*
10
Dr.
$10,000, with a house or an adequate house-allowance. Pearce has taken the salary at approximately $10,000, and the $1,000 in respect of superannuation mentioned by him in his paragraph 1 (a) is calculated on this salary on the 10 per cent. basis already approved in principle by the Court. I see that in the same paragraph he places an appropriate house allowance in the I have no recollection of discussing neighbourhood of $1,800. that figure with him myself, but it may be within the recollection of members of the Council that, in the course of a recent dis- cussion, I inclined to place the minimum house allowance for a senior married member of the staff at $1,500, with a leaning to $1,800. It might well be cheaper for us to build, ourselves. Other expenses which would be incurred in respect of each Chair would be travelling expenses and the cost of replacement while on long leave, although the latter might be somewhat reduced whenever the staff was sufficiently large to permit of part-time arrangements during leave.
9. I see that the cost of each assistant is estimated at $3,600 a year. 1 have no specitic recollection of the figure, and I was scarcely in a position last May to pass any useful opinion upon it. Such an assistaut would, in view of the salary, necessarily be one of our Chinese graduates, and I have no doubt that Dr. Pearce has had present to his mind (as he had in connection with the professors) the salaries paid at Peking. I have in my calcula- tions assumed for the sake of safety a total cost of $5,000 per The principal difficulty post, including any incidental expenses. for the present would be that of finding suitably qualified men, but I may here mention, for the purposes of the future, that Dr.
1 Pearce was good enough to inform me that there should be no great difficuity in the way of obtaining Rockefeller travelling fellowships for study abroad for any graduates of special pro- mise. Such men might well, upon their return, hold one of the posts in question for a time and should thereafter form an in- valuable reservoir for supplying men of the highest qualifica- tions for responsible medical posts in China. Assuming—as I shall shortly suggest that the Professorships of Surgery and Medicine were first established, in advance of that of Obstetrics. the Dean of the Faculty advises me that it might possibly be necessary, as a temporary measure, to replace the two posts of assistant by a single full-time resident officer, to be supplemented by some form of part-time assistance.
The resident house officerships in surgery and medicine already exist: that in Obstetrics would be added as a matter of course whenever the professorship was created.
11
Hospital Facilities.
568
10.—I have so far assumed that all necessary hospital facili- ties would be available, and there for the first time it is impossible for the University Council to give any assurances, until the sym- pathetic concurrence of the Colonial Government has been official- ly notified to us. Dr. Pearce mentions in his paragraph 2(a) the minimum number of beds for which it would be possible usefully to set up the proposed organisation, and I have under- stood that as the hospital is at present organised, there might be practical difficulties for some time to come in the way of plac- ing the necessary number of obstetric beds at our disposal. The erection of that Chair might therefore require to be postponed for some time (see Dr. Pearce's paragraph 3), but I see no reason why we should cesire the postponement of either of the other Chairs. The numbers of beds mentioned are, as I understand, minimum numbers, and the unit should be able (with or with- out increase of staff) to deal with larger numbers. Dr. Pearce is hence led to refer to the possibility of the Hospital being eventually considered as the clinical hospital of the University, a contingency he states to be dependent on the building of other hospitals by the Government. In the absence of explanation, these phrases (with which I was already familiar) may give rise to misunderstanding. The other hospitals referred to are, as I have understood, a Government hospital or hospitals for European patients: there are a certain number of such patients in the Government Civil Hospital at present, and so long as they remain we have assumed that their wards would be outside the scope of the suggested arrangements. Should accommodation be provided for them elsewhere, we should be glad to have at our disposal and to assume responsibility for-as many beds as the numbers of our students might from time to time justify. But we have no interest in asking for responsibility for the hospital on its administrative side, unless, at some time in the future, we should, as a matter of mutual convenience, be requested to do so by the Government. The Hospital would in no case cease to be a Government Hospital and would therefore remain at all times under the P.C.M.O. It follows that University teachers who were members of the hospital staff would owe a double allegiance, but that is a situation which already exists and which has given rise to no difficulty in practice. I may cite in illustration the parallel case of the Director of the Kasr-el-Aini Hospital in Cairo, who, as such Director, is responsible to the Department of Public Health, while, as Director of the Medical School, he is under the Ministry of Education.
Government Grant. 11. Dr. Pearce suggests (paragraph 2 (a)) an express stipulation that the closer relations between the Hospital and the
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