preparations for a practical career for the uncertain pathway of a literary life." Edward Jenner, one of the greatest benefactors of mankind, often solaced himself, when the cares connected wich the progress of his discovery weighed upon him, by playing on the violin and flute with all the mirth of youth. Whilst, then, avoiding unmitigated study, the student should vehemently despise the wanton recklessness of uninterrupted frivolity. To those wiio could not help working, even at the expense of their bodily and mental powers, he would say, Guard against this as much as possible by systematically taking a good night’s rest and sacredly observing the Sabbath. To proceed to the course of studies, the field open to the medical student was endless in variety, as was illustrated by reference to the following, among other subjects: anatomy, physiology, and chemistry. Allusion was made to the researches of Fraser, Crum-Brown, Lauder Brunton, and others, who have established a scientific explanation of the action of different substances founded on the in- vestigation of their molecular constitution; a distinct con- nexion being proved to exist between the specific atomic grouping of these bodies and their physiological action. And Mr. Cresswell Hewett’s remarkable discovery of the syn- thetical manufacture of quinine, by which the price of the drug was likely to be reduced to something like 3d. per ounce, was also referred to. A certain amount of natural science, physical and biological, the lecturer thought, should be acquired before joining a hospital school, and he sketched out a preliminary course founded on the lines lately laid down by a committee of naval instruction for the preliminary training for the navy. At fifteen an examination equivalent to that for the lower certificates conducted by the Oxford and Cambridge School Examination Board was to be passed. For the ensuing year the boy should remain at his school and specially devote himself to mathematics, physics, modern languages, and drawing. At sixteen, when the above committee decided the naval cadets should join the Britannia training-ship to pursue a year’s course of technical and nautical instruction preliminary to the succeeding three years spent afloat, when, of course, their studies would be strictly practical and professional. Mr. Black proposed that the candidate for the medical profession should attend some well-equipped laboratory for the ensuing twelvemonth, where he was to be practically taught biology, chemistry, and physics. Certificates should be required of having undergone such a preliminary training, and the student be expected to matriculate in the above subjects on entering a hospital school. The lecturer, whilst profoundly appreciating the value of a thorough classical education, could not but feel convinced that by adopting some such course as the above there would be more likelihood of the student successfully completing his present curriculum in the allotted four years, and that the benefit of a satisfactory preliminary scientific training would become universal, whereas such is now too much limited to those only who intend taking a university degree. Referring to future prospects, he congratulated his audience on the chance there seemed of taking an M.D. degree in London on the same conditions that already existed at certain universities. The corpora- tion of the venerable College of Physicians and the illus- trious College of Surgeons amply provided England with a truly representative body, admirably suited to confer an M.D. degree on all really well-educated metropolitan students. In conclusion, Mr. Black observed that the success of their own school depended mainly on themselves-not less upon the students than those who were members of° its staff. All must be actuated by high motives. The splendid site of the hospital, under the shadow of that Abbey where lie the ashes of the good and great, the long roll of eminent men who devoted their services to the good work done in the hospital, and, lastly, the enormous vitality which had en- abled the school to survive the crushing blows it had received during its existence of half a century, and to appear as it now did, must inevitably inspire them a l Jwith enthusiasm to do their utmost to maintain the traditions of the past,

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681

many ways, and would also benefit the nation when certainquestions of legislation came to be discussed there. It wasalso thought by the speaker that the interest alreadyoccasionally shown by members of the Royal Family z,

in the greater meetings of medical men, if more fre-

quently exhibited, and especially in the annual gather-ings of medical students, might stimulate the public tosympathise more with medical life-a matter in whichthe whole nation is very deeply interested. The same

personal interest that is shown by our Royal Princes inthe doings of the army, the legal, and even in the musicaland other artistic professions would not be thrown away ifbestowed upon medicine. But while these things were putforward as worthy of the attention of society, of the State,and of the Crown, the prospect of their being granted wasnot held up as an inducement to younger men to enter themedical profession, and to devote themselves to it. Thedivine science and art of healing contained in itself thehighest of all rewards worth seeking. It offered to thehighest intellects problems which should carry them intothe deepest mines of research or up to the loftiest regions ofspeculation. It offered also to men of warm sympathiesquiet walks in the valley below amid the homes of men,where they would have the freest outlet for all their purestimpulses, the widest field for kindly, patient, useful activityfor others. It offered, in short, to all earnest men work ofthe best kind suitable to their particular bent, and if oldCarlyle’s saying is true, that " blessed is the man who hasfound his work, let him ask no other blessedness," Medicinehas indeed the highest reward for all her sons.

WESTMINSTER HOSPITAL. INTRODUCTORY ADDRESS BY MR. JAMES BLACK.

