CO129-591-1 Hong Kong University Advisory Committee- recommendations 10-1-1944 - 5-12-1944 — Page 42

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EXECUTIVE COMMITTEE.

[July 21, 1939

Tock Seng Hospital, which was unsuitable as a teaching centre and was inconveniently situated four miles from the College of Medicine, when there appeared to be no insuperable difficulties in organising full provision for medical and surgical clinics in selected wards at the General Hospital, which is suitable as a teaching centre and conveniently near the College. My view was that the continued development of two separate teaching hospitals was unnecessary, must certainly prove costly, and was not unlikely to react adversely on the development of teaching in Medicine and Surgery in the College. At the same time I called attention to the fact that an adequate Out-patient department for teaching had not been developed. The two questions were under the consideration of the authorities until 1937, when it was reported to the General Medical Council that a new hospital had been sanctioned and was to be built adjacent to the College and General Hospital, to include provision for medical and surgical teaching units, and also an adequate Out-patient depart- ment for teaching.

37. On my visit this time I was astonished, and not a little disappointed, to find that the organisation of the clinical teaching in Medicine and Surgery in the two institutions was substantially the same as on my previous visit, and that no teaching Out- patient department existed. The 1937 scheme had been dropped and replaced by a more comprehensive building project of hospital extensions, which included provision for locating and organising clinical units, and teaching Out-patient departments, as in the former scheme. The details are unknown to me, but I was assured before leaving Singapore that measures would be put in hand at once for establishing the ward teaching clinics and Out-patient clinics at the General Hospital. Though the delay may be regretted, it is satisfactory to know that the Government measures now to become effective cannot but add to the high reputation already earned by the College of Medicine in the provision made for medical education,

38. Midwifery, Infant Hygiene, and Diseases of Women. Systematic instruction in Midwifery and Gynecology is provided in the fifth year twice weekly, and in the sixth year the students attend a weekly clinical lecture in Midwifery. Clinical instruction

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July 21, 1939]

EXECUTIVE COMMITTEE.

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in Gynecology is carried out at the General Hospital and at the Maternity Hospital, Kandang Kerbang. Midwifery is taught at the Kandang Kerbang Maternity Hospital, a modern hospital recently extended, and the best training centre I have seen. Excellent residential accommodation and quarters are provided for six students at one time. There were 5,551 deliveries in 1938. During three months' residence a student sees over a thousand confinements, and meets with all abnormal cases. Each student examines and delivers about sixty to seventy cases under trained supervision. There is a daily Out-patient department in the Hospital where regular instruction is given in the principles of ante-natal and post-natal care.

The student in Singapore has great advantages in the oppor- tunities provided for practical experience and training in all branches of Midwifery, Infant Hygiene, and Diseases of Women.

39. Instruction in Special Subjects is given at the General Hospital by members of the Government Medical Service on the specialist staff of the Government Hospitals, who are appointed Lecturers in the College and include in their courses Pædiatrics, Radiology, Diseases of the Eye, of the Ear, Nose, and Throat, of the Skin, Venereal Diseases, Anesthetics, and Dental Diseases.

40. The extent to which the College of Medicine depends on the Medical Department is manifest. It is gratifying to record that the Director of Medical Services willingly co-operates with the College and renders to it every help and assistance within his power,

41. Diseases of the Eye. Since 1934 a specialist whole-time Ophthalmic Surgeon has been added to the Hospital staff, and has taken over the duties formerly carried out by the Professor of Surgery. Lectures and demonstrations are given by the Ophthalmic Surgeon, and students see the work of the department during attendance at afternoon special clinics. The work is simple and practical. Each student is able to use the electric ophthal- moscope before he leaves the department.

42. Diseases of Ear, Nose, and Throat. A course of lectures and demonstrations is given dealing with the commoner conditions. Students see the work of the department during attendance at the

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