"It was customary at this time for the student to be indentured to a
practicing physician, or, if not so bound notarially, to make a private
arrangement with him to be allowed to study in his office and to be
considered as his pupil. For this privilege a fee of £20 was usually
demanded. Apart from the éclat which was supposed to be attached to the
position of a student under a popular physician, and the belief of the
possibility of the patron being able to forward the interests of his
pupils, there were, as a rule, few advantages derived from this
association. It is true that in exceptional cases, if the physician had
a large clientele and took a warm interest in his students, he could, by
arranging their studies, occasionally examining them on the work done,
and directing them in the routine of office work, be of material
assistance to them. The office work of a physician in large practice,
however, offered an excellent opportunity to acquire much practical
knowledge. As, with few exceptions, physicians prescribed and dispensed
their own medicines, the articled student had the opportunity of making
up all the prescriptions. He compounded pills, a variety of which were
always kept prepared for use, and he made the different tinctures and
ointments. He had the privilege, also, of assisting at minor surgical
operations, such as were performed in the office, of making physical
examinations, of applying tests; in short, office practice offered the
same facilities for acquiring practical knowledge, although in a minor
degree, that the outdoor practice of a hospital or the practice of a
dispensary affords...."