Essays in medical sociology, Volume 2 (of 2)Blackwell, Elizabeth
Science
Essays in medical sociology, Volume 2 (of 2)
Blackwell, Elizabeth
Prostitution; Sexual ethics; Social medicine
It is indispensable to the stability of our movement that very thorough
provision be made for the obstetrical education of all our medical
graduates. I do not think that any young woman physician is properly
equipped for her future difficult career unless she has been to a great
extent responsible for at least thirty midwifery patients, of whose
cases she has made careful and discriminating records, and has had the
opportunity of observing a great many more patients, in addition to
the drill in all operative manœuvres that can be given in college. We
need a great maternity department, thoroughly organized, which, whilst
arranged with kindest consideration for the poor, will put our students
through a severe drill, such as is considered necessary at La Maternité
in Paris. That institution, which receives annually an average of 2,500
patients, having over 10,000 applications in the year, is not only an
invaluable practical school, but it has reduced the mortality amongst
its patients to a minimum; and the searching method of instruction
there pursued could be studied by us to great advantage as we try to
secure a well-organized maternity charity for our students in London.
Such a charity, if humanely planned, would be a blessing to poor
mothers, and it would to a great extent remove the reproach of being
obliged to send our enterprising young doctors abroad because London
does not afford them sufficient necessary practical training.
But time warns me to close these remarks, although I would gladly have
enlarged upon the primary importance of preventive medicine--the
medicine of the future--for it is quite certain that the greater part
of disease, even including many surgical operations, is preventable
disease. It is now, unfortunately, the case that unavoidable absorption
in the treatment of disease makes the practical physician too often
ignore the yet larger duty of preventing it.
I have tried to show (1) That women, from their constitutional
adaptation to creation and guardianship, are thus fitted for a special
and noble part in the advancement of the healing art. (2) That the
cultivation of the intellectual faculties necessary to secure their
moral influence requires a long and patient training by methods that
do not injure morality. (3) That the noblest department of medicine to
which we can devote our energies, will be through that guardianship of
the rising generation which is the especial privilege of the family
physician.
In conclusion, my young friends and fellow-workers, I would ask you all
to join with me in the pledge which I gave more than forty years ago to
the Chancellor of the Western University, who handed to me our first
Diploma of Doctor of Medicine. I then promised ‘that it should be the
effort of my life to shed honour on that diploma.’
This is the pledge that we must all prepare for when entering the noble
profession of medicine; in receiving honour we must add lustre to it,
or we become unworthy of it.
Public-domain text, read in full here on John Shaqi.
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