Education; Priestley, Joseph, 1733-1804; Science -- Study and teaching
Well, now, gentlemen, I am sure my colleagues in this examination will
bear me out in saying that I have not been exaggerating the evils and
defects which are current--have been current--in a large quantity of
the physiological teaching the results of which come before examiners.
And it becomes a very interesting question to know how all this comes
about, and in what way it can be remedied. How it comes about will be
perfectly obvious to any one who has considered the growth of medicine.
I suppose that medicine and surgery first began by some savage more
intelligent than the rest, discovering that a certain herb was good for
a certain pain, and that a certain pull, somehow or other, set a
dislocated joint right. I suppose all things had their humble
beginnings, and medicine and surgery were in the same condition. People
who wear watches know nothing about watchmaking. A watch goes wrong and
it stops; you see the owner giving it a shake, or, if he is very bold,
he opens the case, and gives the balance-wheel a push. Gentlemen, that
is empirical practice, and you know what are the results upon the
watch. I should think you can divine what are the results of analogous
operations upon the human body. And because men of sense very soon
found that such were the effects of meddling with very complicated
machinery they did not understand, I suppose the first thing, as being
the easiest, was to study the nature of the works of the human watch,
and the next thing was to study the way the parts worked together, and
the way the watch worked. Thus, by degrees, we have had growing up our
body of anatomists, or knowers of the construction of the human watch,
and our physiologists, who know how the machine works. And just as any
sensible man, who has a valuable watch, does not meddle with it
himself, but goes to some one who has studied watchmaking, and
understands what the effect of doing this or that may be; so, I
suppose, the man who, having charge of that valuable machine, his own
body, wants to have it kept in good order, comes to a professor of the
medical art for the purpose of having it set right, believing that, by
deduction from the facts of structure and from the facts of function,
the physician will divine what may be the matter with his bodily watch
at that particular time, and what may be the best means of setting it
right. If that may be taken as a just representation of the relation of
the theoretical branches of medicine--what we may call the institutes
of medicine, to use an old term--to the practical branches, I think it
will be obvious to you that they are of prime and fundamental
importance. Whatever tends to affect the teaching of them injuriously
must tend to destroy and to disorganise the whole fabric of the medical
art. I think every sensible man has seen this long ago; but the
difficulties in the way of attaining good teaching in the different
branches of the theory, or institutes, of medicine are very serious. It
Public-domain text, read in full here on John Shaqi.
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