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The Government medical officer in charge of the Public Hospital in New Amsterdam or of the Loper Asylum, if debarred from private practice, receives an allowance varying from 501. to 150. per annum as may be determined. No more than 301. is allowed for passage money. There is a Widows' and Orphans' Fund in the Colony to which all Government servants are compelled to subscribe at the rate of per cent. on their salaries.
Windward Islands (Grenada, St. Lucia, St. Vincent, Tobago).-The 23 appointments are, with few exceptions, district appointments with the right to private practice attached; the salaries paid by Government vary from 2001. to 400%. with allowances in certain cases.
Leeward Islands.-The 22 appointments are of the same nature as in the Windward Islands; the salaries vary from 150l. to 4001. per annum, but, in most cases, the pay is 2501. As a rule, 301. only is allowed for passage money. The medical officers receive fees for successful vaccinations, post-mortem examinations, attendance and giving evidence at courts of justice, certificates of lunacy, and, in the larger islands, for burial certificates. They are also allowed private practice.
British Honduras.-There are 4 medical appointments, in all of which private practice is allowed; the pay is respectively $500, $1,000 (2), and $2,250. The Colonial surgeon and district surgeon are public vaccinators, and, as such, receive 31 cents for every successful case effected within a radius of 3 miles of the court-house of the place in which a district magistrate resides, and if beyond that radius 56 cents.
Fiji. There are at present 8 medical officers, of whom the senior medical officer receives 3501. per annum and 501. for house allowance, the others receiving 3007. per annum and 501. for house allowance, with private practice. No system of pension is as yet established.
Western Australia.-Occasionally medical officers are sent out from England at the request of the Governor. They are paid from 1001. per annum with private practice. No pension rights are guaranteed; it is the usual practice to allow 1001. for passage money on first appointment.
West Africa Settlements, including Sierra Leone and Gambia.-At Sierra Leone there are 4 Government medical officers, who are allowed to take private practice. The Colonial surgeon receives 5007., with 917. 5s. travelling allowance. Three assistant Colonial surgeons, one at 3007, and two at 2501.; two of these receive 451. 12s. 6d. travelling allowance. The senior is in charge of the lunatic asylum, incurable and small-pox hospitals at Kissy. One is stationed in Freetown and the other in Sherbro.
At the Gambia there are 2 medical officers paid at the rate of 400%, and 3001. per annum with private practice.
Gold Coast. The assistant Colonial surgeons (10 in number) are paid at the rate of 4001. per annum, rising by triennial increments of 50l. to 5001., with private practice. The pay of the Colonial surgeon is 800, rising to 1,0007. by 501. per annum, with consultation practice only.
Lagos. The 2 assistant Colonial surgeons receive the same salaries as those at the Gold Coast. The Colonial surgeon is paid 400l., rising to 5001. per annum, with 2001. allowances. Private practice is allowed in all three cases, and free quarters, or allowances in lieu thereof, are granted.
N.B. The special rules as to leave and pension in the case of Government servants on the West Coast of Africa apply also to medical officers.
Ceylon. The pay of the deputy assistant Colonial surgeons (4 at present), who are mainly recruited from among gentlemen born in the island but possessing English diplomas, is at the rate of Rs. 1,500 per annum. The (24) assistant Colonial surgeons are paid at a rate rising from Rs. 3,000 to Rs. 5,000 per annum, and the (4) Colonial surgeons at a rate rising from Rs. 6,000 to Rs. 8,000 per annum. Private practice is allowed to the sub- ordinate officers, but the Colonial surgeons may take only consultation practice. In the branch of the service established for the medical care of fabourers on the coffee and other estates, there are at present 3 superintending officers, paid at a rate rising from Rs. 5,000 to Rs. 8,000 per annum ; 7 dis- trict medical officers paid at a rate rising from Rs. 1,500 to Rs. 2,500 per annum, and 8 medical assistants paid at a rate rising from Rs. 1,500 to Rs. 2,000
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per annum. The district medical officers are allowed private practice and the superintending officers consultation practice.
There is a Widows' and Orphans' Pension Fund to which all permanent Government servants are called upon to subscribe at the rate of 4 per cent. on their salaries.
Straits Settlements.-The pay of the (7) different medical appointments is not uniform in value, but the normal salary of a Colonial surgeon may be said to be at the rate of $2,400 per annum, private practice being also allowed.
Hong Kong.-Thero is a Colonial surgeon paid at present at the rate of $2,880 per annum, and allowed private practice; he receives $288 per annum for conveyance and 8864 per annum as ex officio inspector of the Lock Hospital; a superintendent of the civil hospital paid at the rate of $3,000 per annum, and provided with quarters, but not allowed private practice; a health officer and medical inspector of emigrants, paid at the rate of $2,000 per annum, with the right to private practice; a resident surgeon of the Lock Hospital paid at the rate of 81,800 per annum and provided with quarters, but not allowed private practice.
Gibraltar. The port surgeon roccives 1501. per annum and has private practice. There are also 3 district medical officers, two with 701. and one with 601. per annum; all are allowed private practice and receive about 251. cach per annum as public vaccinators. The visiting surgeon of the civil prison and lunatic asylum receives 601., and the officer of health to the Sanitary Commissioners 1007.
Cyprus. There is a chief medical officer paid at the rate of 500l. per annum, and two district medical officers paid at the rate of 2501. per annum ;
all enjoying private practice: these are the only medical appointments in the island which are open to English candidates.
St. Helena.-The Colonial surgeon is paid at the rate of 2001. per annum, with private practice, and 301. horse allowance.
Falkland Islands.-There are 2 appointments, one of which is paid at the rate of 3001. per annum, and the other at the rate of 2001. per annum. Private practice is allowed in both cases.
4. In addition to the ordinary medical appointments in these Colonies, vacancies also occasionally, though very rarely, occur for which specialists are required, as, e.g., to take charge of a lunatic asylum; and the particulars of chief medical officer in some of the larger Colonies have not been given, as the headship of the Medical Department in such Colonies, requiring adminis- trative as well as professional qualifications, is not reserved to the ordinary medical staff, but is often filled up directly from the outside.
5. All applicants for medical employment in the Colonies must be between the ages of 23 and 30, and must be doubly qualified; preference will be given to those who have held hospital appointments as house physicians and house surgeons certificates of moral character and of sobriety will be required, and every officer before being appointed will be medically examined by one of the consulting physicians of the Colonial Office, Dr. Gage Brown, 88, Sloane Street, London, S. W., Sir D. S. Maclagan, 28, Heriot Row, Edinburgh, and Dr. Hawtrey Benson, 57, Fitzwilliam Square, Dublin.
6. Applications for medical employment in the tropical Colonies from persons in the United Kingdom must be addressed to the Private Secretary, Colonial Office, Downing Street, S.W., during the month of April in each year, and notices to that effect will be posted up early in the year in the leading hospitals and medical schools of Great Britain and Ireland.
Out
of the total number so applying a list of candidates will be made who will be eligible to fill any vacancies which may occur during the year, but no promise whatever can be held out that candidates will eventually receive an appointment.
In the course of the last year, 1887-1888, there were in all fifteen vacancies to which appointments were made from this country. They occurred in the following colonies: British Guiana, British Honduras, Falklands, Gambia, Gold Coast, Hong Kong, Straits Settlements.
PUBLIC RECORD OFFICE
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