The hospital had some nine hundred beds, which were always so full
that the last surgeon admitting to his wards constantly found himself
with extra beds poked in between the regulation number through sheer
necessity. It afforded an unrivalled field for clinical experience and
practical teaching. In my day, however, owing to its position in
London, and the fact that its school was only just emerging from
primeval chaos, it attracted very few indeed of the medical students
from Oxford and Cambridge, who are obliged to come to London for their
last two or three years' hospital work--the scope in those small
university towns being decidedly limited.
Looking back I am grateful to my alma mater, and have that real
affection for her that every loyal son should have. But even that does
not conceal from me how poor a teaching establishment it was. Those
who had natural genius, and the advantages of previous scientific
training, who were sons of medical men, or had served apprenticeships
to them, need not have suffered so much through its utter
inefficiency. But men in my position suffered quite unconsciously a
terrible handicap, and it was only the influences for which I had
nothing whatever to thank the hospital that saved me from the
catastrophes which overtook so many who started with me.
To begin with, there was no supervision of our lives whatever. We were
flung into a coarse and evil environment, among men who too often
took pride in their shame, just to sink or swim. Not one soul cared
which you did. I can still remember numerous cases where it simply
meant that men paid quite large sums for the privilege of sending the
sons they loved direct to the devil. I recall one lad whom I had known
at school. His father lavished money upon him, and sincerely believed
that his son was doing him credit and would soon return to share his
large practice, and bring to it all the many new advances he had
learned. The reports of examinations successfully passed he fully
accepted; and the non-return of his son at vacation times he put down
to professional zeal. It was not till the time came for the boy to get
his degree and return that the father discovered that he had lived
exactly the life of the prodigal in the parable, and had neither
attended college nor attempted a single examination of any kind
whatever. It broke the father's heart and he died.
Examinations for degrees were held by the London University, or the
Royal College of Physicians and Surgeons, never by the hospital
schools. These were practically race committees; they did no teaching,
but when you had done certain things, they allowed you to come up and
be examined, and if you got through a written and "viva voce"
examination you were inflicted on an unsuspecting public "qualified to
kill"--often only too literally so.
Public-domain text, read in full here on John Shaqi.
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