This is no paradox, gentlemen, but quite simply the fact.
The knowledge I have looked for was a real, precise, thorough, and
practical knowledge of fundamentals; whereas that which the best of
the candidates, in a large proportion of cases, have had to give me
was a large, extensive, and inaccurate knowledge of superstructure;
and that is what I mean by saying that my demands went too low,
and not too high. What I have had to complain of is, that a large
proportion of the gentlemen who come up for physiology to the
University of London do not know it as they know their anatomy, and
have not been taught it as they have been taught their anatomy. Now, I
should not wonder at all if I heard a great many "No, noes" here; but
I am not talking about University College; as I have told you before,
I am talking about the average education of medical schools. What I
have found, and found so much reason to lament, is, that while anatomy
has been taught as a science ought to be taught, as a matter of
autopsy, and observation, and strict discipline; in a very large
number of cases, physiology has been taught as if it were a mere
matter of books and of hearsay. I declare to you, gentlemen, that
I have often expected to be told, when I have been asked a question
about the circulation of the blood, that Professor Breitkopf is
of opinion that it circulates, but that the whole thing is an open
question. I assure you that I am hardly exaggerating the state of mind
on matters of fundamental importance which I have found over and over
again to obtain, among gentlemen coming up to that picked examination
of the University of London. Now, I do not think that is a desirable
state of things. I cannot understand why physiology should not be
taught--in fact, you have here abundant evidence that it can be
taught--with the same definiteness and the same precision as anatomy
is taught. And you may depend upon this, that the only physiology
which is to be of any good whatever in medical practice, or in its
application to the study of medicine, is that physiology which a man
knows of his own knowledge; just as the only anatomy which would be
of any good to the surgeon is the anatomy which he knows of his own
knowledge. Another peculiarity I have found in the physiology which
has been current, and that is, that in the minds of a great many
gentlemen it has been supplanted by histology. They have learnt a
great deal of histology, and they have fancied that histology and
physiology are the same things. I have asked for some knowledge of the
physics and the mechanics and the chemistry of the human body, and I
have been met by talk about cells. I declare to you I believe it will
take me two years, at least, of absolute rest from the business of
an examiner to hear the word "cell," "germinal matter," or "carmine,"
without a sort of inward shudder.
Public-domain text, read in full here on John Shaqi.
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