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EXECUTIVE COMMITTEE.
[July 21, 1939
for clinical instruction in the wards which are unexcelled in any other teaching institutions I have visited. Out-patient instruction is provided at the Out-patient Department of the old Civil Hospital, where regular teaching clinics are given three times a week by the respective professors. The clinics are very well attended by patients, and afford excellent opportunities for instruction. The accommodation for students, however, is not satisfactory, and there are no adequate treatment rooms for patients. From among the patients attending the Out-patient department each professor selects the cases he wishes to admit to his wards for treatment or investigation or for teaching purposes. This is an admirable arrangement and is working satisfactorily.
28. Medicine. The staff of the department consists of the professor, first and second assistants, house physician, and clinical assistant. The University teaching unit in the wards comprises sixty beds, including fifteen beds for children. In addition forty beds for tuberculosis cases in the Government wards, and fifteen beds for infectious cases in the isolation wards, are available for teaching. Also, by arrangement, the professor has free access to the Government wards to choose suitable cases for clinical teaching as occasion arises. Students hold the usual appointments in the wards. As the University staff is on a whole-time basis, tutorial instruction in practical methods and supervision of case-taking is continually carried out, Attached to the wards is a commodious clinical laboratory, excellently equipped, where students receive instruction in clinical methods, and all the tests necessary for clinical investigation of patients can be carried out. Lectures and demonstrations in clinical pathology are given by the second assistant, A daily clinical lecture is given by the professor and his assistant. In addition to General Medicine, the course includes instruction in Diseases of Children, Tuberculosis, Infectious Diseases, Therapeutics, and Prescribing. No special teaching is provided in Dietetics, Physio- therapy, or Nursing. Regular instruction in Applied Anatomy and Physiology during the period of clinical studies has not yet been arranged. Steps are being taken to remedy this. There is no provision made for students to reside in the Hospital or near by
July 21, 1939]
EXECUTIVE COMMITTEE.
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when attached to the Medical or Surgical wards. The absence of such provision was surprising, as the plans for the new hospital shown to me in 1933 included a hostel for students for this purpose. It is very desirable that suitable residential accommodation should be provided as soon as possible.
29. Surgery. The staff of the department consists of the professor, first and second assistants, house surgeon, and clinical assistant. The surgical unit has sixty-one beds, and includes a suite of excellent and admirably equipped operating theatres, which are air-conditioned. The professor, by arrangement, has access for teaching purposes to cases of interest in the Government wards. Systematic lectures are given by the professor and his first assistant. The student holds the usual dresserships and attends clinical rounds, operations and out-patient departments, and the general plan of instruction is little changed since my visit in 1933. The student is still compelled to spend much time- unnecessarily in my opinion-watching operations in the theatre. An unusually extensive series of exercises on the cadaver is given to students in the course of instruction provided in operative surgery. The instruction is given in the School of Surgery, completed in 1935, which includes a lecture theatre, laboratory for operative surgery, accommodation for research, and a museum for records and surgical pathology specimens. The school owes its inception to the zeal and enthusiasm of the Professor of Surgery and, as anticipated in 1934, has proved its value not only for undergraduate instruction, but also as a centre for post- graduate lectures and demonstrations.
In addition to general surgery, the Professor gives instruction in Diseases of the Ear, Nose, and Throat, Orthopaedics, Diseases of Infancy or Childhood, and Dental Diseases, on cases admitted to the wards of the University unit, or in other wards of the Hospital to which he has access. For Diseases of the Ear, Nose, and Throat, instruction is also given at a teaching Out-patient Clinic in the Out-patient Department at the old Civil Hospital. Regular instruction in Applied Anatomy and Physiology during the period of clinical studies is not yet arranged, but, as in Medicine, steps are being taken to provide such instruction. The
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