THE introductory address was delivered by Mr. JamesBlack, B.A., F.R.C.S., lecturer on anatomy at the new schoolsin Caxton-street, Westminster, on Oct. 4th, at 3.30 P.M. Hestated that he thought the time placed at his disposal wouldbe most profitably employed in offering a few words ofpractical advice to those who were commencing study forthe medical profession, and some suggestions relative topreliminary training and future prospects. One of the first

questions arising was how the student should profitablyemploy his time. The answer to an extent was furnishedin the prospectus, where he would discover that most ofthe hours of the day were mapped out either for attendanceat lectures and demonstrations, or for practical work in thedissecting room and chemical and physiological laboratories.Students, however, quickly discover that, even then, theirlabours are not at an end; but that extra hours must bespent in reading over those subjects which had occupiedthe mind during the day, and which would be quickly for-gotten unless subjected to methodical and critical reflection.The inquiry also arose, should there be no time fcr recrea-tion and out-door exercise ? The reply was undoubtedlythere should be, for a curriculum defective therein mustinevitably produce pernicious results. From his experienceat Cambridge the lecturer advised that a moderate in-

dulgence in athletic sports was well calculated to developthe student’s physique as well as cultivate his mind. Hecomplimented the school on the fair success which hadattended their efforts in the public competitions, andreferred particularly to the case of one gentleman who up-held the credit of their hospital in the sports, also carriedoff the exhibition, scholarship, most of the prizes, and,what would prove of the greatest value of all to him,was in turn elected to several valuable appointmentsin the hospital. Concluding his remarks on this subject,with the caution that such devotion must be circum-scribed within due limits, Mr. Black spoke a few wordson music and drawing, which he strongly advised hishearers to cultivate. Music was a special blessing ; itafforded the most perfect solace to the jaded intellect. AsDr. Clouston, in his address on Psychology before the BritishMedical Association at Brighton, explained, Intense thoughtwill inhibit emotion; whilst, on the other hand, intenseattention to objective sounds will inhibit thought." Themedical profession included within its ranks many who, tojudge by the excellence of their art work, had reached thepinnacle of fame as artists, and who, none the less, had attainedan exalted position in their own profession. Dr. Oliver

Wendell Holmes, whose recent visit had reminded us thatliterature too, has for one of its brightest ornaments a mem-ber of our profession, happily remarked---" Literature is agood staff to walk with, but not a good one to lean upon.Coleridge had told him, ’Every man should have as wellsome fixed and regular occupation,’ and this advice he wouldhand on to any who might feel tempted to exchange thesteady preparations for a practical career for the uncertainpathway of a literary life." Edward Jenner, one of thegreatest benefactors of mankind, often solaced himself, whenthe cares connected wich the progress of his discoveryweighed upon him, by playing on the violin and flute withall the mirth of youth. Whilst, then, avoiding unmitigatedstudy, the student should vehemently despise the wantonrecklessness of uninterrupted frivolity. To those wiio couldnot help working, even at the expense of their bodily andmental powers, he would say, Guard against this as much aspossible by systematically taking a good night’s rest andsacredly observing the Sabbath.To proceed to the course of studies, the field open to the

medical student was endless in variety, as was illustratedby reference to the following, among other subjects:anatomy, physiology, and chemistry. Allusion was madeto the researches of Fraser, Crum-Brown, Lauder Brunton,and others, who have established a scientific explanationof the action of different substances founded on the in-vestigation of their molecular constitution; a distinct con-nexion being proved to exist between the specific atomicgrouping of these bodies and their physiological action. AndMr. Cresswell Hewett’s remarkable discovery of the syn-thetical manufacture of quinine, by which the price of thedrug was likely to be reduced to something like 3d. perounce, was also referred to. A certain amount of natural science,physical and biological, the lecturer thought, should be

acquired before joining a hospital school, and he sketchedout a preliminary course founded on the lines lately laiddown by a committee of naval instruction for the preliminarytraining for the navy. At fifteen an examination equivalentto that for the lower certificates conducted by the Oxfordand Cambridge School Examination Board was to be passed.For the ensuing year the boy should remain at his school andspecially devote himself to mathematics, physics, modernlanguages, and drawing. At sixteen, when the abovecommittee decided the naval cadets should join the Britanniatraining-ship to pursue a year’s course of technical andnautical instruction preliminary to the succeeding threeyears spent afloat, when, of course, their studies would bestrictly practical and professional. Mr. Black proposed thatthe candidate for the medical profession should attend somewell-equipped laboratory for the ensuing twelvemonth,where he was to be practically taught biology, chemistry,and physics. Certificates should be required of havingundergone such a preliminary training, and the student beexpected to matriculate in the above subjects on entering ahospital school. The lecturer, whilst profoundly appreciatingthe value of a thorough classical education, could not but feelconvinced that by adopting some such course as the abovethere would be more likelihood of the student successfullycompleting his present curriculum in the allotted four years,and that the benefit of a satisfactory preliminary scientifictraining would become universal, whereas such is now toomuch limited to those only who intend taking a universitydegree. Referring to future prospects, he congratulatedhis audience on the chance there seemed of taking anM.D. degree in London on the same conditions thatalready existed at certain universities. The corpora-tion of the venerable College of Physicians and the illus-trious College of Surgeons amply provided England witha truly representative body, admirably suited to conferan M.D. degree on all really well-educated metropolitanstudents.In conclusion, Mr. Black observed that the success of their

own school depended mainly on themselves-not less uponthe students than those who were members of° its staff. Allmust be actuated by high motives. The splendid site of thehospital, under the shadow of that Abbey where lie theashes of the good and great, the long roll of eminent menwho devoted their services to the good work done in thehospital, and, lastly, the enormous vitality which had en-abled the school to survive the crushing blows it hadreceived during its existence of half a century, and toappear as it now did, must inevitably inspire them a l Jwithenthusiasm to do their utmost to maintain the traditions ofthe past,